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Showing results for "factor".

241. 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.

242. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39197/psn-pdf
     January 06, 2010 - events to identify underlying causes, but did not find any cases where resident fatigue was a clear factor

243. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39106/psn-pdf
     June 30, 2011 - The team dynamic emerged as a significant factor in prescribing, with residents reporting being strongly

244. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39233/psn-pdf
     August 02, 2013 - RRS have proven to be a very popular intervention among nursing staff, and this factor alone may justify

245. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42149/psn-pdf
     December 23, 2016 - alarm-fatigue-hazards-sirens-are-calling https://psnet.ahrq.gov/issue/sentinel-event-alert https://psnet.ahrq.gov/issue/alarm-fatigue-factor

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43709/psn-pdf
     December 04, 2014 - issue/team-based-approach-reducing-cardiac-monitor-alarms https://psnet.ahrq.gov/issue/alarm-fatigue-factor

247. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45937/psn-pdf
     September 29, 2017 - High-risk prescribing practices by clinicians is one contributing factor in the surge in opioid use

248. 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

249. 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.

250. 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

251. 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

252. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38712/psn-pdf
     June 17, 2009 - Interprofessional conflict can be a mediating factor in such failures, and this ethnographic study aimed

253. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44644/psn-pdf
     February 14, 2017 - invariably well-intentioned, this population-based study demonstrates that off-label prescribing is a risk factor

254. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39644/psn-pdf
     June 30, 2010 - Fatigue has also been demonstrated to be a risk factor for errors among nurses, particularly when nurses

255. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41732/psn-pdf
     October 03, 2012 - double-checking-administration-medicines-what-evidence-systematic-review https://psnet.ahrq.gov/issue/double-checking-medicines-defence-against-error-or-contributory-factor

256. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38217/psn-pdf
     April 26, 2017 - Impaired safety culture has been implicated as a factor in high-profile errors in health care and other

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41647/psn-pdf
     July 02, 2014 - Participating residents identified at least one cognitive bias and one contextual factor that may have

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41497/psn-pdf
     April 05, 2013 - hour regulations for residents in 2011, and several studies demonstrate that poor signouts are a risk factor

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44710/psn-pdf
     May 09, 2017 - Reviewing incident reports from the US Pharmacopeia where CPOE was a contributing factor, this study

260. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41325/psn-pdf
     October 06, 2016 - hospitals did achieve higher reliability, and the authors cite standardization of processes as one factor