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Showing results for "event".

461. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42360/psn-pdf
     April 16, 2018 - Wrong-patient medication errors: an analysis of event reports in Pennsylvania and strategies for prevention … https://psnet.ahrq.gov/issue/wrong-patient-medication-errors-analysis-event-reports-pennsylvania-and- … https://psnet.ahrq.gov/issue/wrong-patient-medication-errors-analysis-event-reports-pennsylvania-and-strategies-prevention … https://psnet.ahrq.gov/issue/wrong-patient-medication-errors-analysis-event-reports-pennsylvania-and-strategies-prevention

462. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40377/psn-pdf
     April 20, 2011 - Lessons learned: use of event reporting by nurses to improve patient safety and quality. … Lessons learned: use of event reporting by nurses to improve patient safety and quality. … https://psnet.ahrq.gov/issue/lessons-learned-use-event-reporting-nurses-improve-patient-safety-and-quality … https://psnet.ahrq.gov/issue/lessons-learned-use-event-reporting-nurses-improve-patient-safety-and-quality

463. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43419/psn-pdf
     October 20, 2014 - Impact of a reengineered electronic error-reporting system on medication event reporting and care process … Impact of a reengineered electronic error-reporting system on medication event reporting and care process … https://psnet.ahrq.gov/issue/impact-reengineered-electronic-error-reporting-system-medication-event- … https://psnet.ahrq.gov/issue/impact-reengineered-electronic-error-reporting-system-medication-event-reporting-and-care … https://psnet.ahrq.gov/issue/impact-reengineered-electronic-error-reporting-system-medication-event-reporting-and-care

464. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45289/psn-pdf
     May 03, 2017 - Measuring harm in health care: optimizing adverse event review. … Measuring Harm in Health Care: Optimizing Adverse Event Review. … https://psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-event-review Determining … https://psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-event-review https://psnet.ahrq.gov

465. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43096/psn-pdf
     August 22, 2016 - Rapid learning of adverse medical event disclosure and apology. … Rapid Learning of Adverse Medical Event Disclosure and Apology. … https://psnet.ahrq.gov/issue/rapid-learning-adverse-medical-event-disclosure-and-apology Obstetricians … https://psnet.ahrq.gov/issue/rapid-learning-adverse-medical-event-disclosure-and-apology https://psnet.ahrq.gov

466. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44782/psn-pdf
     January 13, 2016 - The Swiss cheese model of adverse event occurrence—closing the holes. … The Swiss cheese model of adverse event occurrence--Closing the holes. … https://psnet.ahrq.gov/issue/swiss-cheese-model-adverse-event-occurrence-closing-holes Shifting the … https://psnet.ahrq.gov/issue/swiss-cheese-model-adverse-event-occurrence-closing-holes https://psnet.ahrq.gov

467. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47241/psn-pdf
     October 10, 2018 - Impact of high-reliability education on adverse event reporting by registered nurses. … Impact of High-Reliability Education on Adverse Event Reporting by Registered Nurses. … https://psnet.ahrq.gov/issue/impact-high-reliability-education-adverse-event-reporting-registered-nurses … https://psnet.ahrq.gov/issue/impact-high-reliability-education-adverse-event-reporting-registered-nurses

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41964/psn-pdf
     April 17, 2013 - Use of HIT for adverse event reporting in nursing homes: barriers and facilitators. … Use of HIT for adverse event reporting in nursing homes: barriers and facilitators. … https://psnet.ahrq.gov/issue/use-hit-adverse-event-reporting-nursing-homes-barriers-and-facilitators … Few nursing homes surveyed used computerized methods to report errors or to monitor adverse event data … https://psnet.ahrq.gov/issue/use-hit-adverse-event-reporting-nursing-homes-barriers-and-facilitators

469. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43820/psn-pdf
     February 18, 2015 - Care of the clinician after an adverse event. February 18, 2015 Pratt SD, Jachna BR. … Care of the clinician after an adverse event. Int J Obstet Anesth. 2014;24(1):54-63. … https://psnet.ahrq.gov/issue/care-clinician-after-adverse-event Spotlighting the emotional impact adverse … https://psnet.ahrq.gov/issue/care-clinician-after-adverse-event https://psnet.ahrq.gov/issue/suffering-silence-qualitative-study-second-victims-adverse-events

470. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33711/psn-pdf
     May 01, 2011 - proposed the formalization of second victim "rights" in the aftermath of an unanticipated clinical event … .(17) Almost one in seven staff members (175/1,160) reported they had experienced a patient safety event … Time lapse since the unanticipated clinical event ranged from 3 weeks to 44 months (mean = 14 months … Some were able to cite the exact date of the event while others provided event- specific details such … as the color of scrubs worn when the event occurred.

471. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46206/psn-pdf
     August 02, 2017 - Patient safety in dentistry: development of a candidate 'never event' list for primary care. … Patient safety in dentistry: development of a candidate 'never event' list for primary care. … https://psnet.ahrq.gov/issue/patient-safety-dentistry-development-candidate-never-event-list-primary-care … https://psnet.ahrq.gov/issue/patient-safety-dentistry-development-candidate-never-event-list-primary-care

472. 21st Annual Northwest Patient Safety Conference | PSNet
     psnet.ahrq.gov/training-catalog/21st-annual-northwest-patient-safety-conference
     Organization Washington Patient Safety Coalition (WPSC) Event … Description: Now in its 20th year, the Northwest Patient Safety Conference is the only event of its … Event Location: Online Date: October 15 - 16, 2024 Event Fee: Fee Associated CE or CME

473. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46374/psn-pdf
     August 30, 2017 - Structured patient handoffs: the movement toward adverse event reduction in the perioperative unit. … https://psnet.ahrq.gov/issue/structured-patient-handoffs-movement-toward-adverse-event-reduction- perioperative-unit … https://psnet.ahrq.gov/issue/structured-patient-handoffs-movement-toward-adverse-event-reduction-perioperative-unit … https://psnet.ahrq.gov/issue/structured-patient-handoffs-movement-toward-adverse-event-reduction-perioperative-unit

474. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41561/psn-pdf
     August 01, 2012 - Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. … https://psnet.ahrq.gov/issue/few-adverse-events-hospitals-were-reported-state-adverse-event-reporting … https://psnet.ahrq.gov/issue/few-adverse-events-hospitals-were-reported-state-adverse-event-reporting-systems … https://psnet.ahrq.gov/issue/few-adverse-events-hospitals-were-reported-state-adverse-event-reporting-systems

475. Upcoming online events | PSNet
     psnet.ahrq.gov/training-catalog/upcoming-online-events-0
     University of California, San Francisco Coordinating Center For Diagnostic Excellence Event … Description: Various UCSF events Event Location: Online Date: Various upcoming (and past) dates … Event Fee: Free CE or CME Offered?

476. Upcoming online events | PSNet
     psnet.ahrq.gov/training-catalog/upcoming-online-events
     University of California, San Francisco Coordinating Center For Diagnostic Excellence Event … Description: Various UCSF events Event Location: Online Date: Various upcoming (and past) dates … Event Fee: Free CE or CME Offered?

477. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45292/psn-pdf
     September 07, 2016 - Electronic approaches to making sense of the text in the adverse event reporting system. … Electronic approaches to making sense of the text in the adverse event reporting system. … https://psnet.ahrq.gov/issue/electronic-approaches-making-sense-text-adverse-event-reporting-system … https://psnet.ahrq.gov/issue/electronic-approaches-making-sense-text-adverse-event-reporting-system https

478. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45069/psn-pdf
     June 01, 2016 - The effects of power, leadership and psychological safety on resident event reporting. … The effects of power, leadership and psychological safety on resident event reporting. … https://psnet.ahrq.gov/issue/effects-power-leadership-and-psychological-safety-resident-event-reporting … https://psnet.ahrq.gov/issue/effects-power-leadership-and-psychological-safety-resident-event-reporting

479. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33838/psn-pdf
     July 01, 2017 - This familiar proverb suggests that when an uncommon event occurs once, it is unlikely to do so again—even … What proportion of medicolegal event–prone physicians continue to work, and where? … Does their patient load dwindle as their medicolegal event track record grows? … And what does the periodicity of a typical medicolegal event series look like? … A physician-level study of event typologies and timing would be revealing.

480. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37924/psn-pdf
     December 23, 2016 - Sentinel event alert. 2008;(40):1-3. … https://psnet.ahrq.gov/issue/behaviors-undermine-culture-safety The Joint Commission issues sentinel event … This newly released sentinel event alert focuses on intimidating and disruptive behaviors and the role … https://psnet.ahrq.gov/issue/behaviors-undermine-culture-safety https://psnet.ahrq.gov/issue/sentinel-event-alert