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Showing results for "identified".

81. Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. | PSNet
    psnet.ahrq.gov/issue/wrong-drug-and-wrong-dose-dispensing-errors-identified-pharmacist-professional-liability
    August 31, 2016 - Study Wrong drug and wrong dose dispensing errors identified in pharmacist professional … Citation Text: Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability … Cite Citation Citation Text: Wrong drug and wrong dose dispensing errors identified

82. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/39790/psn-pdf
    March 21, 2017 - The investigators compared safety issues identified through traditional event reporting, patient complaints … executive walk rounds, malpractice claims, and risk management databases, and found that while each method identified … important safety problems, there was little overlap in the types of events identified with each reporting … psnet.ahrq.gov/primer/diagnostic-errors https://psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods

83. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866250/psn-pdf
    July 10, 2024 - This scoping review of 585 articles identified 82 metrics used to measure clinician attention and identified

84. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-394
    June 28, 2023 - Among 29 participating hospitals between July 2020 and September 2021, the researchers identified sustained … This study asked adolescent (ages 15-19) patient portal users if they had identified errors or omissions … Approximately one-quarter of patients identified an error and 20% identified an omission. … In this study, researchers identified significant associations between Joint Commission accreditation … This systematic review identified 16 studies examining the relationship between nursing competence and

85. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867535/psn-pdf
    January 15, 2025 - 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

86. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866647/psn-pdf
    September 04, 2024 - This retrospective study conducted at one academic medical center evaluated identified diagnostic errors … The researchers identified a difference in diagnosis between the ED physician and the discharge diagnosis

87. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44910/psn-pdf
    March 09, 2016 - Systematically Identified Failure Is the Route to a Successful Health System. … https://psnet.ahrq.gov/issue/systematically-identified-failure-route-successful-health-system Identifying … https://psnet.ahrq.gov/issue/systematically-identified-failure-route-successful-health-system https:/

88. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37612/psn-pdf
    February 15, 2011 - 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.

89. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867637/psn-pdf
    February 26, 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

90. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50729/psn-pdf
    December 11, 2019 - It identified new types of active measures and related concepts present in the evidence base. … The authors also identified advancing the science of diagnostic error as an emerging area of focus.

91. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/862601/psn-pdf
    February 14, 2024 - This system review highlights 20 studies on healthcare simulation to characterize types of errors identified … All 13 studies that identified systems-related errors were conducted in situ, underscoring the importance

92. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866589/psn-pdf
    August 28, 2024 - 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

93. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865970/psn-pdf
    May 29, 2024 - Retrospective chart reviews are a common way to validate administrative datasets, and this review identified … A variety of methods, sampling strategies, and accuracy rates were identified.

94. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865921/psn-pdf
    May 22, 2024 - This approach increased the number of identified ME reports involving the specified medications and … identified additional findings, such as inadequate pain management and duplicate prescriptions.

95. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866115/psn-pdf
    June 12, 2024 - This scoping review examined how polypharmacy is defined, identified, and addressed across 157 articles … The authors also identified considerable variability in the types of interventions used to address polypharmacy

96. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837422/psn-pdf
    June 15, 2022 - In this study, researchers qualitatively analyzed hospital incident reporting data and identified incidents … medication-intravenous fluid issues, communication failures, clinical deterioration, and care issues identified

97. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/855092/psn-pdf
    November 08, 2023 - This review identified 15 studies of in situ simulations conducted in the emergency department including … The most commonly identified safety threats were related to equipment and team communication.

98. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50888/psn-pdf
    February 12, 2020 - preventable-closed-claims-aana-foundation-closed-malpractice-claims- database This thematic analysis identified … Among the factors identified as being associated with preventable events were communication failures

99. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865664/psn-pdf
    April 24, 2024 - This review identified 125 articles on PD. … learning from positive deviants, a clear definition of PD and relevant performance measures must be identified

100. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865870/psn-pdf
     May 15, 2024 - This qualitative data analysis identified challenges and facilitators that are experienced by nursing … The analysis identified four themes – temporal capacity, relational capacity, professional competence