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Can residents detect errors in technique while observing central line insertions? | PSNet

psnet.ahrq.gov/issue/can-residents-detect-errors-technique-while-observing-central-line-insertions

April 12, 2019 - View more articles from the same authors. … The use of video technology has been shown to facilitate error analysis . … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … Cohort study of individuals with lung cancer presenting in ambulatory care in the United States. … prospectus for change toward racial justice in medical education and health sciences research: REPAIR

Are autopsy findings still relevant to the management of critically ill patients in the modern era? | PSNet

psnet.ahrq.gov/issue/are-autopsy-findings-still-relevant-management-critically-ill-patients-modern-era

April 22, 2015 - in the modern era? … Are autopsy findings still relevant to the management of critically ill patients in the modern era? … View more articles from the same authors. … Are autopsy findings still relevant to the management of critically ill patients in the modern era? … in the paediatric and neonatal intensive care units.

Health care-associated infections among hospitalized patients with COVID-19, March 2020-March 2022. | PSNet

psnet.ahrq.gov/issue/health-care-associated-infections-among-hospitalized-patients-covid-19-march-2020-march-2022

May 12, 2021 - View more articles from the same authors. … cross-sectional analysis of more than five million hospitalizations between 2020 and 2022 found that the … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … March 7, 2018 Failures in the respectful care of critically ill patients. … infections in 2020: a summary of data reported to the National Healthcare Safety Network.

Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events. | PSNet

psnet.ahrq.gov/issue/impact-contact-isolation-multidrug-resistant-organisms-occurrence-medical-errors-and-adverse

July 08, 2008 - Study Impact of contact isolation for multidrug-resistant organisms on the occurrence … View more articles from the same authors. … These findings suggest that the benefit of limiting the spread of health care–associated infections … should be weighed against the risks to patients. … July 8, 2008 Selected medical errors in the intensive care unit: results of the IATROREF

Unscheduled returns to the emergency department: an outcome of medical errors? | PSNet

psnet.ahrq.gov/issue/unscheduled-returns-emergency-department-outcome-medical-errors

November 12, 2014 - Unscheduled returns to the emergency department: an outcome of medical errors? … View more articles from the same authors. … Unscheduled returns to the emergency department: an outcome of medical errors? … from the emergency department to the intensive care unit. … June 25, 2009 The National Report Card on the State of Emergency Medicine.

Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm. | PSNet

psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety-collaborative-impact-hospital-acquired-harm

August 10, 2022 - View more articles from the same authors. … Improving patient safety often involves multifaceted interventions intended to change complex workflows … Hospitals volunteered to be part of the collaborative and paid an annual fee to participate. … All but one submitted their safety data for inclusion in the study. … Rates of hospital-acquired conditions and serious adverse events declined over time during the 3-year

Is physician mentorship associated with the occurrence of adverse patient safety events? | PSNet

psnet.ahrq.gov/issue/physician-mentorship-associated-occurrence-adverse-patient-safety-events

February 11, 2015 - Study Is physician mentorship associated with the occurrence of adverse patient safety … Is Physician Mentorship Associated With the Occurrence of Adverse Patient Safety Events? … View more articles from the same authors. … beneath the surface? … March 15, 2016 Toward constructive change after making a medical error: recovery from

Nurses' perceptions of patient safety climate in intensive care units: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/nurses-perceptions-patient-safety-climate-intensive-care-units-cross-sectional-study

April 14, 2021 - View more articles from the same authors. … that most had a more positive perception of safety culture within their individual unit than for the … The study used the AHRQ Hospital Survey on Patient Safety Culture . … Same Author(s) A human factors intervention in a hospital--evaluating the outcome of a … healthcare professionals' experiences after 3 years, including the COVID-19 pandemic period.

Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. | PSNet

psnet.ahrq.gov/issue/secondary-analysis-hand-offs-internal-medicine-using-i-pass-mnemonic

April 22, 2013 - Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. … View more articles from the same authors. … More than half of the handoffs did not include Situation Awareness , and the most common order of categories … Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. … January 3, 2017 Medication reconciliation in the geriatric unit: impact on the maintenance

Hospital implementation of computerized provider order entry systems: results from the 2003 Leapfrog Group quality and safety survey. | PSNet

psnet.ahrq.gov/issue/hospital-implementation-computerized-provider-order-entry-systems-results-2003-leapfrog-group

November 21, 2021 - Hospital implementation of computerized provider order entry systems: results from the … Hospital implementation of computerized provider order entry systems: results from the 2003 leapfrog … View more articles from the same authors. … October 12, 2009 Findings of the first consensus conference on medical emergency teams … May 27, 2011 The business case for patient safety.

Discontinuity of chronic medications in patients discharged from the intensive care unit. | PSNet

psnet.ahrq.gov/issue/discontinuity-chronic-medications-patients-discharged-intensive-care-unit

November 03, 2015 - Study Discontinuity of chronic medications in patients discharged from the intensive … Discontinuity of chronic medications in patients discharged from the intensive care unit. … View more articles from the same authors. … November 6, 2015 What is the value and impact of quality and safety teams? … from the emergency department to the intensive care unit.

