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Showing results for "preventive".

  1. Crib of horrors: one hospital's approach to promoting a culture of safety. | PSNet

    psnet.ahrq.gov/issue/crib-horrors-one-hospitals-approach-promoting-culture-safety
    December 22, 2018 - Commentary Crib of horrors: one hospital's approach to promoting a culture of safety. Citation Text: Korah N, Zavalkoff S, Dubrovsky AS. Crib of Horrors: One Hospital's Approach to Promoting a Culture of Safety. Pediatrics. 2015;136(1):4-5. doi:10.1542/peds.2014-3843. Copy Citation …

  2. Using the patient safety huddle as a tool for high reliability. | PSNet

    psnet.ahrq.gov/issue/using-patient-safety-huddle-tool-high-reliability
    March 01, 2023 - Commentary Using the patient safety huddle as a tool for high reliability. Citation Text: Brass SD, Olney G, Glimp R, et al. Using the Patient Safety Huddle as a Tool for High Reliability. Jt Comm J Qual Patient Saf. 2018;44(4):219-226. doi:10.1016/j.jcjq.2017.10.004. Copy Citation …

  3. Sins of omission. Getting too little medical care may be the greatest threat to patient safety. | PSNet

    psnet.ahrq.gov/issue/sins-omission-getting-too-little-medical-care-may-be-greatest-threat-patient-safety
    March 06, 2005 - Study Sins of omission. Getting too little medical care may be the greatest threat to patient safety. Citation Text: Hayward RA, Asch SM, Hogan MM, et al. Sins of omission: getting too little medical care may be the greatest threat to patient safety. J Gen Intern Med. 2005;20(8):686-91…

  4. Application of "Human Factor Analysis and Classification System" (HFACS) model to the prevention of medical errors and adverse events: a systematic review. | PSNet

    psnet.ahrq.gov/issue/application-human-factor-analysis-and-classification-system-hfacs-model-prevention-medical
    October 05, 2022 - Review Application of "Human Factor Analysis and Classification System" (HFACS) model to the prevention of medical errors and adverse events: a systematic review. Citation Text: Application of "Human Factor Analysis and Classification System" (HFACS) model to the prevention of medical er…

  5. Older veterans and emergency department discharge information. | PSNet

    psnet.ahrq.gov/issue/older-veterans-and-emergency-department-discharge-information
    March 02, 2011 - Study Older veterans and emergency department discharge information. Citation Text: Hastings S, Stechuchak K, Oddone E, et al. Older veterans and emergency department discharge information. BMJ Qual Saf. 2012;21(10):835-42. Copy Citation Format: Google Scholar PubMed BibT…

  6. Impact of an antiretroviral stewardship strategy on medication error rates. | PSNet

    psnet.ahrq.gov/issue/impact-antiretroviral-stewardship-strategy-medication-error-rates
    August 04, 2021 - Study Impact of an antiretroviral stewardship strategy on medication error rates. Citation Text: Shea KM, Hobbs AL, Shumake JD, et al. Impact of an antiretroviral stewardship strategy on medication error rates. Am J Health Syst Pharm. 2018;75(12):876-885. doi:10.2146/ajhp170420. Copy C…

  7. Drug administration errors in an institution for individuals with intellectual disability: an observational study. | PSNet

    psnet.ahrq.gov/issue/drug-administration-errors-institution-individuals-intellectual-disability-observational
    October 18, 2023 - Study Drug administration errors in an institution for individuals with intellectual disability: an observational study. Citation Text: van den Bemt PMLA, Robertz R, de Jong AL, et al. Drug administration errors in an institution for individuals with intellectual disability: an observa…

  8. Error rates in breast imaging reports: comparison of automatic speech recognition and dictation transcription. | PSNet

    psnet.ahrq.gov/issue/error-rates-breast-imaging-reports-comparison-automatic-speech-recognition-and-dictation
    December 21, 2022 - Study Error rates in breast imaging reports: comparison of automatic speech recognition and dictation transcription. Citation Text: Basma S, Lord B, Jacks LM, et al. Error rates in breast imaging reports: comparison of automatic speech recognition and dictation transcription. AJR Am J …

  9. Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care? | PSNet

    psnet.ahrq.gov/issue/patient-safety-measures-burn-care-do-national-reporting-systems-accurately-reflect-quality
    August 20, 2018 - Study Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care? Citation Text: Mandell SP, Robinson EF, Cooper CL, et al. Patient safety measures in burn care: do National reporting systems accurately reflect quality of burn care? J Bu…

