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Total Results: over 10,000 records

Showing results for "occurred".

9721. Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer. | PSNet
      psnet.ahrq.gov/issue/improving-resident-education-and-patient-safety-method-balance-initial-caseloads-academic
      January 27, 2016 - Study Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer. Citation Text: Young JQ, Niehaus B, Lieu SC, et al. Improving resident education and patient safety: a method to balance initial caseloads at academic year-end tran…

9722. Sleep, sleepiness, fatigue, and performance of 12-hour–shift nurses. | PSNet
      psnet.ahrq.gov/issue/sleep-sleepiness-fatigue-and-performance-12-hour-shift-nurses
      July 22, 2010 - Study Sleep, sleepiness, fatigue, and performance of 12-hour–shift nurses. Citation Text: Geiger-Brown J, Rogers VE, Trinkoff AM, et al. Sleep, Sleepiness, Fatigue, and Performance of 12-Hour-Shift Nurses. Chronobiol Int. 2012;29(2). doi:10.3109/07420528.2011.645752. Copy Citation …

9723. Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit. | PSNet
      psnet.ahrq.gov/issue/impact-obstetrical-hospitalist-program-safety-events-mid-sized-obstetrical-unit
      April 03, 2019 - Study Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit. Citation Text: Decesare JZ, Bush SY, Morton AN. Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit. J Patient Saf. 2020;16(3):e179-e181.…

9724. Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/root-cause-analysis-reported-patient-falls-ors-veterans-health-administration
      January 17, 2019 - Commentary Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. Citation Text: Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.10…

9725. Sharing lessons learned to prevent incorrect surgery. | PSNet
      psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-incorrect-surgery
      July 16, 2015 - Study Sharing lessons learned to prevent incorrect surgery. Citation Text: Neily J, Mills PD, Paull DE, et al. Sharing lessons learned to prevent incorrect surgery. Am Surg. 2012;78(11):1276-1280. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

9726. Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports from a national Veterans Affairs database. | PSNet
      psnet.ahrq.gov/issue/systemic-vulnerabilities-suicide-among-veterans-iraq-and-afghanistan-conflicts-review-case
      January 22, 2017 - Study Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports from a national Veterans Affairs database. Citation Text: Mills PD, Huber SJ, Watts BV, et al. Systemic vulnerabilities to suicide among veterans from the Iraq and A…

9727. Review of alternatives to root cause analysis: developing a robust system for incident report analysis. | PSNet
      psnet.ahrq.gov/issue/review-alternatives-root-cause-analysis-developing-robust-system-incident-report-analysis
      November 14, 2018 - Review Review of alternatives to root cause analysis: developing a robust system for incident report analysis. Citation Text: Hagley G, Mills PD, Watts B, et al. Review of alternatives to root cause analysis: developing a robust system for incident report analysis. BMJ Open Qual. 2019;8(…

9728. Going blank: factors contributing to interruptions to nurses' work and related outcomes. | PSNet
      psnet.ahrq.gov/issue/going-blank-factors-contributing-interruptions-nurses-work-and-related-outcomes
      September 24, 2016 - Study Going blank: factors contributing to interruptions to nurses' work and related outcomes. Citation Text: Hall LMG, Ferguson-Paré M, Peter E, et al. Going blank: factors contributing to interruptions to nurses' work and related outcomes. J Nurs Manag. 2010;18(8):1040-7. doi:10.1111/j…

9729. Guilty, afraid, and alone — struggling with medical error. | PSNet
      psnet.ahrq.gov/issue/guilty-afraid-and-alone-struggling-medical-error
      July 01, 2020 - Commentary Classic Guilty, afraid, and alone — struggling with medical error. Citation Text: Delbanco T, Bell SK. Guilty, afraid, and alone--struggling with medical error. N Engl J Med. 2007;357(17):1682-3. Copy Citation Format: Google Scholar PubM…

9730. Developing an intervention to reduce harm in hospitalized patients: patients and families in research. | PSNet
      psnet.ahrq.gov/issue/developing-intervention-reduce-harm-hospitalized-patients-patients-and-families-research
      December 21, 2018 - Study Developing an intervention to reduce harm in hospitalized patients: patients and families in research. Citation Text: Schenk EC, Bryant RA, Van Son CR, et al. Developing an Intervention to Reduce Harm in Hospitalized Patients: Patients and Families in Research. J Nurs Care Qual. 20…