The prevalence of medical error related to end-of-life communication in Canadian hospitals: results of a multicentre observational study. | PSNet

psnet.ahrq.gov/issue/prevalence-medical-error-related-end-life-communication-canadian-hospitals-results

November 23, 2016 - Study Classic The prevalence of medical error related to … The prevalence of medical error related to end-of-life communication in Canadian hospitals: results of … View more articles from the same authors. … their medical orders; whereas, 35% of patients who wished to forgo CPR had orders to receive it in the … August 4, 2021 Declines in opioid prescribing after a private insurer policy change—Massachusetts

Understanding and responding when things go wrong: key principles for primary care educators. | PSNet

psnet.ahrq.gov/issue/understanding-and-responding-when-things-go-wrong-key-principles-primary-care-educators

January 23, 2017 - View more articles from the same authors. … They argue that human error should be the starting point rather than a root cause in any error analysis … medication reconciliation in the community after hospital discharge. … March 28, 2018 Qualitative evaluation of the Safety and Improvement in Primary Care ( … SIPC) pilot collaborative in Scotland: perceptions and experiences of participating care teams.

Do patient safety events increase readmissions? | PSNet

psnet.ahrq.gov/issue/do-patient-safety-events-increase-readmissions

November 04, 2015 - View more articles from the same authors. … This study explored the longer term effects of patient safety incidents by exploring whether adverse … May 26, 2011 Medicare payment for selected adverse events: building the business case … A mixed methods study examining teamwork shared mental models of interprofessional teams … September 29, 2021 A patient safety dilemma: obesity in the surgical patient.

The incidence of opioid misuse among the surgical patients with persistent opioid use. | PSNet

psnet.ahrq.gov/issue/incidence-opioid-misuse-among-surgical-patients-persistent-opioid-use

October 13, 2018 - Study The incidence of opioid misuse among the surgical patients with persistent … The incidence of opioid misuse among the surgical patients with persistent opioid use. … View more articles from the same authors. … The incidence of opioid misuse among the surgical patients with persistent opioid use. … June 9, 2021 Closed-loop communication in interprofessional emergency teams: a cross-sectional

Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80. | PSNet

psnet.ahrq.gov/issue/hospitalwide-adverse-drug-events-and-after-limiting-weekly-work-hours-medical-residents-80

May 04, 2010 - View more articles from the same authors. … This study examined the impact of mandated work hour limitations on the incidence of adverse drug events … Results suggested no significant difference in the number of ADEs or the number of preventable ADEs. … June 3, 2020 Relationships within inpatient physician housestaff teams and their association … June 21, 2006 Resident attitudes regarding the impact of the 80–duty-hours work standards

Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety. | PSNet

psnet.ahrq.gov/issue/infections-and-interaction-rituals-organisation-clinician-accounts-speaking-or-remaining

November 03, 2015 - Although several factors influence this decision, the overarching conclusion is that the decision to … speak up is strongly influenced by the context and immediate circumstances surrounding the incident in … Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: a model to spread change … November 9, 2022 The Psychological Safety Scale of the Safety, Communication, Operational … October 8, 2016 Assessing the perceived level of institutional support for the second

Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study. | PSNet

psnet.ahrq.gov/issue/impact-initial-hospital-diagnosis-mortality-acute-myocardial-infarction-national-cohort-study

April 19, 2017 - View more articles from the same authors. … In this study, researchers sought to assess whether a correct initial diagnosis had an impact on the … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … November 12, 2014 Effect of restriction of the number of concurrently open records in … April 7, 2010 Safer Care for the Acutely Ill Patient: Learning from Serious Incidents

Housestaff and medical student attitudes toward medical errors and adverse events. | PSNet

psnet.ahrq.gov/issue/housestaff-and-medical-student-attitudes-toward-medical-errors-and-adverse-events

March 06, 2013 - View more articles from the same authors. … Although the study is hampered by a relatively low response rate, the authors note that these responses … November 28, 2012 Errors and the burden of errors: attitudes, perceptions, and the culture … of safety in pediatric cardiac surgical teams. … September 2, 2020 The top 10 list for a safe and effective sign-out.

The impact of interruptions on the duration of nursing interventions: a direct observation study in an academic emergency department. | PSNet

psnet.ahrq.gov/issue/impact-interruptions-duration-nursing-interventions-direct-observation-study-academic

February 13, 2019 - Study The impact of interruptions on the duration of nursing interventions: a direct … The impact of interruptions on the duration of nursing interventions: a direct observation study in an … View more articles from the same authors. … The state of patient safety in the emergency department, including the role of interruptions, is discussed … The impact of interruptions on the duration of nursing interventions: a direct observation study in an

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