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Total Results: 3,732 records

Showing results for "consequences".

341. Take Charge of Your Hospital Stay to Avoid Medical Mistakes. | PSNet
     psnet.ahrq.gov/issue/take-charge-your-hospital-stay-avoid-medical-mistakes
     April 08, 2020 - November 21, 2016 Small patients, big consequences in medical errors. … October 26, 2011 Medical misdiagnoses can have fatal consequences.

342. Failure Mode and Effect Analysis (FMEA) | PSNet
     psnet.ahrq.gov/taxonomy/term/3477
     probability that each error will be detected (i.e., so that it can be corrected before causing harm), and the consequences

343. Annual Perspective: Psychological Safety of Healthcare Staff | PSNet
     psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
     November 16, 2022 - defined as an individual’s “sense of being able to show and employ oneself without fear of negative consequences … Potential Negative Consequences in Psychologically Safe Environments It is generally accepted that … Therefore, it is somewhat counterintuitive to think that negative consequences could be associated with … If there are negative consequences of high psychological safety, then a better understanding is required … to maximize the positive influences and minimize the negative consequences.

344. Special Section on Patient Safety and Quality in Healthcare. | PSNet
     psnet.ahrq.gov/issue/special-section-patient-safety-and-quality-healthcare
     October 15, 2008 - February 25, 2015 Unintended Consequences: New Problems and New Solutions. … February 17, 2019 Unintended Consequences: New Problems and New Solutions.

345. The risks of the prescribing cascade. | PSNet
     psnet.ahrq.gov/issue/risks-prescribing-cascade
     December 16, 2020 - December 9, 2015 Small patients, big consequences in medical errors. … August 20, 2018 Unintended consequences: quantifying the benefits, iatrogenic harms and

346. Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure. | PSNet
     psnet.ahrq.gov/issue/public-reporting-antibiotic-timing-patients-pneumonia-lessons-flawed-performance-measure
     May 08, 2017 - This commentary shares the potential for the unintended consequences of reporting on flawed performance … A past AHRQ WebM&M commentary discussed the unintended consequences of achieving a good report card

347. Computerised provider order entry combined with clinical decision support systems to improve medication safety: a narrative review. | PSNet
     psnet.ahrq.gov/issue/computerised-provider-order-entry-combined-clinical-decision-support-systems-improve
     March 20, 2013 - This finding may be due to alert fatigue and other unintended consequences of the technology. … March 20, 2013 Potential unintended consequences due to Medicare's "No Pay for Errors

348. The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac surgery. | PSNet
     psnet.ahrq.gov/issue/wolf-crying-operating-room-patient-monitor-and-anesthesia-workstation-alarming-patterns
     April 17, 2013 - approximately once per minute during cardiac surgical procedures; however, 80% of these alarms had no clinical consequences … September 12, 2016 A clinical case of electronic health record drug alert fatigue: consequences

349. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-303
     August 25, 2021 - medication administration (BCMA) is a mechanism to prevent adverse medication events, but unintended consequences … Study "My whole room went into chaos because of that thing in the corner": unintended consequences … Health information technologies intended to reduce patient harm may have unintended consequences (UC) … Midwives describe the unintended consequences of central fetal monitoring technology. … These consequences included potential loss of patient trust in the midwife, changes in clinical practice

350. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73999/psn-pdf
     October 27, 2021 - To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room October 27, 2021 Aldwinckle … To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room. … https://psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room The Case … survey of 604 anesthesiology trainees reported a greater incidence of medical errors with negative consequences … Drug errors: consequences, mechanisms, and avoidance. Br J Anaesth. 2010;105(1):76- 82.

351. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44241/psn-pdf
     November 09, 2015 - psnet.ahrq.gov/issue/overlooked-danger-delirium-hospitals https://psnet.ahrq.gov/issue/avoiding-unintended-consequences-growth-medical-care-how-might-more-be-worse

352. Sued for misdiagnosis? It could happen to you. | PSNet
     psnet.ahrq.gov/issue/sued-misdiagnosis-it-could-happen-you
     February 07, 2024 - June 7, 2023 Unintended consequences of patient online access to health records: a qualitative … July 19, 2019 Unintended consequences of online consultations: a qualitative study in

353. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39110/psn-pdf
     June 10, 2018 - order-scanning-systems-may-pull-multiple-pages-through-scanner-same-time-leading-drug https://psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences

354. Engaging patients and family members in patient safety—the experience of the New York City Health and Hospitals Corporation. | PSNet
     psnet.ahrq.gov/issue/engaging-patients-and-family-members-patient-safety-experience-new-york-city-health-and
     October 19, 2022 - January 12, 2022 Potential unintended consequences due to Medicare's "No Pay for Errors … April 24, 2018 Costs and consequences associated with misdiagnosed lower extremity cellulitis

355. Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. He didn’t expect to be one of them. | PSNet
     psnet.ahrq.gov/issue/charlie-bourg-was-lookout-veterans-harmed-new-va-computer-system-he-didnt-expect-be-one-them
     March 29, 2023 - Copy Citation Related Resources From the Same Author(s) Senators threaten consequences … April 5, 2023 Senators threaten consequences after VA confirms 4 deaths tied to computer

356. Families are struggling to use medicines at home — we must truly involve them in their own safety. | PSNet
     psnet.ahrq.gov/issue/families-are-struggling-use-medicines-home-we-must-truly-involve-them-their-own-safety
     February 02, 2022 - Copy Citation Related Resources From the Same Author(s) Unintended consequences … October 7, 2015 Medical misdiagnoses can have fatal consequences.

357. Adverse events during hospitalization: results of a patient survey. | PSNet
     psnet.ahrq.gov/issue/adverse-events-during-hospitalization-results-patient-survey
     December 29, 2014 - experiencing an adverse event during hospitalization, and most of these resulted in significant health consequences … June 13, 2011 Assessing the anticipated consequences of computer-based provider order

358. Overrides of medication alerts in ambulatory care. | PSNet
     psnet.ahrq.gov/issue/overrides-medication-alerts-ambulatory-care
     September 01, 2016 - This phenomenon has been previously documented as one of several types of unintended consequences of … September 1, 2016 A clinical case of electronic health record drug alert fatigue: consequences

359. Medication administration discrepancies persist despite electronic ordering. | PSNet
     psnet.ahrq.gov/issue/medication-administration-discrepancies-persist-despite-electronic-ordering
     May 04, 2012 - While unintended consequences can result from adoption of CPOE systems, point-of-care solutions have … September 22, 2010 The unintended consequences of computerized provider order entry:

360. Characteristics of pediatric chemotherapy medication errors in a national error reporting database. | PSNet
     psnet.ahrq.gov/issue/characteristics-pediatric-chemotherapy-medication-errors-national-error-reporting-database
     September 21, 2008 - errors were reported over the 5-year study period, approximately 15% of which resulted in clinical consequences … January 6, 2017 National study on the frequency, types, causes, and consequences of voluntarily