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Total Results: over 10,000 records

Showing results for "occurring".

4161. Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project to analyse transfusion-related near-miss events in the Republic of Ireland. | PSNet
      psnet.ahrq.gov/issue/seven-hundred-and-fifty-nine-759-chances-learn-3-year-pilot-project-analyse-transfusion
      September 25, 2008 - Study Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project to analyse transfusion-related near-miss events in the Republic of Ireland. Citation Text: Lundy D, Laspina S, Kaplan H, et al. Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project …

4162. Surgical management and outcomes of 165 colonoscopic perforations from a single institution. | PSNet
      psnet.ahrq.gov/issue/surgical-management-and-outcomes-165-colonoscopic-perforations-single-institution
      November 16, 2022 - Study Surgical management and outcomes of 165 colonoscopic perforations from a single institution. Citation Text: Iqbal CW, Cullinane DC, Schiller HJ, et al. Surgical management and outcomes of 165 colonoscopic perforations from a single institution. Arch Surg. 2008;143(7):701-6; discu…

4163. A retrospective review of crisis events in diagnostic radiology: an analysis of frequency, demographics, etiologies, and outcomes. | PSNet
      psnet.ahrq.gov/issue/retrospective-review-crisis-events-diagnostic-radiology-analysis-frequency-demographics
      February 17, 2017 - Study A retrospective review of crisis events in diagnostic radiology: an analysis of frequency, demographics, etiologies, and outcomes. Citation Text: Tindel MS, Darby JM, Simmons RL. A retrospective review of crisis events in diagnostic radiology: an analysis of frequency, demographics…

4164. 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:…

4165. 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: …

4166. Medication errors associated with transition from insulin pens to insulin vials. | PSNet
      psnet.ahrq.gov/issue/medication-errors-associated-transition-insulin-pens-insulin-vials
      May 29, 2019 - Study Medication errors associated with transition from insulin pens to insulin vials. Citation Text: Trimble AN, Bishop B, Rampe N. Medication errors associated with transition from insulin pens to insulin vials. Am J Health Syst Pharm. 2017;74(2):70-75. doi:10.2146/ajhp150726. Copy C…

4167. Risk factors for i.v. compounding errors when using an automated workflow management system. | PSNet
      psnet.ahrq.gov/issue/risk-factors-iv-compounding-errors-when-using-automated-workflow-management-system
      September 23, 2020 - Study Risk factors for i.v. compounding errors when using an automated workflow management system. Citation Text: Deng Y, Lin AC, Hingl J, et al. Risk factors for i.v. compounding errors when using an automated workflow management system. Am J Health Syst Pharm. 2016;73(12):887-893. doi:…

4168. 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…

4169. Disclosing errors and adverse events in the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/disclosing-errors-and-adverse-events-intensive-care-unit
      February 17, 2017 - Study Disclosing errors and adverse events in the intensive care unit. Citation Text: Boyle DJ, O'Connell D, Platt FW, et al. Disclosing errors and adverse events in the intensive care unit. Crit Care Med. 2006;34(5):1532-7. Copy Citation Format: Google Scholar PubMed Bib…

4170. Rate of occult specimen provenance complications in routine clinical practice. | PSNet
      psnet.ahrq.gov/issue/rate-occult-specimen-provenance-complications-routine-clinical-practice
      January 05, 2012 - Study Rate of occult specimen provenance complications in routine clinical practice. Citation Text: Pfeifer JD, Liu J. Rate of occult specimen provenance complications in routine clinical practice. Am J Clin Pathol. 2013;139(1):93-100. doi:10.1309/AJCP50WEZHWIFCIV. Copy Citation F…

4171. Patterns of dementia treatment and frank prescribing errors in older adults with Parkinson disease. | PSNet
      psnet.ahrq.gov/issue/patterns-dementia-treatment-and-frank-prescribing-errors-older-adults-parkinson-disease
      September 18, 2024 - Study Patterns of dementia treatment and frank prescribing errors in older adults with Parkinson disease. Citation Text: Mantri S, Fullard M, Gray SL, et al. Patterns of Dementia Treatment and Frank Prescribing Errors in Older Adults With Parkinson Disease. JAMA Neurol. 2019;76(1):41-49.…

4172. The medical emergency team system: a two hospital comparison. | PSNet
      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: …

4173. Current approaches to punitive action for medication errors by boards of pharmacy. | PSNet
      psnet.ahrq.gov/issue/current-approaches-punitive-action-medication-errors-boards-pharmacy
      May 26, 2011 - Study Current approaches to punitive action for medication errors by boards of pharmacy. Citation Text: Holdsworth M, Wittstrom K, Yeitrakis T. Current approaches to punitive action for medication errors by boards of pharmacy. Ann Pharmacother. 2013;47(4):475-81. doi:10.1345/aph.1R668. …

4174. Overnight and postcall errors in medication orders. | PSNet
      psnet.ahrq.gov/issue/overnight-and-postcall-errors-medication-orders
      May 18, 2022 - Study Overnight and postcall errors in medication orders. Citation Text: Hendey GW, Barth BE, Soliz T. Overnight and postcall errors in medication orders. Acad Emerg Med. 2005;12(7):629-34. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

4175. The occurrence of potential patient safety events among trauma patients: are they random? | PSNet
      psnet.ahrq.gov/issue/occurrence-potential-patient-safety-events-among-trauma-patients-are-they-random
      July 19, 2018 - Study The occurrence of potential patient safety events among trauma patients: are they random? Citation Text: Chang DC, Handly N, Abdullah F, et al. The occurrence of potential patient safety events among trauma patients: are they random? Ann Surg. 2008;247(2):327-34. doi:10.1097/SLA.…

4176. Communicating with patients about medical errors: a review of the literature. | PSNet
      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…

4177. From guideline to order set to patient harm. | PSNet
      psnet.ahrq.gov/issue/guideline-order-set-patient-harm
      October 10, 2017 - Commentary From guideline to order set to patient harm. Citation Text: Shah SD, Cifu AS. From Guideline to Order Set to Patient Harm. JAMA. 2018;319(12):1207-1208. doi:10.1001/jama.2018.1666. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

4178. Ethics in the pediatric emergency department: when mistakes happen: an approach to the process, evaluation, and response to medical errors. | PSNet
      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…

4179. Creating a distraction simulation for safe medication administration. | PSNet
      psnet.ahrq.gov/issue/creating-distraction-simulation-safe-medication-administration
      May 27, 2011 - Commentary Creating a distraction simulation for safe medication administration. Citation Text: Thomas CM, McIntosh CE, Allen R. Creating a Distraction Simulation for Safe Medication Administration. Clin Simul Nurs. 2014;10(8). doi:10.1016/j.ecns.2014.03.004. Copy Citation Format: …

4180. Maximizing student potential: lessons for pharmacy programs from the patient safety movement. | PSNet
      psnet.ahrq.gov/issue/maximizing-student-potential-lessons-pharmacy-programs-patient-safety-movement
      October 23, 2024 - Commentary Maximizing student potential: lessons for pharmacy programs from the patient safety movement. Citation Text: Abebe E, Bao A, Kokkinias P, et al. Maximizing student potential: lessons for pharmacy programs from the patient safety movement. Explor Res Clin Soc Pharm. 2023;9:1002…