Results

Total Results: 2,105 records

Showing results for "included".

181. Missed acute myocardial infarction in the emergency department-standardizing measurement of misdiagnosis-related harms using the SPADE method. | PSNet
     psnet.ahrq.gov/issue/missed-acute-myocardial-infarction-emergency-department-standardizing-measurement
     May 12, 2021 - Within 30 days of a subsequent hospitalization for AMI, common ED discharge diagnoses included chest

182. Patient safety and telephone medicine: some lessons from closed claim case review. | PSNet
     psnet.ahrq.gov/issue/patient-safety-and-telephone-medicine-some-lessons-closed-claim-case-review
     May 18, 2022 - that clinicians failed to accurately diagnose the patient; types of errors leading to misdiagnosis included

183. Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals. | PSNet
     psnet.ahrq.gov/issue/evaluation-medium-term-consequences-implementing-commercial-computerized-physician-order
     December 21, 2022 - Major barriers included the amount of time required to log in and inadequate computer infrastructure

184. Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. | PSNet
     psnet.ahrq.gov/issue/human-based-errors-involving-smart-infusion-pumps-catalog-error-types-and-prevention
     November 16, 2022 - Error categories included (1) undocumented errors, (2)  drug library  errors, (3) programming errors,

185. Development and applications of the Veterans Health Administration's Stratification Tool for Opioid Risk Mitigation (STORM) to improve opioid safety and prevent overdose and suicide. | PSNet
     psnet.ahrq.gov/issue/development-and-applications-veterans-health-administrations-stratification-tool-opioid-risk
     April 01, 2020 - The model included known risk factors for opioid-related harm, such as type of medication, dose, and

186. Mortality risks associated with emergency admissions during weekends and public holidays: an analysis of electronic health records. | PSNet
     psnet.ahrq.gov/issue/mortality-risks-associated-emergency-admissions-during-weekends-and-public-holidays-analysis
     September 02, 2020 - Unlike prior studies of the weekend effect, this study included multiple specific markers of patients

187. Exploring the roots of unintended safety threats associated with the introduction of hospital ePrescribing systems and candidate avoidance and/or mitigation strategies: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/exploring-roots-unintended-safety-threats-associated-introduction-hospital-eprescribing
     December 21, 2022 - This observational qualitative study of electronic prescribing at six British hospitals included direct

188. Postoperative adverse events inconsistently improved by the World Health Organization surgical safety checklist: a systematic literature review of 25 studies. | PSNet
     psnet.ahrq.gov/issue/postoperative-adverse-events-inconsistently-improved-world-health-organization-surgical
     March 29, 2023 - These concerns, along with methodological problems in many of the included studies, led the authors to

189. What quality and safety of care for patients admitted to clinically inappropriate wards: a systematic review. | PSNet
     psnet.ahrq.gov/issue/what-quality-and-safety-care-patients-admitted-clinically-inappropriate-wards-systematic
     February 15, 2023 - The included studies also assessed multiple safety outcomes.

190. A high-reliability organization framework for health care: a multiyear implementation strategy and associated outcomes. | PSNet
     psnet.ahrq.gov/issue/high-reliability-organization-framework-health-care-multiyear-implementation-strategy-and
     November 17, 2021 - Framework components included an annual patient safety assessment, annual safety culture survey, annual

191. Developing a framework for nursing handover in the emergency department: an individualised and systematic approach. | PSNet
     psnet.ahrq.gov/issue/developing-framework-nursing-handover-emergency-department-individualised-and-systematic
     October 06, 2016 - Participating nurses believed that the essential data included demographics, presenting problems, nursing

192. Hospital Survey on Patient Safety Culture: 2014 User Comparative Database Report. | PSNet
     psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2014-user-comparative-database-report
     May 11, 2016 - Areas of strength included teamwork , leadership , and continuous improvement , all of which have

193. Identifying missed care in pediatric nursing: a scoping review. | PSNet
     psnet.ahrq.gov/issue/identifying-missed-care-pediatric-nursing-scoping-review
     August 15, 2012 - In this review, common missed nursing care tasks in pediatrics included oral care, routine bathing, and

194. Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. | PSNet
     psnet.ahrq.gov/issue/patients-expectations-benefits-and-harms-treatments-screening-and-tests-systematic-review
     September 29, 2017 - The topics studied included cancer, surgery, cardiovascular disease, fetal–maternal medicine, and medications

195. Safety of medication use in primary care. | PSNet
     psnet.ahrq.gov/issue/safety-medication-use-primary-care
     March 04, 2011 - found that incidence rates of medication errors in primary care ranged between 1% and 90% across included

196. Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events. | PSNet
     psnet.ahrq.gov/issue/effect-comprehensive-obstetric-patient-safety-program-compensation-payments-and-sentinel
     July 26, 2010 - Implementing a comprehensive safety program, which included teamwork training , additional staffing

197. Ambiguity and workarounds as contributors to medical error. | PSNet
     psnet.ahrq.gov/issue/ambiguity-and-workarounds-contributors-medical-error
     December 23, 2008 - Examples from health care settings are included as well as discussion of case studies previously published

198. Studying patient safety in health care organizations: accentuate the qualitative. | PSNet
     psnet.ahrq.gov/issue/studying-patient-safety-health-care-organizations-accentuate-qualitative
     January 18, 2011 - with greater discussion of the pros and cons to each methodological approach (a comprehensive table is included

199. Improving hospital safety culture for falls prevention through interdisciplinary health education. | PSNet
     psnet.ahrq.gov/issue/improving-hospital-safety-culture-falls-prevention-through-interdisciplinary-health-education
     December 16, 2011 - The program included information on organizational strategies for safety assessment and individual-level

200. Disclosing medical errors to patients: effects of nonverbal involvement. | PSNet
     psnet.ahrq.gov/issue/disclosing-medical-errors-patients-effects-nonverbal-involvement
     June 14, 2017 - Nonverbal communication included appropriate body orientation, head nodding, and smiling.