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Showing results for "occurred".

  1. Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events in an oncology population. | PSNet

    psnet.ahrq.gov/issue/comparison-voluntary-safety-reporting-system-global-trigger-tool-identifying-adverse-events
    July 24, 2017 - Study Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events in an oncology population. Citation Text: Samal L, Khasnabish S, Foskett C, et al. Comparison of a voluntary safety reporting system to a global trigger tool for identifying ad…

  2. Exploring nurses' attitudes, skills, and beliefs of medication safety practices. | PSNet

    psnet.ahrq.gov/issue/exploring-nurses-attitudes-skills-and-beliefs-medication-safety-practices
    October 21, 2020 - Study Exploring nurses' attitudes, skills, and beliefs of medication safety practices. Citation Text: Arkin L, Schuermann A, Penoyer D, et al. Exploring nurses' attitudes, skills, and beliefs of medication safety practices. J Nurs Care Qual. 2022;37(4):319-326. doi:10.1097/ncq.0000000000…

  3. Simulation-based education enhances patient safety behaviors during central venous catheter placement. | PSNet

    psnet.ahrq.gov/issue/simulation-based-education-enhances-patient-safety-behaviors-during-central-venous-catheter
    May 04, 2022 - Study Simulation-based education enhances patient safety behaviors during central venous catheter placement. Citation Text: Jagneaux T, Caffery TS, Musso MW, et al. Simulation-based education enhances patient safety behaviors during central venous catheter placement. J Patient Saf. 2021;…

  4. Nursing care quality and adverse events in US hospitals. | PSNet

    psnet.ahrq.gov/issue/nursing-care-quality-and-adverse-events-us-hospitals
    November 04, 2009 - Study Nursing care quality and adverse events in US hospitals. Citation Text: Lucero RJ, Lake ET, Aiken LH. Nursing care quality and adverse events in US hospitals. J Clin Nurs. 2010;19(15-16):2185-95. doi:10.1111/j.1365-2702.2010.03250.x. Copy Citation Format: DOI Google S…

  5. Suicide attempts and completions on medical-surgical and intensive care units. | PSNet

    psnet.ahrq.gov/issue/suicide-attempts-and-completions-medical-surgical-and-intensive-care-units
    June 21, 2017 - Study Suicide attempts and completions on medical-surgical and intensive care units. Citation Text: Mills PD, Watts V, Hemphill RR. Suicide attempts and completions on medical-surgical and intensive care units. J Hosp Med. 2014;9(3):182-5. doi:10.1002/jhm.2141. Copy Citation Format…

  6. Should operations be regionalized? The empirical relation between surgical volume and mortality. | PSNet

    psnet.ahrq.gov/issue/should-operations-be-regionalized-empirical-relation-between-surgical-volume-and-mortality
    August 04, 2021 - Study Classic Should operations be regionalized? The empirical relation between surgical volume and mortality. Citation Text: Luft HS, Bunker JP, Enthoven AC. Should operations be regionalized? The empirical relation between surgical volume and mortality. N En…

  7. Actions and implementation strategies to reduce suicidal events in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/actions-and-implementation-strategies-reduce-suicidal-events-veterans-health-administration
    January 05, 2017 - Study Actions and implementation strategies to reduce suicidal events in the Veterans Health Administration. Citation Text: Mills PD, Neily J, Luan D, et al. Actions and Implementation Strategies to Reduce Suicidal Events in the Veterans Health Administration. The Joint Commission Journa…

  8. Comfort with uncertainty: reframing our conceptions of how clinicians navigate complex clinical situations. | PSNet

    psnet.ahrq.gov/issue/comfort-uncertainty-reframing-our-conceptions-how-clinicians-navigate-complex-clinical
    February 06, 2013 - Review Emerging Classic Comfort with uncertainty: reframing our conceptions of how clinicians navigate complex clinical situations. Citation Text: Ilgen JS, Eva KW, de Bruin A, et al. Comfort with uncertainty: reframing our conceptions of how clinicians navigate…

  9. Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power. | PSNet

    psnet.ahrq.gov/issue/comparing-evolution-risk-culture-radiation-oncology-aviation-and-nuclear-power
    October 07, 2020 - Study Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power. Citation Text: Abdulla A, Schell KR, Schell MC. Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power. J Patient Saf. 2020;16(4):e352-e358. doi:10.1097/p…

