DiseasesAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPsychiatry and PsychologyPhenomena and ProcessesDisciplines and OccupationsAnthropology, Education, Sociology and Social PhenomenaTechnology, Industry, AgricultureHumanitiesInformation ScienceNamed GroupsHealth CareGeographicals
Patient SafetySafety ManagementMedical ErrorsSafetyOrganizational CultureRisk ManagementRoot Cause AnalysisUnited States Agency for Healthcare Research and QualitySystems AnalysisHospital AdministrationMedication ErrorsQuality Assurance, Health CareInstitute of Medicine (U.S.)Operating RoomsTotal Quality ManagementIatrogenic DiseaseLeadershipMulti-Institutional SystemsNursing Staff, HospitalEquipment SafetyHospitalsQuality ImprovementHospital AdministratorsOrganizational Case StudiesUnited StatesSocial ResponsibilityPatient CareChecklistHuman EngineeringMedical Staff, HospitalJoint Commission on Accreditation of Healthcare OrganizationsQuality Indicators, Health CareAttitude of Health PersonnelInstitutional Management TeamsClinical CompetenceDrug-Related Side Effects and Adverse ReactionsMalpracticePersonnel, HospitalAnesthesiologyMedical Order Entry SystemsPatient Care TeamCooperative BehaviorMedication Systems, HospitalHealth Care SurveysConsumer Product SafetyFood SafetyHealth Facility AdministratorsPatient HandoffMedical Records Systems, ComputerizedMedication SystemsHospital Information SystemsAdverse Drug Reaction Reporting SystemsCompensation and RedressQuality of Health CareInterdisciplinary CommunicationLiability, LegalHealth Services ResearchBenchmarkingQuestionnairesTrusteesHospitals, TeachingOrganizational InnovationLebanonInservice TrainingSocieties, HospitalElectronic PrescribingHealth Facility EnvironmentHealth PersonnelInformation DisseminationPatient SimulationHealth FacilitiesNursesProcess Assessment (Health Care)Treatment OutcomeEfficiency, OrganizationalHospital Design and ConstructionDrug Therapy, Computer-AssistedInfection ControlPersonnel Staffing and SchedulingWorkloadClinical Pharmacy Information SystemsModels, OrganizationalOperating Room NursingHospitals, PublicCommunicationFactor Analysis, StatisticalDiagnostic ErrorsInternship and ResidencyDecision Support Systems, ClinicalDocumentationCurriculumOutcome and Process Assessment (Health Care)PatientsDiffusion of InnovationInformation CentersContinuity of Patient CareMedical AuditMedical Informatics ApplicationsInterprofessional RelationsOffice Management

An evaluation of the completeness of safety reporting in reports of complementary and alternative medicine trials. (41/644)

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Do expert assessments converge? An exploratory case study of evaluating and managing a blood supply risk. (42/644)

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Electroconvulsive therapy for treatment of major depression in a 100-year-old patient with severe aortic stenosis: a 5-year follow-up report. (43/644)

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Potential adverse ultrasound-related biological effects: a critical review. (44/644)

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The effects of implementation of the Surviving Sepsis Campaign in the Netherlands. (45/644)

To reduce unintentional and avoidable adverse events in patients in hospitals in the Netherlands, a patient safety agency (VMS) programme was launched in 2008. Among the VMS topics, the programme 'optimal therapy in severe sepsis', according to the international Surviving Sepsis Campaign (SSC), aims to improve early diagnosis and treatment of sepsis to reduce sepsis mortality by 15% before the end of 2012. We analysed compliance data submitted to the international SSC database from the Netherlands and compared these data with published international SS C results. Data of 863 patients, representing 6% of the international data (n=14,209), were used for analysis. In the Netherlands, the resuscitation bundle compliance improved significantly from 7% at baseline to 27% after two years (p=0.002). Internationally, the resuscitation bundle compliance increased significantly from 11 to 31% (p.  (+info)

Randomized controlled trial of intraoperative goal-directed fluid therapy in aerobically fit and unfit patients having major colorectal surgery. (46/644)

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A new method for the assessment of patient safety competencies during a medical school clerkship using an objective structured clinical examination. (47/644)

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Development of an online incident-reporting system for management of medical risks at hospital. (48/644)

To minimize their occurrence, it is important to gather and analyze data regarding cases of not only medical accidents but also of incidents involving potential harm to patients. In gathering data, we have separated reporting between the details of such incidents and information about their occurrence. We have implemented a system involving a first report to achieve prompt notification and a second report to provide details. An online report input system has been established taking into consideration both ease of input and promptness of information sharing. We discuss the input of the first and second reports in a total of 951 cases over a period of 6 months. From the data regarding the timing of the first report, 307 and 789 cases were reported within 24 h and 48 h, respectively, indicating that the first report was input mostly without delay in accordance with the operational guidelines. On the other hand, it took 14 days to surpass a second report rate of 80%. Cases that took more than 2 weeks to be reported would likely have gone unreported had there not been a first report to indicate and confirm that an incident had even occurred. Investigation is needed, especially for problematic cases, so we assume that discovering important incidents via the first report has been successful. In addition, details of incidents can be input into this system in free-text, yielding information that cannot be acquired with multiple choice input as in standard reporting systems.  (+info)