Results

Total Results: over 10,000 records

Showing results for "occurred".

4681. Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency care research network. | PSNet
      psnet.ahrq.gov/issue/types-diagnostic-errors-reported-paediatric-emergency-providers-global-paediatric-emergency
      December 16, 2020 - Study Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency care research network. Citation Text: Mahajan P, Grubenhoff JA, Cranford J, et al. Types of diagnostic errors reported by paediatric emergency providers in a global paediatric eme…

4682. Errors during resuscitation: the impact of perceived authority on delivery of care. | PSNet
      psnet.ahrq.gov/issue/errors-during-resuscitation-impact-perceived-authority-delivery-care
      April 03, 2019 - Study Errors during resuscitation: the impact of perceived authority on delivery of care. Citation Text: Delaloye NJ, Tobler K, OʼNeill T, et al. Errors during resuscitation: the impact of perceived authority on delivery of care. J Patient Saf. 2020;16(1). doi:10.1097/pts.000000000000035…

4683. Sources of medication omissions among hospitalized older adults with polypharmacy. | PSNet
      psnet.ahrq.gov/issue/sources-medication-omissions-among-hospitalized-older-adults-polypharmacy
      January 18, 2023 - Study Sources of medication omissions among hospitalized older adults with polypharmacy. Citation Text: Shah AS, Hollingsworth EK, Shotwell MS, et al. Sources of medication omissions among hospitalized older adults with polypharmacy. J Am Geriatr Soc. 2022;70(4):1180-1189. doi:10.1111/jg…

4684. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. | PSNet
      psnet.ahrq.gov/issue/team-cognition-handoffs-relating-system-factors-team-cognition-functions-and-outcomes-two
      February 16, 2022 - Study Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. Citation Text: Wooldridge AR, Carayon P, Hoonakker PLT, et al. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two hand…

4685. Validating domains of patient contextual factors essential to preventing contextual errors: a qualitative study conducted at Chicago area Veterans Health Administration sites. | PSNet
      psnet.ahrq.gov/issue/validating-domains-patient-contextual-factors-essential-preventing-contextual-errors
      September 20, 2011 - Study Validating domains of patient contextual factors essential to preventing contextual errors: a qualitative study conducted at Chicago area Veterans Health Administration sites. Citation Text: Binns-Calvey AE, Malhiot A, Kostovich CT, et al. Validating Domains of Patient Contextual F…

4686. "I am administering medication—please do not interrupt me": red tabards preventing interruptions as perceived by surgical patients. | PSNet
      psnet.ahrq.gov/issue/i-am-administering-medication-please-do-not-interrupt-me-red-tabards-preventing-interruptions
      May 12, 2021 - Study "I am administering medication—please do not interrupt me": red tabards preventing interruptions as perceived by surgical patients. Citation Text: Palese A, Ferro M, Pascolo M, et al. "I Am Administering Medication-Please Do Not Interrupt Me": Red Tabards Preventing Interruptions a…

4687. A checklist to identify inpatient suicide hazards in Veterans Affairs hospitals. | PSNet
      psnet.ahrq.gov/issue/checklist-identify-inpatient-suicide-hazards-veterans-affairs-hospitals
      April 20, 2011 - Study A checklist to identify inpatient suicide hazards in Veterans Affairs hospitals. Citation Text: Mills PD, Watts V, Miller S, et al. A checklist to identify inpatient suicide hazards in veterans affairs hospitals. Jt Comm J Qual Patient Saf. 2010;36(2):87-93. Copy Citation For…

4688. The Economic Measurement of Medical Errors. | PSNet
      psnet.ahrq.gov/issue/economic-measurement-medical-errors
      March 23, 2022 - Book/Report The Economic Measurement of Medical Errors. Citation Text: The Economic Measurement of Medical Errors. Shreve J, van Den Bos J, Gray T, Halford M, Rustagi K, Ziemkiewicz E. Schaumburg, IL: The Society of Actuaries; 2010. Copy Citation Save Save t…

4689. Separate medication preparation rooms reduce interruptions and medication errors in the hospital setting: a prospective observational study. | PSNet
      psnet.ahrq.gov/issue/separate-medication-preparation-rooms-reduce-interruptions-and-medication-errors-hospital
      March 11, 2013 - Study Separate medication preparation rooms reduce interruptions and medication errors in the hospital setting: a prospective observational study. Citation Text: Huckels-Baumgart S, Baumgart A, Buschmann U, et al. Separate Medication Preparation Rooms Reduce Interruptions and Medication …

4690. Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey study. | PSNet
      psnet.ahrq.gov/issue/risk-medication-errors-and-nurses-quality-sleep-national-cross-sectional-web-survey-study
      February 09, 2022 - Study Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey study. Citation Text: Di Simone E, Fabbian F, Giannetta N, et al. Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey study. Eur Rev Med Pharmacol…

