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Showing results for "occurred".

  1. Risk managers, physicians, and disclosure of harmful medical errors. | PSNet

    psnet.ahrq.gov/issue/risk-managers-physicians-and-disclosure-harmful-medical-errors
    February 15, 2011 - Study Risk managers, physicians, and disclosure of harmful medical errors. Citation Text: Loren DJ, Garbutt J, Dunagan C, et al. Risk managers, physicians, and disclosure of harmful medical errors. Jt Comm J Qual Patient Saf. 2010;36(3):101-8. Copy Citation Format: Google S…

  2. Standards for patient monitoring during general anesthesia at Harvard Medical School. | PSNet

    psnet.ahrq.gov/issue/standards-patient-monitoring-during-general-anesthesia-harvard-medical-school
    February 10, 2011 - Clinical Guideline Standards for patient monitoring during general anesthesia at Harvard Medical School. Citation Text: Eichhorn JH, Cooper JB, Cullen DJ, et al. Standards for patient monitoring during anesthesia at Harvard Medical School. JAMA. 1986;256(8):1017-20. Copy Citation F…

  3. A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients. | PSNet

    psnet.ahrq.gov/issue/multifaceted-approach-safety-synergistic-detection-adverse-drug-events-adult-inpatients
    April 11, 2011 - Study A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients. Citation Text: Ferranti JM, Horvath MM, Cozart H, et al. A Multifaceted Approach to Safety. J Patient Saf. 2008;4(3):184-190. doi:10.1097/pts.0b013e318184a9d5. Copy Citation…

  4. "Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation. | PSNet

    psnet.ahrq.gov/issue/good-catch-kiddo-enhancing-patient-safety-pediatric-emergency-department-through-simulation
    January 03, 2017 - Study "Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation. Citation Text: Shaikh U, Natale JAE, Till DA, et al. "Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation. Pediatr Emerg Care. 2…

  5. Identifying electronic health record contributions to diagnostic error in ambulatory settings through legal claims analysis. | PSNet

    psnet.ahrq.gov/issue/identifying-electronic-health-record-contributions-diagnostic-error-ambulatory-settings
    January 25, 2023 - Study Identifying electronic health record contributions to diagnostic error in ambulatory settings through legal claims analysis. Citation Text: Krevat S, Samuel S, Boxley C, et al. Identifying electronic health record contributions to diagnostic error in ambulatory settings through leg…

  6. Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative. | PSNet

    psnet.ahrq.gov/issue/sustaining-and-spreading-reduction-adverse-drug-events-multicenter-collaborative
    November 16, 2022 - Study Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative. Citation Text: Tham E, Calmes HM, Poppy A, et al. Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative. Pediatrics. 2011;128(2):e438-45. doi:10.1542…

  7. Effective Health Care (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0371_11-23-2010.pdf
    January 01, 2010 - Effective Health Care Topic Number: 0313 Document Completion Date: 12-12-11 1 Results of Topic Selection Process & Next Steps  Outcomes of serious mental illness will go forward for refinement as a systematic review. The scope of this topic, including populations, interventions, comparators, and…

  8. The disclosure dilemma—large-scale adverse events. | PSNet

    psnet.ahrq.gov/issue/disclosure-dilemma-large-scale-adverse-events
    January 22, 2017 - Commentary The disclosure dilemma—large-scale adverse events. Citation Text: Dudzinski DM, Hébert PC, Foglia MB, et al. The disclosure dilemma--large-scale adverse events. New Engl J Med. 2010;363(10):978-986. doi:10.1056/NEJMhle1003134. Copy Citation Format: DOI Google S…

  9. Patient outcomes compared between admissions coordinated by the transfer center and emergency department at a U.S. tertiary care hospital. | PSNet

    psnet.ahrq.gov/issue/patient-outcomes-compared-between-admissions-coordinated-transfer-center-and-emergency
    April 29, 2015 - Study Patient outcomes compared between admissions coordinated by the transfer center and emergency department at a U.S. tertiary care hospital. Citation Text: Pagali SR, Ryu AJ, Fischer KM, et al. Patient outcomes compared between admissions coordinated by the transfer center and emerge…

  10. Adverse events in patients transitioning from the emergency department to the inpatient setting. | PSNet

    psnet.ahrq.gov/issue/adverse-events-patients-transitioning-emergency-department-inpatient-setting
    September 07, 2022 - Study Adverse events in patients transitioning from the emergency department to the inpatient setting. Citation Text: Tsilimingras D, Schnipper JL, Zhang L, et al. Adverse events in patients transitioning from the emergency department to the inpatient setting. J Patient Saf. 2024;20(8):5…

