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Total Results: 1,773 records

Showing results for "details".

301. The Research on Adverse Drug Events and Reports (RADAR) project. | PSNet
     psnet.ahrq.gov/issue/research-adverse-drug-events-and-reports-radar-project
     October 19, 2022 - They also share initial results of their operations with details of 16 drugs associated with serious

302. Assessment of patient retention of inpatient care information post-hospitalization. | PSNet
     psnet.ahrq.gov/issue/assessment-patient-retention-inpatient-care-information-post-hospitalization
     June 01, 2022 - their diagnosis and treatment plan, chart review indicated that only 43% to 64% correctly recalled details

303. Developing and aligning a safety event taxonomy for inpatient psychiatry. | PSNet
     psnet.ahrq.gov/issue/developing-and-aligning-safety-event-taxonomy-inpatient-psychiatry
     September 14, 2022 - equipment, and safety culture) were identified, along with categories, subcategories, and subcategory details

304. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44180/psn-pdf
     June 21, 2015 - sentinel-event https://psnet.ahrq.gov/issue/medicares-decision-withhold-payment-hospital-errors-devil-details

305. Computerized physician order entry with clinical decision support in long-term care facilities: costs and benefits to stakeholders. | PSNet
     psnet.ahrq.gov/issue/computerized-physician-order-entry-clinical-decision-support-long-term-care-facilities-costs
     March 29, 2010 - broad use of  computerized physician order entry (CPOE) in long-term care facilities, this review details

306. Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress. | PSNet
     psnet.ahrq.gov/issue/improving-patient-safety-operating-theatre-and-perioperative-care-obstacles-interventions-and
     April 21, 2015 - This review details how team-based interventions, such as simulation training and standardized team assessment

307. The clinical safety of disabled patients: proposal for a methodology for analysis of health care risks and specific measures for improvement. | PSNet
     psnet.ahrq.gov/issue/clinical-safety-disabled-patients-proposal-methodology-analysis-health-care-risks-and
     January 17, 2012 - This review details risks associated with caring for patients with disabilities and recommends a methodology

308. Omissions of care in nursing homes: a uniform definition for research and quality improvement. | PSNet
     psnet.ahrq.gov/issue/omissions-care-nursing-homes-uniform-definition-research-and-quality-improvement
     August 01, 2012 - The article details the terms and concepts included in (and excluded from) the proposed definition, provides

309. Patients' perspectives on quality and patient safety failures: lessons learned from an inquiry into transvaginal mesh in Australia. | PSNet
     psnet.ahrq.gov/issue/patients-perspectives-quality-and-patient-safety-failures-lessons-learned-inquiry
     September 28, 2017 - This article details more than 400 accounts submitted by women who were harmed by transvaginal mesh,

310. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2024-01/spotlight_case_laceration_needed_exam_not_x-ray_final.pdf
     January 01, 2024 - appropriate imaging, awareness of cognitive biases, and strategies to avoid human error 4 Case Details … • No fracture or foreign body was identified on x-ray. 5 Case Details (2) • The clinician closed … Spotlight Source and Credits Objectives A Laceration that Needed a Proper Exam, Not an X-Ray Case Details … (1) Case Details (2) A Laceration that Needed a Proper Exam, �Not an X-Ray Background Background

311. Workplace violence pervasiveness in the perioperative environment: a multiprofessional survey. | PSNet
     psnet.ahrq.gov/issue/workplace-violence-pervasiveness-perioperative-environment-multiprofessional-survey
     November 11, 2020 - This study details workplace violence experienced and witnessed by perioperative anesthesiologist assistants

312. Microsoft PowerPoint - FINAL CME Reviewed Spotlight_Loss of Trust and a Missed Diagnosis_02.14.20221 - clean - REVISED.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2022-02/final_cme_reviewed_spotlight_loss_of_trust_and_a_missed_diagnosis_02.14.20221_-_clean_-_revised.pdf
     January 01, 2022 - associated with low back pain and how pain- related stigma can limit effective, timely care 4 Case Details … • She was advised to apply ice and take ibuprofen. 5 Case Details (2) • She returned to her PCP … acetaminophen for an additional month and continued to encourage exercise and weight loss. 6 Case Details … activities of daily living that she required her daughter and daughter-in-law to care for her. 7 Case Details

313. Missed CANDOR Implementation Opportunities. | PSNet
     psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
     November 11, 2020 - She asked questions about the details of the procedure, which he answered.  … If all the details of the care given to the patient are not yet known at this time, the liaison should … If this assumption was verified by the review process and RCAs, the following details related to an offer … Details about the recovery claim are provided in a conditional payment letter from CMS.

314. Electronic health record usability issues and potential contribution to patient harm. | PSNet
     psnet.ahrq.gov/issue/electronic-health-record-usability-issues-and-potential-contribution-patient-harm
     July 07, 2021 - Although limited by the nature of the voluntary reports, which contained sparse details precluding assessment

315. The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.  | PSNet
     psnet.ahrq.gov/issue/critical-care-safety-study-incidence-and-nature-adverse-events-and-serious-medical-errors
     July 15, 2020 - Discussion provides details of the clinical patient characteristics, the range in severity of incidents

316. Spreading a medication administration intervention organizationwide in six hospitals. | PSNet
     psnet.ahrq.gov/issue/spreading-medication-administration-intervention-organizationwide-six-hospitals
     January 03, 2017 - The article details how stratiegies for communication, local adaptation, teamwork, and learning from

317. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42063/psn-pdf
     January 06, 2018 - cost, implementation, and contextual considerations may affect the real-world effectiveness of PSPs, details

318. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49654/psn-pdf
     June 01, 2012 - Minimal other clinical details were discussed. … There were few other details in any of the notes about the cardiac arrest. … started at the referring hospital, before the patient had been transported, with only brief clinical details … 19564281 Pre-transport coordination and communication Receiving clinician is provided with full details

319. Prescribing errors on admission to hospital and their potential impact: a mixed-methods study. | PSNet
     psnet.ahrq.gov/issue/prescribing-errors-admission-hospital-and-their-potential-impact-mixed-methods-study
     December 20, 2023 - June 13, 2011 Medication details documented on hospital discharge: cross-sectional observational

320. Intravenous infusion administration: a comparative study of practices and errors between the United States and England and their implications for patient safety. | PSNet
     psnet.ahrq.gov/issue/intravenous-infusion-administration-comparative-study-practices-and-errors-between-united
     October 18, 2018 - Although the details of errors in both countries differed in detail, rates of error and harm were similar