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psnet.ahrq.gov/issue/family-identified-barriers-medication-reconciliation
September 01, 2018 - Study
Family-identified barriers to medication reconciliation. … Family-identified barriers to medication reconciliation. … Family-identified barriers to medication reconciliation.
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psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review
November 11, 2015 - Study
Quality gaps identified through mortality review. … Quality gaps identified through mortality review. … This study described the implementation of an institution-wide mortality review process, which identified … Quality gaps identified through mortality review.
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psnet.ahrq.gov/issue/priority-patient-safety-issues-identified-perioperative-nurses
June 19, 2013 - Study
Priority patient safety issues identified by perioperative nurses. … Priority patient safety issues identified by perioperative nurses. … Perioperative nurses identified wrong-site surgery and medication errors as the most pressing patient … Priority patient safety issues identified by perioperative nurses.
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psnet.ahrq.gov/issue/contributing-factors-identified-hospital-incident-report-narratives
January 02, 2017 - Study
Contributing factors identified by hospital incident report narratives. … Contributing factors identified by hospital incident report narratives. … Contributing factors identified by hospital incident report narratives.
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psnet.ahrq.gov/issue/learning-latent-safety-threats-identified-during-simulation-improve-patient-safety
June 10, 2020 - Study
Learning from latent safety threats identified during simulation to improve … Learning from latent safety threats identified during simulation to improve patient safety. … This article describes the classification of 1,318 latent safety threats identified from 232 simulations … Learning from latent safety threats identified during simulation to improve patient safety.
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psnet.ahrq.gov/issue/analysis-pharmacist-identified-medication-related-problems-two-united-kingdom-hospitals
July 31, 2019 - Study
Analysis of pharmacist-identified medication-related problems at two United … Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective … The majority (70%) of medication errors were identified during or before the first inpatient admission … However, the study also identified that medication errors continue throughout the hospital stay, indicating … Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective
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psnet.ahrq.gov/issue/systematically-identified-failure-route-successful-health-system
January 10, 2018 - Special or Theme Issue
Systematically Identified Failure Is the Route to a Successful … Citation Text:
Systematically Identified Failure Is the Route to a Successful Health System. … Copy URL
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Citation Text:
Systematically Identified
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psnet.ahrq.gov/issue/outpatient-adverse-drug-events-identified-screening-electronic-health-records
June 08, 2016 - Study
Outpatient adverse drug events identified by screening electronic health records … Outpatient adverse drug events identified by screening electronic health records. … study screened electronic medical records for evidence of ADEs using several different algorithms, and identified … The highest yield screening algorithms were triggers that identified patients with abnormal lab values … Outpatient adverse drug events identified by screening electronic health records.
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psnet.ahrq.gov/issue/prevalence-triggers-and-patient-harm-identified-global-trigger-tool-specialized-palliative
June 14, 2023 - Study
Prevalence of triggers and patient harm identified by Global Trigger Tool in … Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative care … Of the 26 cases identified by the GTT, 16 were considered part of the patient's disease trajectory or … Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative care
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psnet.ahrq.gov/issue/failure-recognize-newly-identified-aortic-dilations-health-care-system-advanced-electronic
August 04, 2021 - Study
Failure to recognize newly identified aortic dilations in a health care system … Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic … This study discovered that more than half of newly identified aortic dilations on computed tomography … Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic
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psnet.ahrq.gov/issue/monitoring-preventable-adverse-events-and-near-misses-number-and-type-identified-differ
June 08, 2022 - Study
Monitoring preventable adverse events and near misses: number and type identified … Monitoring preventable adverse events and near misses: number and type identified differ depending on … Using each of the three methods, this study identified the number and types of near misses and adverse … Monitoring preventable adverse events and near misses: number and type identified differ depending on
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psnet.ahrq.gov/issue/identified-safety-risks-splitting-and-crushing-oral-medications
September 24, 2010 - Commentary
Identified safety risks with splitting and crushing oral medications. … Identified safety risks with splitting and crushing oral medications. … Identified safety risks with splitting and crushing oral medications.
