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Showing results for "factor".

221. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37168/psn-pdf
     February 03, 2011 - physician-scores-national-clinical-skills-examination-predictors-complaints- medical Poor physician-patient communication has been implicated as a factor

222. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44185/psn-pdf
     September 29, 2017 - psnet.ahrq.gov/issue/diagnostic-errors-lead-inappropriate-antimicrobial-use Overuse of antibiotics is a major factor

223. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44765/psn-pdf
     November 23, 2016 - communication-relating-family-members-involvement-and-understandings- about-patients Polypharmacy, or taking multiple medications, is a risk factor

224. Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. | PSNet
     psnet.ahrq.gov/issue/case-report-medication-error-look-alike-packaging-classic-surrogate-marker-unsafe-system
     January 12, 2022 - This commentary illustrates how switching to a generic brand of medication to save costs was a factor

225. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44756/psn-pdf
     September 12, 2016 - importance-teamwork-communication-and-culture-failure-rescue-elderly Failure-to-rescue is considered a potential contributing factor

226. 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

227. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.176_slideshow.ppt
     May 01, 2008 - Risk Factor Assessment Failure to take a thorough history, particularly for sensitive questions, may … result in the failure to order an HIV test Risk factor assessment is crucial because clinical diagnosis … N Engl J Med. 1998;339:33-39. http://ncbi.nlm.nih.gov/pubmed/9647878 Risk Factor Assessment (cont … potential opportunity to inquire about HIV risk factors About 40% of persons reporting an HIV risk factor

228. 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

229. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45599/psn-pdf
     July 02, 2017 - high-complexity environments can miss an important event because of competing attentional tasks, as a key factor

230. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43248/psn-pdf
     July 02, 2014 - disappointingly low among physicians and nurses, despite appropriate handwashing being an essential factor

231. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41322/psn-pdf
     November 27, 2012 - errors-medical-interpretation-and-their-potential-clinical-consequences- comparison Limited English proficiency has been shown to be an independent risk factor

232. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37227/psn-pdf
     December 15, 2011 - development-icu-safety-reporting-system https://psnet.ahrq.gov/issue/computerized-physician-order-entry-factor-medication-errors-descriptive-analysis-events

233. Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS). | PSNet
     psnet.ahrq.gov/issue/patient-safety-incidents-endoscopy-human-factors-analysis-non-procedural-significant-harm
     January 29, 2020 - Human Factors Analysis and Classification System coding, decision-based errors were the most common factor

234. Time for a rebalance: psychological and emotional well-being in the healthcare workforce as the foundation for patient safety. | PSNet
     psnet.ahrq.gov/issue/time-rebalance-psychological-and-emotional-well-being-healthcare-workforce-foundation-patient
     October 07, 2020 - Workforce wellbeing is a primary environmental factor in supporting patient safety.

235. "First, know thyself": cognition and error in medicine. | PSNet
     psnet.ahrq.gov/issue/first-know-thyself-cognition-and-error-medicine
     March 09, 2022 - Cognition has been recognized as a human factor that can contribute to medical error.

236. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38176/psn-pdf
     October 29, 2008 - popular wisdom" about the role of systems in patient safety and advocate for greater attention to human factor

237. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37542/psn-pdf
     February 23, 2018 - structural-and-organizational-issues-patient-safety-comparison-health-care-other-high-hazard https://psnet.ahrq.gov/issue/human-factor-cardiac-surgery-errors-and-near-misses-high-technology-medical-domain

238. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.92_slideshow.ppt
     April 01, 2005 - Pre-existing chronic kidney disease GFR/creatinine clearance < 60 mL/min/1.73 m2 considered a risk factor … incidence of CN was only 1.2% in patients without risk factors, but increased to 11.2% with one risk factor … Outcome of Contrast Nephropathy Mortality rates higher Odds of death increased by a factor of 5.5

239. To err is human, unless you are a healthcare provider. | PSNet
     psnet.ahrq.gov/issue/err-human-unless-you-are-healthcare-provider
     March 22, 2023 - Intent to harm is a primary factor in the criminalization of patient injury.

240. Becoming a high-reliability organization through shared learning of safety events | PSNet
     psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
     February 12, 2020 - This article discusses a learning model built upon event definition, rapid contributing factor identification