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Total Results: 585 records

Showing results for "correctly".

381. A patient feedback reporting tool for OpenNotes: implications for patient–clinician safety and quality partnerships. | PSNet
     psnet.ahrq.gov/issue/patient-feedback-reporting-tool-opennotes-implications-patient-clinician-safety-and-quality
     June 06, 2018 - Study A patient feedback reporting tool for OpenNotes: implications for patient–clinician safety and quality partnerships. Citation Text: Bell SK, Gerard M, Fossa A, et al. A patient feedback reporting tool for OpenNotes: implications for patient-clinician safety and quality partnerships…

382. Association between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit. | PSNet
     psnet.ahrq.gov/issue/association-between-mobile-telephone-interruptions-and-medication-administration-errors
     June 29, 2009 - Study Association between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit. Citation Text: Bonafide CP, Miller JM, Localio AR, et al. Association between mobile telephone interruptions and medication administration errors in a pediatr…

383. Electronic patient identification for sample labeling reduces wrong blood in tube errors. | PSNet
     psnet.ahrq.gov/issue/electronic-patient-identification-sample-labeling-reduces-wrong-blood-tube-errors
     September 20, 2012 - Study Emerging Classic Electronic patient identification for sample labeling reduces wrong blood in tube errors. Citation Text: Kaufman RM, Dinh A, Cohn CS, et al. Electronic patient identification for sample labeling reduces wrong blood in tube errors. Transfus…

384. Comparative accuracy of diagnosis by collective intelligence of multiple physicians vs individual physicians. | PSNet
     psnet.ahrq.gov/issue/comparative-accuracy-diagnosis-collective-intelligence-multiple-physicians-vs-individual
     January 23, 2017 - Study Emerging Classic Comparative accuracy of diagnosis by collective intelligence of multiple physicians vs individual physicians. Citation Text: Barnett ML, Boddupalli D, Nundy S, et al. Comparative Accuracy of Diagnosis by Collective Intelligence of Multiple…

385. Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported to the National Reporting and Learning System. | PSNet
     psnet.ahrq.gov/issue/medication-safety-mental-health-hospitals-mixed-methods-analysis-incidents-reported-national
     December 18, 2017 - Study Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported to the National Reporting and Learning System. Citation Text: Alshehri GH, Keers RN, Carson-Stevens A, et al. Medication safety in mental health hospitals: a mixed-methods analysis of incid…

386. The relationship between organizational leadership for safety and learning from patient safety events. | PSNet
     psnet.ahrq.gov/issue/relationship-between-organizational-leadership-safety-and-learning-patient-safety-events
     November 27, 2009 - Study The relationship between organizational leadership for safety and learning from patient safety events. Citation Text: Ginsburg LR, Chuang Y-T, Berta WB, et al. The relationship between organizational leadership for safety and learning from patient safety events. Health Serv Res. …

387. Bowel Prep | PSNet
     psnet.ahrq.gov/web-mm/bowel-prep
     March 01, 2017 - Bowel Prep Citation Text: Nelson D. Bowel Prep. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downloa…

388. A Tale of Two Falls | PSNet
     psnet.ahrq.gov/web-mm/tale-two-falls
     March 27, 2024 - Of course, there is some risk in relying on the EHR for important communication, as nurses may correctly

389. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia | PSNet
     psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
     January 29, 2021 - Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia Citation Text: Bohringer C, Osborne R. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human…

390. Critical Echocardiogram Result Lost to Follow-up | PSNet
     psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
     July 31, 2023 - clarification if required; and 3) the original transmitter verifies that the message has been received and correctly

391. Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents? | PSNet
     psnet.ahrq.gov/web-mm/managing-care-challenges-group-home-setting-staffing-adequate-unplanned-incidents
     April 27, 2022 - Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents? Citation Text: Ordona R, Bakerjian D. Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…

392. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules | PSNet
     psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
     March 25, 2020 - Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules Citation Text: Bohringer C. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…

393. Are teaching hospitals treated fairly in the Hospital-Acquired Condition Reduction Program? | PSNet
     psnet.ahrq.gov/issue/are-teaching-hospitals-treated-fairly-hospital-acquired-condition-reduction-program
     July 11, 2018 - Study Are teaching hospitals treated fairly in the Hospital-Acquired Condition Reduction Program? Citation Text: Mohajer MA, Joiner KA, Nix DE. Are Teaching Hospitals Treated Fairly in the Hospital-Acquired Condition Reduction Program? Acad Med. 2018;93(12):1827-1832. doi:10.1097/ACM.000…

394. Root Cause Analysis Gone Wrong | PSNet
     psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
     August 28, 2024 - Root Cause Analysis Gone Wrong Citation Text: Peerally MF, Dixon-Woods M. Root Cause Analysis Gone Wrong. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML E…

395. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations | PSNet
     psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
     September 27, 2023 - SPOTLIGHT CASE Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations Citation Text: Brown S, Utter GH, Barnes DK. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…

396. Life-Threatening Infant Overdose of Sodium Chloride | PSNet
     psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
     December 23, 2020 - The dextrose, potassium chloride, and calcium gluconate orders were entered correctly.

397. The Role of the FDA in Ensuring Device Safety | PSNet
     psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety
     May 28, 2020 - passive approach to identifying device error relies on several assumptions: 1) that all events are correctly

398. In Conversation With... David Gruen, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-david-gruen-md
     January 31, 2020 - For example, a patient goes to the emergency room, has a CAT scan for appendicitis, the radiologist correctly

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33592/psn-pdf
     December 15, 2024 - Adverse Events, Near Misses, and Errors December 15, 2024 Adverse Events, Near Misses, and Errors. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current re…

400. Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough | PSNet
     psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
     September 01, 2003 - SPOTLIGHT CASE Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough Citation Text: Gibbs VC. Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and …