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Showing results for "identified".

21. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60052/psn-pdf
    March 18, 2020 - Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective … Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective … https://psnet.ahrq.gov/issue/analysis-pharmacist-identified-medication-related-problems-two-united- … The majority (70%) of medication errors were identified during or before the first inpatient admission … However, the  study also identified that medication errors continue throughout the hospital stay, indicating

22. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/854374/psn-pdf
    October 11, 2023 - Learning from latent safety threats identified during simulation to improve patient safety. … Learning from latent safety threats identified during simulation to improve patient safety. … https://psnet.ahrq.gov/issue/learning-latent-safety-threats-identified-during-simulation-improve-patient … This article describes the classification of 1,318 latent safety threats identified from 232 simulations … https://psnet.ahrq.gov/issue/learning-latent-safety-threats-identified-during-simulation-improve-patient-safety

23. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/864852/psn-pdf
    March 20, 2024 - Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative … Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative … https://psnet.ahrq.gov/issue/prevalence-triggers-and-patient-harm-identified-global-trigger-tool-specialized … Of the 26 cases identified by the GTT, 16 were considered part of the patient's disease trajectory or … https://psnet.ahrq.gov/issue/prevalence-triggers-and-patient-harm-identified-global-trigger-tool-specialized-palliative

24. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/863759/psn-pdf
    March 06, 2024 - Clinician responses to disruptive intraoperative behaviour: patterns and norms identified from a multinational … Clinician responses to disruptive intraoperative behaviour: patterns and norms identified from a multinational … //psnet.ahrq.gov/issue/clinician-responses-disruptive-intraoperative-behaviour-patterns-and-norms- identified … https://psnet.ahrq.gov/issue/clinician-responses-disruptive-intraoperative-behaviour-patterns-and-norms-identified … https://psnet.ahrq.gov/issue/clinician-responses-disruptive-intraoperative-behaviour-patterns-and-norms-identified

25. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837589/psn-pdf
    June 29, 2022 - Monitoring preventable adverse events and near misses: number and type identified differ depending on … Monitoring preventable adverse events and near misses: number and type identified differ depending on … https://psnet.ahrq.gov/issue/monitoring-preventable-adverse-events-and-near-misses-number-and-type- identified-differ … Using each of the three methods, this study identified the number and types of near misses and adverse … https://psnet.ahrq.gov/issue/monitoring-preventable-adverse-events-and-near-misses-number-and-type-identified-differ

26. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/844993/psn-pdf
    February 22, 2023 - Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening … Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening … https://psnet.ahrq.gov/issue/prevalence-undiagnosed-diabetes-identified-novel-electronic-medical-record … https://psnet.ahrq.gov/issue/prevalence-undiagnosed-diabetes-identified-novel-electronic-medical-record-diabetes-screening … https://psnet.ahrq.gov/issue/prevalence-undiagnosed-diabetes-identified-novel-electronic-medical-record-diabetes-screening

27. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/860732/psn-pdf
    April 16, 2024 - Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident … https://psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs … https://psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-serious-incident … https://psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-serious-incident

28. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866854/psn-pdf
    January 01, 2025 - In this study, patients identified as at-risk for diagnostic errors were asked to review their most … In 467 patients, 51 identified a concern, typically related to communication issues, accuracy of the … Physician chart reviewers identified diagnostic concerns in 31 cases, of which only 11 were also identified

29. Systematically Identified Failure Is the Route to a Successful Health System. | PSNet
    psnet.ahrq.gov/issue/systematically-identified-failure-route-successful-health-system
    January 10, 2018 - Special or Theme Issue Systematically Identified Failure Is the Route to a Successful … Citation Text: Systematically Identified Failure Is the Route to a Successful Health System. … Copy URL Cite Citation Citation Text: Systematically Identified

30. Medication administration in aged care facilities: a mixed-methods systematic review. | PSNet
    psnet.ahrq.gov/issue/medication-administration-aged-care-facilities-mixed-methods-systematic-review
    March 05, 2025 - This systematic review identified 128 studies focused on medication administration in long-term geriatric … Five overarching themes were identified, including staffing and resident rights. … The researchers identified two areas of high concern requiring additional research: classifying omissions

31. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/61096/psn-pdf
    November 04, 2020 - Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. … https://psnet.ahrq.gov/issue/wrong-drug-and-wrong-dose-dispensing-errors-identified-pharmacist- professional-liability … https://psnet.ahrq.gov/issue/wrong-drug-and-wrong-dose-dispensing-errors-identified-pharmacist-professional-liability … https://psnet.ahrq.gov/issue/wrong-drug-and-wrong-dose-dispensing-errors-identified-pharmacist-professional-liability

32. The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation | PSNet
    psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
    April 01, 2005 - For electronic filtering of patient records, patients are electronically identified with the defined … Inconsistent use of screening guidelines was an issue identified in the eA process for advanced colon … diagnostic errors are not routinely identified. … Since April 2022, many additional patients have been identified and managed. … follow-up until identified by the SureNet system.

33. Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events in an oncology population. | PSNet
    psnet.ahrq.gov/issue/comparison-voluntary-safety-reporting-system-global-trigger-tool-identifying-adverse-events
    July 24, 2017 - Adverse events can be identified through multiple methods , including trigger tools and voluntary reporting … In this comparison study, the Global Trigger Tool identified 79 AE in 88 oncology patients, compared … to 21 in the voluntary reporting system; only two AE were identified by both. … August 3, 2022 Monitoring preventable adverse events and near misses: number and type identified

34. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866400/psn-pdf
    January 01, 2025 - This systematic review identified 128 studies focused on medication administration in long-term geriatric … Five overarching themes were identified, including staffing and resident rights. … The researchers identified two areas of high concern requiring additional research: classifying omissions

35. Adolescents identifying errors and omissions in their electronic health records: a national survey. | PSNet
    psnet.ahrq.gov/issue/adolescents-identifying-errors-and-omissions-their-electronic-health-records-national-survey
    December 08, 2021 - This study asked adolescent (ages 15-19) patient portal users if they had identified errors or omissions … Approximately one-quarter of patients identified an error and 20% identified an omission.

36. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38797/psn-pdf
    July 22, 2009 - Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic … Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic … https://psnet.ahrq.gov/issue/failure-recognize-newly-identified-aortic-dilations-health-care-system- … advanced-electronic This study discovered that more than half of newly identified aortic dilations … https://psnet.ahrq.gov/issue/failure-recognize-newly-identified-aortic-dilations-health-care-system-advanced-electronic

37. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42193/psn-pdf
    May 08, 2013 - Priority patient safety issues identified by perioperative nurses. … Priority patient safety issues identified by perioperative nurses. … https://psnet.ahrq.gov/issue/priority-patient-safety-issues-identified-perioperative-nurses Perioperative … nurses identified wrong-site surgery and medication errors as the most pressing patient safety concerns … https://psnet.ahrq.gov/issue/priority-patient-safety-issues-identified-perioperative-nurses https://psnet.ahrq.gov

38. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/39579/psn-pdf
    June 11, 2014 - Outpatient adverse drug events identified by screening electronic health records. … Outpatient adverse drug events identified by screening electronic health records. … https://psnet.ahrq.gov/issue/outpatient-adverse-drug-events-identified-screening-electronic-health-records … The highest yield screening algorithms were triggers that identified patients with abnormal lab values … https://psnet.ahrq.gov/issue/outpatient-adverse-drug-events-identified-screening-electronic-health-records

39. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865711/psn-pdf
    May 01, 2024 - Paediatric medication incident reporting: a multicentre comparison study of medication errors identified … Paediatric medication incident reporting: a multicentre comparison study of medication errors identified … In this study of medication errors in two children hospitals, out of 11,302 prescribing errors identified

40. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45536/psn-pdf
    October 05, 2016 - Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study … Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study … https://psnet.ahrq.gov/issue/clinician-identified-problems-and-solutions-delayed-diagnosis-primary-care … Participants identified 33 discrete problems associated with delays in diagnosis and suggested 27 solutions … https://psnet.ahrq.gov/issue/clinician-identified-problems-and-solutions-delayed-diagnosis-primary-care-prioritize-study