Results

Total Results: over 10,000 records

Showing results for "occurred".

4461. Towards international consensus on patient harm: perspectives on pressure injury policy. | PSNet
      psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury-policy
      September 27, 2016 - Review Towards international consensus on patient harm: perspectives on pressure injury policy. Citation Text: Jackson D, Hutchinson M, Barnason S, et al. Towards international consensus on patient harm: perspectives on pressure injury policy. J Nurs Manag. 2016;24(7):902-914. doi:10.111…

4462. Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit. | PSNet
      psnet.ahrq.gov/issue/impact-obstetrical-hospitalist-program-safety-events-mid-sized-obstetrical-unit
      April 03, 2019 - Study Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit. Citation Text: Decesare JZ, Bush SY, Morton AN. Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit. J Patient Saf. 2020;16(3):e179-e181.…

4463. Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. | PSNet
      psnet.ahrq.gov/issue/patients-do-not-always-complain-when-they-are-dissatisfied-implications-service-quality-and
      April 11, 2011 - Study Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. Citation Text: Howard M, Fleming ML, Parker E. Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. J Patien…

4464. Reflection on adverse event disclosure in the postsurgical hospital context. | PSNet
      psnet.ahrq.gov/issue/reflection-adverse-event-disclosure-postsurgical-hospital-context
      August 20, 2018 - Commentary Reflection on adverse event disclosure in the postsurgical hospital context. Citation Text: Roberts F, Gettings P, Torbeck L, et al. Reflection on adverse event disclosure in the postsurgical hospital context. J Surg Educ. 2015;72(4):767-70. doi:10.1016/j.jsurg.2014.12.016. …

4465. The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery. | PSNet
      psnet.ahrq.gov/issue/occurrence-wrong-site-surgery-self-reported-candidates-certification-american-board
      June 03, 2020 - Study The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery. Citation Text: James MA, Seiler JG, Harrast JJ, et al. The occurrence of wrong-site surgery self-reported by candidates for certification by the Americ…

4466. Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers. | PSNet
      psnet.ahrq.gov/issue/investigation-urology-intraoperative-events-leading-root-cause-analysis-national-va-medical
      June 02, 2021 - Study Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers. Citation Text: Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers. Peard LM, Teplitsky S, Annabathula A, et al. Ca…

4467. Registered nurses' judgments of the classification and risk level of patient care errors. | PSNet
      psnet.ahrq.gov/issue/registered-nurses-judgments-classification-and-risk-level-patient-care-errors
      August 24, 2022 - Study Registered nurses' judgments of the classification and risk level of patient care errors. Citation Text: Chipps E, Wills CE, Tanda R, et al. Registered nurses' judgments of the classification and risk level of patient care errors. J Nurs Care Qual. 2011;26(4):302-310. doi:10.1097…

4468. The influence of bullying on nursing practice errors: a systematic review. | PSNet
      psnet.ahrq.gov/issue/influence-bullying-nursing-practice-errors-systematic-review
      January 30, 2019 - Review The influence of bullying on nursing practice errors: a systematic review. Citation Text: Johnson AH, Benham‐Hutchins M. The Influence of Bullying on Nursing Practice Errors: A Systematic Review. AORN J. 2020;111(2). doi:10.1002/aorn.12923. Copy Citation Format: DOI …

4469. Errors, incidents and accidents in anaesthetic practice. | PSNet
      psnet.ahrq.gov/issue/errors-incidents-and-accidents-anaesthetic-practice
      April 06, 2011 - Commentary Classic Errors, incidents and accidents in anaesthetic practice. Citation Text: Runciman WB, Sellen A, Webb RK, et al. The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice. Anaesth Intensive Care. 1993;21(5…

4470. E-prescribing errors in community pharmacies: exploring consequences and contributing factors. | PSNet
      psnet.ahrq.gov/issue/e-prescribing-errors-community-pharmacies-exploring-consequences-and-contributing-factors
      January 07, 2015 - Study E-prescribing errors in community pharmacies: exploring consequences and contributing factors. Citation Text: Odukoya OK, Stone JA, Chui MA. E-prescribing errors in community pharmacies: exploring consequences and contributing factors. Int J Med Inform. 2014;83(6):427-37. doi:10.10…

4471. Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. | PSNet
      psnet.ahrq.gov/issue/not-overstepping-professional-boundaries-challenging-role-nurses-simulated-error-disclosures
      August 04, 2021 - Study Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. Citation Text: Jeffs L, Espin S, Rorabeck L, et al. Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. J Nurs Care Qual. …

