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Showing results for "identified".

61. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60618/psn-pdf
    June 24, 2020 - Incident reports and the Global Trigger Tool more commonly identified medication errors likely to cause … Omission errors were commonly identified by all three methods, but identification of other errors varied … For example, incident reports most commonly identified wrong dose and wrong time errors.

62. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38574/psn-pdf
    November 21, 2016 - Family-identified barriers to medication reconciliation. November 21, 2016 Riley-Lawless K. … Family-identified barriers to medication reconciliation. … https://psnet.ahrq.gov/issue/family-identified-barriers-medication-reconciliation Medication reconciliation … https://psnet.ahrq.gov/issue/family-identified-barriers-medication-reconciliation https://psnet.ahrq.gov

63. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/35053/psn-pdf
    November 18, 2015 - Measured response to identified suicide risk and violence: what you need to know about psychiatric … Brief Treat Crisis Intervent. 2005;5(2):121-141 https://psnet.ahrq.gov/issue/measured-response-identified-suicide-risk-and-violence-what-you-need-know … https://psnet.ahrq.gov/issue/measured-response-identified-suicide-risk-and-violence-what-you-need-know-about-psychiatric … https://psnet.ahrq.gov/issue/measured-response-identified-suicide-risk-and-violence-what-you-need-know-about-psychiatric

64. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/39491/psn-pdf
    March 22, 2011 - The published literature on handoffs in hospitals: deficiencies identified in an extensive review. … The published literature on handoffs in hospitals: deficiencies identified in an extensive review. … https://psnet.ahrq.gov/issue/published-literature-handoffs-hospitals-deficiencies-identified-extensive-review … https://psnet.ahrq.gov/issue/published-literature-handoffs-hospitals-deficiencies-identified-extensive-review

65. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44283/psn-pdf
    July 15, 2015 - An analysis of near misses identified by anesthesia providers in the intensive care unit. … An analysis of near misses identified by anesthesia providers in the intensive care unit. … https://psnet.ahrq.gov/issue/analysis-near-misses-identified-anesthesia-providers-intensive-care-unit … https://psnet.ahrq.gov/issue/analysis-near-misses-identified-anesthesia-providers-intensive-care-unit

66. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/852698/psn-pdf
    August 30, 2023 - For electronic filtering of patient records, patients are electronically identified with the defined … A lack of screening was a significant issue identified in the eA process for AAA.1 Based on the eA/ … 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.

67. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44208/psn-pdf
    July 16, 2015 - Preventability of voluntarily reported or trigger tool–identified medication errors in a pediatric institution … Preventability of Voluntarily Reported or Trigger Tool-Identified Medication Errors in a Pediatric Institution … https://psnet.ahrq.gov/issue/preventability-voluntarily-reported-or-trigger-tool-identified-medication-errors … https://psnet.ahrq.gov/issue/preventability-voluntarily-reported-or-trigger-tool-identified-medication-errors-pediatric … https://psnet.ahrq.gov/issue/preventability-voluntarily-reported-or-trigger-tool-identified-medication-errors-pediatric

68. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/61116/psn-pdf
    November 11, 2020 - medication containers during pharmacist transitional care visits and impact on medication discrepancies identified … medication containers during pharmacist transitional care visits and impact on medication discrepancies identified … However, when patients did present to their PCC visit with medication containers, pharmacists identified

69. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/840170/psn-pdf
    November 16, 2022 - Observers conducted a Hierarchical Task Analysis (HTA) to identify tasks and sub-tasks, identified potential … dispensing errors, and then identified remedial solutions designed to avoid potential errors. … The analysis identified 88 potential errors and 35 remedial solutions.

70. A comparison of hospital adverse events identified by three widely used detection methods. | PSNet
    psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods
    January 04, 2012 - Study A comparison of hospital adverse events identified by three widely used detection … A comparison of hospital adverse events identified by three widely used detection methods. … A comparison of hospital adverse events identified by three widely used detection methods.

71. Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory study. | PSNet
    psnet.ahrq.gov/issue/intravenous-chemotherapy-preparation-errors-patient-safety-risks-identified-pan-canadian
    March 18, 2011 - Study Intravenous chemotherapy preparation errors: patient safety risks identified … Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory … Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory

72. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38837/psn-pdf
    June 28, 2011 - A comparison of hospital adverse events identified by three widely used detection methods. … A comparison of hospital adverse events identified by three widely used detection methods. … https://psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection … https://psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods … https://psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods

73. Effects of pharmacist-conducted medication reconciliation at discharge on 30-day readmission rates of patients with chronic obstructive pulmonary disease. | PSNet
    psnet.ahrq.gov/issue/effects-pharmacist-conducted-medication-reconciliation-discharge-30-day-readmission-rates
    September 08, 2021 - While pharmacist-conducted medication reconciliation identified medication dosing and frequency errors … medication containers during pharmacist transitional care visits and impact on medication discrepancies identified … medication containers during pharmacist transitional care visits and impact on medication discrepancies identified

74. Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review. | PSNet
    psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system-monitoring-and-analysis
    May 18, 2022 - This review identified 25 studies that used the PRISMA method to analyze UEs. … provider interviews and using multiple PRISMA-trained researchers may increase the number of causes identified … June 16, 2021 Monitoring preventable adverse events and near misses: number and type identified

75. Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation. | PSNet
    psnet.ahrq.gov/issue/developing-process-measure-actual-harm-medication-errors-paediatric-inpatients-design
    January 18, 2023 - Among 566 cases identified via medical record review and direct observation of medication administration … , the multidisciplinary panel identified actual harm in 89 cases, with three-quarters of actual harm … Paediatric medication incident reporting: a multicentre comparison study of medication errors identified

76. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38157/psn-pdf
    October 22, 2008 - Contributing factors identified by hospital incident report narratives. … Contributing factors identified by hospital incident report narratives. … https://psnet.ahrq.gov/issue/contributing-factors-identified-hospital-incident-report-narratives The … https://psnet.ahrq.gov/issue/contributing-factors-identified-hospital-incident-report-narratives https

77. Preventability of voluntarily reported or trigger tool–identified medication errors in a pediatric institution by information technology: a retrospective cohort study. | PSNet
    psnet.ahrq.gov/issue/preventability-voluntarily-reported-or-trigger-tool-identified-medication-errors-pediatric
    September 01, 2016 - Study Preventability of voluntarily reported or trigger tool–identified medication … Preventability of Voluntarily Reported or Trigger Tool-Identified Medication Errors in a Pediatric Institution … Preventability of Voluntarily Reported or Trigger Tool-Identified Medication Errors in a Pediatric Institution

78. Can we use incident reports to detect hospital adverse events? | PSNet
    psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events
    March 06, 2005 - This study conducted in Canadian hospitals compared the frequency of errors identified through incident … reports with that of errors identified using trigger methodology. … As shown in prior research , incident reports identified only a small proportion of adverse events.

79. Patient safety incident reporting and learning guidelines implemented by health care professionals in specialized care units: scoping review. | PSNet
    psnet.ahrq.gov/issue/patient-safety-incident-reporting-and-learning-guidelines-implemented-health-care
    January 08, 2025 - This review identified strategies for PSIRL implementation in specialized care units. … However, only 13 studies were identified, suggesting more research is needed into PSIRL in specialized

80. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-450
    August 28, 2024 - 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 … Themes identified include: (1) patients and teams have specific safety responsibilities; (2) proactive … Five overarching themes were identified, including staffing and resident rights.