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Showing results for "caused".

  1. From heroism to safe design: leveraging technology. | PSNet

    psnet.ahrq.gov/issue/heroism-safe-design-leveraging-technology
    August 17, 2017 - May 21, 2014 Utilizing information technology to mitigate the handoff risks caused by

  2. Blaming others for threatening events. | PSNet

    psnet.ahrq.gov/issue/blaming-others-threatening-events
    November 25, 2009 - October 19, 2022 Morbidity and mortality caused by noncompliance with California hospital

  3. On the trail of quality and safety in health care. | PSNet

    psnet.ahrq.gov/issue/trail-quality-and-safety-health-care
    December 17, 2009 - July 23, 2008 Harm caused by adverse events in primary care: a clinical observational

  4. Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program. | PSNet

    psnet.ahrq.gov/issue/mentoring-staff-members-patient-safety-leaders-clarian-safe-passage-program
    January 10, 2011 - October 13, 2015 A medication safety education program to reduce the risk of harm caused

  5. Determining the state of knowledge for implementing the Universal Protocol recommendations: an integrative review of the literature. | PSNet

    psnet.ahrq.gov/issue/determining-state-knowledge-implementing-universal-protocol-recommendations-integrative
    March 15, 2016 - Related Resources From the Same Author(s) Lacerations and embedded needles caused

  6. 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

  7. 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.

  8. 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

  9. 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

  10. 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

  11. Surveillance: a strategy for improving patient safety in acute and critical care units. | PSNet

    psnet.ahrq.gov/issue/surveillance-strategy-improving-patient-safety-acute-and-critical-care-units
    September 27, 2016 - November 28, 2016 Preventing sentinel events caused by family members.

  12. Identity Crisis: An Examination of the Costs and Benefits of a Unique Patient Identifier for the US Health Care System. | PSNet

    psnet.ahrq.gov/issue/identity-crisis-examination-costs-and-benefits-unique-patient-identifier-us-health-care
    May 21, 2014 - February 27, 2014 Utilizing information technology to mitigate the handoff risks caused

  13. A medical resident–pharmacist collaboration improves the rate of medication reconciliation verification at discharge. | PSNet

    psnet.ahrq.gov/issue/medical-resident-pharmacist-collaboration-improves-rate-medication-reconciliation
    September 24, 2010 - December 19, 2018 Lacerations and embedded needles caused by epinephrine autoinjector

  14. Assessment of patient safety research from an organizational ergonomics and structural perspective. | PSNet

    psnet.ahrq.gov/issue/assessment-patient-safety-research-organizational-ergonomics-and-structural-perspective
    September 09, 2011 - March 28, 2011 Excess mortality caused by medical injury.

  15. Safe labeling practices to minimize medication errors in anesthesia: 5 case reports and review of the literature. | PSNet

    psnet.ahrq.gov/issue/safe-labeling-practices-minimize-medication-errors-anesthesia-5-case-reports-and-review
    March 26, 2014 - April 5, 2017 Mitigating errors caused by interruptions during medication verification

  16. Reducing preventable medication safety events by recognizing renal risk. | PSNet

    psnet.ahrq.gov/issue/reducing-preventable-medication-safety-events-recognizing-renal-risk
    June 27, 2011 - September 22, 2017 A medication safety education program to reduce the risk of harm caused

  17. 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.

  18. Neds 2006V2 Maskedstats Core Weighted (pdf file)

    hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2006v2_MaskedStats_Core_Weighted.PDF
    January 01, 2019 - white blood cells 49986 0.04 64: Other hematologic conditions 6530 0.01 76: Meningitis (except that caused … by tuberculosis or sexually transmitted disease) 49018 0.04 77: Encephalitis (except that caused by … Distribution for DXCCS1 DXCCS1 Frequency Percent of Total 90: Inflammation; infection of eye (except that caused … 96: Heart valve disorders 26084 0.02 97: Peri-; endo-; and myocarditis; cardiomyopathy (except that caused … 0.07 200: Other skin disorders 750585 0.63 201: Infective arthritis and osteomyelitis (except that caused

  19. Neds 2006 Maskedstats Core Weighted (pdf file)

    hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2006_MaskedStats_Core_Weighted.PDF
    January 01, 2006 - white blood cells 46313 0.04 64: Other hematologic conditions 6480 0.01 76: Meningitis (except that caused … by tuberculosis or sexually transmitted disease) 47911 0.04 77: Encephalitis (except that caused by … Distribution for DXCCS1 DXCCS1 Frequency Percent of Total 90: Inflammation; infection of eye (except that caused … 96: Heart valve disorders 26676 0.02 97: Peri-; endo-; and myocarditis; cardiomyopathy (except that caused … 0.07 200: Other skin disorders 754997 0.63 201: Infective arthritis and osteomyelitis (except that caused

  20. 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
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