4472. Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in pediatric patients. | PSNet
      psnet.ahrq.gov/issue/standard-drug-concentrations-and-smart-pump-technology-reduce-continuous-medication-infusion
      October 06, 2011 - Study Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in pediatric patients. Citation Text: Larsen G, Parker HB, Cash J, et al. Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in ped…

4473. Examining the meaning of the language used to communicate the nursing hand-off. | PSNet
      psnet.ahrq.gov/issue/examining-meaning-language-used-communicate-nursing-hand
      July 07, 2021 - Study Examining the meaning of the language used to communicate the nursing hand-off. Citation Text: Galatzan BJ, Carrington JM. Examining the meaning of the language used to communicate the nursing hand‐off. Res Nurs Health. 2021;44(5):833-843. doi:10.1002/nur.22175. Copy Citation …

4474. Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children. | PSNet
      psnet.ahrq.gov/issue/drug-formulations-require-potentially-inaccurate-volumes-prepare-doses-infants-and-children
      April 22, 2011 - Study Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children. Citation Text: Uppal N, Yasseen B, Seto W, et al. Drug formulations that require less than 0.1 mL of stock solution to prepare doses for infants and children. CMAJ. 2011;183(4…

4475. A patient reported approach to identify medical errors and improve patient safety in the emergency department. | PSNet
      psnet.ahrq.gov/issue/patient-reported-approach-identify-medical-errors-and-improve-patient-safety-emergency
      July 13, 2010 - Study A patient reported approach to identify medical errors and improve patient safety in the emergency department. Citation Text: Glickman SW, Mehrotra A, Shea CM, et al. A Patient Reported Approach to Identify Medical Errors and Improve Patient Safety in the Emergency Department. J Pa…

4476. Wrong-site nerve blocks: a systematic literature review to guide principles for prevention. | PSNet
      psnet.ahrq.gov/issue/wrong-site-nerve-blocks-systematic-literature-review-guide-principles-prevention
      July 22, 2020 - Review Wrong-site nerve blocks: a systematic literature review to guide principles for prevention. Citation Text: Deutsch ES, Yonash RA, Martin DE, et al. Wrong-site nerve blocks: A systematic literature review to guide principles for prevention. J Clin Anesth. 2018;46:101-111. doi:10.10…

4477. Epidemiology of adverse events in air medical transport. | PSNet
      psnet.ahrq.gov/issue/epidemiology-adverse-events-air-medical-transport
      July 03, 2014 - Study Epidemiology of adverse events in air medical transport. Citation Text: MacDonald RD, Banks BA, Morrison M. Epidemiology of adverse events in air medical transport. Acad Emerg Med. 2008;15(10):923-931. doi:10.1111/j.1553-2712.2008.00241.x. Copy Citation Format: DOI Go…

4478. Hospital readmissions: physician awareness and communication practices. | PSNet
      psnet.ahrq.gov/issue/hospital-readmissions-physician-awareness-and-communication-practices
      December 19, 2009 - Study Classic Hospital readmissions: physician awareness and communication practices. Citation Text: Roy CL, Kachalia A, Woolf S, et al. Hospital readmissions: physician awareness and communication practices. J Gen Intern Med. 2009;24(3):374-80. doi:10.1007/s1…

4479. Diagnostic error in a national incident reporting system in the UK. | PSNet
      psnet.ahrq.gov/issue/diagnostic-error-national-incident-reporting-system-uk
      February 15, 2013 - Study Diagnostic error in a national incident reporting system in the UK. Citation Text: Sevdalis N, Jacklin R, Arora S, et al. Diagnostic error in a national incident reporting system in the UK. J Eval Clin Pract. 2010;16(6):1276-81. doi:10.1111/j.1365-2753.2009.01328.x. Copy Citati…

4480. Diagnostic challenges in primary care: identifying and avoiding cognitive bias. | PSNet
      psnet.ahrq.gov/issue/diagnostic-challenges-primary-care-identifying-and-avoiding-cognitive-bias
      November 03, 2021 - Commentary Diagnostic challenges in primary care: identifying and avoiding cognitive bias. Citation Text: Rosen PD, Klenzak S, Baptista S. Diagnostic challenges in primary care: identifying and avoiding cognitive bias. J Fam Pract. 2022;71(3):124-132. doi:10.12788/jfp.0380. Copy Citati…