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Showing results for "occurred".

9781. Hospital finances and patient safety outcomes. | PSNet
      psnet.ahrq.gov/issue/hospital-finances-and-patient-safety-outcomes
      April 27, 2010 - Study Hospital finances and patient safety outcomes. Citation Text: Encinosa W, Bernard DM. Hospital finances and patient safety outcomes. Inquiry. 2005;42(1):60-72. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

9782. Medication sharing, storage, and disposal practices for opioid medications among US adults. | PSNet
      psnet.ahrq.gov/issue/medication-sharing-storage-and-disposal-practices-opioid-medications-among-us-adults
      March 30, 2022 - Study Medication sharing, storage, and disposal practices for opioid medications among US adults. Citation Text: Kennedy-Hendricks A, Gielen A, McDonald E, et al. Medication Sharing, Storage, and Disposal Practices for Opioid Medications Among US Adults. JAMA Intern Med. 2016;176(7):1027…

9783. A patient reported approach to identify medical errors and improve patient safety in the emergency department. | PSNet
      psnet.ahrq.gov/issue/patient-reported-approach-identify-medical-errors-and-improve-patient-safety-emergency
      July 13, 2010 - Study A patient reported approach to identify medical errors and improve patient safety in the emergency department. Citation Text: Glickman SW, Mehrotra A, Shea CM, et al. A Patient Reported Approach to Identify Medical Errors and Improve Patient Safety in the Emergency Department. J Pa…

9784. Clinical information transfer and medication reconciliation in patients transferred from the pediatric intensive care unit. | PSNet
      psnet.ahrq.gov/issue/clinical-information-transfer-and-medication-reconciliation-patients-transferred-pediatric
      September 28, 2010 - Study Clinical information transfer and medication reconciliation in patients transferred from the pediatric intensive care unit. Citation Text: Grant MJC, Larsen GY. Clinical Information Transfer and Medication Reconciliation in Patients Transferred from the Pediatric Intensive Care U…

9785. Assessment (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.docx
      March 01, 2017 - Appendix J. Long-Term Care CAUTI Surveillance Worksheet The purpose of the Long-Term Care CAUTI Surveillance Worksheet is to use it to streamline the surveillance process with reviewing a resident’s chart for a suspected catheter-associated urinary tract infection (CAUTI). The form combines the resident’s health asses…

9786. Feasibility first: developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals. | PSNet
      psnet.ahrq.gov/issue/feasibility-first-developing-public-performance-indicators-patient-safety-and-clinical
      February 27, 2014 - Study Feasibility first: developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals. Citation Text: Berg M, Meijerink Y, Gras M, et al. Feasibility first: developing public performance indicators on patient safety and clinical effectivenes…

9787. Urinary Tract Infections (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-one-pager.pdf
      September 01, 2022 - Urinary Tract Infections Urinary Tract Infections Diagnosis • First, ask about symptoms o Acute cystitis: dysuria, frequency, urgency, suprapubic pain o Pyelonephritis: fever, flank pain o Sending a urine culture in the absence of symptoms is indicated …

9788. Errors, incidents and accidents in anaesthetic practice. | PSNet
      psnet.ahrq.gov/issue/errors-incidents-and-accidents-anaesthetic-practice
      April 06, 2011 - Commentary Classic Errors, incidents and accidents in anaesthetic practice. Citation Text: Runciman WB, Sellen A, Webb RK, et al. The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice. Anaesth Intensive Care. 1993;21(5…

9789. When doing wrong feels so right: normalization of deviance. | PSNet
      psnet.ahrq.gov/issue/when-doing-wrong-feels-so-right-normalization-deviance
      September 03, 2011 - Review When doing wrong feels so right: normalization of deviance. Citation Text: Price MR, Williams TC. When Doing Wrong Feels So Right: Normalization of Deviance. J Patient Saf. 2018;14(1):1-2. doi:10.1097/PTS.0000000000000157. Copy Citation Format: DOI Google Scholar Pub…

9790. Hospital autopsy: endangered or extinct? | PSNet
      psnet.ahrq.gov/issue/hospital-autopsy-endangered-or-extinct
      November 21, 2021 - Study Hospital autopsy: endangered or extinct? Citation Text: Turnbull A, Osborn M, Nicholas N. Hospital autopsy: Endangered or extinct? J Clin Pathol. 2015;68(8):601-604. doi:10.1136/jclinpath-2014-202700. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

