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Total Results: over 10,000 records

Showing results for "identified".

281. Look back and talk openly: responding to and communicating about the risk of large-scale error in pathology diagnoses. | PSNet
     psnet.ahrq.gov/issue/look-back-and-talk-openly-responding-and-communicating-about-risk-large-scale-error-pathology
     November 16, 2016 - The situation arose when a routine peer review in Australia identified one pathologist as having an unusually … This prompted review of more than 7000 cases by independent pathologists who identified clinically significant

282. Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study. | PSNet
     psnet.ahrq.gov/issue/identification-priorities-improvement-medication-safety-primary-care-prioritize-study
     October 05, 2016 - The top three problems identified included incomplete medication reconciliation during a transition … Download Citation Related Resources From the Same Author(s) Clinician-identified

283. Unit-based incident reporting and root cause analysis: variation at three hospital unit types. | PSNet
     psnet.ahrq.gov/issue/unit-based-incident-reporting-and-root-cause-analysis-variation-three-hospital-unit-types
     April 14, 2011 - reporting systems and root cause analyses remain the main mechanisms by which adverse events are identified … While similar safety issues and root causes were identified across all units and services,  medication

284. Electronic health record-based triggers to detect potential delays in cancer diagnosis. | PSNet
     psnet.ahrq.gov/issue/electronic-health-record-based-triggers-detect-potential-delays-cancer-diagnosis
     January 19, 2012 - The algorithm identified patients with elevated prostate-specific antigen levels, positive fecal occult … The American Medical Association has identified better follow-up of abnormal test results as a key area

285. Patient and public involvement in healthcare: a systematic mapping review of systematic reviews - identification of current research and possible directions for future research. | PSNet
     psnet.ahrq.gov/issue/patient-and-public-involvement-healthcare-systematic-mapping-review-systematic-reviews
     August 24, 2016 - 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

286. Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department. | PSNet
     psnet.ahrq.gov/issue/comparing-outcomes-reporting-and-trigger-tool-methods-capture-adverse-events-emergency
     May 04, 2017 - Of the 285 adverse events identified during the study period, 77.2% were captured by reporting systems … August 4, 2010 Identified safety risks with splitting and crushing oral medications.

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41355/psn-pdf
     April 05, 2013 - 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

288. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36753/psn-pdf
     April 30, 2014 - The investigators identified 149 errors in 93 patients, associated with a high risk of clinical adverse … Errors were identified at every point of the process, from the transplant team to the pharmacy to the

289. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39800/psn-pdf
     January 19, 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

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45473/psn-pdf
     April 24, 2018 - 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

291. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49601/psn-pdf
     April 01, 2010 - Otolaryngology was consulted and, after removing the tampons, they identified the posterior nasopharynx … When no source can be identified anteriorly, nasal endoscopy should be considered. … Once the source of the bleeding has been identified, cauterization, either chemical with silver nitrate … In certain patients, the source cannot be identified or the bleeding is diffuse, which is more often … First, the bleeding source must be accurately identified and treated.

292. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-470
     December 31, 2024 - This systematic review of 267 clinical guidelines identified 4,666 perioperative patient safety recommendations … the authors noted that only a small subset of recommendations met high methodological standards and identified … This integrative review of missed opportunities to diagnose cancer identified "closing the loop" as a … the authors noted that only a small subset of recommendations met high methodological standards and identified … The analysis identified barriers to speaking up, such as hierarchical structures and poor work environment

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45207/psn-pdf
     August 17, 2016 - Incident reporting systems and root cause analyses remain the main mechanisms by which adverse events are identified … While similar safety issues and root causes were identified across all units and services, medication

294. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33690/psn-pdf
     December 01, 2009 - We and other investigators identified that these high-risk physicians do not treat sicker or more suit-prone … And once a physician is identified, walk us through what happens in your system. … There needs to be a written plan to define expectations for the high-risk physician, what the identified … Unfortunately, we now have many circumstances in which we've identified individuals at one institution … We believe that whenever variation is identified by whatever surveillance system, you apply the same

295. Communicating findings of delayed diagnostic evaluation to primary care providers. | PSNet
     psnet.ahrq.gov/issue/communicating-findings-delayed-diagnostic-evaluation-primary-care-providers
     June 21, 2016 - In this study, investigators identified specific abnormal test results requiring follow-up and tested … Laboratory test ordering and results management systems: a qualitative study of safety risks identified

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42498/psn-pdf
     December 30, 2014 - The algorithm identified patients with elevated prostate-specific antigen levels, positive fecal occult … The American Medical Association has identified better follow-up of abnormal test results as a key area

297. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43814/psn-pdf
     June 21, 2015 - improving-hand-hygiene-eight-hospitals-united-states-targeting-specific- causes-noncompliance Although appropriate handwashing has been identified … Each hospital investigated and identified specific causes of noncompliance with handwashing and developed

298. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39438/psn-pdf
     March 23, 2011 - This review of 17 published studies identified various methods of eliciting safety information from … /patient-safety-indicators-overview https://psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41133/psn-pdf
     December 29, 2014 - The situation arose when a routine peer review in Australia identified one pathologist as having an … This prompted review of more than 7000 cases by independent pathologists who identified clinically significant

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41557/psn-pdf
     August 01, 2012 - These six laboratory values have been previously identified as having high positive predictive value … However, in this study, 1342 triggers—representing 622 unique episodes—led to only 91 identified ADEs