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Total Results: 2,647 records

Showing results for "analyzing".

1901. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49512/psn-pdf
      May 01, 2006 - Objectives Appreciate the role of Reason's Swiss Cheese Model in medical errors Understand the process of analyzing

1902. Are You Mrs. A? An Issue of Identification Over Telephone | PSNet
      psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
      January 01, 2016 - recommended strategies for reducing the risk of wrong patient errors based on expert consensus and analyzing

1903. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33820/psn-pdf
      December 01, 2016 - Within a year of analyzing cases and implementing corrective actions using this method, there was a

1904. Microsoft PowerPoint - Spotlight Case_Uterine Artery Injury during Cesarean Delivery - FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
      January 01, 2024 - products, as needed.7 24 Reporting/Systems Learning (1) • A growth mindset should prevail when analyzing

1905. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60543/psn-pdf
      May 27, 2020 - techniques, effective methods for safely using VOs are essential.6    Approach to Improving Safety When analyzing

1906. Wandering Off the Floors: Safety and Security Risks of Patient Wandering | PSNet
      psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
      August 21, 2007 - Analyzing missing patient events at the VA. TIPS (Topics in Patient Safety).

1907. Sick and Pregnant | PSNet
      psnet.ahrq.gov/web-mm/sick-and-pregnant
      August 25, 2021 - August 21, 2024 Enhancing patient safety in prehospital environment: analyzing patient

1908. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. | PSNet
      psnet.ahrq.gov/issue/designing-distractions-human-factors-approach-decreasing-interruptions-centralised-medication
      July 27, 2018 - Study Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. Citation Text: Colligan L, Guerlain S, Steck SE, et al. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication…

1909. Root cause analysis of ICU adverse events in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/root-cause-analysis-icu-adverse-events-veterans-health-administration
      June 23, 2021 - Study Root cause analysis of ICU adverse events in the Veterans Health Administration. Citation Text: Corwin GS, Mills PD, Shanawani H, et al. Root Cause Analysis of ICU Adverse Events in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2017;43(11):580-590. doi:10.1016/j.j…

1910. Simulation-based clinical systems testing for healthcare spaces: from intake through implementation. | PSNet
      psnet.ahrq.gov/issue/simulation-based-clinical-systems-testing-healthcare-spaces-intake-through-implementation
      April 10, 2024 - Commentary Emerging Classic Simulation-based clinical systems testing for healthcare spaces: from intake through implementation. Citation Text: Colman N, Doughty C, Arnold J, et al. Simulation-based clinical systems testing for healthcare spaces: from intake thr…

1911. Health care provider factors associated with patient-reported adverse events and harm. | PSNet
      psnet.ahrq.gov/issue/health-care-provider-factors-associated-patient-reported-adverse-events-and-harm
      June 19, 2019 - Study Health care provider factors associated with patient-reported adverse events and harm. Citation Text: Giardina TD, Royse KE, Khanna A, et al. Health care provider factors associated with patient-reported adverse events and harm. Jt Comm J Qual Patient Saf. 2020;46(5):282-290. doi:…

1912. How is physicians' implicit prejudice against the obese and mentally ill moderated by specialty and experience? | PSNet
      psnet.ahrq.gov/issue/how-physicians-implicit-prejudice-against-obese-and-mentally-ill-moderated-specialty-and
      January 19, 2022 - Study How is physicians' implicit prejudice against the obese and mentally ill moderated by specialty and experience? Citation Text: FitzGerald C, Mumenthaler C, Berner D, et al. How is physicians’ implicit prejudice against the obese and mentally ill moderated by specialty and experienc…

1913. Laboratory safety monitoring of chronic medications in ambulatory care settings. | PSNet
      psnet.ahrq.gov/issue/laboratory-safety-monitoring-chronic-medications-ambulatory-care-settings
      January 06, 2017 - Study Laboratory safety monitoring of chronic medications in ambulatory care settings. Citation Text: Hurley JS, Roberts M, Solberg LI, et al. Brief report: Laboratory safety monitoring of chronic medications in ambulatory care settings. J Gen Intern Med. 2005;20(4). doi:10.1111/j.1525…

1914. A clinical data warehouse-based process for refining medication orders alerts. | PSNet
      psnet.ahrq.gov/issue/clinical-data-warehouse-based-process-refining-medication-orders-alerts
      March 10, 2011 - Study A clinical data warehouse-based process for refining medication orders alerts. Citation Text: Boussadi A, Caruba T, Zapletal E, et al. A clinical data warehouse-based process for refining medication orders alerts. J Am Med Inform Assoc. 2012;19(5):782-5. doi:10.1136/amiajnl-2012-00…

1915. How much and what local adaptation is acceptable? A comparison of 24 surgical safety checklists in Switzerland. | PSNet
      psnet.ahrq.gov/issue/how-much-and-what-local-adaptation-acceptable-comparison-24-surgical-safety-checklists
      July 27, 2022 - Study How much and what local adaptation is acceptable? A comparison of 24 surgical safety checklists in Switzerland. Citation Text: Fridrich A, Imhof A, Schwappach DLB. How much and what local adaptation is acceptable? A comparison of 24 surgical safety checklists in Switzerland. J Pati…

1916. The effect of clinical experience on the error rate of emergency physicians. | PSNet
      psnet.ahrq.gov/issue/effect-clinical-experience-error-rate-emergency-physicians
      November 16, 2022 - Study The effect of clinical experience on the error rate of emergency physicians. Citation Text: Berk WA, Welch RD, Levy PD, et al. The effect of clinical experience on the error rate of emergency physicians. Ann Emerg Med. 2008;52(5):497-501. doi:10.1016/j.annemergmed.2008.01.329. …

1917. National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths. | PSNet
      psnet.ahrq.gov/issue/national-aeronautics-and-space-administration-threat-and-error-model-applied-pediatric
      March 07, 2018 - Study National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths. Citation Text: Hickey EJ, Nosikova Y, Pham-Hung E, et al. National Aeronautics and Space Administration "threat and error" model…

1918. Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. | PSNet
      psnet.ahrq.gov/issue/intensive-care-unit-safety-incidents-medical-versus-surgical-patients-prospective-multicenter
      June 29, 2009 - Study Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. Citation Text: Sinopoli DJ, Needham DM, Thompson DA, et al. Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. J Cr…

1919. Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital. | PSNet
      psnet.ahrq.gov/issue/retrospective-review-emergency-response-activations-during-13-year-period-tertiary-care
      August 26, 2020 - Study Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital. Citation Text: Wang GS, Erwin N, Zuk J, et al. Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospi…

1920. Communication through the electronic health record: frequency and implications of free text orders. | PSNet
      psnet.ahrq.gov/issue/communication-through-electronic-health-record-frequency-and-implications-free-text-orders
      May 12, 2021 - Study Communication through the electronic health record: frequency and implications of free text orders. Citation Text: Kandaswamy S, Hettinger AZ, Hoffman DJ, et al. Communication through the electronic health record: frequency and implications of free text orders. JAMIA Open. 2020;3(2…