-
psnet.ahrq.gov/node/42121/psn-pdf
June 18, 2013 - developing-patient-measure-safety-pmos
Prior studies have shown that patients can detect safety hazards that may not be identified
-
psnet.ahrq.gov/node/42534/psn-pdf
August 28, 2013 - This
study identified specific predictors associated with preventable adverse drug event admissions,
-
psnet.ahrq.gov/node/36260/psn-pdf
May 27, 2011 - factors influencing physicians' use of computerized physician order entry
(CPOE) for test ordering and identified
-
psnet.ahrq.gov/node/41227/psn-pdf
March 21, 2012 - order-entry
Finding a 5% overall pharmacist intervention rate on parenteral nutrition orders, this study identified
-
psnet.ahrq.gov/node/49580/psn-pdf
March 21, 2009 - medications that should always be avoided.(3,9) A study
evaluating medication use in older adults identified … In the case described above, the medication reconciliation process identified the cause of the admission … report 27% of prescription medications filled in the last month when compared to actual prescriptions
identified … pharmacist or physician with access to the complete medical record and prescription fill
history could have identified
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psnet.ahrq.gov/node/33823/psn-pdf
January 01, 2017 - eyes, it is the employee's responsibility to wear the PPE when performing
work that management has identified … We identified this hazard (Table) and found a lightweight bed end
that eliminated it. … Observation teams complete the analysis phase of these projects, they move
on to mitigate the hazards identified … Below are some examples of hazards that were identified and
eliminated in the OR.
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psnet.ahrq.gov/node/49423/psn-pdf
November 01, 2003 - The patient’s weight is a risk factor clearly identified in the medical
literature.(3) Other possible … risk factors (although not conclusively identified by research) include the
complexity and duration … broader
environment that influenced their thinking and behavior.(10)
Once these system errors are identified … Researchers have identified behaviors relevant to this case—for example, information sharing,
inquiry
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psnet.ahrq.gov/node/49586/psn-pdf
May 01, 2009 - In both cases, numerous system
errors were identified. … 133 anesthetics administered.(2) More recently,
the United States Pharmacopeia's MEDMARX database identified … Nonetheless, review of a 207-hospital sample identified 15 different
concentrations in drug libraries … non–weight-based heparin selections had a four-fold higher
incidence of averted programming errors identified
-
psnet.ahrq.gov/node/33852/psn-pdf
January 01, 2017 - The Joint Commission then launched the issue to national
prominence in 2007, when they identified patient … can-patient-involvement-improve-patient-safety-cluster-randomised-control-trial-patient
solutions to identified … Patients are also effective
in devising solutions to previously identified safety and quality challenges
-
psnet.ahrq.gov/node/41782/psn-pdf
October 31, 2012 - nature of quality improvement and patient safety activities
within academic departments of medicine and identified
-
psnet.ahrq.gov/node/38702/psn-pdf
June 10, 2009 - https://psnet.ahrq.gov/issue/exploratory-study-measuring-verbal-order-content-and-context
This study identified
-
psnet.ahrq.gov/node/40064/psn-pdf
July 08, 2013 - Transforming
Healthcare hand hygiene initiative utilized techniques to examine hand hygiene processes and identified
-
psnet.ahrq.gov/node/43415/psn-pdf
September 10, 2014 - a large-scale quality improvement effort to reduce readmissions and adverse
events after discharge identified
-
psnet.ahrq.gov/node/37312/psn-pdf
January 05, 2012 - better assess the risks facing community-based patients and
discovered that the most frequent risks identified
-
psnet.ahrq.gov/node/36676/psn-pdf
March 04, 2011 - outcomes-surgical
The investigators surveyed patients regarding the coordination of their postdischarge care and identified
-
psnet.ahrq.gov/node/38226/psn-pdf
February 18, 2011 - This critical incident study identified themes that contributed to residents' professional development
-
psnet.ahrq.gov/node/35282/psn-pdf
May 27, 2011 - The authors identified problems related to screen results, usability, training, and
others.
-
psnet.ahrq.gov/node/38656/psn-pdf
May 27, 2009 - The
authors discuss methods, such as checklists, that could be used to address the safety issues identified
-
psnet.ahrq.gov/node/41396/psn-pdf
May 23, 2012 - This analysis of paper-based signouts used by nurses and physicians in a cardiac intensive care unit
identified
-
psnet.ahrq.gov/node/46241/psn-pdf
January 30, 2018 - review of quality and safety practices for oral chemotherapy found that telephone calls from
nurses identified