Results

Total Results: over 10,000 records

Showing results for "identified".

181. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-441
     May 29, 2024 - This approach increased the number of identified ME reports involving the specified medications and identified … This approach increased the number of identified ME reports involving the specified medications and identified … Participants identified several areas for improvement, including missing test results and inaccuracies … This review identified three themes regarding the ways critical care nurses experience being part of … Structural power, perfectionism, and bravery, hope, and disappointment were identified as overall themes

182. 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.

183. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41287/psn-pdf
     May 17, 2012 - psnet.ahrq.gov/issue/economic-evaluation-patient-safety-literature-review-methods This systematic review identified … Of the studies identified, the majority only characterized the cost of adverse events, and few formal

184. 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.

185. 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.

186. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42893/psn-pdf
     March 13, 2014 - effect-patient-safety-strategies-incidence-adverse-events https://psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods … https://psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods

187. 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

188. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38757/psn-pdf
     January 03, 2017 - Use of the PSI identified nearly all true DVT cases but also identified a significant number of false

189. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37511/psn-pdf
     February 06, 2008 - validity-retrospective-review-medical-records-means-identifying-adverse- events-comparison This study found that adverse events can be accurately identified … validity-retrospective-review-medical-records-means-identifying-adverse-events-comparison https://psnet.ahrq.gov/issue/targeted-chart-review-pediatric-patient-safety-events-identified-agency-healthcare-research

190. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46976/psn-pdf
     June 25, 2018 - psnet.ahrq.gov/issue/2017-update-pediatric-medical-overuse-review Overuse of medical care has been identified … This review of literature published in 2017 identified 8 high-quality studies documenting overuse of

191. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37965/psn-pdf
     December 01, 2008 - building-simulation-based-crisis-resource-management-course-emergency- medicine-phase-1 This survey of staff physicians, residents, and nurses identified … substantial interest in crew resource management training, and identified specific teamwork issues

192. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-352
     July 08, 2022 - Using longitudinal Medicare data from 2010 to 2019, this study identified a significant decrease in the … This study found that peer observation and immediate peer feedback improved SSC compliance and identified … Previous research has identified an association between patient weight and certain adverse events and … This study compared physicians, nurses, and other healthcare workers and found that nurses identified … Using longitudinal Medicare data from 2010 to 2019, this study identified a significant decrease in the

193. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-348
     May 16, 2022 - Study Monitoring preventable adverse events and near misses: number and type identified … Using each of the three methods, this study identified the number and types of near misses and adverse … Both groups identified electronic prescribing as the most significant workflow change. … Using each of the three methods, this study identified the number and types of near misses and adverse … In one case, the wrong patient was identified before undergoing an unnecessary procedure; in the second

194. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-347
     May 16, 2022 - This study found that patients who identified as Asian, Black, or Hispanic may not have received timely … This study found that patients who identified as Asian, Black, or Hispanic may not have received timely … This quality improvement project in one pediatric emergency department identified four key drivers and … The researchers identified substantial within-hospital variation across the indicators and could not … In one case, the wrong patient was identified before undergoing an unnecessary procedure; in the second

195. A scoping review of the methodological approaches used in retrospective chart reviews to validate adverse event rates in administrative data. | PSNet
     psnet.ahrq.gov/issue/scoping-review-methodological-approaches-used-retrospective-chart-reviews-validate-adverse
     April 29, 2020 - Retrospective chart reviews are a common way to validate administrative datasets, and this review identified … A variety of methods, sampling strategies, and accuracy rates were identified.

196. 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

197. Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-synthesis. | PSNet
     psnet.ahrq.gov/issue/barriers-and-facilitators-improving-patient-safety-learning-systems-systematic-review
     October 16, 2024 - This systematic review of 22 studies identified barriers and facilitators influencing how health systems … January 24, 2024 Quality gaps identified through mortality review.

198. Leading quality and safety on the frontline - a case study of department leaders in nursing homes. | PSNet
     psnet.ahrq.gov/issue/leading-quality-and-safety-frontline-case-study-department-leaders-nursing-homes
     February 28, 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

199. Disruptive behaviour in the perioperative setting: a contemporary review. | PSNet
     psnet.ahrq.gov/issue/disruptive-behaviour-perioperative-setting-contemporary-review
     March 06, 2024 - Examining the literature on disruptive behavior in the operating room , this review identified intrapersonal … Author(s) Clinician responses to disruptive intraoperative behaviour: patterns and norms identified

200. 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