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Total Results: over 10,000 records

Showing results for "identified".

141. Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. | PSNet
     psnet.ahrq.gov/issue/integrating-incident-data-five-reporting-systems-assess-patient-safety-making-sense-elephant
     November 25, 2009 - The investigators compared safety issues identified through traditional event reporting , patient complaints … walk rounds , malpractice claims , and risk management databases, and found that while each method identified … important safety problems, there was little overlap in the types of events identified with each reporting

142. Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation. | PSNet
     psnet.ahrq.gov/issue/intravenous-admixture-preparation-considerations-parts-9-and-9-b-error-prevention-intravenous
     December 22, 2021 - medication containers during pharmacist transitional care visits and impact on medication discrepancies identified … October 5, 2022 Analysis of pharmacist-identified medication-related problems at two … August 10, 2022 Wrong drug and wrong dose dispensing errors identified in pharmacist

143. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45101/psn-pdf
     July 01, 2017 - This systematic review identified 182 published safety measures in primary care and categorized them … The authors note several limitations with the metrics they identified—most had not been validated, and … there were no published measures identified for diagnostic error (despite increasing evidence that

144. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866953/psn-pdf
     October 16, 2024 - Both groups identified several patient- and learner-related factors that would influence the decision … Junior learners identified time of day and relationship with the senior resident as additional factors

145. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844058/psn-pdf
     February 08, 2023 - The survey also identified new drug names for inclusion on the 2023 list revision. … ismp-updates-its-list-drug-names-tall-man-mixed-case-letters-based-survey-results https://psnet.ahrq.gov/issue/wrong-drug-and-wrong-dose-dispensing-errors-identified-pharmacist-professional-liability

146. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50750/psn-pdf
     January 01, 2020 - Of the 1970 MRE identified, the highest number (42%) occurred during the administration phase, and a … The authors identified patterns and specific causes of MRE that they suggest could be mitigated using

147. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836953/psn-pdf
     April 20, 2022 - This mixed-methods study identified system-level factors affecting registered nurses during care of … overload, missing or inadequate tools and technology, and a crowded physical environment were all identified

148. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861838/psn-pdf
     January 31, 2024 - If symptoms are identified, the pharmacist can assess symptoms and communicate concerns to physicians … The team identified a need to move beyond those methods to educate patients about potential ADEs. … The Innovation team identified 26 clinics to participate in the study. … Among patients, 5,143 eligible patients were identified by the electronic health record (EHR) for inclusion … in the intervention group, and 5,985 eligible patients were identified by EHR for the control group

149. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72471/psn-pdf
     November 18, 2020 - In the first related study, the authors identified a substantial decrease in non-COVID-19 hospitalizations … In the second related study, the authors identified significant drops in the daily caseload of four

150. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74001/psn-pdf
     January 01, 2022 - The group identified 7 categories, 40 subcategories, 19 contributing factors and 11 patient-reported … Breakdowns were identified in each step of the diagnostic process.

151. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838253/psn-pdf
     June 06, 2021 - Three linguistic features suggesting disbelief were identified: (1) use of quotes (e.g., patient had … common in notes written about Black patients compared to white patients; no gender differences were identified

152. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60176/psn-pdf
     April 01, 2020 - Over 1,100 incident reports were identified; nearly half resulted in some degree of harm but most (39% … The authors identified system priority action areas to mitigate harm among vulnerable children, including

153. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60228/psn-pdf
     April 15, 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 (

154. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60323/psn-pdf
     May 13, 2020 - The review identified 10 registered trials and 81 published non- randomized trials. … studies reported that AI performance was comparable or better than that of clinicians, the authors identified

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47787/psn-pdf
     February 20, 2019 - Investigators identified a set of specific, evidence-based safety practices including standardization … They also identified a strong and consistent safety culture and noted that structural conditions, such

156. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-346
     May 16, 2022 - A 2011 systematic review identified nine tools to assess patient safety competence in nurses. … This review identified multiple instruments released since that review; the most frequently used was … A 2011 systematic review identified nine tools to assess patient safety competence in nurses. … This review identified multiple instruments released since that review; the most frequently used was … In one case, the wrong patient was identified before undergoing an unnecessary procedure; in the second

157. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-387
     April 26, 2023 - Inclusion of expert implementation specialists and coaches were identified as best practices for successful … This systematic review of 22 studies identified barriers and facilitators influencing how health systems … Patients identified as high-risk for SAE by STORM received a mandatory case review. … Promoting a culture of safety has been identified as an intervention to improve patient safety in long … This scoping review identified five papers examining the hidden curriculum in pharmacy education.

158. 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

159. Health-care professionals' views about safety in maternity services: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/health-care-professionals-views-about-safety-maternity-services-qualitative-study
     June 10, 2020 - Maternity care professionals at all levels identified a high level of concern about patient safety in … obstetrics, and identified improved staffing and teamwork as potential solutions.

160. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60339/psn-pdf
     May 20, 2020 - three-year period at one large, community hospital, the program interviewed over 4,600 patients and identified … Of those, 66.5% identified harm associated with the incident and 61.9% had spoken to someone at the