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Showing results for "identifying".

  1. Speaking up about patient-perceived serious visit note errors: patient and family experiences and recommendations. | PSNet

    psnet.ahrq.gov/issue/speaking-about-patient-perceived-serious-visit-note-errors-patient-and-family-experiences-and
    February 15, 2023 - Study Speaking up about patient-perceived serious visit note errors: patient and family experiences and recommendations. Citation Text: Lam BD, Bourgeois FC, Dong ZJ, et al. Speaking up about patient-perceived serious visit note errors: Patient and family experiences and recommendations.…

  2. Frequency of failure to inform patients of clinically significant outpatient test results. | PSNet

    psnet.ahrq.gov/issue/frequency-failure-inform-patients-clinically-significant-outpatient-test-results
    April 24, 2018 - Study Frequency of failure to inform patients of clinically significant outpatient test results. Citation Text: Casalino LP, Dunham D, Chin MH, et al. Frequency of failure to inform patients of clinically significant outpatient test results. Arch Intern Med. 2009;169(12):1123-9. doi:10…

  3. Voices from frontline nurses on care quality and patient safety during COVID-19: an application of the Donabedian Model. | PSNet

    psnet.ahrq.gov/issue/voices-frontline-nurses-care-quality-and-patient-safety-during-covid-19-application
    February 21, 2024 - Study Voices from frontline nurses on care quality and patient safety during COVID-19: an application of the Donabedian Model. Citation Text: Pogorzelska-Maziarz M, de Cordova PB, Manning ML, et al. Voices from frontline nurses on care quality and patient safety during COVID-19: an appli…

  4. Association between measured teamwork and medical errors: an observational study of prehospital care in the USA | PSNet

    psnet.ahrq.gov/issue/association-between-measured-teamwork-and-medical-errors-observational-study-prehospital-care
    May 18, 2022 - Study Association between measured teamwork and medical errors: an observational study of prehospital care in the USA Citation Text: Herzberg S, Hansen M, Schoonover A, et al. Association between measured teamwork and medical errors: an observational study of prehospital care in the USA.…

  5. The next organizational challenge: finding and addressing diagnostic error. | PSNet

    psnet.ahrq.gov/issue/next-organizational-challenge-finding-and-addressing-diagnostic-error
    November 16, 2022 - Commentary The next organizational challenge: finding and addressing diagnostic error. Citation Text: Graber ML, Trowbridge RL, Myers JS, et al. The next organizational challenge: finding and addressing diagnostic error. Jt Comm J Qual Patient Saf. 2014;40(3):102-10. Copy Citation …

  6. Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals | PSNet

    psnet.ahrq.gov/issue/challenges-and-potential-solutions-patient-safety-infectious-agent-isolation-environment
    October 27, 2021 - Study Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals Citation Text: Taylor M, Reynolds C, Jones RM. Challenges and potential solutions for patient safety in an infectiou…

  7. Adverse medication events related to hospitalization in the United States: a comparison between adults with intellectual and developmental disabilities and those without. | PSNet

    psnet.ahrq.gov/issue/adverse-medication-events-related-hospitalization-united-states-comparison-between-adults
    February 02, 2022 - Study Adverse medication events related to hospitalization in the United States: a comparison between adults with intellectual and developmental disabilities and those without. Citation Text: Erickson SR, Kamdar N, Wu C-H. Adverse Medication Events Related to Hospitalization in the Unite…

  8. Room of hazards: a comparison of differences in safety hazard recognition among various hospital-based healthcare professionals and trainees in a simulated patient room. | PSNet

    psnet.ahrq.gov/issue/room-hazards-comparison-differences-safety-hazard-recognition-among-various-hospital-based
    April 01, 2020 - Study Room of hazards: a comparison of differences in safety hazard recognition among various hospital-based healthcare professionals and trainees in a simulated patient room. Citation Text: Wang M, Banda B, Rodwin BA, et al. Room of hazards: a comparison of differences in safety hazard …

  9. Reporting of death in US Food and Drug Administration medical device adverse event reports in categories other than death. | PSNet

    psnet.ahrq.gov/issue/reporting-death-us-food-and-drug-administration-medical-device-adverse-event-reports
    April 07, 2019 - Study Reporting of death in US Food and Drug Administration medical device adverse event reports in categories other than death. Citation Text: Lalani C, Kunwar EM, Kinard M, et al. Reporting of death in US Food and Drug Administration medical device adverse event reports in categories o…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36080/psn-pdf
    September 28, 2010 - Overcoming barriers to patient safety. September 28, 2010 Kalisch BJ, Aebersold M. Overcoming barriers to patient safety. Nurs Econ. 2006;24(3):143-8, 155, 123; quiz 149. https://psnet.ahrq.gov/issue/overcoming-barriers-patient-safety The authors comment on key contributors to errors in an inpatient unit and ident…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36817/psn-pdf
    August 26, 2011 - Fault trees uncover complex causes. August 26, 2011 Spath P. Fault trees uncover complex causes. Hospital peer review. 2007;32(4):49-52. https://psnet.ahrq.gov/issue/fault-trees-uncover-complex-causes This article discusses the use of a fault tree diagram to identify root causes of an incident within complex syste…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39589/psn-pdf
    February 13, 2018 - Common cause analysis. February 13, 2018 Clapper C, Crea K. Patient Saf Qual Healthc. May/June 2010;7:30-35. https://psnet.ahrq.gov/issue/common-cause-analysis This article describes how one health care system used a multi-event analysis process to identify medication errors, implement system-level improvements, a…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72517/psn-pdf
    November 25, 2020 - In contrast, Type 2 thinking is more deliberate and requires identifying features from a diagnostic

  14. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-04/final_spotlight_case_and_commentatry_io_line_extravasation-04.08.2022.pdf
    January 01, 2022 - compartment should prompt investigation for possible compartment syndrome 29 Compartment Syndrome (7) • Identifying

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836794/psn-pdf
    March 31, 2022 - Developing a more robust outpatient or home-based palliative team can improve continuity of care by identifying

  16. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
    January 01, 2022 - Developing a more robust outpatient or home-based palliative team can improve continuity of care by identifying

  17. What Happened on Telemetry? | PSNet

    psnet.ahrq.gov/web-mm/what-happened-telemetry
    January 18, 2012 - Each facility is responsible for identifying the response process.

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49759/psn-pdf
    May 01, 2016 - Fall prevention is a three-step process: (i) screening for fall risk, (ii) identifying interventions

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72911/psn-pdf
    March 15, 2021 - Reduce Medication Errors A complete, accurate, and current medication list is a critical tool for identifying

  20. In Conversation with... Connor Wesley, RN, BSN on Patient Safety Concerns and the LGBTQ Population | PSNet

    psnet.ahrq.gov/perspective/conversation-connor-wesley-rn-bsn-patient-safety-concerns-and-lgbtq-population
    February 01, 2023 - There are other challenges in accessing healthcare and identifying providers. … Sharing sexual and gender history and personal health information is important in identifying, treating
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