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Total Results: over 10,000 records

Showing results for "occurred".

4661. Medication errors' causes analysis in home care setting: a systematic review. | PSNet
      psnet.ahrq.gov/issue/medication-errors-causes-analysis-home-care-setting-systematic-review
      August 17, 2022 - Review Medication errors' causes analysis in home care setting: a systematic review. Citation Text: Dionisi S, Di Simone E, Liquori G, et al. Medication errors' causes analysis in home care setting: A systematic review. Public Health Nurs. 2022;39(4):876-897. doi:10.1111/phn.13037. Cop…

4662. Patient-Centered CDS for Postpartum Hypertension Monitoring (pdf file)
      digital.ahrq.gov/sites/default/files/Real%20World%20PC%20CDS_Patient-Centered%20CDS%20for%20Postpartum%20Hypertension%20Monitoring_508_Jan26.pdf
      August 20, 2025 - Patient-Centered CDS for Postpartum Hypertension Monitoring Patient-Centered CDS for Postpartum Hypertension Monitoring At age 42, Brittany McFarland was excited about her first pregnancy after over a year of trying to conceive. All was going well with the pregnancy until she developed preeclampsia in her third…

4663. Multidisciplinary approaches to reducing error and risk in a patient care setting. | PSNet
      psnet.ahrq.gov/issue/multidisciplinary-approaches-reducing-error-and-risk-patient-care-setting
      January 05, 2017 - Study Classic Multidisciplinary approaches to reducing error and risk in a patient care setting. Citation Text: Connor M, Ponte PR, Conway JB. Multidisciplinary approaches to reducing error and risk in a patient care setting. Crit Care Nurs Clin North Am. 2002…

4664. Failure to rescue female patients undergoing high-risk surgery. | PSNet
      psnet.ahrq.gov/issue/failure-rescue-female-patients-undergoing-high-risk-surgery
      October 25, 2017 - Study Failure to rescue female patients undergoing high-risk surgery. Citation Text: Wagner CM, Joynt Maddox KE, Ailawadi G, et al. Failure to rescue female patients undergoing high-risk surgery. JAMA Surg. 2024;160(1):29-36. doi:10.1001/jamasurg.2024.4574. Copy Citation Format: …

4665. How do we know when we have done enough? Ensuring sufficient patient notification efforts after a large-scale adverse event. | PSNet
      psnet.ahrq.gov/issue/how-do-we-know-when-we-have-done-enough-ensuring-sufficient-patient-notification-efforts
      August 18, 2021 - Commentary How do we know when we have done enough? Ensuring sufficient patient notification efforts after a large-scale adverse event. Citation Text: Alfandre D, Foglia MB, Holodniy M, et al. How do we know when we have done enough? Ensuring sufficient patient notification efforts after…

4666. Organizational learning: health care leaders need to design structures and processes that enhance collective learning. | PSNet
      psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance
      November 18, 2020 - Commentary Organizational learning: health care leaders need to design structures and processes that enhance collective learning. Citation Text: Bohmer RM, Edmondson AC. Organizational learning in health care. Health Forum J. 2001;44(2):32-35. Copy Citation Format: Google…

4667. The influence of organizational culture, climate and commitment on speaking up about medical errors. | PSNet
      psnet.ahrq.gov/issue/influence-organizational-culture-climate-and-commitment-speaking-about-medical-errors
      December 31, 2018 - Study Emerging Classic The influence of organizational culture, climate and commitment on speaking up about medical errors. Citation Text: Levine KJ, Carmody M, Silk KJ. The influence of organizational culture, climate and commitment on speaking up about medical…

4668. Decision Support in the Emergency Department to Improve Medication Safety for Older Adults | Digital Healthcare Research
      digital.ahrq.gov/program-overview/research-stories/decision-support-emergency-department-improve-medication-safety
      January 01, 2023 - Decision Support in the Emergency Department to Improve Medication Safety for Older Adults Theme: Optimizing Care Delivery for Clinicians Subtheme: Using Real-Time Digital Healthcare Data to Improve Timely Treatment or Diagnosis Using the clinical decision support system Enhancing Quality …

4669. Nurses' experiences of organizational learning. | PSNet
      psnet.ahrq.gov/issue/nurses-experiences-organizational-learning
      July 21, 2021 - Study Nurses' experiences of organizational learning. Citation Text: Lyman B, Biddulph ME, Hopper VG, et al. Nurses' experiences of organisational learning: a qualitative descriptive study. J Nurs Manag. 2020;28(6):1241-1249. doi:10.1111/jonm.13070. Copy Citation Format: DO…

4670. Building and Implementing a Predictive Decision Support System Based on a Proactive Full Capacity Protocol to Mitigate Emergency Department Overcrowding Problems | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/building-and-implementing-predictive-decision-support-system-based-proactive
      September 29, 2025 - Building and Implementing a Predictive Decision Support System Based on a Proactive Full Capacity Protocol to Mitigate Emergency Department Overcrowding Problems Project Description Publications Using deep learning and predictive analytics, this research has the potential…

