-
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
-
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
-
psnet.ahrq.gov/node/38291/psn-pdf
April 08, 2011 - Problems in telephone triage were also a
common underlying factor.
-
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
-
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
-
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
-
psnet.ahrq.gov/node/45889/psn-pdf
August 16, 2017 - Overprescribing by
providers is one factor contributing to the widespread use of opioids.
-
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
-
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
-
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
-
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
-
psnet.ahrq.gov/node/36246/psn-pdf
October 21, 2010 - Hospital's baseline performance was the strongest predictive factor for future PSI rates; in
contrast
-
psnet.ahrq.gov/issue/dangerous-wrong-route-errors-tranexamic-acid
February 18, 2014 - This announcement highlights container confusion as a contributing factor for accidental spinal injection
-
psnet.ahrq.gov/issue/needlestick-injuries-among-surgeons-training
November 26, 2008 - Feeling "rushed" or fatigued was a frequent contributing factor to needlesticks.
-
psnet.ahrq.gov/web-mm/intubation-mishap
April 26, 2023 - The steps in the process are listed in Table 1 , and a checklist for contributory factor analysis is … In addition, we took the creative license to include an additional putative contributory factor (that … Perform a Contributory Factor Analysis using a checklist of items (see Table 2).
4. … Contributory Factors in Medical Event Investigations (and, specifically, in this case)
Contributory Factor … could limit staff training time)
B
Goals, policies, and standards
Probably not a factor
-
psnet.ahrq.gov/issue/risk-factors-adverse-drug-events-10-year-analysis
September 27, 2017 - For instance, drug administration route represented a significant risk factor for all ADEs.
-
psnet.ahrq.gov/node/42211/psn-pdf
April 24, 2013 - Production pressures and system inefficiencies were identified as a
principal factor contributing to
-
psnet.ahrq.gov/node/44743/psn-pdf
December 22, 2017 - The only factor that
consistently predicted readmission risk was if patients reported not feeling ready
-
psnet.ahrq.gov/node/39405/psn-pdf
March 31, 2010 - Overcrowding was one factor cited as a major barrier to implementing the
National Patient Safety Goals
-
psnet.ahrq.gov/node/41764/psn-pdf
January 18, 2013 - individual patient, this study indicates that preventable adverse events may be
considered a risk factor