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Showing results for "factor".

  1. 5 cataract surgeries, 5 people blinded: what went wrong? | PSNet

    psnet.ahrq.gov/issue/5-cataract-surgeries-5-people-blinded-what-went-wrong
    June 08, 2011 - September 30, 2015 'Alarm fatigue’ a factor in 2nd death.

  2. Establishing a culture for patient safety - the role of education. | PSNet

    psnet.ahrq.gov/issue/establishing-culture-patient-safety-role-education
    August 23, 2017 - Diagnostic Safety and Quality April 26, 2023 Leadership: an effective human factor

  3. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.221_slideshow.ppt
    July 01, 2010 - Obstructive sleep apnea is not a risk factor for difficult intubation in morbidly obese patients. … Obstructive sleep apnea is not a risk factor for difficult intubation in morbidly obese patients.

  4. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.101_slideshow.ppt
    July 01, 2005 - Warfarin inhibits action of vitamin K, preventing activation of factors II, VII, IX, and X This relative factor … serum level of free warfarin but also the rate of degradation of normal clotting factors, particularly factor … Measurement After initial dose, it takes about 20 hours before any significant change in INR because factor

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50697/psn-pdf
    November 27, 2019 - congenital long QT syndrome, and recent cardioversion.1,2 The female sex has also been identified as a risk factor … Female gender as a risk factor for torsades de pointes associated with cardiovascular drugs. 

  6. Lack of standardisation between specialties for human factors content in postgraduate training: an analysis of specialty curricula in the UK. | PSNet

    psnet.ahrq.gov/issue/lack-standardisation-between-specialties-human-factors-content-postgraduate-training-analysis
    July 19, 2019 - safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor

  7. Patient identification and tube labelling—a call for harmonisation. | PSNet

    psnet.ahrq.gov/issue/patient-identification-and-tube-labelling-call-harmonisation
    April 29, 2020 - December 14, 2016 Inappropriate hospital admission as a risk factor for the subsequent

  8. Perceived patient safety culture in nursing homes associated with "Nursing Home Compare" performance indicators. | PSNet

    psnet.ahrq.gov/issue/perceived-patient-safety-culture-nursing-homes-associated-nursing-home-compare-performance
    November 04, 2020 - Opportunities for improvement in nursing homes: variance of six patient safety climate factor

  9. Multidisciplinary medication review in nursing home residents: what are the most significant drug-related problems? The Bergen District Nursing Home (BEDNURS) study. | PSNet

    psnet.ahrq.gov/issue/multidisciplinary-medication-review-nursing-home-residents-what-are-most-significant-drug
    August 04, 2021 - Opportunities for improvement in nursing homes: variance of six patient safety climate factor

  10. Agreement between patient-reported symptoms and their documentation in the medical record. | PSNet

    psnet.ahrq.gov/issue/agreement-between-patient-reported-symptoms-and-their-documentation-medical-record
    November 09, 2022 - 4, 2021 Comparative performance of pediatric weight estimation techniques: a human factor

  11. Mandatory influenza vaccination for health care workers as the new standard of care: a matter of patient safety and nonmaleficent practice. | PSNet

    psnet.ahrq.gov/issue/mandatory-influenza-vaccination-health-care-workers-new-standard-care-matter-patient-safety
    September 13, 2023 - Related Resources From the Same Author(s) Inappropriate hospital admission as a risk factor

  12. The 2018 Gosport Independent Panel report into deaths at the National Health Service's Gosport War Memorial Hospital. Does the culture of the medical profession influence health outcomes? | PSNet

    psnet.ahrq.gov/issue/2018-gosport-independent-panel-report-deaths-national-health-services-gosport-war-memorial
    March 25, 2020 - March 9, 2022 Leadership: an effective human factor during COVID-19.

  13. Discrepancies between clinical diagnoses and autopsy findings in critically ill children: a prospective study. | PSNet

    psnet.ahrq.gov/issue/discrepancies-between-clinical-diagnoses-and-autopsy-findings-critically-ill-children
    January 12, 2022 - March 9, 2022 Inappropriate hospital admission as a risk factor for the subsequent development

  14. Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis. | PSNet

    psnet.ahrq.gov/issue/impact-cancelrx-discontinuation-controlled-substance-prescriptions-interrupted-time-series
    September 01, 2021 - August 10, 2022 Operationalizing occupational fatigue in pharmacists: an exploratory factor

  15. Measure Dx: implementing pathways to discover and learn from diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/measure-dx-implementing-pathways-discover-and-learn-diagnostic-errors
    August 25, 2021 - October 7, 2020 'Tempos' management in primary care: a key factor for classifying adverse

  16. Developing a programme for medication reconciliation at the time of admission into hospital. | PSNet

    psnet.ahrq.gov/issue/developing-programme-medication-reconciliation-time-admission-hospital
    March 09, 2022 - March 9, 2022 Inappropriate hospital admission as a risk factor for the subsequent development

  17. Using Kotter's change model for implementing bedside handoff: a quality improvement project. | PSNet

    psnet.ahrq.gov/issue/using-kotters-change-model-implementing-bedside-handoff-quality-improvement-project
    September 23, 2020 - December 12, 2012 Inappropriate hospital admission as a risk factor for the subsequent

  18. Dual surgeon operating to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/dual-surgeon-operating-improve-patient-safety
    July 22, 2020 - 2020 View More Related Resources Leadership: an effective human factor

  19. Benefits of direct observation in medication administration to detect errors. | PSNet

    psnet.ahrq.gov/issue/benefits-direct-observation-medication-administration-detect-errors
    March 09, 2022 - October 12, 2022 Inappropriate hospital admission as a risk factor for the subsequent

  20. Reducing latent errors, drift errors, and stakeholder dissonance. | PSNet

    psnet.ahrq.gov/issue/reducing-latent-errors-drift-errors-and-stakeholder-dissonance
    December 14, 2010 - October 27, 2010 Application of "Human Factor Analysis and Classification System" (HFACS
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