  10. Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/hidden-health-it-hazards-qualitative-analysis-clinically-meaningful-documentation
    January 15, 2020 - Study Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit. Citation Text: Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transf…

  11. ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2013. | PSNet

    psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-prescribing-and-transcribing-2013
    September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2013. Citation Text: Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Prescribing and transcribing-2013. Am J Health Syst Pharm. 2…

  12. Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis. | PSNet

    psnet.ahrq.gov/issue/barriers-and-facilitators-bedside-nursing-handover-systematic-review-and-meta-synthesis
    August 25, 2021 - Review Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis. Citation Text: Clari M, Conti A, Chiarini D, et al. Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis. J Nurs Care Qual. 2021;36(4):e51-…

  13. Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial. | PSNet

    psnet.ahrq.gov/issue/using-preprinted-order-sheet-reduce-prescription-errors-pediatric-emergency-department
    March 04, 2011 - Study Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial. Citation Text: Kozer E, Scolnik D, MacPherson A, et al. Using a preprinted order sheet to reduce prescription errors in a pediatric emergency departme…

  14. Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers: a systematic review and documentary analysis. | PSNet

    psnet.ahrq.gov/issue/evaluation-suitability-root-cause-analysis-frameworks-investigation-community-acquired
    June 16, 2021 - Review Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers: a systematic review and documentary analysis. Citation Text: McGraw C, Drennan VM. Evaluation of the suitability of root cause analysis frameworks for the i…

  15. Patient safety near misses – still missing opportunities to learn. | PSNet

    psnet.ahrq.gov/issue/patient-safety-near-misses-still-missing-opportunities-learn
    July 10, 2024 - Study Patient safety near misses – still missing opportunities to learn. Citation Text: Woodier N, Burnett C, Sampson P, et al. Patient safety near misses – still missing opportunities to learn. J Patient Saf Risk Manag. 2023;29(1):47-53. doi:10.1177/25160435231220430. Copy Citation …

  16. How does routine disclosure of medical error affect patients' propensity to sue and their assessment of provider quality?: Evidence from survey data. | PSNet

    psnet.ahrq.gov/issue/how-does-routine-disclosure-medical-error-affect-patients-propensity-sue-and-their-assessment
    December 04, 2016 - Study How does routine disclosure of medical error affect patients' propensity to sue and their assessment of provider quality?: Evidence from survey data. Citation Text: Helmchen LA, Richards MR, McDonald TB. How does routine disclosure of medical error affect patients' propensity to …

  17. Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient response. | PSNet

    psnet.ahrq.gov/issue/disclosure-and-resolution-programs-include-generous-compensation-offers-may-prompt-complex
    November 20, 2024 - Study Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient response. Citation Text: Murtagh L, Gallagher TH, Andrew P, et al. Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient r…

  18. Patients' concerns about medical errors during hospitalization. | PSNet

    psnet.ahrq.gov/issue/patients-concerns-about-medical-errors-during-hospitalization
    December 22, 2008 - Study Classic Patients' concerns about medical errors during hospitalization. Citation Text: Burroughs TE, Waterman AD, Gallagher TH, et al. Patients' concerns about medical errors during hospitalization. Jt Comm J Qual Patient Saf. 2007;33(1):5-14. Copy Citat…

  19. A trigger tool to identify adverse events in the intensive care unit.  | PSNet

    psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit
    April 08, 2011 - Study A trigger tool to identify adverse events in the intensive care unit.  Citation Text: Resar RK, Rozich JD, Simmonds T, et al. A Trigger Tool to Identify Adverse Events in the Intensive Care Unit. The Joint Commission Journal on Quality and Patient Safety. 2016;32(10). doi:10.1016/s…

  20. The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers. | PSNet

    psnet.ahrq.gov/issue/prevalence-second-victim-syndrome-and-emotional-distress-pediatric-intensive-care-providers
    April 24, 2018 - Study The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers. Citation Text: Wolf MS, Smith K, Basu M, et al. The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers. J Pediatr Intensive Care. 20…
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