Results

Total Results: 8,619 records

Showing results for "caused".

221. Safety Management Systems - an Introduction for Healthcare. | PSNet
     psnet.ahrq.gov/issue/safety-management-systems-introduction-healthcare
     February 14, 2024 - May 31, 2023 Harm Caused by Delays in Transferring Patients to the Right Place of Care

222. Risks to Medication Delivery Using Ambulatory Infusion Pumps – Design and Usability in Inpatient Settings. | PSNet
     psnet.ahrq.gov/issue/risks-medication-delivery-using-ambulatory-infusion-pumps-design-and-usability-inpatient
     November 29, 2023 - May 31, 2023 Harm Caused by Delays in Transferring Patients to the Right Place of Care

223. What’s past is prologue: organizational learning from a serious patient injury. | PSNet
     psnet.ahrq.gov/issue/whats-past-prologue-organizational-learning-serious-patient-injury
     October 26, 2011 - organizational response to a serious adverse event—a medication error in the intensive care unit that caused

224. Stopping the error cascade: a report on ameliorators from the ASIPS collaborative. | PSNet
     psnet.ahrq.gov/issue/stopping-error-cascade-report-ameliorators-asips-collaborative
     February 03, 2011 - qualitatively analyzed error reports from the primary care setting in which an error had been caught before it caused

225. Nonhospital health care–associated hepatitis B and C virus transmission: United States, 1998-2008. | PSNet
     psnet.ahrq.gov/issue/nonhospital-health-care-associated-hepatitis-b-and-c-virus-transmission-united-states-1998
     October 19, 2012 - outbreaks of hepatitis B and C virus in outpatient settings and found that transmission was uniformly caused

226. Medication error prevention by clinical pharmacists in two children's hospitals. | PSNet
     psnet.ahrq.gov/issue/medication-error-prevention-clinical-pharmacists-two-childrens-hospitals
     October 15, 2014 - This prospective study recorded the rate and potential for harm caused by errant medication orders at

227. Preventing errors with high-risk medications. | PSNet
     psnet.ahrq.gov/issue/preventing-errors-high-risk-medications
     May 20, 2020 - June 16, 2019 A medication safety education program to reduce the risk of harm caused

228. Learning and sharing safety lessons to improve patient care. | PSNet
     psnet.ahrq.gov/issue/learning-and-sharing-safety-lessons-improve-patient-care
     August 07, 2019 - 24, 2018 Delayed recognition of deterioration of patients in general wards is mostly caused

229. Is your hospital hospitable?: how physical environment influences patient safety. | PSNet
     psnet.ahrq.gov/issue/your-hospital-hospitable-how-physical-environment-influences-patient-safety
     July 31, 2024 - February 14, 2024 Adverse drug events caused by three high-risk drug-drug interactions

230. Shining a glaring light on surgery: technology that records every move aims to improve safety. | PSNet
     psnet.ahrq.gov/issue/shining-glaring-light-surgery-technology-records-every-move-aims-improve-safety
     January 29, 2020 - August 9, 2017 Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused

231. How chaos at chain pharmacies is putting patients at risk. | PSNet
     psnet.ahrq.gov/issue/how-chaos-chain-pharmacies-putting-patients-risk
     June 12, 2019 - February 12, 2016 Investigators find hospital error caused mother’s death in Brooklyn

232. Safety Risk of Air Embolus Associated with Central Venous Catheters Used for Haemodialysis Treatment. | PSNet
     psnet.ahrq.gov/issue/safety-risk-air-embolus-associated-central-venous-catheters-used-haemodialysis-treatment
     April 05, 2023 - May 31, 2023 Harm Caused by Delays in Transferring Patients to the Right Place of Care

233. Maternity Pre-arrival Instructions by 999 Call Handlers. | PSNet
     psnet.ahrq.gov/issue/maternity-pre-arrival-instructions-999-call-handlers
     February 16, 2022 - Perspective Equity in Patient Safety March 27, 2024 Harm Caused

234. Study: clinicians copy and paste about half of text in EHR progress notes. | PSNet
     psnet.ahrq.gov/issue/study-clinicians-copy-and-paste-about-half-text-ehr-progress-notes
     July 13, 2022 - August 14, 2018 Morbidity and mortality caused by noncompliance with California hospital

235. Tips for Safer Surgery. | PSNet
     psnet.ahrq.gov/issue/tips-safer-surgery
     December 22, 2021 - Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism in preventing infection caused

236. NHS staff cried in safety interviews, says watchdog. | PSNet
     psnet.ahrq.gov/issue/nhs-staff-cried-safety-interviews-says-watchdog
     August 30, 2023 - Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0 February 28, 2024 Harm Caused

237. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization | PSNet
     psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
     September 01, 2012 - The tear and perforation in the left ventricular wall caused radiocontrast staining outside the ventricular … cardiologist obtained and reviewed echocardiographic images, which revealed bleeding around the heart caused … for Improving Safety This case represents an example of cardiac tamponade secondary to LV perforation caused

238. Making Do | PSNet
     psnet.ahrq.gov/web-mm/making-do
     September 05, 2018 - The team then concluded that the event was more likely caused by intraoperative introduction of Actinomyces … Most likely, the arrest was caused by either air embolism or CO2 gas embolization.( 7,8,9 ) Could it … Although localized endometritis due to the IUD may have caused the patient’s bleeding ( 11 ), an antecedent

239. Exploring the role of patients in promoting safety: policy to practice. | PSNet
     psnet.ahrq.gov/issue/exploring-role-patients-promoting-safety-policy-practice
     March 13, 2024 - July 19, 2019 Preventing sentinel events caused by family members.

240. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49464/psn-pdf
     December 27, 2020 - psnet.ahrq.gov//#references Fires or burns related to laparoscopy, such as the one in this case, usually are caused … OR fires caused by fiberoptic illumination systems [hazard]. Health Devices. 1982;11:148-9. 5.