Results

Total Results: over 10,000 records

Showing results for "identified".

161. Factors contributing to preventing operating room "never events": a machine learning analysis. | PSNet
     psnet.ahrq.gov/issue/factors-contributing-preventing-operating-room-never-events-machine-learning-analysis
     July 26, 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

162. Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA). | PSNet
     psnet.ahrq.gov/innovation/predicting-dispensing-errors-community-pharmacies-application-systematic-human-error
     February 06, 2019 - Observers conducted a Hierarchical Task Analysis (HTA) to identify tasks and sub-tasks, identified potential … dispensing errors, and then identified remedial solutions designed to avoid potential errors. … The analysis identified 88 potential errors and 35 remedial solutions.

163. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-345
     May 16, 2022 - In 2019, a consensus group identified twelve competencies to improve diagnostic education. … Diagnostic errors can be identified by measuring concordance of initial and final diagnosis, for instance … In 2019, a consensus group identified twelve competencies to improve diagnostic education. … This review identified 25 studies that used the PRISMA method to analyze UEs. … In one case, the wrong patient was identified before undergoing an unnecessary procedure; in the second

164. 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.

165. Effects of CPOE-based medication ordering on outcomes: an overview of systematic reviews. | PSNet
     psnet.ahrq.gov/issue/effects-cpoe-based-medication-ordering-outcomes-overview-systematic-reviews
     March 10, 2021 - 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. 

166. Why simulation matters: a systematic review on medical errors occurring during simulated health care. | PSNet
     psnet.ahrq.gov/issue/why-simulation-matters-systematic-review-medical-errors-occurring-during-simulated-health
     September 25, 2019 - This system review highlights 20 studies on healthcare simulation to characterize types of errors identified … All 13 studies that identified systems-related errors were conducted in situ , underscoring the importance

167. Safe care for pediatric patients: a scoping review across multiple health care settings. | PSNet
     psnet.ahrq.gov/issue/safe-care-pediatric-patients-scoping-review-across-multiple-health-care-settings
     August 03, 2022 - This review identified thematic factors that uniquely affect the safety of pediatric patients such as … Medication error s were the main patient safety concern identified in the literature.

168. Enhanced free-text search for aggregated medication error report analysis and risk detection. | PSNet
     psnet.ahrq.gov/issue/enhanced-free-text-search-aggregated-medication-error-report-analysis-and-risk-detection
     April 12, 2019 - This approach increased the number of identified ME reports involving the specified medications and identified

169. Patient safety on the otolaryngology service: the role of an established rapid response system. | PSNet
     psnet.ahrq.gov/issue/patient-safety-otolaryngology-service-role-established-rapid-response-system
     October 19, 2022 - The rapid response system effectively identified and managed clinical adverse events on an otolaryngology … inpatient service and also identified areas for quality improvement.

170. Medication errors in the context of hematopoietic stem cell transplantation: a systematic review. | PSNet
     psnet.ahrq.gov/issue/medication-errors-context-hematopoietic-stem-cell-transplantation-systematic-review
     June 19, 2024 - 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

171. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47648/psn-pdf
     February 27, 2019 - Of the 285 adverse events identified during the study period, 77.2% were captured by reporting systems … global-trigger-tool-shows-adverse-events-hospitals-may-be-ten-times-greater-previously https://psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods

172. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39183/psn-pdf
     January 06, 2010 - patient-safety-otolaryngology-service-role-established-rapid-response-system The rapid response system effectively identified … and managed clinical adverse events on an otolaryngology inpatient service and also identified areas

173. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37751/psn-pdf
     June 29, 2011 - using-nurses-and-office-staff-report-prescribing-errors-primary-care Nurses and office staff reported medication errors identified … While this voluntary reporting identified many errors, frequent reminders were needed in order to ensure

174. Emotional reaction of physicians who identified as mothers who were involved in medical errors. | PSNet
     psnet.ahrq.gov/did-you-know/emotional-reaction-physicians-who-identified-mothers-who-were-involved-medical-errors
     January 01, 2019 - Emotional reaction of physicians who identified as mothers who were involved in medical errors.

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39217/psn-pdf
     January 20, 2010 - positive-predictive-value-ahrq-accidental-puncture-or-laceration-patient-safety- indicator The AHRQ Patient Safety Indicator accurately identified … accidental injuries due to medical care, but many cases identified were clinically inconsequential.

176. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38404/psn-pdf
     February 11, 2009 - health-care-professionals-views-about-safety-maternity-services-qualitative- study Maternity care professionals at all levels identified … a high level of concern about patient safety in obstetrics, and identified improved staffing and teamwork

177. 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

178. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/weekly-resource-0
     October 30, 2024 - Based on 23 included studies, the authors identified several ways in which specialized nurses leverage … They also identified several barriers to HIE use, including information overload and lack of integration … More than half of the identified studies focused on medication safety, such as workarounds related to … Organizational factors, including workload and time pressure, were identified in 93% of studies. … This systematic review of 12 studies identified several factors influencing parents’ perspectives on

179. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-455
     September 25, 2024 - Patient involvement in goal setting was identified as a successful component that would benefit from … cholecystectomy, unilateral open inguinal hernia repair, and laparoscopic appendectomy), researchers identified … The evaluation identified a 52% decrease in ambulatory CLABSI rates, or 117 prevented infections. … 8 years of medication records to identify when in the medication process the error occurred and was identified … Patient involvement in goal setting was identified as a successful component that would benefit from

180. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-438
     May 29, 2024 - Survey feedback identified significant improvements in safety climate as well as improvements to incident … In this study of medication errors in two children hospitals, out of 11,302 prescribing errors identified … This study identified that stigmatizing language (questioning of patient credibility, racial or social … Survey feedback identified significant improvements in safety climate as well as improvements to incident … This systematic review of 33 studies identified considerable variability in how the costs associated