-
psnet.ahrq.gov/node/36450/psn-pdf
December 22, 2010 - The
investigation identified contributing factors such as an inexperienced caregiver, supervision gaps
-
psnet.ahrq.gov/node/41499/psn-pdf
December 29, 2014 - /strategies-sustaining-quality-improvement-collaborative-and-its-patient-safety-
gains
This study identified
-
psnet.ahrq.gov/node/44700/psn-pdf
March 23, 2016 - factors-drive-team-participation-surgical-safety-checks-prospective-study
Analyzing approximately 35 hours of field observations, these researchers identified
-
psnet.ahrq.gov/node/41666/psn-pdf
September 12, 2012 - medication-errors-routines-and-differences-between-perioperative-and-non-
perioperative-nurses
Nurses working in perioperative areas identified
-
psnet.ahrq.gov/node/40584/psn-pdf
July 25, 2011 - crisis-checklists-operating-room-development-and-pilot-testing
This study applied a checklist to address 12 commonly identified
-
psnet.ahrq.gov/node/38305/psn-pdf
January 15, 2009 - The surveys identified several medications not included on
the Institute for Safe Medication Practices
-
psnet.ahrq.gov/node/35912/psn-pdf
July 23, 2010 - The simulation system identified potential problems, which were resolved prior to opening
the ED.
-
psnet.ahrq.gov/node/42591/psn-pdf
July 16, 2015 - news reports with the Food and Drug Administration (FDA) adverse
device event database, the authors identified
-
psnet.ahrq.gov/node/41799/psn-pdf
December 29, 2014 - types-and-patterns-safety-concerns-home-care-staff-perspectives
Through semi-structured interviews of home support workers in Canada, this study identified
-
psnet.ahrq.gov/node/41164/psn-pdf
June 10, 2018 - results-ismp-survey-high-alert-medications-differences-between-nursing-
pharmacy-and
This newsletter article reports results of a survey that identified
-
psnet.ahrq.gov/node/43185/psn-pdf
May 14, 2014 - preventing-health-care-associated-harm-children
https://psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods
-
psnet.ahrq.gov/node/39708/psn-pdf
September 09, 2010 - //psnet.ahrq.gov/issue/adverse-drug-events-outpatient-setting-11-year-national-analysis
This study identified
-
psnet.ahrq.gov/node/34934/psn-pdf
March 11, 2011 - issue/exploring-barriers-and-facilitators-use-computerized-clinical-reminders
This observational study identified
-
psnet.ahrq.gov/node/40998/psn-pdf
December 14, 2011 - identifying-unintended-consequences-quality-indicators-qualitative-study
This qualitative study conducted with focus groups of British general practitioners identified
-
psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
December 01, 2009 - We and other investigators identified that these high-risk physicians do not treat sicker or more suit-prone … We find that many such individuals who are identified and receive peer-delivered interventions are stunned … And once a physician is identified, walk us through what happens in your system. … 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
-
psnet.ahrq.gov/node/39622/psn-pdf
June 23, 2010 - issue/safety-concerns-hospital-based-new-practice-registered-nurses-and-their-
preceptors
This study identified
-
psnet.ahrq.gov/node/41901/psn-pdf
December 05, 2012 - In this focus group study, home-care
nurses identified poor management support as a major barrier to
-
psnet.ahrq.gov/node/36166/psn-pdf
June 14, 2011 - imaging delays and found that current
practices were responsible for two of the three root causes identified
-
psnet.ahrq.gov/node/44617/psn-pdf
January 22, 2016 - Investigators identified several remediable barriers to improving medication safety in this setting.
-
psnet.ahrq.gov/node/42327/psn-pdf
June 05, 2013 - the development of a novel trigger tool for detecting adverse events in ambulatory
surgery, which identified