Results

Total Results: over 10,000 records

Showing results for "identified".

181. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866954/psn-pdf
     October 16, 2024 - The review identified 37 systematic reviews on PPI in healthcare decision-making; three of these focused … Adverse events, readmissions, and mortality were commonly studied outcomes in the identified reviews

182. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837335/psn-pdf
     June 08, 2022 - This review identified 25 studies that used the PRISMA method to analyze UEs. … provider interviews and using multiple PRISMA-trained researchers may increase the number of causes identified

183. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836853/psn-pdf
     April 06, 2022 - Of the diagnostic errors identified by the trigger tool and substantiated by manual review, less than … 10% were identified through existing incident reporting systems.

184. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850172/psn-pdf
     June 07, 2023 - This systematic review identified 16 studies examining the relationship between nursing competence and … The researchers identified several gaps in the evidence, including the need for rigorous research measuring

185. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74758/psn-pdf
     February 09, 2022 - Based on radiology-related events identified in a hospital incident reporting system, the authors identified

186. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48076/psn-pdf
     July 24, 2019 - However, many have identified limitations to traditional RCAs. … RCA was adapted into a simulation format and compared to traditional RCA, simulation participants identified

187. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849605/psn-pdf
     May 31, 2023 - 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.

188. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852753/psn-pdf
     August 23, 2023 - This review identified 11 studies reporting on safety culture using the AHRQ Community Pharmacy Survey … Pharmacists and pharmacy staff rated overall patient safety highly, but more than half identified workload

189. Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting system. | PSNet
     psnet.ahrq.gov/issue/patterns-medication-incidents-10-yr-experience-cross-national-anaesthesia-incident-reporting
     January 15, 2025 - 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

190. Risk factors associated with medication administration errors in children: a prospective direct observational study of paediatric inpatients. | PSNet
     psnet.ahrq.gov/issue/risk-factors-associated-medication-administration-errors-children-prospective-direct
     August 28, 2024 - The analysis identified several significant risk factors for medication administration errors, including … Paediatric medication incident reporting: a multicentre comparison study of medication errors identified

191. 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

192. Systemic causes of in-hospital intravenous medication errors: a systematic review. | PSNet
     psnet.ahrq.gov/issue/systemic-causes-hospital-intravenous-medication-errors-systematic-review
     July 01, 2020 - In this systematic review, researchers identified eleven studies characterizing the systemic causes of … Systemic errors were identified most frequently during medication administration, prescribing and preparation

193. Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance. | PSNet
     psnet.ahrq.gov/issue/improving-hand-hygiene-eight-hospitals-united-states-targeting-specific-causes-noncompliance
     April 13, 2022 - Although appropriate handwashing has been identified as an essential factor in preventing health care–associated … Each hospital investigated and identified specific causes of noncompliance with handwashing and developed

194. The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews. | PSNet
     psnet.ahrq.gov/issue/relationship-between-nursing-home-staffing-and-resident-safety-outcomes-systematic-review
     April 20, 2022 - The authors identified several methodological challenges and described how study design modifications … Paediatric medication incident reporting: a multicentre comparison study of medication errors identified

195. Incidence and severity of medication reconciliation discrepancies in trauma patients. | PSNet
     psnet.ahrq.gov/issue/incidence-and-severity-medication-reconciliation-discrepancies-trauma-patients
     October 19, 2022 - the incidence of completed medication reconciliation for admitted trauma patients and the number of identified … September 22, 2021 Analysis of pharmacist-identified medication-related problems at two

196. Detection of missed fractures of hand and forearm in whole-body CT in a blinded reassessment. | PSNet
     psnet.ahrq.gov/issue/detection-missed-fractures-hand-and-forearm-whole-body-ct-blinded-reassessment
     February 05, 2020 - When two radiologists reviewed whole-body CT scans, each missed known fractures and identified previously … March 23, 2022 Clinician-identified problems and solutions for delayed diagnosis in primary

197. Why didn't you call me? Factors junior learners consider when deciding whether to call their supervisor. | PSNet
     psnet.ahrq.gov/issue/why-didnt-you-call-me-factors-junior-learners-consider-when-deciding-whether-call-their
     July 14, 2021 - 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

198. Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy. | PSNet
     psnet.ahrq.gov/issue/oncology-pharmacist-led-medication-reconciliation-among-cancer-patients-initiating
     March 24, 2021 - Most of the included oncology patients had a medication change identified after medication reconciliation … April 28, 2021 Analysis of pharmacist-identified medication-related problems at two United

199. Challenges and strategies for patient safety in primary care: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/challenges-and-strategies-patient-safety-primary-care-qualitative-study
     October 13, 2021 - Participants identified several safety issues, including communication failures and challenges with medication … medication containers during pharmacist transitional care visits and impact on medication discrepancies identified

200. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853619/psn-pdf
     September 20, 2023 - patient safety, and to develop a single definition of "speaking up" in healthcare. 294 articles were identified … speaking up and the remaining on other aspects such as communication. 11 distinct definitions were identified