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Showing results for "occurring".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60526/psn-pdf
    May 27, 2020 - A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. May 27, 2020 Hibbert PD, Thomas MJW, Deakin A, et al. A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. Int J Qual Health Care. 2020;32(3):184-189. …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44104/psn-pdf
    July 16, 2015 - Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration. July 16, 2015 Paull DE, Mazzia L, Neily J, et al. Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration.…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866525/psn-pdf
    August 14, 2024 - Stakeholder perceptions of and attitudes towards problematic polypharmacy and prescribing cascades: a qualitative study. August 14, 2024 Jennings AA, Doherty AS, Clyne B, et al. Stakeholder perceptions of and attitudes towards problematic polypharmacy and prescribing cascades: a qualitative study. Age Ageing. 2024…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74862/psn-pdf
    February 23, 2022 - Use of pediatric injectable medicines guidelines and associated medication administration errors: a human reliability analysis. February 23, 2022 Jones MD, Clarke J, Feather C, et al. Use of pediatric injectable medicines guidelines and associated medication administration errors: a human reliability analysis. Ann…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866693/psn-pdf
    September 11, 2024 - Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content analysis. September 11, 2024 Newman C, Mulrine S, Brittain K, et al. Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74059/psn-pdf
    January 01, 2022 - Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports. November 10, 2021 Mulac A, Hagesaether E, Granas AG. Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident repor…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867142/psn-pdf
    November 13, 2024 - Adverse events in patients transitioning from the emergency department to the inpatient setting. November 13, 2024 Tsilimingras D, Schnipper JL, Zhang L, et al. Adverse events in patients transitioning from the emergency department to the inpatient setting. J Patient Saf. 2024;20(8):564-570. doi:10.1097/pts.000000…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34094/psn-pdf
    September 27, 2017 - Surveillance of medical device-related hazards and adverse events in hospitalized patients. September 27, 2017 Samore MH, Evans S, Lassen A, et al. Surveillance of medical device-related hazards and adverse events in hospitalized patients. JAMA. 2004;291(3):325-34. https://psnet.ahrq.gov/issue/surveillance-medical…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36797/psn-pdf
    August 26, 2011 - The American College of Surgeons' closed claims study: new insights for improving care. August 26, 2011 Griffen FD, Stephens LS, Alexander JB, et al. The American College of Surgeons’ Closed Claims Study: New Insights for Improving Care. J Am Coll Surg. 2007;204(4). doi:10.1016/j.jamcollsurg.2007.01.013. https://p…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43289/psn-pdf
    July 09, 2014 - Designing a critical care nurse–led rapid response team using only available resources: 6 years later. July 9, 2014 Mitchell A, Schatz M, Francis H. Designing a critical care nurse-led rapid response team using only available resources: 6 years later. Crit Care Nurse. 2014;34(3):41-55; quiz 56. doi:10.4037/ccn20144…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43595/psn-pdf
    November 19, 2014 - Patient safety in external beam radiotherapy—guidelines on risk assessment and analysis of adverse error-events and near misses: introducing the ACCIRAD project. November 19, 2014 Malicki J, Bly R, Bulot M, et al. Patient safety in external beam radiotherapy - guidelines on risk assessment and analysis of adverse …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45493/psn-pdf
    December 07, 2016 - The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety. December 7, 2016 Sax U, Lipprandt M, Röhrig R. The Rising Frequency of IT Blackouts Indicates the Increasing Relevance of IT Emergency Concepts to Ensure Patient Safety. Yearb Med Inform. 2016…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839826/psn-pdf
    November 09, 2022 - Professional behavior and value erosion: a qualitative study of physicians and the electronic health record. November 9, 2022 Skeff KM, Brown-Johnson CG, Asch SM, et al. Professional behavior and value erosion: a qualitative study of physicians and the electronic health record. J Healthc Manag. 2022;67(5):339-352. …

  14. Origin of Adverse Drug Events in U.S. Hospitals, 2011 - Statistical Brief #158

    hcup-us.ahrq.gov/reports/statbriefs/sb158.jsp
    July 01, 2013 - data can be used to chart the frequency of in-hospital events and to report the frequency of community-occurring … The order of the list is from the most to least frequently occurring cause overall. … Clostridium difficile infection was the most common ADE cause, occurring at a rate of 95 per 10,000 … The next two most frequently occurring ADE causes—antineoplastic drugs and steroids—each occurred at

  15. Alcohol-misuse-drug-therapy-140326 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/alcohol-misuse-drug-therapy_research-protocol.pdf
    January 27, 2012 - to clinically significant impairment or distress, as manifested by one (or more) of the following, occurring … men or women, older adults, young adults, racial or ethnic minorities, smokers, or those with co-occurring … women Older adults (65+) Young adults (18-25) Racial/ethnic minorities Smokers Those with co-occurring … For KQ 5, co-occurring disorders will include other mental health disorders (e.g., depression) and acute … and smoking status of enrolled populations; proportion with alcohol dependence and other AUDs; co-occurring

  16. Parent preferences for medical error disclosure: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/parent-preferences-medical-error-disclosure-qualitative-study
    January 25, 2017 - April 12, 2011 Managing the adverse event occurring during elective, ambulatory pediatric

  17. Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service. | PSNet

    psnet.ahrq.gov/issue/emergency-department-boarding-and-adverse-hospitalization-outcomes-among-patients-admitted
    July 13, 2016 - June 30, 2021 Analysis of risk factors for patient safety events occurring in the emergency

  18. Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related to patients and drugs. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related
    April 12, 2011 - More Related Resources Analysis of risk factors for patient safety events occurring

  19. Risk factors for hospital admissions associated with adverse drug events. | PSNet

    psnet.ahrq.gov/issue/risk-factors-hospital-admissions-associated-adverse-drug-events
    October 18, 2018 - October 30, 2010 Medication errors occurring with the use of bar-code administration

  20. Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial. | PSNet

    psnet.ahrq.gov/issue/using-preprinted-order-sheet-reduce-prescription-errors-pediatric-emergency-department
    March 04, 2011 - March 4, 2011 Systematic evaluation of errors occurring during the preparation of intravenous
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