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Showing results for "occurred".

  1. psnet.ahrq.gov/issue/am-i-safe-here-improving-patients-perceptions-safety-hospitals
    June 25, 2010 - Study Am I safe here? Improving patients' perceptions of safety in hospitals. Citation Text: Wolosin RJ, Vercler L, Matthews JL. Am I safe here?: improving patients' perceptions of safety in hospitals. J Nurs Care Qual. 2006;21(1):30-40. Copy Citation Format: Google Schol…
  2. psnet.ahrq.gov/issue/communicating-patients-about-medical-errors-review-literature
    December 23, 2008 - Review Classic Communicating with patients about medical errors: a review of the literature. Citation Text: Mazor KM, Simon SR, Gurwitz JH. Communicating with patients about medical errors: a review of the literature. Arch Intern Med. 2004;164(15):1690-7. Co…
  3. psnet.ahrq.gov/issue/medical-emergency-team-system-two-hospital-comparison
    January 15, 2009 - Study The medical emergency team system: a two hospital comparison. Citation Text: Young L, Donald M, Parr M, et al. The Medical Emergency Team system: a two hospital comparison. Resuscitation. 2008;77(2):180-8. doi:10.1016/j.resuscitation.2007.11.016. Copy Citation Format: …
  4. psnet.ahrq.gov/issue/ethics-pediatric-emergency-department-when-mistakes-happen-approach-process-evaluation-and
    December 13, 2013 - Review Ethics in the pediatric emergency department: when mistakes happen: an approach to the process, evaluation, and response to medical errors. Citation Text: Dreisinger N, Zapolsky N. Ethics in the Pediatric Emergency Department: When Mistakes Happen: An Approach to the Process, Eval…
  5. www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/hormone-therapy-postmenopause-final-rec-bulletin.pdf
    November 01, 2022 - Task Force Issues Final Recommendation Statement on Hormone Therapy for Preventing Chronic Conditions in Postmenopausal People 1 http://www.uspreventiveservicestaskforce.org Task Force Issues Final Recommendation Statement on Hormone Therapy for Preventing Chronic Conditions in Postmenopausal People Ho…
  6. digital.ahrq.gov/2019-year-review/research-summary/health-information-exchange-streamlines-communication-between
    January 01, 2019 - Health Information Exchange Streamlines Communication Between Poison Control Centers and Emergency Departments The research team created the first HIE capability between a poison control center (PCC) and ED to reduce errors, improve decision making, and improve continuity of care for poisonings, including drug ove…
  7. psnet.ahrq.gov/issue/actions-needed-improve-newly-enrolled-veterans-access-primary-care
    September 07, 2016 - Government Resource Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. Citation Text: Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. Washington, DC: United States Government Accountability Office; March 18, 2016. Publication GAO-16-328.…
  8. qualityindicators.ahrq.gov/Downloads/Modules/PDI/V50/Pediatric_Ind.pdf
    April 01, 2022 - AHRQ Quality Indicators™ Pediatric Quality Indicators AHRQ Quality Indicators™ Pediatric Quality Indicators Assess quality of hospital care for children, at the hospital level and across a community Pediatric Qua…
  9. psnet.ahrq.gov/issue/safety-inpatient-care-surgical-settings-cohort-study
    May 15, 2024 - Study Safety of inpatient care in surgical settings: cohort study. Citation Text: Duclos A, Frits ML, Iannaccone C, et al. Safety of inpatient care in surgical settings: cohort study. BMJ. 2024;387:e080480. doi:10.1136/bmj-2024-080480. Copy Citation Format: DOI Google Schol…
  10. psnet.ahrq.gov/issue/dual-process-models-clinical-reasoning-central-role-knowledge-diagnostic-expertise
    March 08, 2017 - Commentary Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise. Citation Text: Norman G, Pelaccia T, Wyer P, et al. Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise. J Eval Clin Pract. 2024;30(5)…
