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Showing results for "documents".

81. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46394/psn-pdf
    August 29, 2018 - Investigators conducted interviews, employed direct observation, and reviewed documents such as implementation

82. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/41408/psn-pdf
    October 19, 2012 - patient-notification-bloodborne-pathogen-testing-due-unsafe-injection- practices-us-health This review documents

83. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38116/psn-pdf
    February 18, 2011 - Indeed, prior research documents a link between increased fatigue and self-reported errors and percutaneous

84. Fatigue and safety in paramedicine. | PSNet
    psnet.ahrq.gov/issue/fatigue-and-safety-paramedicine
    December 16, 2020 - This article documents preliminary evidence—based on 717 surveys conducted in ten paramedic services

85. Spoons systematically bias dosing of liquid medicine. | PSNet
    psnet.ahrq.gov/issue/spoons-systematically-bias-dosing-liquid-medicine
    November 03, 2015 - This research letter documents the potential for inaccurate dosing when a teaspoon is used as a measuring

86. Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance. | PSNet
    psnet.ahrq.gov/issue/optimizing-business-case-safe-health-care-integrated-approach-safety-and-finance
    January 23, 2019 - Materials include assessments and templates for financial documents and presentation materials.

87. Systems Analysis of Critical Incidents: the London Protocol. | PSNet
    psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol
    April 06, 2016 - This revised report documents a process for adverse event analysis that risk managers and others may

88. Pharmacy mixes up prescriptions. | PSNet
    psnet.ahrq.gov/issue/pharmacy-mixes-prescriptions
    March 10, 2021 - September 7, 2022 Analysis of errors in dictated clinical documents assisted by speech

89. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72587/psn-pdf
    December 23, 2020 - https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-topics/sentinel- event … View AHRQ Disclaimers https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-topics … db=web&hash=5642D63C1A5017BD214701514DA00139 https://www.jointcommission.org/-/media/tjc/documents/resources

90. Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement. | PSNet
    psnet.ahrq.gov/issue/reducing-catheter-associated-bloodstream-infections-pediatric-intensive-care-unit-business
    November 23, 2016 - This case-control study documents the clinical consequences and additional costs associated with catheter–associated

91. Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008. | PSNet
    psnet.ahrq.gov/issue/drug-related-harms-hospitalized-medicare-beneficiaries-results-healthcare-cost-and
    September 15, 2011 - This cohort study documents a marked increase in both hospitalizations due to adverse drug events and

92. Neonatal intensive care unit safety culture varies widely. | PSNet
    psnet.ahrq.gov/issue/neonatal-intensive-care-unit-safety-culture-varies-widely
    April 18, 2012 - Attitudes Questionnaire for safety culture assessment in neonatal intensive care units (NICUs), and also documents

93. Hospital admission medication reconciliation in medically complex children: an observational study. | PSNet
    psnet.ahrq.gov/issue/hospital-admission-medication-reconciliation-medically-complex-children-observational-study
    April 24, 2018 - This study documents the challenges in implementing medication reconciliation in a children's hospital

94. Patterns in outpatient benzodiazepine prescribing in the United States. | PSNet
    psnet.ahrq.gov/issue/patterns-outpatient-benzodiazepine-prescribing-united-states
    September 20, 2011 - This observational study based on surveillance data documents increasing rates of benzodiazepine prescribing

95. Why pay for mistakes? | PSNet
    psnet.ahrq.gov/issue/why-pay-mistakes
    July 20, 2011 - With… Richard Kronick, PhD February 1, 2014 Patient safety law protects some documents

96. Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice. | PSNet
    psnet.ahrq.gov/issue/patient-safety-incidents-associated-obesity-review-reports-national-patient-safety-agency-and
    October 19, 2022 - analysis of errors voluntarily reported to the United Kingdom's National Patient Safety Agency documents

97. Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. | PSNet
    psnet.ahrq.gov/issue/risk-factors-wrong-site-surgery-study-1166-reports-informed-consent-and-schedule-errors
    January 20, 2021 - Previous research has found that inaccurate consent documents and procedural schedules can lead to patient

98. How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England. | PSNet
    psnet.ahrq.gov/issue/how-do-hospital-boards-govern-quality-improvement-mixed-methods-study-15-organisations
    February 20, 2019 - This study used interviews, direct observation of board meetings, and review of important documents to

99. Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review. | PSNet
    psnet.ahrq.gov/issue/recommendations-safety-hospitalised-patients-context-covid-19-pandemic-scoping-review
    April 14, 2021 - This review summarized safety recommendations from 125 studies, reviews, and expert consensus documents

100. Burnout in the NICU setting and its relation to safety culture. | PSNet
     psnet.ahrq.gov/issue/burnout-nicu-setting-and-its-relation-safety-culture
     February 13, 2019 - This large study, conducted in 44 neonatal intensive care units, documents a strong connection between