Results

Total Results: over 10,000 records

Showing results for "occurred".

5001. A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients. | PSNet
      psnet.ahrq.gov/issue/systematic-review-methods-medical-record-analysis-detect-adverse-events-hospitalized-patients
      December 14, 2022 - Review A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients. Citation Text: Klein DO, Rennenberg RJMW, Koopmans RP, et al. A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients.…

5002. Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain. | PSNet
      psnet.ahrq.gov/issue/missed-serious-neurologic-conditions-emergency-department-patients-discharged-nonspecific
      April 08, 2018 - Study Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain. Citation Text: Dubosh NM, Edlow JA, Goto T, et al. Missed Serious Neurologic Conditions in Emergency Department Patients Discharged With Nonspecifi…

5003. Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care. | PSNet
      psnet.ahrq.gov/issue/compensation-claims-danish-emergency-care-identifying-hot-spots-and-blind-spots-quality-care
      November 03, 2021 - Study Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care. Citation Text: Morsø L, Birkeland S, Walløe S, et al. Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care. Jt Comm J Qu…

5004. A strategic solution to preventing the harm associated with ambulance handover delays. | PSNet
      psnet.ahrq.gov/issue/strategic-solution-preventing-harm-associated-ambulance-handover-delays
      July 22, 2020 - Study A strategic solution to preventing the harm associated with ambulance handover delays. Citation Text: Evans C, Da’Costa A. A strategic solution to preventing the harm associated with ambulance handover delays. Emerg Nurse. 2024;32(6):32(6):15-20. doi:10.7748/en.2024.e2199. Copy C…

5005. Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. | PSNet
      psnet.ahrq.gov/issue/postdischarge-adverse-events-among-neonates-admitted-neonatal-intensive-care-unit
      October 05, 2022 - Study Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. Citation Text: Tsilimingras D, Natarajan G, Bajaj M, et al. Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. J Patient Saf. 2022;18(5):462-469. doi:10.…

5006. Systematic root cause analysis of adverse drug events in a tertiary referral hospital. | PSNet
      psnet.ahrq.gov/issue/systematic-root-cause-analysis-adverse-drug-events-tertiary-referral-hospital
      November 16, 2022 - Study Classic Systematic root cause analysis of adverse drug events in a tertiary referral hospital. Citation Text: Rex JH, Turnbull JE, Allen SJ, et al. Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary Referral Hospital. Jt Comm J Qual Improv…

5007. Opioid prescribing after childbirth and risk for serious opioid-related events: a cohort study. | PSNet
      psnet.ahrq.gov/issue/opioid-prescribing-after-childbirth-and-risk-serious-opioid-related-events-cohort-study
      September 23, 2020 - Study Opioid prescribing after childbirth and risk for serious opioid-related events: a cohort study. Citation Text: Osmundson SS, Min JY, Wiese AD, et al. Opioid Prescribing After Childbirth and Risk for Serious Opioid-Related Events: A Cohort Study. Ann Intern Med. 2020;173(5):412-414.…

5008. Role of knowledge and reasoning processes as predictors of resident physicians' susceptibility to anchoring bias in diagnostic reasoning: a randomised controlled experiment. | PSNet
      psnet.ahrq.gov/issue/role-knowledge-and-reasoning-processes-predictors-resident-physicians-susceptibility
      March 18, 2020 - Study Role of knowledge and reasoning processes as predictors of resident physicians' susceptibility to anchoring bias in diagnostic reasoning: a randomised controlled experiment. Citation Text: Mamede S, Zandbergen A, de Carvalho-Filho MA, et al. Role of knowledge and reasoning processe…

5009. Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review. | PSNet
      psnet.ahrq.gov/issue/impact-teamwork-and-communication-training-interventions-safety-culture-and-patient-safety
      October 07, 2020 - Review Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review. Citation Text: Alsabri M, Boudi Z, Lauque D, et al. Impact of teamwork and communication training interventions on safety culture and pat…