  11. psnet.ahrq.gov/issue/feedback-loop-failure-modes-medical-diagnosis-how-biases-can-emerge-and-be-reinforced
    November 01, 2023 - Study Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. Citation Text: Aikens RC, Chen JH, Baiocchi M, et al. Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. Med Decis Making. 2024;44(5):481-496. doi:10.1…
  12. psnet.ahrq.gov/issue/hospital-commitments-address-diagnostic-errors-assessment-95-us-hospitals
    September 18, 2024 - Study Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals. Citation Text: Campione Russo A, Tilly J‐L, Kaufman L, et al. Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals. J Hosp Med. 2025;20(2):120-134. doi:10.1002/jhm.13…
  13. psnet.ahrq.gov/issue/bar-code-medication-administration-technology-characterization-high-alert-medication-triggers
    April 24, 2018 - Study Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds. Citation Text: Miller DF, Fortier CR, Garrison KL. Bar Code Medication Administration Technology: Characterization of High-Alert Medication Triggers and Cl…
  14. psnet.ahrq.gov/issue/rising-frequency-it-blackouts-indicates-increasing-relevance-it-emergency-concepts-ensure
    October 12, 2022 - Review The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety. Citation Text: Sax U, Lipprandt M, Röhrig R. The Rising Frequency of IT Blackouts Indicates the Increasing Relevance of IT Emergency Concepts to Ensure Patien…
  15. psnet.ahrq.gov/issue/utilizing-pharmacy-students-transitions-care-services
    October 19, 2022 - Commentary Utilizing pharmacy students in transitions-of-care services. Citation Text: L'Hommedieu T, DeCoske M, Lababidi RE, et al. Utilizing pharmacy students in transitions-of-care services. Am J Health Syst Pharm. 2015;72(15):1266-8. doi:10.2146/ajhp140561. Copy Citation Format…
  16. psnet.ahrq.gov/issue/just-culture-foundation-staff-safety-perioperative-environment
    June 09, 2021 - Commentary Just culture: the foundation of staff safety in the perioperative environment. Citation Text: Fencl JL, Willoughby C, Jackson K. Just culture: the foundation of staff safety in the perioperative environment. AORN J. 2021;113(4):329-336. doi:10.1002/aorn.13352. Copy Citation …
  17. psnet.ahrq.gov/issue/outcomes-based-nurse-staffing-during-times-crisis-and-beyond
    March 11, 2020 - Study Outcomes-based nurse staffing during times of crisis and beyond. Citation Text: Dempsey C, Batten P. Outcomes-based nurse staffing during times of crisis and beyond. J Nurs Adm. 2022;52(2):91-98. doi:10.1097/nna.0000000000001114. Copy Citation Format: DOI Google Schol…
  18. psnet.ahrq.gov/issue/smartphone-distraction-during-nursing-care-systematic-literature-review
    February 09, 2022 - Review Smartphone distraction during nursing care: systematic literature review. Citation Text: Fiorinelli M, Di Mario S, Surace A, et al. Smartphone distraction during nursing care: systematic literature review. Appl Nurs Res. 2021;58:151405. doi:10.1016/j.apnr.2021.151405. Copy Citat…
  19. psnet.ahrq.gov/issue/drug-formulations-require-potentially-inaccurate-volumes-prepare-doses-infants-and-children
    April 22, 2011 - Study Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children. Citation Text: Uppal N, Yasseen B, Seto W, et al. Drug formulations that require less than 0.1 mL of stock solution to prepare doses for infants and children. CMAJ. 2011;183(4…
  20. psnet.ahrq.gov/issue/failure-events-transition-care-surgical-patients
    October 19, 2022 - Study Failure events in transition of care for surgical patients. Citation Text: Helling TS, Martin LC, Martin M, et al. Failure events in transition of care for surgical patients. J Am Coll Surg. 2014;218(4):723-31. doi:10.1016/j.jamcollsurg.2013.12.026. Copy Citation Format: …