4671. Summary of USPSTF Final Recommendation: Screening for Syphilis Infection During Pregnancy (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/_CqYnP2r9XUSuDgkPpF9y8
      May 01, 2025 - Summary of USPSTF Final Recommendation: Screening for Syphilis Infection During Pregnancy Clinicians Summary of USPSTF Final Recommendation Screening for Syphilis Infection During Pregnancy May 2025 What does the USPSTF recommend? A Grade For pregnant women: Provi…

4672. Implementation of a high-reliability organization framework in a large integrated health care system: a pre-post quasi-experimental quality improvement project. | PSNet
      psnet.ahrq.gov/issue/implementation-high-reliability-organization-framework-large-integrated-health-care-system
      July 14, 2018 - Study Implementation of a high-reliability organization framework in a large integrated health care system: a pre-post quasi-experimental quality improvement project. Citation Text: Sawyer AM, Thiyarajan S, Essen KE, et al. Implementation of a high-reliability organization framework in a…

4673. Delays in care during the COVID-19 pandemic in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/delays-care-during-covid-19-pandemic-veterans-health-administration
      May 17, 2023 - Study Delays in care during the COVID-19 pandemic in the Veterans Health Administration. Citation Text: Mills PD, Louis RP, Yackel E. Delays in care during the COVID-19 pandemic in the Veterans Health Administration. J Healthc Qual. 2023;45(4):242-253. doi:10.1097/jhq.0000000000000383. …

4674. Using Lean to improve medication administration safety: in search of the "perfect dose." | PSNet
      psnet.ahrq.gov/issue/using-lean-improve-medication-administration-safety-search-perfect-dose
      September 16, 2015 - Study Using Lean to improve medication administration safety: in search of the "perfect dose." Citation Text: Ching JM, Long C, Williams BL, et al. Using lean to improve medication administration safety: in search of the "perfect dose". Jt Comm J Qual Patient Saf. 2013;39(5):195-204. C…

4675. Medication errors among adults and children with cancer in the outpatient setting. | PSNet
      psnet.ahrq.gov/issue/medication-errors-among-adults-and-children-cancer-outpatient-setting
      January 16, 2010 - Study Medication errors among adults and children with cancer in the outpatient setting. Citation Text: Walsh KE, Dodd KS, Seetharaman K, et al. Medication errors among adults and children with cancer in the outpatient setting. J Clin Oncol. 2009;27(6):891-6. doi:10.1200/JCO.2008.18.60…

4676. Future of artificial intelligence applications in cancer care: a global cross-sectional survey of researchers. | PSNet
      psnet.ahrq.gov/issue/future-artificial-intelligence-applications-cancer-care-global-cross-sectional-survey
      April 27, 2022 - Study Future of artificial intelligence applications in cancer care: a global cross-sectional survey of researchers. Citation Text: Cabral BP, Braga LAM, Syed-Abdul S, et al. Future of artificial intelligence applications in cancer care: a global cross-sectional survey of researchers. Cu…

4677. Long-term care nurses' experiences with patient safety incident management: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/long-term-care-nurses-experiences-patient-safety-incident-management-qualitative-study
      March 24, 2021 - Study Long-term care nurses' experiences with patient safety incident management: a qualitative study. Citation Text: Serre N, Espin S, Indar A, et al. Long-term care nurses' experiences with patient safety incident management: a qualitative study. J Nurs Care Qual. 2022;37(2):188-194. d…

4678. Near-miss events detected using the emergency department trigger tool. | PSNet
      psnet.ahrq.gov/issue/near-miss-events-detected-using-emergency-department-trigger-tool
      August 24, 2022 - Study Near-miss events detected using the emergency department trigger tool. Citation Text: Griffey RT, Schneider RM, Todorov AA. Near-miss events detected using the emergency department trigger tool. J Patient Saf. 2023;19(2):59-66. doi:10.1097/pts.0000000000001092. Copy Citation …

4679. Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network. | PSNet
      psnet.ahrq.gov/issue/design-and-implementation-application-and-associated-services-support-interdisciplinary
      February 15, 2011 - Study Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network. Citation Text: Poon EG, Blumenfeld B, Hamann C, et al. Design and Implementation of an Application and …

4680. Register-based research of adverse events revealing incomplete records threatening patient safety. | PSNet
      psnet.ahrq.gov/issue/register-based-research-adverse-events-revealing-incomplete-records-threatening-patient
      October 06, 2021 - Review Register-based research of adverse events revealing incomplete records threatening patient safety. Citation Text: Kinnunen U-M, Kivekäs E, Palojoki S, et al. Register-based research of adverse events revealing incomplete records threatening patient safety. Stud Health Technol Info…