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Total Results: over 10,000 records

Showing results for "occurred".

9741. Sailing too close to the wind? How harnessing patient voice can identify drift towards boundaries of acceptable performance. | PSNet
      psnet.ahrq.gov/issue/sailing-too-close-wind-how-harnessing-patient-voice-can-identify-drift-towards-boundaries
      February 28, 2024 - Commentary Sailing too close to the wind? How harnessing patient voice can identify drift towards boundaries of acceptable performance. Citation Text: Wiig S, Calderwood CJ, O’Hara J. Sailing too close to the wind? How harnessing patient voice can identify drift towards boundaries of acc…

9742. Hospital and procedure incidence of pediatric retained surgical items. | PSNet
      psnet.ahrq.gov/issue/hospital-and-procedure-incidence-pediatric-retained-surgical-items
      December 02, 2020 - Study Hospital and procedure incidence of pediatric retained surgical items. Citation Text: Wang B, Tashiro J, Perez EA, et al. Hospital and procedure incidence of pediatric retained surgical items. J Surg Res. 2015;198(2):400-5. doi:10.1016/j.jss.2015.03.054. Copy Citation Format:…

9743. Emotional harm from disrespect: the neglected preventable harm. | PSNet
      psnet.ahrq.gov/issue/emotional-harm-disrespect-neglected-preventable-harm
      August 09, 2018 - Commentary Emotional harm from disrespect: the neglected preventable harm. Citation Text: Sokol-Hessner L, Folcarelli P, Sands KEF. Emotional harm from disrespect: the neglected preventable harm. BMJ Qual Saf. 2015;24(9):550-3. doi:10.1136/bmjqs-2015-004034. Copy Citation Format: …

9744. Pain as the neglected patient safety concern: five years on. | PSNet
      psnet.ahrq.gov/issue/pain-neglected-patient-safety-concern-five-years
      July 31, 2019 - Commentary Pain as the neglected patient safety concern: five years on. Citation Text: Twycross A, Forgeron P, Chorne J, et al. Pain as the neglected patient safety concern: Five years on. J Child Health Care. 2016;20(4):537-541. doi:10.1177/1367493516643422. Copy Citation Format: …

9745. Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. | PSNet
      psnet.ahrq.gov/issue/leaving-patients-their-own-devices-smart-technology-safety-and-therapeutic-relationships
      December 04, 2024 - Commentary Emerging Classic Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. Citation Text: Ho A, Quick O. Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. BMC Med Ethics…

9746. Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. | PSNet
      psnet.ahrq.gov/issue/missed-lesions-abdominal-oncologic-ct-lessons-learned-quality-assurance
      April 21, 2011 - Study Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. Citation Text: Siewert B, Sosna J, McNamara A, et al. Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. Radiographics. 2008;28(3):623-38. doi:10.1148/rg.283075188. …

9747. Patient participation in patient safety and nursing input—a systematic review. | PSNet
      psnet.ahrq.gov/issue/patient-participation-patient-safety-and-nursing-input-systematic-review
      June 10, 2020 - Review Patient participation in patient safety and nursing input—a systematic review. Citation Text: Vaismoradi M, Jordan S, Kangasniemi M. Patient participation in patient safety and nursing input - a systematic review. J Clin Nurs. 2015;24(5-6):627-39. doi:10.1111/jocn.12664. Copy Ci…

9748. Interruptions and distractions in healthcare: review and reappraisal. | PSNet
      psnet.ahrq.gov/issue/interruptions-and-distractions-healthcare-review-and-reappraisal
      January 19, 2011 - Review Classic Interruptions and distractions in healthcare: review and reappraisal. Citation Text: Rivera-Rodriguez AJ, Karsh B-T. Interruptions and distractions in healthcare: review and reappraisal. Qual Saf Health Care. 2010;19(4):304-312. doi:10.1136/qshc.2…

9749. Crossing the Global Quality Chasm: Improving Health Care Worldwide. | PSNet
      psnet.ahrq.gov/issue/crossing-global-quality-chasm-improving-health-care-worldwide
      June 15, 2011 - Book/Report Classic Crossing the Global Quality Chasm: Improving Health Care Worldwide. Citation Text: Crossing the Global Quality Chasm: Improving Health Care Worldwide. Committee on Improving the Quality of Health Care Globally. National Academies of Sciences,…

9750. Reducing diagnostic errors—why now? | PSNet
      psnet.ahrq.gov/issue/reducing-diagnostic-errors-why-now
      July 28, 2014 - Commentary Classic Reducing diagnostic errors—why now? Citation Text: Khullar D, Jha AK, Jena AB. Reducing diagnostic errors--why now? N Engl J Med. 2015;373(26):2491-2493. doi:10.1056/NEJMp1508044. Copy Citation Format: DOI Google Scholar PubMed B…

