Results

Total Results: 8,618 records

Showing results for "caused".

1281. The timing of surgical antimicrobial prophylaxis. | PSNet
      psnet.ahrq.gov/issue/timing-surgical-antimicrobial-prophylaxis
      June 24, 2009 - September 30, 2010 Adverse drug events caused by three high-risk drug-drug interactions

1282. Medical errors: disclosure styles, interpersonal forgiveness, and outcomes. | PSNet
      psnet.ahrq.gov/issue/medical-errors-disclosure-styles-interpersonal-forgiveness-and-outcomes
      June 14, 2017 - 1, 2022 Next of kin involvement in regulatory investigations of adverse events that caused

1283. Preventable anesthesia mishaps: a study of human factors. | PSNet
      psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors
      June 23, 2015 - June 7, 2018 Lacerations and embedded needles caused by epinephrine autoinjector use

1284. Matching nurse skill with patient acuity in the intensive care units: a risk management mandate. | PSNet
      psnet.ahrq.gov/issue/matching-nurse-skill-patient-acuity-intensive-care-units-risk-management-mandate
      April 24, 2018 - September 26, 2018 Preventing sentinel events caused by family members.

1285. Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments. | PSNet
      psnet.ahrq.gov/issue/cognitive-processes-involved-blame-and-blame-judgments-and-forgiveness-and-forgiveness
      August 23, 2017 - Resources Next of kin involvement in regulatory investigations of adverse events that caused

1286. Surgical adverse outcomes and patients’ evaluation of quality of care: inherent risk or reduced quality of care? | PSNet
      psnet.ahrq.gov/issue/surgical-adverse-outcomes-and-patients-evaluation-quality-care-inherent-risk-or-reduced
      March 22, 2011 - February 14, 2024 Adverse drug events caused by three high-risk drug-drug interactions

1287. Surgical adverse outcome reporting as part of routine clinical care. | PSNet
      psnet.ahrq.gov/issue/surgical-adverse-outcome-reporting-part-routine-clinical-care
      March 23, 2011 - 6, 2019 View More Related Resources Patient safety incidents caused

1288. The ethics of empowering patients as partners in healthcare-associated infection prevention. | PSNet
      psnet.ahrq.gov/issue/ethics-empowering-patients-partners-healthcare-associated-infection-prevention
      January 04, 2019 - March 29, 2023 Mitigating errors caused by interruptions during medication verification

1289. Traditions of research into interruptions in healthcare: a conceptual review. | PSNet
      psnet.ahrq.gov/issue/traditions-research-interruptions-healthcare-conceptual-review
      April 19, 2017 - March 2, 2012 Mitigating errors caused by interruptions during medication verification

1290. Matching identifiers in electronic health records: implications for duplicate records and patient safety. | PSNet
      psnet.ahrq.gov/issue/matching-identifiers-electronic-health-records-implications-duplicate-records-and-patient
      October 13, 2015 - 16, 2015 Orders on file but no labs drawn: investigation of machine and human errors caused

1291. Safer by design. | PSNet
      psnet.ahrq.gov/issue/safer-design
      September 10, 2014 - November 16, 2022 Patient safety incidents caused by poor quality surgical instruments

1292. The use of human factors methods to identify and mitigate safety issues in radiation therapy. | PSNet
      psnet.ahrq.gov/issue/use-human-factors-methods-identify-and-mitigate-safety-issues-radiation-therapy
      March 22, 2011 - August 20, 2018 Mitigating errors caused by interruptions during medication verification

1293. Instituting vincristine minibag administration: an innovative strategy using simulation to enhance chemotherapy safety. | PSNet
      psnet.ahrq.gov/issue/instituting-vincristine-minibag-administration-innovative-strategy-using-simulation-enhance
      April 24, 2018 - November 29, 2017 Mitigating errors caused by interruptions during medication verification

1294. Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities. | PSNet
      psnet.ahrq.gov/issue/evaluation-registered-nurse-competency-processes-veterans-health-administration-facilities
      April 26, 2006 - October 12, 2022 The New Electronic Health Record’s Unknown Queue Caused Multiple Events

1295. The Physician Practice Patient Safety Assessment. | PSNet
      psnet.ahrq.gov/issue/physician-practice-patient-safety-assessment
      April 24, 2018 - December 6, 2017 Excess mortality caused by medical injury.

1296. Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration. | PSNet
      psnet.ahrq.gov/issue/triangulating-case-finding-tools-patient-safety-surveillance-cross-sectional-case-study
      February 08, 2012 - December 29, 2014 Adverse drug events caused by serious medication administration errors

1297. Patient safety in primary care has many aspects: an interview study in primary care doctors and nurses. | PSNet
      psnet.ahrq.gov/issue/patient-safety-primary-care-has-many-aspects-interview-study-primary-care-doctors-and-nurses
      July 23, 2008 - July 23, 2008 Harm caused by adverse events in primary care: a clinical observational

1298. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33658/psn-pdf
      October 01, 2007 - In contrast, in our just culture model, if a person is reckless, whether they caused harm or not, the … If a person caused no harm, there may be a tendency to turn a blind eye. … But in the just culture model, reckless behavior is reckless behavior whether it caused harm or not.

1299. Spotlight (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.464_slideshow.ppt
      January 01, 2019 - These medications caused somnolence and drowsiness, so the patient was bedbound most of the day. … or no harm The most harmful events were self-harm and adverse drug events 24% of self-harm events caused … moderate harm 15% of adverse drug events caused moderate or severe harm * Marcus SC, Hermann RC,

1300. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49535/psn-pdf
      May 01, 2007 - But the result is a medication error that could have caused major harm. … Staff would be brought together to discuss how to handle these unusually busy days—whether caused by … Take-Home Points Production pressures are caused by various factors embedded in the structure of health