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Showing results for "factor".

  1. Taking bullying out of health care: a patient safety imperative. | PSNet

    psnet.ahrq.gov/issue/taking-bullying-out-health-care-patient-safety-imperative
    June 19, 2024 - can affect the safety of nursing care, and recently bullying has been recognized as an important factor

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35726/psn-pdf
    February 09, 2011 - They also summarize how fatigue can diminish clinical performance and why this factor poses a significant

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44005/psn-pdf
    April 08, 2015 - This commentary illustrates how switching to a generic brand of medication to save costs was a factor

  4. Factors associated with diagnostic error: an analysis of closed medical malpractice claims. | PSNet

    psnet.ahrq.gov/issue/factors-associated-diagnostic-error-analysis-closed-medical-malpractice-claims
    July 13, 2022 - No singular factor was identified; instead multiple contributing factors were implicated along the

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47921/psn-pdf
    June 18, 2019 - using-incident-reports-assess-communication-failures-and-patient-outcomes Communication failures are a common underlying factor

  6. New Covid boosters look a lot like the old ones. Doctors worry that could lead to errors. | PSNet

    psnet.ahrq.gov/issue/new-covid-boosters-look-lot-old-ones-doctors-worry-could-lead-errors
    April 26, 2023 - Look-alike sound-alike packaging is a known risk factor in medication errors.

  7. Burnout in Healthcare. | PSNet

    psnet.ahrq.gov/issue/burnout-healthcare
    July 31, 2019 - this special issue explore health professionals' experiences regarding negative gossip as a risk factor

  8. Swapping horses midstream: factors related to physicians' changing their minds about a diagnosis. | PSNet

    psnet.ahrq.gov/issue/swapping-horses-midstream-factors-related-physicians-changing-their-minds-about-diagnosis
    January 29, 2020 - This study found that clinical experience was the most important factor in retaining diagnostic flexibility

  9. 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. 

  10. Risk factors for patient-reported medical errors in eleven countries. | PSNet

    psnet.ahrq.gov/issue/risk-factors-patient-reported-medical-errors-eleven-countries
    December 04, 2024 - variability in patient-reported errors, with poor care coordination being the single greatest risk factor

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45613/psn-pdf
    September 01, 2018 - Each patient and family member was able to identify at least one contributing factor and make recommendations

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44228/psn-pdf
    September 04, 2016 - This commentary describes a six-factor framework to integrate safety concepts into graduate medical

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38865/psn-pdf
    April 04, 2011 - English skills, and in fact, prior research has found that language barriers are an independent risk factor

  14. 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.

  15. 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

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45471/psn-pdf
    September 21, 2016 - Investigators found that 72% of patients had exposure to at least one health care factor during the 30

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39510/psn-pdf
    September 24, 2016 - A major risk factor for these "slips" is being interrupted or distracted while performing a task.

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40400/psn-pdf
    June 20, 2011 - determinants-patient-reported-medication-errors-comparison-among-seven- countries Poor care coordination has been shown to be a risk factor

  19. 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

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49749/psn-pdf
    December 01, 2015 - Work System Factor Contributing Factor to Adverse Event Systems Redesign Recommendations People … QualityMeasures/03_ElectronicSpecifications.asp http://www.ncbi.nlm.nih.gov/pubmed/17142611 Work System Factor … Contributing Factor to Adverse Event Systems RedesignRecommendations Tools and Technology Unfamiliar
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