9731. The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery. | PSNet
      psnet.ahrq.gov/issue/occurrence-wrong-site-surgery-self-reported-candidates-certification-american-board
      June 03, 2020 - Study The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery. Citation Text: James MA, Seiler JG, Harrast JJ, et al. The occurrence of wrong-site surgery self-reported by candidates for certification by the Americ…

9732. St. Jude Children's Research Hospital Uses AHRQ Survey to Promote Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201709.html
      June 01, 2017 - St. Jude Children's Research Hospital Uses AHRQ Survey to Promote Patient Safety Search All Impact Case Studies June 2017 St. Jude Children's Research Hospital uses AHRQ's Hospital Survey on Patient Safety Culture to obtain employee feedback on ways to improve medical care and safety for the approximately…

9733. Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. | PSNet
      psnet.ahrq.gov/issue/medication-errors-and-error-chains-involving-high-alert-medications-paediatric-hospital
      March 27, 2024 - Study Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. Citation Text: Kuitunen S, Saksa M, Holmström A-R. Medication errors and error chains involving high-alert medi…

9734. Catastrophic medical malpractice payouts in the United States. | PSNet
      psnet.ahrq.gov/issue/catastrophic-medical-malpractice-payouts-united-states
      April 17, 2013 - Study Catastrophic medical malpractice payouts in the United States. Citation Text: Bixenstine PJ, Shore AD, Mehtsun WT, et al. Catastrophic Medical Malpractice Payouts in the United States. J Healthc Qual. 2013;36(4):43-53. doi:10.1111/jhq.12011. Copy Citation Format: DOI …

9735. Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. | PSNet
      psnet.ahrq.gov/issue/not-overstepping-professional-boundaries-challenging-role-nurses-simulated-error-disclosures
      August 04, 2021 - Study Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. Citation Text: Jeffs L, Espin S, Rorabeck L, et al. Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. J Nurs Care Qual. …

9736. A survey of the impact of disruptive behaviors and communication defects on patient safety. | PSNet
      psnet.ahrq.gov/issue/survey-impact-disruptive-behaviors-and-communication-defects-patient-safety
      February 03, 2010 - Study Classic A survey of the impact of disruptive behaviors and communication defects on patient safety. Citation Text: Rosenstein AH, O'Daniel M. A survey of the impact of disruptive behaviors and communication defects on patient safety. Jt Comm J Qual Patie…

9737. Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse events. | PSNet
      psnet.ahrq.gov/issue/comparison-traditional-trigger-tool-data-warehouse-based-screening-identifying-hospital
      June 11, 2010 - Study Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse events. Citation Text: O'Leary KJ, Devisetty VK, Patel AR, et al. Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse ev…

9738. Ff 2009 Exhibit1 5 (pdf file)
      hcup-us.ahrq.gov/reports/factsandfigures/2009/pdfs/FF_2009_exhibit1_5.pdf
      January 01, 2009 - 1.5A HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2009 20 EXHIBIT 1.5 Patient Age 11,799 271 860 1,155 3,319 6,047 1,278 10,977 229 874 1,213 3,084 5,463 1,284 0 2,000 4,000 6,000 8,000 10,000 12,000 14,000 <1 1-17 18-44 45-64 65-84 85+ All Ages Stays p…

9739. Complication rates on weekends and weekdays in US hospitals. | PSNet
      psnet.ahrq.gov/issue/complication-rates-weekends-and-weekdays-us-hospitals
      August 31, 2011 - Study Complication rates on weekends and weekdays in US hospitals. Citation Text: Bendavid E, Kaganova Y, Needleman J, et al. Complication rates on weekends and weekdays in US hospitals. Am J Med. 2007;120(5):422-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

9740. Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and causes of medication problems 2002-2008. | PSNet
      psnet.ahrq.gov/issue/medication-safety-acute-care-australia-where-are-we-now-part-1-review-extent-and-causes
      October 14, 2009 - Review Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and causes of medication problems 2002-2008. Citation Text: Roughead EE, Semple SJ. Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and c…