5010. Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. | PSNet
      psnet.ahrq.gov/issue/incidence-and-root-cause-analysis-wrong-site-pain-management-procedures-multicenter-study
      April 29, 2020 - Study Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Citation Text: Cohen SP, Hayek SM, Datta S, et al. Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Anesthesiology. 2010;112(3):711-8. d…

5011. Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. | PSNet
      psnet.ahrq.gov/issue/patient-harm-during-covid-19-pandemic-using-human-factors-lens-promote-patient-and-workforce
      September 14, 2022 - Commentary Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. Citation Text: Alagha MA, Jaulin F, Yeung W, et al. Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. J Patient S…

5012. Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. | PSNet
      psnet.ahrq.gov/issue/exploring-new-avenues-assess-sharp-end-patient-safety-analysis-nationally-aggregated-peer
      December 21, 2014 - Study Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. Citation Text: Meeks DW, Meyer AND, Rose B, et al. Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer revi…

5013. High-profile investigations into hospital safety problems in England did not prompt patients to switch providers. | PSNet
      psnet.ahrq.gov/issue/high-profile-investigations-hospital-safety-problems-england-did-not-prompt-patients-switch
      July 11, 2012 - Study High-profile investigations into hospital safety problems in England did not prompt patients to switch providers. Citation Text: Laverty AA, Smith PC, Pape UJ, et al. High-profile investigations into hospital safety problems in England did not prompt patients to switch providers.…

5014. Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process. | PSNet
      psnet.ahrq.gov/issue/using-failure-mode-effect-and-criticality-analysis-improve-safety-cancer-treatment
      October 21, 2020 - Study Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process. Citation Text: Buja A, De Luca G, Ottolitri K, et al. Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment…

5015. Adverse events among emergency department patients with cardiovascular conditions: a multicenter study. | PSNet
      psnet.ahrq.gov/issue/adverse-events-among-emergency-department-patients-cardiovascular-conditions-multicenter
      December 01, 2021 - Study Adverse events among emergency department patients with cardiovascular conditions: a multicenter study. Citation Text: Calder LA, Perry J, Yan JW, et al. Adverse events among emergency department patients with cardiovascular conditions: a multicenter study. Ann Emerg Med. 2021;77(6…

5016. Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-va/annual-summary/2010
      January 01, 2010 - Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings - 2010 Project Name Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings Prin…

5017. Effective Health Care (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0262_05-11-2007.pdf
      January 01, 2007 - Effective Health Care Topic Number(s): 0111 Document Completion Date: 5-19-09 1 Results of Topic Selection Process & Next Steps  Urinary incontinence will go forward for refinement as an update to or expansion of an existing comparative effectiveness or effectiveness review. The scope of thi…

5018. Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff? | PSNet
      psnet.ahrq.gov/issue/why-do-systems-responding-concerns-and-complaints-so-often-fail-patients-families-and
      June 16, 2021 - Study Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff? Citation Text: Martin GP, Chew S, Dixon-Woods M. Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff? A qualita…

5019. Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective case record review study. | PSNet
      psnet.ahrq.gov/issue/problems-care-and-avoidability-death-after-discharge-intensive-care-multi-centre
      March 23, 2022 - Study Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective case record review study. Citation Text: Vollam S, Gustafson O, Young JD, et al. Problems in care and avoidability of death after discharge from intensive care: a multi-cent…

5020. Automated identification of antibiotic overdoses and adverse drug events via analysis of prescribing alerts and medication administration records. | PSNet
      psnet.ahrq.gov/issue/automated-identification-antibiotic-overdoses-and-adverse-drug-events-analysis-prescribing
      May 08, 2017 - Study Automated identification of antibiotic overdoses and adverse drug events via analysis of prescribing alerts and medication administration records. Citation Text: Kirkendall ES, Kouril M, Dexheimer JW, et al. Automated identification of antibiotic overdoses and adverse drug events v…