Results

Total Results: over 10,000 records

Showing results for "identified".

101. A comparison of hospital adverse events identified by three widely used detection methods. | PSNet
     psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods
     January 04, 2012 - Study A comparison of hospital adverse events identified by three widely used detection … A comparison of hospital adverse events identified by three widely used detection methods. … A comparison of hospital adverse events identified by three widely used detection methods.

102. Are physician assistants able to correctly identify prescribing errors? A cross-sectional study. | PSNet
     psnet.ahrq.gov/issue/are-physician-assistants-able-correctly-identify-prescribing-errors-cross-sectional-study
     May 29, 2019 - A study conducted in 2011 concluded that pharmacy students identified more prescribing errors than … The results suggest PA students, regardless of year, identified prescribing errors at similar rates to

103. Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general practice. | PSNet
     psnet.ahrq.gov/issue/identifying-hot-spots-harm-and-blind-spots-across-care-pathway-patient-complaints-about
     May 04, 2022 - Key issues identified by the study involved relationships (e.g., communication, patient rights) as well … preventable harm in first-line health care: a case-control study March 11, 2020 Clinician-identified

104. Use of e-triggers to identify diagnostic errors in the paediatric ED. | PSNet
     psnet.ahrq.gov/issue/use-e-triggers-identify-diagnostic-errors-paediatric-ed
     October 27, 2021 - Of the diagnostic errors identified by the trigger tool and substantiated by manual review, less than … 10% were identified through existing incident reporting systems.

105. Unintentionally retained guidewires: a descriptive study of 73 sentinel events. | PSNet
     psnet.ahrq.gov/issue/unintentionally-retained-guidewires-descriptive-study-73-sentinel-events
     April 27, 2019 - Researchers identified numerous contributing factors to these events, most frequently relating to human … June 19, 2013 Priority patient safety issues identified by perioperative nurses.

106. Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review. | PSNet
     psnet.ahrq.gov/issue/using-situ-simulation-identify-latent-safety-threats-emergency-medicine-systematic-review
     November 03, 2015 - This review identified 15 studies of in situ simulations conducted in the emergency department including … The most commonly identified safety threats were related to equipment and team communication.

107. Identification of patient safety threats in a post-intensive care clinic. | PSNet
     psnet.ahrq.gov/issue/identification-patient-safety-threats-post-intensive-care-clinic
     November 21, 2021 - This article describes safety threats identified by post-ICU clinic staff. … Medication errors and inadequate medical follow-up made up nearly half of identified safety threats.

108. A scoping review of the hidden curriculum in pharmacy education. | PSNet
     psnet.ahrq.gov/issue/scoping-review-hidden-curriculum-pharmacy-education
     November 16, 2022 - This scoping review identified five papers examining the hidden curriculum in pharmacy education. … The studies identified several approaches to address the hidden curriculum during pharmacy training,

109. Human centered design workshops as a meta-solution to diagnostic disparities. | PSNet
     psnet.ahrq.gov/issue/human-centered-design-workshops-meta-solution-diagnostic-disparities
     July 31, 2024 - Previous research has identified gender and racial disparities in the burden of diagnostic errors … Participants also identified two prototypes for the solutions – a visit preparation guide to teach patients

110. The use of positive deviance approach to improve health service delivery and quality of care: a scoping review. | PSNet
     psnet.ahrq.gov/issue/use-positive-deviance-approach-improve-health-service-delivery-and-quality-care-scoping
     May 29, 2024 - This review identified 125 articles on PD. … learning from positive deviants, a clear definition of PD and relevant performance measures must be identified

111. Perioperative patient safety recommendations: systematic review of clinical practice guidelines. | PSNet
     psnet.ahrq.gov/issue/perioperative-patient-safety-recommendations-systematic-review-clinical-practice-guidelines
     January 08, 2025 - This systematic review of 267 clinical guidelines identified 4,666 perioperative patient safety recommendations … the authors noted that only a small subset of recommendations met high methodological standards and identified

112. Targeted chart review of pediatric patient safety events identified by the Agency for Healthcare Research and Quality's Patient Safety Indicators methodology. | PSNet
     psnet.ahrq.gov/issue/targeted-chart-review-pediatric-patient-safety-events-identified-agency-healthcare-research
     April 11, 2011 - Study Targeted chart review of pediatric patient safety events identified by the … Targeted Chart Review of Pediatric Patient Safety Events Identified by the Agency for Healthcare Research … Targeted Chart Review of Pediatric Patient Safety Events Identified by the Agency for Healthcare Research

113. Child-specific risk factors and patient safety. | PSNet
     psnet.ahrq.gov/issue/child-specific-risk-factors-and-patient-safety
     February 02, 2022 - discover factors that may contribute to a child’s risk for error during hospitalization, this study identified … These factors contributed to nearly half of the identified patient safety problems.

114. ISMP updates its list of drug names with tall man (mixed case) letters based on survey results. | PSNet
     psnet.ahrq.gov/issue/ismp-updates-its-list-drug-names-tall-man-mixed-case-letters-based-survey-results
     March 14, 2023 - The survey also identified new drug names for inclusion on the 2023 list revision . … March 3, 2021 Wrong drug and wrong dose dispensing errors identified in pharmacist professional

115. Improving patient safety in developing countries—moving towards an integrated approach. | PSNet
     psnet.ahrq.gov/issue/improving-patient-safety-developing-countries-moving-towards-integrated-approach
     December 02, 2020 - This review examined the literature on improvement experience from developed countries and identified … December 14, 2016 Clinician-identified problems and solutions for delayed diagnosis in

116. How safety is compromised when hospital equipment is a poor fit for patients who are obese. | PSNet
     psnet.ahrq.gov/issue/how-safety-compromised-when-hospital-equipment-poor-fit-patients-who-are-obese
     October 07, 2020 - From 2009-2018, 107 events were identified; nearly half of events involved MRI or CT scanners and one-quarter … Nearly 75% of the identified events resulted in a delay in care and 41% resulted in temporary harm (e.g

117. Patient safety incidents caused by poor quality surgical instruments. | PSNet
     psnet.ahrq.gov/issue/patient-safety-incidents-caused-poor-quality-surgical-instruments
     April 06, 2022 - National Reporting and Learning Service database (the United Kingdom's voluntary error reporting system) identified … March 11, 2020 Prevalence of undiagnosed diabetes identified by a novel electronic medical

118. Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. | PSNet
     psnet.ahrq.gov/issue/designing-safer-process-prevent-retained-surgical-sponges-healthcare-failure-mode-and-effect
     April 27, 2019 - A prospective failure mode and effect analysis identified 57 potential failures that each could lead … June 19, 2013 Priority patient safety issues identified by perioperative nurses.

119. Filling a gap in safety metrics: development of a patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process in ambulatory care. | PSNet
     psnet.ahrq.gov/issue/filling-gap-safety-metrics-development-patient-centred-framework-identify-and-categorise
     February 15, 2023 - The group identified 7 categories, 40 subcategories, 19 contributing factors and 11 patient-reported … Breakdowns were identified in each step of the diagnostic process.

120. Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital emergency care of children. | PSNet
     psnet.ahrq.gov/issue/adaption-trigger-tool-identify-harmful-incidents-no-harm-incidents-and-near-misses
     May 25, 2022 - The pATT identified near misses in 55% of encounters, no-harm incidents in 5.8% of encounters, and harmful … September 19, 2013 Prevalence of triggers and patient harm identified by Global Trigger