9791. Omitted and unjustified medications in the discharge summary. | PSNet
      psnet.ahrq.gov/issue/omitted-and-unjustified-medications-discharge-summary
      May 18, 2022 - Study Omitted and unjustified medications in the discharge summary. Citation Text: Perren A, Previsdomini M, Cerutti B, et al. Omitted and unjustified medications in the discharge summary. Qual Saf Health Care. 2009;18(3):205-8. doi:10.1136/qshc.2007.024588. Copy Citation Format: …

9792. Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit. | PSNet
      psnet.ahrq.gov/issue/interventions-reduce-medication-prescribing-errors-paediatric-cardiac-intensive-care-unit
      November 16, 2022 - Study Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit. Citation Text: Burmester MK, Dionne R, Thiagarajan RR, et al. Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit. Intensive Care Med. …

9793. The threat within: mitigating the risk of medical error. | PSNet
      psnet.ahrq.gov/issue/threat-within-mitigating-risk-medical-error
      July 15, 2020 - Book/Report The threat within: mitigating the risk of medical error. Citation Text: Bennett S. The Threat Within: Mitigating The Risk Of Medical Error. Springer International Publishing; 2020. doi:10.1007/978-3-030-23491-1_3. Copy Citation Format: DOI Google Scholar BibTeX…

9794. Strategy 3: Nurse Bedside Shift Report (Tool 1) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_1_BSR_Broch_508.pdf
      May 23, 2013 - Strategy 3: Nurse Bedside Shift Report (Tool 1) Nurse Bedside Shift Report What is it? How can you get involved? Being a partner in your care helps you get the best care possible in the hospital. Taking part in nurse bedside shift report is one way you can be a partner. This brochure explains …

9795. Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application. | PSNet
      psnet.ahrq.gov/issue/can-surveillance-systems-identify-and-avert-adverse-drug-events-prospective-evaluation
      February 10, 2015 - Study Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application. Citation Text: Jha AK, Laguette J, Seger AC, et al. Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial app…

9796. Relationship between patient complaints and surgical complications. | PSNet
      psnet.ahrq.gov/issue/relationship-between-patient-complaints-and-surgical-complications
      January 05, 2011 - Study Relationship between patient complaints and surgical complications. Citation Text: Murff HJ, France DJ, Blackford J, et al. Relationship between patient complaints and surgical complications. Qual Saf Health Care. 2006;15(1):13-6. Copy Citation Format: Google Schola…

9797. Diagnostic error in a national incident reporting system in the UK. | PSNet
      psnet.ahrq.gov/issue/diagnostic-error-national-incident-reporting-system-uk
      February 15, 2013 - Study Diagnostic error in a national incident reporting system in the UK. Citation Text: Sevdalis N, Jacklin R, Arora S, et al. Diagnostic error in a national incident reporting system in the UK. J Eval Clin Pract. 2010;16(6):1276-81. doi:10.1111/j.1365-2753.2009.01328.x. Copy Citati…

9798. Infographic Poster: Did you know...Patient safety issues in primary care are real. (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
      July 12, 2018 - Infographic Poster: Did you know...Patient safety issues in primary care are real. Did you know... Patient safety issues in primary care are real. Annually, 1 in 20 outpatients experiences a diagnostic error 55% of patients said diagnostic errors were a chief concern in outpatient visits 1 in 9 ED admissi…

9799. Parent preferences for medical error disclosure: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/parent-preferences-medical-error-disclosure-qualitative-study
      January 25, 2017 - Study Parent preferences for medical error disclosure: a qualitative study. Citation Text: Coffey M, Espin S, Hahmann T, et al. Parent Preferences for Medical Error Disclosure: A Qualitative Study. Hosp Pediatr. 2017;7(1):24-30. doi:10.1542/hpeds.2016-0048. Copy Citation Format: …

9800. Framework for analysing risk and safety in clinical medicine. | PSNet
      psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine-0
      February 19, 2014 - Commentary Framework for analysing risk and safety in clinical medicine. Citation Text: Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316(7138):1154-1157. Copy Citation Format: Google Scholar PubMed BibTeX E…