Results

Total Results: 3,868 records

Showing results for "follow up".

3021. The nature, magnitude, and reporting compliance of device-related events for intravenous patient-controlled analgesia in the FDA Manufacturer and User Facility Device Experience (MAUDE) database. | PSNet
      psnet.ahrq.gov/issue/nature-magnitude-and-reporting-compliance-device-related-events-intravenous-patient
      March 20, 2024 - April 25, 2018 Fatal gas line mix-up: How to avoid making this "gastly" mistake.

3022. Performance of vascular exposure and fasciotomy among surgical residents before and after training compared with experts. | PSNet
      psnet.ahrq.gov/issue/performance-vascular-exposure-and-fasciotomy-among-surgical-residents-and-after-training
      November 20, 2019 - Increased experience with procedures following the training led to residents retaining these skills for up

3023. Interventions to support nurses as second victims of patient safety incidents: a qualitative study of nurse managers' perceptions. | PSNet
      psnet.ahrq.gov/issue/interventions-support-nurses-second-victims-patient-safety-incidents-qualitative-study-nurse
      November 24, 2021 - March 12, 2025 Speaking up and taking action: psychological safety and joint problem-solving

3024. Root causes of adverse drug events in hospitals and artificial intelligence capabilities for prevention. | PSNet
      psnet.ahrq.gov/issue/root-causes-adverse-drug-events-hospitals-and-artificial-intelligence-capabilities-prevention
      May 20, 2020 - May 20, 2020 Outpatient insulin-related adverse events due to mix-up errors: findings

3025. Opioid prescribing after nonfatal overdose and association with repeated overdose: a cohort study. | PSNet
      psnet.ahrq.gov/issue/opioid-prescribing-after-nonfatal-overdose-and-association-repeated-overdose-cohort-study
      January 23, 2019 - More than 90% of patients were prescribed opioids following such events, and within 2 years up to 17%

3026. Communication regarding adverse neonatal birth events: experiences of parents and clinicians. | PSNet
      psnet.ahrq.gov/issue/communication-regarding-adverse-neonatal-birth-events-experiences-parents-and-clinicians
      May 13, 2020 - August 12, 2020 Outpatient insulin-related adverse events due to mix-up errors: findings

3027. Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study. | PSNet
      psnet.ahrq.gov/issue/antimicrobial-residual-drug-error-intensive-care-unit-single-blinded-prospective
      November 21, 2021 - February 14, 2024 WebM&M Cases Medication Mix-Up Leads

3028. Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1). | PSNet
      psnet.ahrq.gov/issue/treatment-patterns-and-clinical-outcomes-after-introduction-medicare-sepsis-performance
      October 02, 2019 - emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage

3029. Vital signs are still vital: instability on discharge and the risk of post-discharge adverse outcomes. | PSNet
      psnet.ahrq.gov/issue/vital-signs-are-still-vital-instability-discharge-and-risk-post-discharge-adverse-outcomes
      September 23, 2020 - April 30, 2014 Tying up loose ends: discharging patients with unresolved medical issues

3030. A road map for advancing the practice of respect in health care: the results of an interdisciplinary modified Delphi consensus study. | PSNet
      psnet.ahrq.gov/issue/road-map-advancing-practice-respect-health-care-results-interdisciplinary-modified-delphi
      August 01, 2018 - August 1, 2018 Speaking up about care concerns in the ICU: patient and family experiences

3031. The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities. | PSNet
      psnet.ahrq.gov/issue/effects-crew-resource-management-teamwork-and-safety-climate-veterans-health-administration
      December 11, 2024 - October 31, 2017 A communication training program to encourage speaking-up behavior in

3032. Prevalence, nature, severity and preventability of adverse drug events in mental health settings: findings from the MedicAtion relateD harm in mEntal health hospitals (MADE) study. | PSNet
      psnet.ahrq.gov/issue/prevalence-nature-severity-and-preventability-adverse-drug-events-mental-health-settings
      December 18, 2017 - July 8, 2020 Outpatient insulin-related adverse events due to mix-up errors: findings

3033. A systems approach to morbidity and mortality conference. | PSNet
      psnet.ahrq.gov/issue/systems-approach-morbidity-and-mortality-conference
      July 22, 2020 - June 8, 2022 Outpatient insulin-related adverse events due to mix-up errors: findings

3034. The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study. | PSNet
      psnet.ahrq.gov/issue/impact-drug-error-reduction-software-preventing-harmful-adverse-drug-events-england
      November 16, 2022 - compliance with DERS was 45%, but across one year of implementation, severe harm or death was avoided in up

3035. Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital, a cross-sectional observational study. | PSNet
      psnet.ahrq.gov/issue/preventable-adverse-drug-events-causing-hospitalisation-identifying-root-causes-and
      March 05, 2008 - March 5, 2008 Outpatient insulin-related adverse events due to mix-up errors: findings

3036. Evaluating the implementation and impact of a pharmacy technician-supported medicines administration service designed to reduce omitted doses in hospitals: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/evaluating-implementation-and-impact-pharmacy-technician-supported-medicines-administration
      November 14, 2018 - Related Resources WebM&M Cases Medication Mix-Up

3037. Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. | PSNet
      psnet.ahrq.gov/issue/medication-errors-anesthesiology-it-time-train-example-vignettes-can-assess-error-awareness
      May 26, 2021 - August 24, 2022 The impact of a 22-month multistep implementation program on speaking-up

3038. Evaluation of communication and safety behaviors during hospital-wide code response simulation. | PSNet
      psnet.ahrq.gov/issue/evaluation-communication-and-safety-behaviors-during-hospital-wide-code-response-simulation
      February 23, 2022 - August 12, 2020 A communication training program to encourage speaking-up behavior in

3039. Decreasing malpractice claims by reducing preventable perinatal harm. | PSNet
      psnet.ahrq.gov/issue/decreasing-malpractice-claims-reducing-preventable-perinatal-harm
      September 01, 2018 - The role that the medical liability system plays in driving up health care costs and in promoting

3040. How do hospital inpatients conceptualise patient safety? A qualitative interview study using constructivist grounded theory. | PSNet
      psnet.ahrq.gov/issue/how-do-hospital-inpatients-conceptualise-patient-safety-qualitative-interview-study-using
      July 08, 2020 - March 5, 2014 Women's safety alerts in maternity care: is speaking up enough?