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Showing results for "factor".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38737/psn-pdf
    July 13, 2009 - this commentary, AHRQ Director Carolyn Clancy discusses effective patient discharge as an important factor

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40219/psn-pdf
    December 29, 2014 - ://psnet.ahrq.gov/issue/adapting-new-technologies-operating-room https://psnet.ahrq.gov/issue/human-factor-cardiac-surgery-errors-and-near-misses-high-technology-medical-domain

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45052/psn-pdf
    June 08, 2016 - mean-girls-er-alarming-nurse-culture-bullying-and-hazing Disruptive behaviors are receiving increased attention as a cultural factor

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38544/psn-pdf
    September 02, 2009 - A prior study found that communication failures were a contributing factor to errors in this situation

  5. No interruptions please: impact of a no interruption zone on medication safety in intensive care units. | PSNet

    psnet.ahrq.gov/issue/no-interruptions-please-impact-no-interruption-zone-medication-safety-intensive-care-units
    July 19, 2023 - Interruptions have been identified as a contributing factor for medication administration errors. 

  6. Work interruptions and their contribution to medication administration errors: an evidence review. | PSNet

    psnet.ahrq.gov/issue/work-interruptions-and-their-contribution-medication-administration-errors-evidence-review
    July 22, 2020 - Prior studies have identified interruptions as a risk factor for medication administration errors.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33568/psn-pdf
    June 15, 2024 - Factors That May Lead to Latent Errors Type of Factor Example Institutional/regulatory A patient on … web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality Type of Factor

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36926/psn-pdf
    September 09, 2011 - distracting-communications-operating-theatre Prior research has implicated poor communication between team members as a possible factor

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40894/psn-pdf
    December 10, 2014 - high-incidence-medication-documentation-errors-swiss-university-hospital-due- handwritten Illegible handwriting has been cited as a major factor

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48060/psn-pdf
    June 19, 2019 - The only factor associated with a lower risk of opioid use disorder was absence of a mood disorder.

  11. Influences observed on incidence and reporting of medication errors in anesthesia. | PSNet

    psnet.ahrq.gov/issue/influences-observed-incidence-and-reporting-medication-errors-anesthesia
    October 19, 2022 - Provider inexperience was found to be a risk factor for medication errors in anesthesia, in this prospective

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38157/psn-pdf
    October 22, 2008 - The authors were able to determine at least one underlying factor in most reports, but found that incidents

  13. Crowding in the Emergency Department: Challenges for the Care of Children. | PSNet

    psnet.ahrq.gov/issue/crowding-emergency-department-challenges-care-children
    October 19, 2022 - Emergency room crowding is a persistent factor that degrades safety for patients of all ages.

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44148/psn-pdf
    November 06, 2015 - /role-cognition-generating-and-mitigating-clinical-errors Cognition has been recognized as a human factor

  15. E-collection: Safety and Error Prevention in Health. | PSNet

    psnet.ahrq.gov/issue/e-collection-safety-and-error-prevention-health
    June 24, 2020 - September 25, 2019 Using medicolegal data to support safe medical care: a contributing factor

  16. An examination of medical malpractice claims involving physician trainees. | PSNet

    psnet.ahrq.gov/issue/examination-medical-malpractice-claims-involving-physician-trainees
    July 15, 2020 - Inadequate supervision was a common contributing factor.

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35809/psn-pdf
    February 25, 2015 - All of the organizations identified culture change as the most important factor in promoting safety,

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46692/psn-pdf
    January 10, 2018 - environments can affect the safety of nursing care, and recently bullying has been recognized as an important factor

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39070/psn-pdf
    November 27, 2009 - medication-administration-anesthesia-time-paradigm-shift https://psnet.ahrq.gov/issue/double-checking-medicines-defence-against-error-or-contributory-factor

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39330/psn-pdf
    March 03, 2010 - year-analysis-national-poison-data-system https://psnet.ahrq.gov/issue/adverse-drug-reactions-and-therapeutic-errors-older-adults-hazard-factor-analysis-poison
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