  11. Health professionals' experiences of whistleblowing in maternal and newborn healthcare settings: a scoping review and thematic analysis. | PSNet

    psnet.ahrq.gov/issue/health-professionals-experiences-whistleblowing-maternal-and-newborn-healthcare-settings
    November 02, 2010 - Review Health professionals' experiences of whistleblowing in maternal and newborn healthcare settings: a scoping review and thematic analysis. Citation Text: Capper T, Ferguson B, Muurlink O. Health professionals' experiences of whistleblowing in maternal and newborn healthcare settings…

  12. The frequency and significance of discrepancies in the surgical count. | PSNet

    psnet.ahrq.gov/issue/frequency-and-significance-discrepancies-surgical-count
    March 02, 2011 - Study The frequency and significance of discrepancies in the surgical count. Citation Text: Greenberg CC, Regenbogen SE, Lipsitz SR, et al. The Frequency and Significance of Discrepancies in the Surgical Count. Ann Surg. 2009;248(2). doi:10.1097/sla.0b013e318181c9a3. Copy Citation …

  13. The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/impact-computerised-physician-order-entry-and-clinical-decision-support-pharmacist-physician
    August 24, 2016 - Study The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study. Citation Text: Pontefract SK, Coleman JJ, Vallance HK, et al. The impact of computerised physician order entry and clin…

  14. Safety climate associated with adverse events in nursing homes: a national VA study. | PSNet

    psnet.ahrq.gov/issue/safety-climate-associated-adverse-events-nursing-homes-national-va-study
    September 08, 2021 - Study Safety climate associated with adverse events in nursing homes: a national VA study. Citation Text: Quach ED, Kazis LE, Zhao S, et al. Safety climate associated with adverse events in nursing homes: a national VA study. J Am Med Dir Assoc. 2021;22(2):388-392. doi:10.1016/j.jamda.20…

  15. Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions. | PSNet

    psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication-incidents-and-risk
    October 04, 2023 - Review Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions. Citation Text: Ryan AN, Robertson KL, Glass BD. Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduct…

  16. Influence of psychological safety and organizational support on the impact of humiliation on trainee well-being. | PSNet

    psnet.ahrq.gov/issue/influence-psychological-safety-and-organizational-support-impact-humiliation-trainee-well
    January 26, 2022 - Study Influence of psychological safety and organizational support on the impact of humiliation on trainee well-being. Citation Text: Appelbaum NP, Santen SA, Perera RA, et al. Influence of psychological safety and organizational support on the impact of humiliation on trainee well-being…

  17. Systems errors versus physicians' errors: finding the balance in medical education. | PSNet

    psnet.ahrq.gov/issue/systems-errors-versus-physicians-errors-finding-balance-medical-education
    October 12, 2012 - Commentary Systems errors versus physicians' errors: finding the balance in medical education. Citation Text: Casarett D, Helms C. Systems errors versus physicians' errors: finding the balance in medical education. Acad Med. 1999;74(1):19-22. Copy Citation Format: Google …

  18. Pharmacist-led admission medication reconciliation before and after the implementation of an electronic medication management system. | PSNet

    psnet.ahrq.gov/issue/pharmacist-led-admission-medication-reconciliation-and-after-implementation-electronic
    January 15, 2025 - Study Pharmacist-led admission medication reconciliation before and after the implementation of an electronic medication management system. Citation Text: Sardaneh AA, Burke R, Ritchie A, et al. Pharmacist-led admission medication reconciliation before and after the implementation of an …

  19. Wrong-site surgery in California, 2007–2014. | PSNet

    psnet.ahrq.gov/issue/wrong-site-surgery-california-2007-2014
    July 27, 2023 - Study Wrong-site surgery in California, 2007–2014. Citation Text: Moshtaghi O, Haidar YM, Sahyouni R, et al. Wrong-site surgery in California, 2007-2014. Otolaryngol Head Neck Surg. 2017;157(1):48-52. doi:10.1177/0194599817693226. Copy Citation Format: DOI Google Scholar Pu…

  20. Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. | PSNet

    psnet.ahrq.gov/issue/effects-skilled-nursing-facility-structure-and-process-factors-medication-errors-during
    April 24, 2018 - Study Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. Citation Text: Lane SJ, Troyer JL, Dienemann JA, et al. Effects of skilled nursing facility structure and process factors on medication errors during nursing home a…
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