Results

Total Results: over 10,000 records

Showing results for "identified".

161. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865921/psn-pdf
     May 22, 2024 - This approach increased the number of identified ME reports involving the specified medications and … identified additional findings, such as inadequate pain management and duplicate prescriptions.

162. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/855092/psn-pdf
     November 08, 2023 - 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.

163. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837415/psn-pdf
     June 15, 2022 - /instruments-measuring-patient-safety-competencies-nursing-scoping-review A 2011 systematic review identified … This review identified multiple instruments released since that review; the most frequently used was

164. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60003/psn-pdf
     January 01, 2021 - In this systematic review, researchers identified eleven studies characterizing the systemic causes … Systemic errors were identified most frequently during medication administration, prescribing and preparation

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848810/psn-pdf
     May 10, 2023 - Using machine learning, this study identified 24 contributing factors to two types of surgical never … Communication, the number and type of staff present, and the type and length of surgery were identified

166. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60659/psn-pdf
     July 08, 2020 - reviews This systematic review of the cumulative effect of computerized provider order entry (CPOE) identified … No significant reductions in inpatient mortality or length of stay were identified. 

167. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50571/psn-pdf
     October 23, 2019 - This systematic review identified 11 studies reporting both medication prescription and administration … The review identified several prevention measures that can be implemented at the provider-level or systems-level

168. Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration. | PSNet
     psnet.ahrq.gov/issue/systems-level-factors-affecting-registered-nurses-during-care-women-labor-experiencing
     November 10, 2021 - This mixed-methods study identified system-level factors affecting registered nurses during care of people … overload , missing or inadequate tools and technology, and a crowded physical environment were all identified

169. Change‐of‐shift nursing handoff interruptions: implications for evidence‐based practice. | PSNet
     psnet.ahrq.gov/issue/change-shift-nursing-handoff-interruptions-implications-evidence-based-practice
     July 19, 2023 - After observing 100 nurse-to-nurse handoffs and conducting four focus groups, authors identified multiple … Nurses identified some interruptions as valuable and relevant to patient care.

170. Emotional harm in the radiology department: analysis of an underrecognized preventable error. | PSNet
     psnet.ahrq.gov/issue/emotional-harm-radiology-department-analysis-underrecognized-preventable-error
     March 06, 2019 - Based on radiology-related events identified in a hospital incident reporting system, the authors identified

171. Clinical deterioration as a nurse sensitive indicator in the out-of-hospital context: a scoping review. | PSNet
     psnet.ahrq.gov/issue/clinical-deterioration-nurse-sensitive-indicator-out-hospital-context-scoping-review
     July 19, 2023 - This review identified 34 studies and reviews of clinical deterioration in community settings, such as … Contributing factors were similar to those identified in hospitals, including workload, staff mix, and

172. Reported clinical incidents of children with intellectual disability: a qualitative analysis. | PSNet
     psnet.ahrq.gov/issue/reported-clinical-incidents-children-intellectual-disability-qualitative-analysis
     March 16, 2022 - In this study, researchers qualitatively analyzed hospital incident reporting data and identified incidents … medication-intravenous fluid issues, communication failures, clinical deterioration, and care issues identified

173. Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. | PSNet
     psnet.ahrq.gov/issue/simulation-based-event-analysis-improves-error-discovery-and-generates-improved-strategies
     July 07, 2021 - However, many have identified limitations to traditional RCAs. … when RCA was adapted into a simulation format and compared to traditional RCA, simulation participants identified

174. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865870/psn-pdf
     May 15, 2024 - This qualitative data analysis identified challenges and facilitators that are experienced by nursing … The analysis identified four themes – temporal capacity, relational capacity, professional competence

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865664/psn-pdf
     April 24, 2024 - This review identified 125 articles on PD. … learning from positive deviants, a clear definition of PD and relevant performance measures must be identified

176. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860726/psn-pdf
     January 17, 2024 - simulation trainings of neonatal emergencies at one Austrian hospital over an eight-year period and identified … sustained-decrease-latent-safety-threats-through-regular-interprofessional-situ-simulation https://psnet.ahrq.gov/issue/learning-latent-safety-threats-identified-during-simulation-improve-patient-safety

177. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861277/psn-pdf
     January 24, 2024 - This review identified 34 studies and reviews of clinical deterioration in community settings, such … Contributing factors were similar to those identified in hospitals, including workload, staff mix, and

178. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853615/psn-pdf
     September 20, 2023 - are-physician-assistants-able-correctly-identify-prescribing-errors-cross- sectional-study A study conducted in 2011 concluded that pharmacy students identified … The results suggest PA students, regardless of year, identified prescribing errors at similar rates

179. Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care patients. | PSNet
     psnet.ahrq.gov/issue/signal-and-noise-applying-laboratory-trigger-tool-identify-adverse-drug-events-among-primary
     April 25, 2016 - These six laboratory values have been previously identified as having high positive predictive value … However, in this study, 1342 triggers—representing 622 unique episodes—led to only 91 identified ADEs

180. 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