-
psnet.ahrq.gov/node/47219/psn-pdf
July 25, 2018 - preparing-clinicians-transitioning-patients-across-care-settings-and-home-
through-simulation
Patient utilization of home care is expected to increase
-
psnet.ahrq.gov/node/43986/psn-pdf
September 26, 2016 - during medication administration did not improve medication error rates, but was associated with an
increase
-
psnet.ahrq.gov/node/46051/psn-pdf
April 12, 2017 - automated-detection-look-alikesound-alike-medication-errors
Look-alike and sound-alike medications increase
-
psnet.ahrq.gov/node/43182/psn-pdf
May 14, 2014 - how checklists can help reduce catheter-associated infections, improve reliability of handoffs,
and increase
-
psnet.ahrq.gov/node/36734/psn-pdf
March 10, 2011 - reporting rates, integration of incident reporting into routine electronic documentation may help
increase
-
psnet.ahrq.gov/node/45571/psn-pdf
January 18, 2017 - how-communication-among-members-health-care-team-affects-maternal-
morbidity-and-mortality
Communication failures in obstetric care can increase
-
psnet.ahrq.gov/node/45664/psn-pdf
July 02, 2017 - intraoperative-adverse-events-abdominal-surgery-what-happens-operating-
room-does-not-stay
Intraoperative adverse events have been shown to increase
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.257_slideshow.ppt
December 01, 2011 - Later that day, the resident decided to increase the patient’s warfarin dose to 10 mg for 3 days to try … to increase his INR into the target range. … not have adequate security, which could lead to loss of protected health information (PHI)
May also increase
-
psnet.ahrq.gov/node/49748/psn-pdf
December 01, 2015 - He was ultimately
discharged after a 3-day hospitalization with an increase in his outpatient diuretic … relief, it would also be important to ensure they are taking diuretic therapy or not requiring an increase … ascites, and venous return increases to the right atrium as ascites is drained, there is a resulting
increase … that occurs in the splanchnic
bed leads to a lowering of mean arterial pressure and a compensatory an increase
-
psnet.ahrq.gov/web-mm/back-basics
July 13, 2010 - stressors such as myocardial ischemia, surgery, cardiovascular collapse, and severe infections greatly increase … DKA requires significantly increased cardiac output, any underlying cardiac compromise will greatly increase … nursing error in the use of the algorithm, an incorrect insulin amount in the delivery system, or an increase … treatment approaches.( 1,2 ) Take-Home Points Metabolic stressors, such as infections, greatly increase
-
psnet.ahrq.gov/web-mm/fumbled-handoff
September 01, 2006 - Ironically, a regulation attempting to reduce mistakes made by over-worked physicians could theoretically increase … for preventable adverse events.( 8 ) Decreasing duty hours in New York in 1989, with the inevitable increase … in discontinuity and increase in sign-outs, resulted in delayed test ordering and increased in-hospital … Data suggests that using checklists ( 5 ), signout cards ( 6 ), and computerized signouts ( 12 ) can increase
-
psnet.ahrq.gov/web-mm/hazards-loading-doses
December 01, 2003 - With many drugs, an increase in dose will give you a proportional increase in expected concentration. … Additional amounts of phenytoin cannot be metabolized, resulting in a disproportional increase in concentration … If repetitive loading doses are administered, a significant increase in the concentration can ensue,
-
psnet.ahrq.gov/node/45577/psn-pdf
February 08, 2017 - /primer/medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue/factors-contributing-increase-duplicate-medication-order-errors-after-cpoe-implementation
-
psnet.ahrq.gov/node/45339/psn-pdf
August 10, 2016 - hospital-night-organizational-design-provides-safer-care-night
Reduced hospital staffing at night and on weekends can increase
-
psnet.ahrq.gov/node/43383/psn-pdf
August 13, 2014 - risk-factors-retained-surgical-items-meta-analysis-and-proposed-risk-
stratification-system
This meta-analysis identified factors that increase
-
psnet.ahrq.gov/node/47654/psn-pdf
February 27, 2019 - swiss-cheese-conference-integrating-and-aligning-quality-improvement-
education-hospital
Academic medical centers are working to increase
-
psnet.ahrq.gov/node/46269/psn-pdf
January 30, 2018 - The investigators found that double checking did increase rates of error identification
compared to
-
psnet.ahrq.gov/node/45193/psn-pdf
October 03, 2017 - choice-transparency-coordination-and-quality-among-direct-consumer-
telemedicine-websites-and
Telemedicine is being more widely used in order to increase
-
psnet.ahrq.gov/node/43731/psn-pdf
December 03, 2014 - This study
describes a 150% increase in the number of documented missed injuries that were caught following
-
psnet.ahrq.gov/node/842773/psn-pdf
January 01, 2009 - dissemination-lean-methods-improve-pap-testing-quality-and-patient-safety
Lean methodology is a quality improvement method to increase