-
psnet.ahrq.gov/issue/impact-fatigue-anaesthesia-providers-scoping-review
November 21, 2021 - associated with fatigue in anesthesia providers, including deterioration in non-technical skills, increased … November 14, 2011
The increased incidence of anesthetic adverse events in late afternoon
-
psnet.ahrq.gov/issue/remote-patient-monitoring-during-covid-19-unexpected-patient-safety-benefit
July 20, 2022 - The COVID pandemic has increased demand and acceptance of remote care modalities. … June 16, 2021
COVID-19 increased the risk of ICU-acquired bloodstream infections: a case-cohort
-
psnet.ahrq.gov/issue/health-care-provider-factors-associated-patient-reported-adverse-events-and-harm
June 19, 2019 - These patient-reported contributory factors increased the likelihood of reporting any type of harm. … November 25, 2020
Patient-related factors associated with an increased risk of being
-
psnet.ahrq.gov/issue/improving-physicians-hand-over-among-oncology-staff-using-standardized-communication-tool
November 11, 2020 - adjustment addressed challenges to the use of the tool and over time physician compliance with the process increased … July 15, 2015
The "weekend effect" in pediatric surgery—increased mortality for children
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psnet.ahrq.gov/issue/do-hospitals-provide-lower-quality-care-weekends
January 12, 2022 - lower rate of invasive procedure use among AMI patients admitted on the weekend, and also demonstrated increased … Taken together, these results suggest that both increased staffing and incentives to perform weekend
-
psnet.ahrq.gov/node/38660/psn-pdf
November 13, 2009 - The intervention resulted in improved understanding of medication errors
and increased error reporting … Prior studies have also successfully increased error
reporting rates but, as a recent commentary notes
-
psnet.ahrq.gov/node/41686/psn-pdf
September 19, 2012 - the most critically ill patients in
any hospital, and this study demonstrates that they are also at increased … demonstrate that patients with
sepsis are at substantially elevated risk of adverse events, and the risk increased
-
psnet.ahrq.gov/node/46672/psn-pdf
January 30, 2018 - the National Health Service in England is associated with the degree to which weekend
mortality is increased … weekend-mortality-emergency-admissions-large-multicentre-study
https://psnet.ahrq.gov/issue/weekend-effect-pediatric-surgery-increased-mortality-children-undergoing-urgent-surgery
-
psnet.ahrq.gov/issue/implementation-standardized-postanesthesia-care-handoff-increases-information-transfer
February 03, 2011 - postanesthesia care unit led to improved information transfer, as measured by direct observation, and increased
-
psnet.ahrq.gov/issue/effect-health-information-technology-quality-us-hospitals
September 27, 2010 - failure to document key comorbid diseases in the anesthesia preoperative evaluation associates with increased … October 20, 2021
Use of unsolicited patient observations to identify surgeons with increased … May 7, 2014
Electronic Health Record Programs: Participation Has Increased, but Action
-
psnet.ahrq.gov/node/42169/psn-pdf
September 07, 2016 - shortages reached record levels in 2011, resulting in documented patient harm, longer stays, and
increased … Use of less
familiar alternatives also led to increased risk of medication errors and adverse outcomes
-
psnet.ahrq.gov/node/39510/psn-pdf
September 24, 2016 - Although distractions are common and may be associated with
increased risk for error, particularly if … operational-failures-and-interruptions-hospital-nursing
https://psnet.ahrq.gov/issue/association-interruptions-increased-risk-and-severity-medication-administration-errors
-
psnet.ahrq.gov/node/37042/psn-pdf
March 04, 2011 - lower rate of invasive
procedure use among AMI patients admitted on the weekend, and also demonstrated increased … Taken together, these results suggest that both increased staffing and incentives to
perform weekend
-
psnet.ahrq.gov/node/44960/psn-pdf
February 14, 2017 - One
possible outcome is an increased number of patients who return to the hospital being placed on … The authors found that readmissions decreased, consistent with prior studies, and
observation stays increased
-
psnet.ahrq.gov/node/35467/psn-pdf
March 11, 2011 - This systematic
review discovered that EHRs reduced documentation time for nurses but increased it for … better than others in this regard, efforts to
implement EHRs will need to address the potential for increased
-
psnet.ahrq.gov/issue/impact-interruptions-distractions-and-cognitive-load-procedure-failures-and-medication
March 02, 2012 - found that interruptions and distractions are frequent during nursing medication administration, which increased … September 28, 2016
Association of interruptions with an increased risk and severity of
-
psnet.ahrq.gov/issue/complication-rates-weekends-and-weekdays-us-hospitals
August 31, 2011 - Overall complication rates were modestly but significantly increased for some obstetric indicators and … patients with an acute myocardial infarction , or other conditions requiring urgent treatment, have increased
-
psnet.ahrq.gov/issue/do-written-disclosures-serious-events-increase-risk-malpractice-claims-one-health-care
October 12, 2011 - single, large health care system, they found that although the number of serious event disclosures increased … Claims that were disclosed and claims that involved greater harm were associated with increased compensation
-
psnet.ahrq.gov/issue/drug-shortage-associated-increase-catheter-related-blood-stream-infection-children
April 24, 2018 - National drug shortages have increased and emerged as a serious patient safety issue in the United … During the shortage, the rate of CRBSI at one hospital rose dramatically, resulting in increased lengths
-
psnet.ahrq.gov/node/37630/psn-pdf
February 15, 2011 - Interestingly, despite considerable concern
that reducing work hours would lead to increased discontinuity … in patient care, residents did not feel that
errors due to handoffs or cross-coverage increased after