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Showing results for "occurred".

  1. Patient safety events reported in general practice: a taxonomy. | PSNet

    psnet.ahrq.gov/issue/patient-safety-events-reported-general-practice-taxonomy
    April 03, 2012 - Study Patient safety events reported in general practice: a taxonomy. Citation Text: Makeham MAB, Stromer S, Bridges-Webb C, et al. Patient safety events reported in general practice: a taxonomy. Qual Saf Health Care. 2008;17(1):53-7. doi:10.1136/qshc.2007.022491. Copy Citation F…

  2. Promoting safety through well-being: an experience in healthcare. | PSNet

    psnet.ahrq.gov/issue/promoting-safety-through-well-being-experience-healthcare
    November 11, 2020 - Commentary Promoting safety through well-being: an experience in healthcare. Citation Text: Bruno A, Bracco F. Promoting Safety through Well-Being: An Experience in Healthcare. Front Psychol. 2016;7:1208. doi:10.3389/fpsyg.2016.01208. Copy Citation Format: DOI Google Schola…

  3. What happens when things go wrong? | PSNet

    psnet.ahrq.gov/issue/what-happens-when-things-go-wrong
    April 24, 2018 - Commentary What happens when things go wrong? Citation Text: Brandom BW, Callahan P, Micalizzi DA. What happens when things go wrong? Paediatr Anaesth. 2011;21(7):730-6. doi:10.1111/j.1460-9592.2010.03513.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

  4. Fixing healthcare from the inside, today. | PSNet

    psnet.ahrq.gov/issue/fixing-healthcare-inside-today
    February 28, 2011 - Commentary Classic Fixing healthcare from the inside, today. Citation Text: Spear SJ. Fixing health care from the inside, today. Harv Bus Rev. 2005;83(9):78-91, 158. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …

  5. Computerization can create safety hazards: a bar-coding near miss. | PSNet

    psnet.ahrq.gov/issue/computerization-can-create-safety-hazards-bar-coding-near-miss
    March 11, 2011 - Commentary Classic Computerization can create safety hazards: a bar-coding near miss. Citation Text: McDonald CJ. Computerization can create safety hazards: a bar-coding near miss. Ann Intern Med. 2006;144(7):510-6. Copy Citation Format: Google S…

  6. Applying hierarchical task analysis to medication administration errors. | PSNet

    psnet.ahrq.gov/issue/applying-hierarchical-task-analysis-medication-administration-errors
    December 18, 2017 - Commentary Applying hierarchical task analysis to medication administration errors. Citation Text: Lane R, Stanton NA, Harrison DA. Applying hierarchical task analysis to medication administration errors. Appl Ergon. 2006;37(5):669-79. Copy Citation Format: Google Scholar…

  7. Identifying and addressing preventable process errors in trauma care. | PSNet

    psnet.ahrq.gov/issue/identifying-and-addressing-preventable-process-errors-trauma-care
    June 17, 2015 - Study Identifying and addressing preventable process errors in trauma care. Citation Text: Pucher PH, Aggarwal R, Twaij A, et al. Identifying and addressing preventable process errors in trauma care. World J Surg. 2013;37(4):752-8. doi:10.1007/s00268-013-1917-9. Copy Citation Form…

  8. As industry automates, adverse events continue to haunt caregivers. | PSNet

    psnet.ahrq.gov/issue/industry-automates-adverse-events-continue-haunt-caregivers
    February 08, 2023 - Newspaper/Magazine Article As industry automates, adverse events continue to haunt caregivers. Citation Text: Wetzel TG. As industry automates, adverse events haunt caregivers. Health data management. 2011;19(2):86, 88, 90 passim. Copy Citation Format: Google Scholar PubM…

  9. Detection of medication-related problems in hospital practice: a review. | PSNet

    psnet.ahrq.gov/issue/detection-medication-related-problems-hospital-practice-review
    June 16, 2021 - Review Detection of medication-related problems in hospital practice: a review. Citation Text: Manias E. Detection of medication-related problems in hospital practice: a review. Br J Clin Pharmacol. 2013;76(1):7-20. doi:10.1111/bcp.12049. Copy Citation Format: DOI Google S…