  10. 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.…

  11. Building a Patient Safety Toolkit for use in general practice. | PSNet

    psnet.ahrq.gov/issue/patient-safety-toolkit-general-practice
    April 25, 2018 - Commentary Building a Patient Safety Toolkit for use in general practice. Citation Text: Bell BG, Spencer R, Marsden K, et al. Building a Patient Safety Toolkit for use in general practice. InnovAiT. 2016;9(9):557-562. doi:10.1177/1755738016650468. Copy Citation Format: DOI…

  12. Understanding medical errors and adverse events in ICU patients. | PSNet

    psnet.ahrq.gov/issue/understanding-medical-errors-and-adverse-events-icu-patients
    March 20, 2015 - Commentary Understanding medical errors and adverse events in ICU patients. Citation Text: Garrouste-Orgeas M, Flaatten H, Moreno R. Understanding medical errors and adverse events in ICU patients. Intensive Care Med. 2016;42(1):107-9. doi:10.1007/s00134-015-3968-x. Copy Citation F…

  13. 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…

  14. Role of computerized physician order entry usability in the reduction of prescribing errors. | PSNet

    psnet.ahrq.gov/issue/role-computerized-physician-order-entry-usability-reduction-prescribing-errors
    June 23, 2021 - Study Role of computerized physician order entry usability in the reduction of prescribing errors. Citation Text: Peikari HR, Zakaria MS, Yasin NM, et al. Role of computerized physician order entry usability in the reduction of prescribing errors. Healthc Inform Res. 2013;19(2):93-101. d…

  15. Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of falls in community-dwelling seniors. | PSNet

    psnet.ahrq.gov/issue/utilization-seniors-falls-investigation-methodology-identify-system-wide-causes-falls
    November 21, 2014 - Study Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of falls in community-dwelling seniors. Citation Text: Zecevic AA, Salmoni AW, Lewko JH, et al. Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of f…

  16. Devastatingly human: an analysis of registered nurses' medication error accounts. | PSNet

    psnet.ahrq.gov/issue/devastatingly-human-analysis-registered-nurses-medication-error-accounts
    June 27, 2018 - Study Devastatingly human: an analysis of registered nurses' medication error accounts. Citation Text: Treiber LA, Jones JH. Devastatingly human: an analysis of registered nurses' medication error accounts. Qual Health Res. 2010;20(10):1327-42. doi:10.1177/1049732310372228. Copy Cita…

  17. Causes of near misses in critical care of neonates and children. | PSNet

    psnet.ahrq.gov/issue/causes-near-misses-critical-care-neonates-and-children
    July 19, 2023 - Study Causes of near misses in critical care of neonates and children. Citation Text: Tourgeman-Bashkin O, Shinar D, Zmora E. Causes of near misses in critical care of neonates and children. Acta Paediatr. 2008;97(3):299-303. doi:10.1111/j.1651-2227.2007.00616.x. Copy Citation Fo…

  18. A safety evaluation of the impact of maternity-orientated human factors training on safety culture in a tertiary maternity unit. | PSNet

    psnet.ahrq.gov/issue/safety-evaluation-impact-maternity-orientated-human-factors-training-safety-culture-tertiary
    October 19, 2022 - Study A safety evaluation of the impact of maternity-orientated human factors training on safety culture in a tertiary maternity unit. Citation Text: Ansari SP, Rayfield ME, Wallis VA, et al. A Safety Evaluation of the Impact of Maternity-Orientated Human Factors Training on Safety Cultu…

  19. Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-event-rates-high-cost-and-high-use-drugs-intensive-care-unit
    April 11, 2012 - Study Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit. Citation Text: Kane-Gill SL, Rea RS, Verrico MM, et al. Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit. Am J Health Syst Pharm. 2006;63(19):1876-81. Copy …

  20. The ability of intensive care units to maintain zero central line–associated bloodstream infections. | PSNet

    psnet.ahrq.gov/issue/ability-intensive-care-units-maintain-zero-central-line-associated-bloodstream-infections
    January 29, 2020 - Study The ability of intensive care units to maintain zero central line–associated bloodstream infections. Citation Text: Lipitz-Snyderman A. The Ability of Intensive Care Units to Maintain Zero Central Line–Associated Bloodstream Infections. Arch Intern Med. 2011;171(9). doi:10.1001/a…
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