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Total Results: over 10,000 records

Showing results for "incidents".

301. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45361/psn-pdf
     December 22, 2018 - Healthy life-years lost and excess bed-days due to 6 patient safety incidents: empirical evidence from … Healthy Life-Years Lost and Excess Bed-Days Due to 6 Patient Safety Incidents: Empirical Evidence From … https://psnet.ahrq.gov/issue/healthy-life-years-lost-and-excess-bed-days-due-6-patient-safety-incidents … https://psnet.ahrq.gov/issue/healthy-life-years-lost-and-excess-bed-days-due-6-patient-safety-incidents-empirical-evidence … https://psnet.ahrq.gov/issue/healthy-life-years-lost-and-excess-bed-days-due-6-patient-safety-incidents-empirical-evidence

302. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37648/psn-pdf
     January 12, 2012 - Office surgery incidents: what seven years of Florida data show us. … Office surgery incidents: what seven years of Florida data show us. … https://psnet.ahrq.gov/issue/office-surgery-incidents-what-seven-years-florida-data-show-us Patient … The majority of deaths and hospital transfers occurred in patients undergoing cosmetic procedures, incidents … https://psnet.ahrq.gov/issue/office-surgery-incidents-what-seven-years-florida-data-show-us https://psnet.ahrq.gov

303. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46513/psn-pdf
     June 19, 2018 - Development of a trigger tool to identify adverse events and no-harm incidents that affect patients … Development of a trigger tool to identify adverse events and no-harm incidents that affect patients … https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect … https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients … https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients

304. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60248/psn-pdf
     April 22, 2020 - The majority of incidents (71.6%) involved children 2 years and younger. … Incidents were equally divided among calls involving prescription- only medications, over-the-counter … One-third of all incidents involved medication that had been removed from the original container; this … was more likely in incidents involving prescription drugs compared to OTC drugs (adjusted odds ratio

305. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35784/psn-pdf
     March 22, 2006 - Human factors in pediatric anesthesia incidents. March 22, 2006 Marcus R. … https://psnet.ahrq.gov/issue/human-factors-pediatric-anesthesia-incidents The author studied pediatric … anesthesia incidents from a human factors perspective and found the most common were errors in judgment … https://psnet.ahrq.gov/issue/human-factors-pediatric-anesthesia-incidents https://psnet.ahrq.gov//#humanfactors

306. Retained surgical sponge (gossypiboma) and other retained surgical items: prevention and management. | PSNet
     psnet.ahrq.gov/issue/retained-surgical-sponge-gossypiboma-and-other-retained-surgical-items-prevention-and
     March 17, 2023 - Retained surgical items are rare and potentially catastrophic incidents that continue to occur in surgical … November 19, 2018 Pediatric safety incidents from an intensive care reporting system. … May 13, 2015 Miscount incidents: a novel approach to exploring risk factors for unintentionally

307. The association between complications, incidents, and patient experience: retrospective linkage of routine patient experience surveys and safety data. | PSNet
     psnet.ahrq.gov/issue/association-between-complications-incidents-and-patient-experience-retrospective-linkage
     February 20, 2019 - Study The association between complications, incidents, and patient experience: retrospective … The Association Between Complications, Incidents, and Patient Experience: Retrospective Linkage of Routine … In this retrospective study, researchers used data on complications and safety incidents as well as … The Association Between Complications, Incidents, and Patient Experience: Retrospective Linkage of Routine

308. Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross-sectional study. | PSNet
     psnet.ahrq.gov/issue/peer-support-interprofessional-health-care-providers-aftermath-patient-safety-incidents-cross
     September 22, 2021 - Peer support by interprofessional health care providers in aftermath of patient safety incidents … Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross‐sectional … Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross‐sectional … October 19, 2022 Support for healthcare professionals after surgical patient safety incidents

309. Blood Dashboard Data (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Blood_Dashboard_Data_2024.xlsx
     January 01, 2024 - ., VII, VIII, IX, AT III) * * NOTE: The 'Percentage' cells are calculated as the percentage of all incidents … NOTE: The 'No Harm Percentage' and 'Harm Percentage' cells are calculated as the percentage of all incidents … 1.5% 47 Sample testing 2.5% 45 NOTE: The 'Percentage' cells are calculated as the percentage of all incidents … NOTE: The 'No Harm Percentage' and 'Harm Percentage' cells are calculated as the percentage of all incidents … selection * * Sample handling * * NOTE: The Percentage cells are calculated as the percentage of all incidents

310. Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents. | PSNet
     psnet.ahrq.gov/issue/adapting-cognitive-task-analysis-investigate-clinical-decision-making-and-medication-safety
     March 10, 2021 - Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents … Adapting Cognitive Task Analysis to Investigate Clinical Decision Making and Medication Safety Incidents … Adapting Cognitive Task Analysis to Investigate Clinical Decision Making and Medication Safety Incidents … the Same Author(s) Care coordination strategies and barriers during medication safety incidents

311. Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions. | PSNet
     psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication-incidents-and-risk
     October 04, 2023 - Look-alike medications in the perioperative setting: scoping review of medication incidents … Look-alike medications in the perioperative setting: scoping review of medication incidents and risk … Look-alike medications in the perioperative setting: scoping review of medication incidents and risk … Citation Related Resources From the Same Author(s) Reduced postdischarge incidents

312. Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare. | PSNet
     psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients
     August 05, 2020 - Study Development of a trigger tool to identify adverse events and no-harm incidents … Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted … Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted … Citation Related Resources From the Same Author(s) Identifying no-harm incidents

313. Contributory factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication incidents: evaluation of real world data reported to the national reporting and learning system. | PSNet
     psnet.ahrq.gov/issue/contributory-factors-and-patient-harm-including-deaths-associated-direct-acting-oral
     January 12, 2022 - factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication incidents … factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication incidents … factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication incidents … January 12, 2022 Direct oral anticoagulant-related medication incidents and pharmacists

314. The nature, severity and causes of medication incidents from an Australian community pharmacy incident reporting system: the QUMwatch study. | PSNet
     psnet.ahrq.gov/issue/nature-severity-and-causes-medication-incidents-australian-community-pharmacy-incident
     May 05, 2021 - Study The nature, severity and causes of medication incidents from an Australian … The nature, severity and causes of medication incidents from an Australian community pharmacy incident … The nature, severity and causes of medication incidents from an Australian community pharmacy incident … April 13, 2022 Care coordination strategies and barriers during medication safety incidents

315. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35662/psn-pdf
     June 25, 2010 - Debriefing after critical incidents for anaesthetic trainees. June 25, 2010 Tan H. … Debriefing after critical incidents for anaesthetic trainees. … https://psnet.ahrq.gov/issue/debriefing-after-critical-incidents-anaesthetic-trainees The author surveyed … https://psnet.ahrq.gov/issue/debriefing-after-critical-incidents-anaesthetic-trainees https://psnet.ahrq.gov

316. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39427/psn-pdf
     July 30, 2012 - Responding to patient safety incidents: the "seven pillars." … Responding to patient safety incidents: the "seven pillars". … https://psnet.ahrq.gov/issue/responding-patient-safety-incidents-seven-pillars This article describes … https://psnet.ahrq.gov/issue/responding-patient-safety-incidents-seven-pillars https://psnet.ahrq.gov

317. Recommendations and low-technology safety solutions following neuromuscular blocking agent incidents. | PSNet
     psnet.ahrq.gov/issue/recommendations-and-low-technology-safety-solutions-following-neuromuscular-blocking-agent
     October 02, 2024 - Recommendations and low-technology safety solutions following neuromuscular blocking agent incidents … Recommendations and Low-Technology Safety Solutions Following Neuromuscular Blocking Agent Incidents. … Recommendations and Low-Technology Safety Solutions Following Neuromuscular Blocking Agent Incidents.

318. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44328/psn-pdf
     August 22, 2015 - Accidents and incidents related to intravenous drug administration: a pre-post study following implementation … Accidents and Incidents Related to Intravenous Drug Administration: A Pre-Post Study Following Implementation … https://psnet.ahrq.gov/issue/accidents-and-incidents-related-intravenous-drug-administration-pre-post … https://psnet.ahrq.gov/issue/accidents-and-incidents-related-intravenous-drug-administration-pre-post-study-following … https://psnet.ahrq.gov/issue/accidents-and-incidents-related-intravenous-drug-administration-pre-post-study-following

319. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35024/psn-pdf
     March 04, 2011 - Excellent review scheme for critical incidents but insufficient for revalidation. … Excellent review scheme for critical incidents but insufficient for revalidation. … https://psnet.ahrq.gov/issue/excellent-review-scheme-critical-incidents-insufficient-revalidation The … https://psnet.ahrq.gov/issue/excellent-review-scheme-critical-incidents-insufficient-revalidation https

320. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35528/psn-pdf
     February 22, 2010 - The Swiss cheese model of safety incidents: are there holes in the metaphor? … The Swiss cheese model of safety incidents: are there holes in the metaphor? … https://psnet.ahrq.gov/issue/swiss-cheese-model-safety-incidents-are-there-holes-metaphor The author … https://psnet.ahrq.gov/issue/swiss-cheese-model-safety-incidents-are-there-holes-metaphor https://psnet.ahrq.gov