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Total Results: 8,619 records

Showing results for "caused".

401. Do split-side rails present an increased risk to patient safety? | PSNet
     psnet.ahrq.gov/issue/do-split-side-rails-present-increased-risk-patient-safety
     November 02, 2010 - May 17, 2023 Patient safety incidents caused by poor quality surgical instruments.

402. Using simulation to prepare nursing staff for the move to a new building. | PSNet
     psnet.ahrq.gov/issue/using-simulation-prepare-nursing-staff-move-new-building
     January 15, 2014 - February 5, 2014 Adverse drug events caused by three high-risk drug-drug interactions

403. Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment. | PSNet
     psnet.ahrq.gov/issue/time-get-pigs-back-human-factors-aspects-mismatch-between-device-and-real-world-knowledge
     June 09, 2011 - January 20, 2021 Preventing sentinel events caused by family members.

404. Interruptive communication patterns in the intensive care unit ward round. | PSNet
     psnet.ahrq.gov/issue/interruptive-communication-patterns-intensive-care-unit-ward-round
     December 22, 2010 - 27, 2016 Delayed recognition of deterioration of patients in general wards is mostly caused

405. Mitigating error vulnerability at the transition of care through the use of health IT applications. | PSNet
     psnet.ahrq.gov/issue/mitigating-error-vulnerability-transition-care-through-use-health-it-applications
     January 23, 2019 - March 30, 2011 Utilizing information technology to mitigate the handoff risks caused

406. Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service? | PSNet
     psnet.ahrq.gov/issue/which-clinical-errors-lead-referral-uk-paediatricians-national-clinical-assessment-service
     January 22, 2014 - January 12, 2022 Patient safety incidents caused by poor quality surgical instruments

407. The vanishing nonforensic autopsy. | PSNet
     psnet.ahrq.gov/issue/vanishing-nonforensic-autopsy
     February 09, 2011 - February 9, 2011 Overestimation of clinical diagnostic performance caused by low necropsy

408. High-Performance Work Systems in Health Care Management: Parts 1-5. | PSNet
     psnet.ahrq.gov/issue/high-performance-work-systems-health-care-management-part-1-and-part-2
     March 22, 2017 - Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism in preventing infection caused

409. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49849/psn-pdf
     January 01, 2019 - These medications caused somnolence and drowsiness, so the patient was bedbound most of the day. … Fortunately, the vast majority (95%) of patient safety events caused minimal or no harm. … The most harmful events were self-harm (24% caused moderate harm) and adverse drug events (15% caused

410. 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.

411. 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,

412. 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

413. Medication errors involving the intravenous administration route: characteristics of voluntarily reported medication errors. | PSNet
     psnet.ahrq.gov/issue/medication-errors-involving-intravenous-administration-route-characteristics-voluntarily
     January 31, 2018 - January 30, 2013 Adverse drug events caused by serious medication administration errors

414. The incidence and nature of prescribing and medication administration errors in paediatric inpatients. | PSNet
     psnet.ahrq.gov/issue/incidence-and-nature-prescribing-and-medication-administration-errors-paediatric-inpatients
     July 08, 2008 - Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism in preventing infection caused

415. Detection and prevention of medication errors using real-time bedside nurse charting. | PSNet
     psnet.ahrq.gov/issue/detection-and-prevention-medication-errors-using-real-time-bedside-nurse-charting
     September 27, 2017 - August 7, 2019 A medication safety education program to reduce the risk of harm caused

416. Evidence-based guidelines for fatigue risk management in emergency medical services. | PSNet
     psnet.ahrq.gov/issue/evidence-based-guidelines-fatigue-risk-management-emergency-medical-services
     August 03, 2017 - October 19, 2022 Adverse drug events caused by three high-risk drug-drug interactions

417. Applying HFMEA to prevent chemotherapy errors. | PSNet
     psnet.ahrq.gov/issue/applying-hfmea-prevent-chemotherapy-errors
     September 27, 2017 - Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism in preventing infection caused

418. Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review. | PSNet
     psnet.ahrq.gov/issue/prevalence-risk-factors-and-outcomes-idle-intravenous-catheters-integrative-review
     August 29, 2018 - June 5, 2013 Adverse drug events caused by serious medication administration errors.

419. Mix of methods is needed to identify adverse events in general practice: a prospective observational study. | PSNet
     psnet.ahrq.gov/issue/mix-methods-needed-identify-adverse-events-general-practice-prospective-observational-study
     April 15, 2009 - Download Citation Related Resources From the Same Author(s) Harm caused

420. Patient–pharmacist communication during a post-discharge pharmacist home visit. | PSNet
     psnet.ahrq.gov/issue/patient-pharmacist-communication-during-post-discharge-pharmacist-home-visit
     May 28, 2015 - November 6, 2019 Adverse drug events caused by three high-risk drug-drug interactions