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Showing results for "identifying".

4841. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38800/psn-pdf
      July 22, 2009 - Medication error reporting and the work environment in a military setting. July 22, 2009 Patrician PA; Brosch LR. https://psnet.ahrq.gov/issue/medication-error-reporting-and-work-environment-military-setting This study describes nurses' reasons for medication errors and the barriers to reporting them and then sha…

4842. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37291/psn-pdf
      May 02, 2018 - Error-prone conditions that lead to student nurse-related errors. May 2, 2018 ISMP Medication Safety Alert! Acute care edition. October 18, 2007. https://psnet.ahrq.gov/issue/error-prone-conditions-lead-student-nurse-related-errors Reporting on survey results that identified common errors that student nurses make,…

4843. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41714/psn-pdf
      September 26, 2012 - 2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine.  September 26, 2012 Ruoff G, ed. Cambridge, MA: CRICO Strategies; 2012. https://psnet.ahrq.gov/issue/2011-annual-benchmarking-report-malpractice-risks-emergency-medicine This report analyzes malpractice claims from 90 hospitals across the Un…

4844. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40082/psn-pdf
      December 15, 2010 - Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units. December 15, 2010 Farley DO, Sorbero ME, Lovejoy SL, Salisbury M. Santa Monica, CA: Rand Corporation; 2010. ISBN: 9780833050557. https://psnet.ahrq.gov/issue/achieving-strong-teamwork-practices-hospital-labor-and-delivery-units This report …

4845. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42730/psn-pdf
      September 02, 2016 - Strategic Plan for Preventing and Mitigating Drug Shortages. September 2, 2016 Silver Spring, MD: Food and Drug Administration; October 2013. https://psnet.ahrq.gov/issue/strategic-plan-preventing-and-mitigating-drug-shortages This report outlines the FDA's plans to address drug shortages, including streamlining t…

4846. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38684/psn-pdf
      September 29, 2017 - Global priorities for patient safety research. September 29, 2017 Bates DW, Larizgoitia I, Prasopa-Plaizier N, et al. Global priorities for patient safety research. BMJ. 2009;338:b1775. doi:10.1136/bmj.b1775. https://psnet.ahrq.gov/issue/global-priorities-patient-safety-research This article describes the results …

4847. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37110/psn-pdf
      October 06, 2011 - Seeing systems in health care organizations. October 6, 2011 Friedman LH, King JB, Bella D. Seeing systems in health care organizations. Physician Exec. 2007;33(4):20-9. https://psnet.ahrq.gov/issue/seeing-systems-health-care-organizations Using a hypothetical scenario, the authors illustrate how to use the system…

4848. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41248/psn-pdf
      March 29, 2012 - Measuring safety climate in elderly homes. March 29, 2012 Yeung K-C, Chan CC. Measuring safety climate in elderly homes. J Safety Res. 2012;43(1):9-20. doi:10.1016/j.jsr.2011.10.009. https://psnet.ahrq.gov/issue/measuring-safety-climate-elderly-homes This study utilized a modified safety climate scale to identify …

4849. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50681/psn-pdf
      November 20, 2019 - The wrong goodbye. November 20, 2019 Sexton J, Schweber N. ProPublica. October 31, 2019. https://psnet.ahrq.gov/issue/wrong-goodbye Misidentification of patients can cause harm. This news investigation explores an unique case of patient misidentification that resulted in unplanned removal of life support and a sub…

4850. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38775/psn-pdf
      April 16, 2018 - Beyond the count: preventing the retention of foreign objects. April 16, 2018 PA-PSRS Patient Saf Advis. June 2009;6:39-45. https://psnet.ahrq.gov/issue/beyond-count-preventing-retention-foreign-objects This piece identifies risk factors associated with retention of foreign objects and suggests several tactics to …

4851. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36519/psn-pdf
      March 28, 2011 - Medication errors in mental healthcare: a systematic review. March 28, 2011 Maidment ID, Lelliott P, Paton C. Medication errors in mental healthcare: a systematic review. Qual Saf Health Care. 2006;15(6):409-13. https://psnet.ahrq.gov/issue/medication-errors-mental-healthcare-systematic-review The authors identif…

4852. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35052/psn-pdf
      May 04, 2015 - "Near injury" alters procedures at Virginia Mason. May 4, 2015 Ostrom CM. Seattle Times. May 21, 2005. https://psnet.ahrq.gov/issue/near-injury-alters-procedures-virginia-mason This article reports how one medical center changed their preoperative procedures after a "near miss." The hospital's patient-safety …

4853. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37884/psn-pdf
      November 03, 2008 - Epidemiology of malpractice lawsuits in paediatrics. November 3, 2008 Najaf-Zadeh A, Dubos F, Aurel M, et al. Epidemiology of malpractice lawsuits in paediatrics. Acta Paediatr. 2008;97(11):1486-91. doi:10.1111/j.1651-2227.2008.00898.x. https://psnet.ahrq.gov/issue/epidemiology-malpractice-lawsuits-paediatrics Thi…

4854. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
      January 01, 2021 - patients with at least one SEA risk factor, ESR has been shown to be 100% sensitive and 67% specific for identifying … sensitivity and can miss SEA. 28 Imaging (2) • Historically, CT myelography was performed to aid in identifying

4855. Health Care Data Science for Quality Improvement and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
      October 01, 2016 - For instance, identifying cardiac ejection fractions in catheterization or ultrasound reports will be … We are having success using structured data for predictive modeling, for instance in identifying individuals

4856. The Role of Patient-facing Technologies to Empower Patients and Improve Safety | PSNet
      psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-improve-safety
      November 01, 2017 - RW : You've talked about patients seeing things in their record and identifying problems. … 2017 Comparison of a voluntary safety reporting system to a global trigger tool for identifying

4857. Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety | PSNet
      psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacists-promote-culture-safety
      April 01, 2006 - First, never identifying an individual or a location. They know we're not going to identify them. … I'm on the IOM Committee on Identifying and Preventing Medication Errors.

4858. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38772/psn-pdf
      September 27, 2017 - Missed nursing care: a concept analysis. September 27, 2017 Kalisch BJ, Landstrom GL, Hinshaw AS. Missed nursing care: a concept analysis. J Adv Nurs. 2009;65(7):1509-17. doi:10.1111/j.1365-2648.2009.05027.x. https://psnet.ahrq.gov/issue/missed-nursing-care-concept-analysis The authors analyze the concept that mis…

4859. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42035/psn-pdf
      February 13, 2013 - Using Safety Cases in Industry and Healthcare. February 13, 2013 London, UK: Health Foundation; December 2012. ISBN: 9781906461430.  https://psnet.ahrq.gov/issue/using-safety-cases-industry-and-healthcare This report details how high-risk industries use safety cases to identify, evaluate, address, and monitor …

4860. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39147/psn-pdf
      January 13, 2010 - Following the patient journey to improve medicines management and reduce errors. January 13, 2010 Crocker C. Following the patient journey to improve medicines management and reduce errors. Nursing times. 2009;105(46):12-5. https://psnet.ahrq.gov/issue/following-patient-journey-improve-medicines-management-and-red…