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Total Results: over 10,000 records

Showing results for "identified".

261. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34980/psn-pdf
     February 15, 2011 - The top seven barriers are identified, including competition for scare resources and a lack of resources … The authors advocate for the use of these identified barriers in supporting leadership decisions, both

262. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34673/psn-pdf
     December 23, 2008 - Medication errors were identified by self-report, nurse chart review, and medication sheet review. … Adverse drug events (ADEs) or potential ADEs were identified by spontaneous reporting and daily chart

263. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38596/psn-pdf
     April 29, 2009 - closing-safety-loop-evaluation-national-patient-safety-agencys-guidance- regarding-wristband Nonstandardized patient wristbands have been identified … This study found satisfactory implementation of the policy overall and identified some of the common

264. Relationship between medication errors and adverse drug events. | PSNet
     psnet.ahrq.gov/issue/relationship-between-medication-errors-and-adverse-drug-events
     May 27, 2011 - Medication errors were identified by self-report, nurse chart review, and medication sheet review. … Adverse drug events (ADEs) or potential ADEs were identified by spontaneous reporting and daily chart

265. Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system. | PSNet
     psnet.ahrq.gov/issue/impact-pharmacist-led-admission-medication-reconciliation-patient-outcomes-large-health
     March 17, 2010 - Researchers identified a statistically significant decrease in both ADEs and complications after implementation … November 2, 2022 Analysis of pharmacist-identified medication-related problems at two

266. Patient error: a preliminary taxonomy. | PSNet
     psnet.ahrq.gov/issue/patient-error-preliminary-taxonomy
     June 02, 2010 - The authors identified two main groups of errors: action errors, errors of patient behavior such as … Laboratory test ordering and results management systems: a qualitative study of safety risks identified

267. Medication-administration errors in an urban mental health hospital: a direct observation study. | PSNet
     psnet.ahrq.gov/issue/medication-administration-errors-urban-mental-health-hospital-direct-observation-study
     September 03, 2014 - In this prospective observational study at a psychiatric hospital, errors were identified in 3% of … June 15, 2016 Quality gaps identified through mortality review.

268. Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. | PSNet
     psnet.ahrq.gov/issue/navigating-ship-broken-compass-evaluating-standard-algorithms-measure-patient-safety
     January 23, 2017 - This retrospective study analyzed all PSIs identified by standard algorithms over a 1-year period at … A review team reversed 185 of the 657 PSIs initially identified, citing the two main reasons for reversal

269. Primary care providers' perspectives on errors of omission. | PSNet
     psnet.ahrq.gov/issue/primary-care-providers-perspectives-errors-omission
     July 30, 2014 - Providers identified lack of time, emergencies, unplanned visits, and administrative workload as contributing … October 31, 2017 Clinician-identified problems and solutions for delayed diagnosis in

270. Medication errors in paediatric outpatients. | PSNet
     psnet.ahrq.gov/issue/medication-errors-paediatric-outpatients
     December 15, 2011 - This prospective cohort study of six outpatient practices identified more than 1200 medication errors … Their findings suggest that e-prescribing may effectively address many of the issues identified, particularly

271. Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. | PSNet
     psnet.ahrq.gov/issue/prioritizing-medication-safety-care-people-cancer-clinicians-views-main-problems-and
     December 14, 2016 - Clinicians identified limited health literacy and inadequate information sharing among clinicians as … December 14, 2016 Clinician-identified problems and solutions for delayed diagnosis in

272. Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. | PSNet
     psnet.ahrq.gov/issue/comparative-economic-analyses-patient-safety-improvement-strategies-acute-care-systematic
     November 07, 2012 - infections , adverse drug events, retained foreign bodies after surgery, and wrong-site surgery ), but identified … Based on this limited dataset, the authors identified 4 cost-effective safety interventions, including

273. Disclosing and reporting practice errors by nurses in residential long-term care settings: a systematic review. | PSNet
     psnet.ahrq.gov/issue/disclosing-and-reporting-practice-errors-nurses-residential-long-term-care-settings
     April 02, 2015 - This systematic review identified five articles exploring factors influencing error disclosure  and … Nurse leaders were identified as playing an important role in how incident reports are processed and

274. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/612828/psn-pdf
     February 23, 2022 - some potential causes of allograft dysfunction, such as hydronephrosis, stones, and cysts, can be identified … The subsequent MRA identified kinking of the EIA that was likely a result of a technical problem during … This ultrasound identified a hematoma that was likely related to the radiology procedure as well as … kidney ultrasound on post-transplant patients, common surgical complications can be missed if not identified … safety, as earlier transplant kidney Doppler ultrasound (i.e., immediately post-transplant) may have identified

275. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46738/psn-pdf
     February 28, 2018 - This review identified thematic factors that uniquely affect the safety of pediatric patients such as … Medication errors were the main patient safety concern identified in the literature.

276. Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports. | PSNet
     psnet.ahrq.gov/issue/health-and-social-care-associated-harm-amongst-vulnerable-children-primary-care-mixed-methods
     October 12, 2016 - Over 1,100 incident reports were identified; nearly half resulted in some degree of harm but most (39% … The authors identified system priority action areas to mitigate harm among vulnerable children, including

277. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46303/psn-pdf
     November 21, 2017 - The investigators identified a subset of organizations that explicitly prioritized quality improvement … engagement and management practices have been shown to correlate with quality metrics, the best practices identified

278. We Want to Know-a mixed methods evaluation of a comprehensive program designed to detect and address patient-reported breakdowns in care. | PSNet
     psnet.ahrq.gov/issue/we-want-know-mixed-methods-evaluation-comprehensive-program-designed-detect-and-address
     October 17, 2018 - three-year period at one large, community hospital, the program interviewed over 4,600 patients and identified … Of those, 66.5% identified harm associated with the incident and 61.9% had spoken to someone at the hospital

279. Safety incidents in the primary care office setting. | PSNet
     psnet.ahrq.gov/issue/safety-incidents-primary-care-office-setting
     October 12, 2016 - In this analysis of voluntarily reported safety events from the United Kingdom, researchers identified … February 1, 2017 Clinician-identified problems and solutions for delayed diagnosis in

280. The role of informal dimensions of safety in high-volume organisational routines: an ethnographic study of test results handling in UK general practice. | PSNet
     psnet.ahrq.gov/issue/role-informal-dimensions-safety-high-volume-organisational-routines-ethnographic-study-test
     August 01, 2018 - This direct observation study identified highly variable strategies across outpatient practices with … Laboratory test ordering and results management systems: a qualitative study of safety risks identified