-
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/33580/psn-pdf
April 01, 2022 - have demonstrated the association between nurse staffing
ratios and patient safety, documenting an increased … A PSNet Classic 2011 study
showed that increased patient turnover was also associated with increased … These interruptions have been tied to an
increased risk of errors, particularly medication administration … Longer shifts and working overtime have also been linked to increased risk of error, including in one … The multiple factors discussed including the high-risk nature of the work, increased stress caused by
-
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
-
psnet.ahrq.gov/node/41924/psn-pdf
April 05, 2013 - vignette-based survey study found that offering full financial
compensation to patients after errors actually increased … mistrust between patients and clinicians and
increased the likelihood that a patient would seek legal
-
psnet.ahrq.gov/node/37345/psn-pdf
May 26, 2011 - pediatric-inpatients
Unintended consequences of adopting computerized provider order entry (CPOE) systems, including
increased … https://psnet.ahrq.gov/primer/computerized-provider-order-entry
https://psnet.ahrq.gov/issue/unexpected-increased-mortality-after-implementation-commercially-sold-computerized-physician
-
psnet.ahrq.gov/node/41795/psn-pdf
September 07, 2016 - drug-shortage-associated-increase-catheter-related-blood-stream-infection-
children
National drug shortages have increased … During the shortage, the rate of CRBSI
at one hospital rose dramatically, resulting in increased lengths
-
psnet.ahrq.gov/node/47170/psn-pdf
May 30, 2018 - 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/node/40433/psn-pdf
November 26, 2014 - do-not-use" abbreviations in prescriptions; the incidence of other types of
prescribing errors actually increased … types-unintended-consequences-related-computerized-provider-order-entry
https://psnet.ahrq.gov/issue/unexpected-increased-mortality-after-implementation-commercially-sold-computerized-physician
-
psnet.ahrq.gov/node/43313/psn-pdf
April 22, 2015 - hospital mortality across multiple sites in Germany found that at high hospital
volume, mortality increased … revealed a tipping point, an occupancy rate of approximately 93% capacity, at which hospital
mortality increased
-
psnet.ahrq.gov/node/36586/psn-pdf
July 08, 2008 - issue/house-staff-team-workload-and-organization-effects-patient-outcomes-
academic-general-internal
Increased … This study from an academic medical center examined the effects of increased housestaff
workload, defined
-
psnet.ahrq.gov/node/38603/psn-pdf
September 29, 2009 - This retrospective study found that patients who were transferred to hallways
did not have an increased … A
prior study found that ED boarders are at increased risk for adverse events, and an AHRQ WebM&M
commentary
-
psnet.ahrq.gov/node/33851/psn-pdf
January 01, 2017 - In particular, an extensive body of
research has examined the weekend effect—the purportedly increased … 2001 study's principal finding: for many common conditions, patients admitted on the weekend
are at increased … by severity of patient illness, and none
of these workload intensity measures was associated with increased … information about diagnoses and comorbidities documented during hospitalization), mortality rates
were increased … However, patients who arrived at the hospital by
ambulance appeared to account for most of the increased
-
psnet.ahrq.gov/node/860049/psn-pdf
January 04, 2024 - of cerebral palsy, developmental delay, and epilepsy presented
to the emergency department (ED) for increased … They are at increased risk of medical errors during
hospital stays, and this risk scales with the number … is well-
known to the service as having a seizure disorder and cerebral palsy and was admitted for increased … Many children with pre-existing seizure disorders are admitted to intensive care with increased seizure … It is well-documented that transitions of care are a time of increased risk for
medical error, as they
-
psnet.ahrq.gov/node/45988/psn-pdf
April 24, 2018 - perspective through a multifaceted intervention that involved structured
multidisciplinary briefings, increased … psychological safety in which team members were more
likely to raise concerns without fear of punishment and increased
-
psnet.ahrq.gov/node/38434/psn-pdf
June 15, 2011 - hospital-based incident reports to the United Kingdom's National Patient Safety Agency
and discovered that increased … However,
the authors also point out that increased incident reports failed to correlate with standardized
-
psnet.ahrq.gov/node/41590/psn-pdf
August 15, 2012 - literature has linked higher patient-to-nurse ratios to a variety of preventable complications
and even increased … other hand,
after controlling for hospital and patient characteristics, the investigators found that increased
-
psnet.ahrq.gov/node/39526/psn-pdf
December 02, 2014 - These findings counter an earlier, widely cited study in which mortality increased after
CPOE installation … mixed-results-safety-performance-computerized-physician-order-entry
https://psnet.ahrq.gov/issue/unexpected-increased-mortality-after-implementation-commercially-sold-computerized-physician
-
psnet.ahrq.gov/node/42333/psn-pdf
June 05, 2013 - Ontario, demonstrates that overall hand hygiene rates (measured by
direct observation) consistently increased … institution found that the rates of multiple
HAIs consistently decreased over time as hand hygiene rates increased
-
psnet.ahrq.gov/node/43553/psn-pdf
August 28, 2017 - Women were found to be at particularly increased risk for
adverse events including oversedation and … procedural characteristics may help risk stratify patients, allowing for appropriate responses
such as increased
-
psnet.ahrq.gov/node/40221/psn-pdf
July 21, 2011 - This study discovered that prolonged ED stays in older patients were associated with
increased inpatient … association-between-prolonged-stay-emergency-department-and-adverse-events-older-patients
https://psnet.ahrq.gov/issue/ed-overcrowding-associated-increased-frequency-medication-errors