4691. Effectiveness of a ‘do not interrupt’ vest intervention to reduce medication errors during medication administration: a multicenter cluster randomized controlled trial. | PSNet
      psnet.ahrq.gov/issue/effectiveness-do-not-interrupt-vest-intervention-reduce-medication-errors-during-medication
      December 21, 2017 - Study Effectiveness of a ‘do not interrupt’ vest intervention to reduce medication errors during medication administration: a multicenter cluster randomized controlled trial. Citation Text: Berdot S, Vilfaillot A, Bézie Y, et al. Effectiveness of a ‘do not interrupt’ vest intervention to…

4692. Association of postoperative readmissions with surgical quality using a Delphi consensus process to identify relevant diagnosis codes. | PSNet
      psnet.ahrq.gov/issue/association-postoperative-readmissions-surgical-quality-using-delphi-consensus-process
      September 25, 2018 - Study Association of postoperative readmissions with surgical quality using a Delphi consensus process to identify relevant diagnosis codes. Citation Text: Mull HJ, Graham LA, Morris MS, et al. Association of Postoperative Readmissions With Surgical Quality Using a Delphi Consensus Proce…

4693. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. | PSNet
      psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety-incident-report
      January 12, 2022 - Study Diagnostic error in the emergency department: learning from national patient safety incident report analysis. Citation Text: Hussain F, Cooper A, Carson-Stevens A, et al. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. B…

4694. Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes. | PSNet
      psnet.ahrq.gov/issue/inadequacies-physical-examination-cause-medical-errors-and-adverse-events-collection
      June 01, 1989 - Study Classic Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes. Citation Text: Verghese A, Charlton B, Kassirer JP, et al. Inadequacies of Physical Examination as a Cause of Medical Errors and Advers…

4695. Adverse events after transition from ICU to hospital ward: a multicenter cohort study. | PSNet
      psnet.ahrq.gov/issue/adverse-events-after-transition-icu-hospital-ward-multicenter-cohort-study
      October 13, 2018 - Study Adverse events after transition from ICU to hospital ward: a multicenter cohort study. Citation Text: Sauro KM, Soo A, de Grood C, et al. Adverse Events After Transition From ICU to Hospital Ward: A Multicenter Cohort Study*. Crit Care Med. 2020;48(7):946-953. doi:10.1097/ccm.00000…

4696. Medication errors among acutely ill and injured children treated in rural emergency departments. | PSNet
      psnet.ahrq.gov/issue/medication-errors-among-acutely-ill-and-injured-children-treated-rural-emergency-departments
      December 13, 2013 - Study Medication errors among acutely ill and injured children treated in rural emergency departments. Citation Text: Marcin JP, Dharmar M, Cho M, et al. Medication errors among acutely ill and injured children treated in rural emergency departments. Ann Emerg Med. 2007;50(4):361-7, 36…

4697. Delivery of optimized inpatient anticoagulation therapy: consensus statement from the Anticoagulation Forum. | PSNet
      psnet.ahrq.gov/issue/delivery-optimized-inpatient-anticoagulation-therapy-consensus-statement-anticoagulation
      March 04, 2020 - Commentary Delivery of optimized inpatient anticoagulation therapy: consensus statement from the Anticoagulation Forum. Citation Text: Nutescu EA, Wittkowsky AK, Burnett A, et al. Delivery of optimized inpatient anticoagulation therapy: consensus statement from the anticoagulation forum…

4698. Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey. | PSNet
      psnet.ahrq.gov/issue/intraoperative-sentinel-events-era-surgical-safety-checklists-results-national-survey
      August 04, 2021 - Study Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey. Citation Text: Cramer JD, Balakrishnan K, Roy S, et al. Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey. OTO Open. 2020;4(4):…

4699. How accurately do older adult emergency department patients recall their medications? | PSNet
      psnet.ahrq.gov/issue/how-accurately-do-older-adult-emergency-department-patients-recall-their-medications
      September 02, 2020 - Study How accurately do older adult emergency department patients recall their medications? Citation Text: Goldberg EM, Marks SJ, Merchant RC, et al. How accurately do older adult emergency department patients recall their medications? Acad Emerg Med. 2021;28(2):248-252. doi:10.1111/acem…

4700. Safety as a criterion for quality: The Critical Nursing Situation Index in paediatric critical care, an observational study. | PSNet
      psnet.ahrq.gov/issue/safety-criterion-quality-critical-nursing-situation-index-paediatric-critical-care
      March 01, 2011 - Study Safety as a criterion for quality: The Critical Nursing Situation Index in paediatric critical care, an observational study. Citation Text: de Neef M, Bos AP, Tol D. Safety as a criterion for quality: the critical nursing situation index in paediatric critical care, an observatio…