  10. The National Emergency Department Safety Study: study rationale and design. | PSNet

    psnet.ahrq.gov/issue/national-emergency-department-safety-study-study-rationale-and-design
    June 16, 2009 - Commentary The National Emergency Department Safety Study: study rationale and design. Citation Text: Sullivan AF, Camargo CA, Cleary PD, et al. The National Emergency Department Safety Study: Study Rationale and Design. Acad Emerg Med. 2007;14(12):1182-1189. doi:10.1197/j.aem.2007.07.…

  11. Section1 6 (pdf file)

    hcup-us.ahrq.gov/reports/factsandfigures/2008/pdfs/section1_6.pdf
    January 01, 2008 - HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2008 21 EXHIBIT 1.6 Patient Age 1,180 27 86 116 332 605 128 1,115 22 88 122 323 586 131 0 200 400 600 800 1,000 1,200 1,400 <1 1-17 18-44 45-64 65-84 85+ All Ages Number of Discharges per 1,000 Population A ge…

  12. Healthcare Cost and Utilization Project (HCUP) NIS Notes

    hcup-us.ahrq.gov/db/vars/dsndx/nisnote.jsp
    September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol …

  13. Healthcare Cost and Utilization Project (HCUP) NIS Notes

    hcup-us.ahrq.gov/db/vars/dsnpr/nisnote.jsp
    September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol …

  14. Conspicuous by its absence: diagnostic expert testing under uncertainty. | PSNet

    psnet.ahrq.gov/issue/conspicuous-its-absence-diagnostic-expert-testing-under-uncertainty
    February 28, 2024 - Commentary Conspicuous by its absence: diagnostic expert testing under uncertainty. Citation Text: Dai T, Singh S. Conspicuous by Its absence: diagnostic expert testing under uncertainty. Market Sci. 2020;39(3):540-563. doi:10.1287/mksc.2019.1201. Copy Citation Format: DOI …

  15. Why do hundreds of US women die annually in childbirth? | PSNet

    psnet.ahrq.gov/issue/why-do-hundreds-us-women-die-annually-childbirth
    June 14, 2019 - Commentary Why do hundreds of US women die annually in childbirth? Citation Text: Slomski A. Why Do Hundreds of US Women Die Annually in Childbirth? JAMA. 2019;321(13):1239-1241. doi:10.1001/jama.2019.0714. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

  16. ADVERSE drug events: incidence and risk reduction across the care continuum. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-incidence-and-risk-reduction-across-care-continuum
    April 12, 2019 - Image/Poster ADVERSE drug events: incidence and risk reduction across the care continuum. Citation Text: Wanderer JP, Rathmell JP. ADVERSE Drug Events: Incidence & risk reduction across the care continuum. Anesthesiology. 2016;124(1):A23. doi:10.1097/01.anes.0000473722.20007.03. Copy C…

  17. IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. | PSNet

    psnet.ahrq.gov/issue/ihi-skilled-nursing-facility-trigger-tool-measuring-adverse-events
    February 15, 2017 - Book/Report IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. Citation Text: IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. Adler L, Moore J, Federico F. Cambridge, MA: Institute for Healthcare Improvement; November 2015. Copy Citation …

  18. How communication "failed" or "saved the day": counterfactual accounts of medical errors. | PSNet

    psnet.ahrq.gov/issue/how-communication-failed-or-saved-day-counterfactual-accounts-medical-errors
    September 21, 2022 - Study How communication "failed" or "saved the day": counterfactual accounts of medical errors. Citation Text: Street RL, Petrocelli JV, Amroze A, et al. How Communication “Failed” or “Saved the Day”: Counterfactual Accounts of Medical Errors. J Patient Exp. 2020;7(6):1247-1254. doi:10.1…

  19. Age-related COVID-19 vaccine mix-ups. | PSNet

    psnet.ahrq.gov/issue/age-related-covid-19-vaccine-mix-ups
    June 13, 2018 - Press Release/Announcement Age-related COVID-19 vaccine mix-ups. Citation Text: Age-related COVID-19 vaccine mix-ups. National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. December 6, 2021.  Cop…

  20. Human Factors | Digital Healthcare Research

    digital.ahrq.gov/health-care-theme/human-factors
    January 01, 2023 - Human Factors Artificial Intelligence and Human Factors in Healthcare Quality & Safety Description Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering approaches in the implementation of art…
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