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psnet.ahrq.gov/issue/paediatric-medication-incident-reporting-multicentre-comparison-study-medication-errors
January 18, 2023 - Paediatric medication incident reporting: a multicentre comparison study of medication errors identified … Paediatric medication incident reporting: a multicentre comparison study of medication errors identified … In this study of medication errors in two children hospitals, out of 11,302 prescribing errors identified … Paediatric medication incident reporting: a multicentre comparison study of medication errors identified
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psnet.ahrq.gov/issue/using-medication-containers-during-pharmacist-transitional-care-visits-and-impact-medication
March 08, 2023 - medication containers during pharmacist transitional care visits and impact on medication discrepancies identified … medication containers during pharmacist transitional care visits and impact on medication discrepancies identified … However, when patients did present to their PCC visit with medication containers, pharmacists identified … medication containers during pharmacist transitional care visits and impact on medication discrepancies identified
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psnet.ahrq.gov/node/866590/psn-pdf
August 28, 2024 - Risk controls identified in action plans following serious
incident investigations in secondary care … Risk controls identified in action plans following serious incident
investigations in secondary care … https://psnet.ahrq.gov/issue/risk-controls-identified-action-plans-following-serious-incident-investigations … proposed patient safety actions
generated from incident investigations aligned with contributing factors identified … https://psnet.ahrq.gov/issue/risk-controls-identified-action-plans-following-serious-incident-investigations-secondary
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psnet.ahrq.gov/node/854374/psn-pdf
October 11, 2023 - Learning from latent safety threats identified during
simulation to improve patient safety. … Learning from latent safety threats identified during simulation to
improve patient safety. … https://psnet.ahrq.gov/issue/learning-latent-safety-threats-identified-during-simulation-improve-patient … This article describes the classification of
1,318 latent safety threats identified from 232 simulations … https://psnet.ahrq.gov/issue/learning-latent-safety-threats-identified-during-simulation-improve-patient-safety
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psnet.ahrq.gov/node/864852/psn-pdf
March 20, 2024 - Prevalence of triggers and patient harm identified by
Global Trigger Tool in specialized palliative … Prevalence of triggers and patient harm identified by Global
Trigger Tool in specialized palliative … https://psnet.ahrq.gov/issue/prevalence-triggers-and-patient-harm-identified-global-trigger-tool-specialized … Of the 26 cases identified by the GTT, 16
were considered part of the patient's disease trajectory or … https://psnet.ahrq.gov/issue/prevalence-triggers-and-patient-harm-identified-global-trigger-tool-specialized-palliative
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psnet.ahrq.gov/node/60052/psn-pdf
March 18, 2020 - Analysis of pharmacist-identified medication-related
problems at two United Kingdom hospitals: a prospective … Analysis of pharmacist-identified medication-related problems at two United
Kingdom hospitals: a prospective … https://psnet.ahrq.gov/issue/analysis-pharmacist-identified-medication-related-problems-two-united- … The majority
(70%) of medication errors were identified during or before the first inpatient admission … However, the study also identified that medication errors continue
throughout the hospital stay, indicating
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psnet.ahrq.gov/node/863759/psn-pdf
March 06, 2024 - Clinician responses to disruptive intraoperative
behaviour: patterns and norms identified from a
multinational … Clinician responses to disruptive intraoperative behaviour: patterns
and norms identified from a multinational … //psnet.ahrq.gov/issue/clinician-responses-disruptive-intraoperative-behaviour-patterns-and-norms-
identified … https://psnet.ahrq.gov/issue/clinician-responses-disruptive-intraoperative-behaviour-patterns-and-norms-identified … https://psnet.ahrq.gov/issue/clinician-responses-disruptive-intraoperative-behaviour-patterns-and-norms-identified
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psnet.ahrq.gov/issue/clinician-identified-problems-and-solutions-delayed-diagnosis-primary-care-prioritize-study
December 14, 2016 - Study
Clinician-identified problems and solutions for delayed diagnosis in primary … Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study … Participants identified 33 discrete problems associated with delays in diagnosis and suggested 27 solutions … Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study