9751. Association between physician burnout and self-reported errors: meta-analysis. | PSNet
      psnet.ahrq.gov/issue/association-between-physician-burnout-and-self-reported-errors-meta-analysis
      July 19, 2017 - Review Association between physician burnout and self-reported errors: meta-analysis. Citation Text: Owoc J, Mańczak M, Jabłońska M, et al. Association between physician burnout and self-reported errors: meta-analysis. J Patient Saf. 2022;18(1):e180-e188. doi:10.1097/pts.0000000000000724…

9752. Automated identification of extreme-risk events in clinical incident reports. | PSNet
      psnet.ahrq.gov/issue/automated-identification-extreme-risk-events-clinical-incident-reports
      November 03, 2015 - Study Automated identification of extreme-risk events in clinical incident reports. Citation Text: Ong M-S, Magrabi F, Coiera E. Automated identification of extreme-risk events in clinical incident reports. J Am Med Inform Assoc. 2012;19(e1):e110-8. Copy Citation Format: Go…

9753. Overview | Digital Healthcare Research
      digital.ahrq.gov/overview
      January 01, 2023 - Overview 1. Eight Key Lessons for Managing Care in Medicaid in 2011 and Beyond ( PDF , 142 KB) Author(s) : Lorie Martin, Center for Health Care Strategies, Inc. Date : May 2011  Summary : This brief outlines eight lessons for effective managed care drawn from the Center for Health Care Str…

9754. Electronic prescription writing errors in the pediatric emergency department. | PSNet
      psnet.ahrq.gov/issue/electronic-prescription-writing-errors-pediatric-emergency-department
      November 16, 2022 - Study Electronic prescription writing errors in the pediatric emergency department. Citation Text: Nelson CE, Selbst SM. Electronic prescription writing errors in the pediatric emergency department. Pediatr Emerg Care. 2015;31(5):368-72. doi:10.1097/PEC.0000000000000428. Copy Citation …

9755. Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. | PSNet
      psnet.ahrq.gov/issue/developing-and-pilot-testing-practical-measures-preanalytic-surgical-specimen-identification
      June 16, 2011 - Study Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. Citation Text: Bixenstine PJ, Zarbo RJ, Holzmueller CG, et al. Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. Am J M…

9756. Detection, classification, and correction of defective chemotherapy orders through nursing and pharmacy oversight. | PSNet
      psnet.ahrq.gov/issue/detection-classification-and-correction-defective-chemotherapy-orders-through-nursing-and
      May 27, 2011 - Study Detection, classification, and correction of defective chemotherapy orders through nursing and pharmacy oversight. Citation Text: Mertens WC, Brown DE, Parisi R, et al. Detection, Classification, and Correction of Defective Chemotherapy Orders Through Nursing and Pharmacy Oversig…

9757. E-prescribing errors in community pharmacies: exploring consequences and contributing factors. | PSNet
      psnet.ahrq.gov/issue/e-prescribing-errors-community-pharmacies-exploring-consequences-and-contributing-factors
      January 07, 2015 - Study E-prescribing errors in community pharmacies: exploring consequences and contributing factors. Citation Text: Odukoya OK, Stone JA, Chui MA. E-prescribing errors in community pharmacies: exploring consequences and contributing factors. Int J Med Inform. 2014;83(6):427-37. doi:10.10…

9758. Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine Hydrochloride Injection, USP and one lot of 1% Lidocaine HCl Injection, USP due to mislabeling. | PSNet
      psnet.ahrq.gov/issue/hospira-issues-voluntary-nationwide-recall-one-lot-05-bupivacaine-hydrochloride-injection-usp
      June 20, 2018 - Press Release/Announcement Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine Hydrochloride Injection, USP and one lot of 1% Lidocaine HCl Injection, USP due to mislabeling. Citation Text: Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivaca…

9759. Evidence-based organization and patient safety strategies in European hospitals. | PSNet
      psnet.ahrq.gov/issue/evidence-based-organization-and-patient-safety-strategies-european-hospitals
      January 20, 2016 - Study Evidence-based organization and patient safety strategies in European hospitals. Citation Text: Suñol R, Wagner C, Arah OA, et al. Evidence-based organization and patient safety strategies in European hospitals. Int J Qual Health Care. 2014;26 Suppl 1:47-55. doi:10.1093/intqhc/mzu0…

9760. Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program. | PSNet
      psnet.ahrq.gov/issue/impact-resident-participation-surgical-operations-postoperative-outcomes-national-surgical
      November 16, 2022 - Study Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program. Citation Text: Kiran RP, Ahmed Ali U, Coffey JC, et al. Impact of Resident Participation in Surgical Operations on Postoperative Outcomes. Ann Surg. 20…