Results

Total Results: over 10,000 records

Showing results for "adverse event".
Users also searched for: patient safety indicators

9721. Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician order entry. | PSNet
      psnet.ahrq.gov/issue/evidence-based-red-cell-transfusion-critically-ill-quality-improvement-using-computerized
      February 15, 2017 - May 4, 2014 Families as partners in hospital error and adverse event surveillance.

9722. Developing and testing a tool to measure nurse/physician communication in the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/developing-and-testing-tool-measure-nursephysician-communication-intensive-care-unit
      June 01, 2011 - June 1, 2011 Using a patient internet portal to prevent adverse drug events: a randomized … The Pursuing Excellence Collaborative: engaging first-year residents and fellows in patient safety event

9723. Addressing physician burnout: the way forward. | PSNet
      psnet.ahrq.gov/issue/addressing-physician-burnout-way-forward
      December 02, 2020 - View More Related Resources Bringing the equity lens to patient safety event … Care Providers Medicine Psychological and Social Complications Epidemiology of Errors and Adverse

9724. Anaesthetists' management of oxygen pipeline failure: room for improvement. | PSNet
      psnet.ahrq.gov/issue/anaesthetists-management-oxygen-pipeline-failure-room-improvement
      January 28, 2009 - April 22, 2020 Impact of critical event checklists on anaesthetist performance in simulated … , 2009 Representative case series from public hospital admissions 1998 II: surgical adverse

9725. Will human factors restore faith in the GMC? | PSNet
      psnet.ahrq.gov/issue/will-human-factors-restore-faith-gmc
      January 12, 2022 - medical mistakes that result in patient harm should be fair, complete, and consider the context of the event … September 14, 2022 Postdischarge adverse events among neonates admitted to the neonatal

9726. Cleaning up the discharge process: a number of components—and personnel—are crucial to success. | PSNet
      psnet.ahrq.gov/issue/cleaning-discharge-process-number-components-and-personnel-are-crucial-success
      October 20, 2021 - I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event … March 30, 2011 Cascade iatrogenesis: factors leading to the development of adverse events

9727. Pharmacists' medication reconciliation-related clinical interventions in a children's hospital. | PSNet
      psnet.ahrq.gov/issue/pharmacists-medication-reconciliation-related-clinical-interventions-childrens-hospital
      February 27, 2009 - June 21, 2017 Families as partners in hospital error and adverse event surveillance.

9728. Diagnostic decision-making in the emergency department. | PSNet
      psnet.ahrq.gov/issue/diagnostic-decision-making-emergency-department
      December 16, 2020 - December 5, 2018 Adverse drug event–related emergency department visits associated with

9729. Practice Advisory on Intraoperative Awareness and Brain Function Monitoring. | PSNet
      psnet.ahrq.gov/issue/practice-advisory-intraoperative-awareness-and-brain-function-monitoring
      July 16, 2018 - July 16, 2018 Using event reports in real-time to identify and mitigate patient safety … Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression May 27, 2020 Adverse

9730. Using a quantitative risk register to promote learning from a patient safety reporting system. | PSNet
      psnet.ahrq.gov/issue/using-quantitative-risk-register-promote-learning-patient-safety-reporting-system
      September 24, 2010 - July 29, 2020 Effect of hospital follow-up appointment on clinical event outcomes and … Hospitals Health Care Providers Risk Managers Medicine Epidemiology of Errors and Adverse

9731. Patient safety knowledge and its determinants in medical trainees. | PSNet
      psnet.ahrq.gov/issue/patient-safety-knowledge-and-its-determinants-medical-trainees
      July 29, 2020 - May 2, 2018 Housestaff and medical student attitudes toward medical errors and adverse … 13, 2011 Effectiveness of a graduate medical education program for improving medical event

9732. The lost art of doctoring: reflections of a pediatric resident. | PSNet
      psnet.ahrq.gov/issue/lost-art-doctoring-reflections-pediatric-resident
      November 21, 2021 - Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse … October 29, 2017 Increasing patient safety event reporting in an emergency medicine residency

9733. Disclosure programmes in the US--an inadequate response to medical error. | PSNet
      psnet.ahrq.gov/issue/disclosure-programmes-us-inadequate-response-medical-error
      October 25, 2023 - CRPs) are an important strategy supporting full disclosure and psychological healing after a medical adverse … Patient, carer and family experiences of seeking redress and reconciliation following a life-changing event

9734. Systems approach and systems engineering applied to health care: improving patient safety and health care delivery. | PSNet
      psnet.ahrq.gov/issue/systems-approach-and-systems-engineering-applied-health-care-improving-patient-safety-and
      August 12, 2020 - September 2, 2020 Healthcare-associated adverse events in alternate level of care patients … Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event

9735. Assessment of latent factors contributing to error: addressing surgical pathology error wisely. | PSNet
      psnet.ahrq.gov/issue/assessment-latent-factors-contributing-error-addressing-surgical-pathology-error-wisely
      September 01, 2012 - mortality among non-trauma emergency surgery patients: the role of personal performance and system flaws in adverse … : Evaluating a Near-Miss Wrong Transfusion Event January 29, 2020 Error Reduction

9736. Raising and responding to frontline concerns in healthcare. | PSNet
      psnet.ahrq.gov/issue/raising-and-responding-frontline-concerns-healthcare
      November 13, 2019 - March 11, 2020 Overcoming human barriers to safety event reporting in radiology. … Health Care Providers Health Care Executives and Administrators Epidemiology of Errors and Adverse

9737. Systematic review of serious games for medical education and surgical skills training. | PSNet
      psnet.ahrq.gov/issue/systematic-review-serious-games-medical-education-and-surgical-skills-training
      February 25, 2015 - June 1, 2011 Families as partners in hospital error and adverse event surveillance.

9738. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43567/psn-pdf
      October 21, 2016 - National Action Plan for Adverse Drug Event Prevention. … https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention This national action … aims to align the efforts of multiple federal programs committed to reducing patient harms related to adverse … common usage and their very high potential to cause clinically significant, preventable, and measurable adverse … https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention https://psnet.ahrq.gov

9739. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35023/psn-pdf
      March 04, 2011 - Building a framework for trust: critical event analysis of deaths in surgical care. … Building a framework for trust: critical event analysis of deaths in surgical care. … commentary discusses the role of the Scottish Audit of Surgical Mortality (SASM) on trends in adverse … Findings include a decrease over time in the percentage of deaths for which adverse events in management … conclude that voluntary mortality audits may lead to important changes in practice and focusing on adverse

9740. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45468/psn-pdf
      October 11, 2017 - Identification and characterization of adverse drug events in primary care. … Identification and Characterization of Adverse Drug Events in Primary Care. … https://psnet.ahrq.gov/issue/identification-and-characterization-adverse-drug-events-primary-care Adverse … drug event during a change in medications. … Less than 10% of patients experienced an adverse drug event, which the authors conclude represents an