-
psnet.ahrq.gov/node/39197/psn-pdf
January 06, 2010 - resident-fatigue-there-patient-safety-issue
Regulations limiting duty hours for resident physicians were intended
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psnet.ahrq.gov/node/38175/psn-pdf
April 11, 2011 - point out several limitations to the study, including the
inability to measure compliance with the intended
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psnet.ahrq.gov/node/35531/psn-pdf
May 27, 2011 - adopters and for-profit organizations the least likely,
adding to the notion that these systems are not intended
-
psnet.ahrq.gov/node/34043/psn-pdf
March 11, 2011 - in or from the system and
errors in the communication and coordination processes that the PCIS is intended
-
psnet.ahrq.gov/node/42719/psn-pdf
December 18, 2014 - This article is intended to foster discussion of an
especially thorny issue: how clinicians should approach
-
psnet.ahrq.gov/node/46010/psn-pdf
July 12, 2017 - changing-medical-malpractice-system-align-what-we-know-about-patient-
safety-and-quality
Although medical malpractice law is intended
-
psnet.ahrq.gov/node/72693/psn-pdf
January 29, 2021 - The resident
unintentionally located two vials of 100mg/mL ketamine instead of the intended 10mg/mL … The provider intended to administer 95mg of ketamine intravenously, but erroneously
administered 950mg … unintentional-ketamine-overdose-operating-room-mixing-ampules
https://psnet.ahrq.gov//#1
https://psnet.ahrq.gov//#3
This patient received ten times the intended
-
psnet.ahrq.gov/node/33578/psn-pdf
September 15, 2024 - Background
An obstetric nurse connects a bag of pain medication intended for an epidural catheter to … issue/ambiguity-and-workarounds-contributors-medical-error
https://psnet.ahrq.gov/issue/workarounds-intended-use-health-information-technology-narrative-review-human-factors
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psnet.ahrq.gov/issue/early-prescribing-outcomes-after-exporting-equipped-medication-safety-improvement-programme
September 09, 2020 - Practices for Older Adults in the Emergency Department (EQUIPPED) program is a multicomponent intervention intended
-
psnet.ahrq.gov/issue/measurement-matters-changing-penalty-calculations-under-hospital-acquired-condition-reduction
August 10, 2022 - hospital performance, suggesting that the program may not drive patient safety improvements as intended
-
psnet.ahrq.gov/issue/what-else-could-it-be-scoping-review-questions-patients-ask-throughout-diagnostic-process
November 03, 2021 - Most lists were intended for specific health conditions (e.g., cancer), with most questions related to
-
psnet.ahrq.gov/issue/resident-faculty-overnight-discrepancy-rates-function-number-consecutive-nights-during-week
November 16, 2022 - Recent duty hour reforms are intended to improve patient safety and resident well-being .
-
psnet.ahrq.gov/issue/ritualisation-surgical-safety-checklist-and-its-decoupling-patient-safety-goals
January 19, 2022 - shown to improve patient safety, but several studies have exposed they are not always completed as intended
-
psnet.ahrq.gov/issue/deep-scope-framework-safe-healthcare-design
August 18, 2021 - DEsigning with Ergonomic Principles – Safety as Complexity of the Organization, People, and Environment) intended
-
psnet.ahrq.gov/issue/impact-clinical-decision-support-therapeutic-interchanges-hospital-discharge-medication
July 29, 2020 - Clinical decision support (CDS) tools are intended to enhance care decision and delivery processes
-
psnet.ahrq.gov/issue/sequential-implementation-equipped-geriatric-medication-safety-program-learning-health-system
January 19, 2022 - EQUIPPED is a multicomponent intervention intended to reduce potentially inappropriate prescribing
-
psnet.ahrq.gov/issue/when-bad-things-happen-training-medical-students-anticipate-aftermath-medical-errors
July 29, 2020 - second-year medical students utilizing case-based learning, small group discussion, and video vignettes intended
-
psnet.ahrq.gov/issue/sociotechnical-framework-safety-related-electronic-health-record-research-reporting-safer
February 16, 2022 - SAFER is not intended to replace current research reporting guidelines, but complement their use.
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psnet.ahrq.gov/issue/mapping-resilience-performance-community-pharmacy-maintain-patient-safety-during-covid-19
June 29, 2022 - This study explored the how COVID-19-related policies and initiatives intended to improve patient safety
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psnet.ahrq.gov/issue/automated-capture-intraoperative-adverse-events-using-artificial-intelligence-systematic
May 13, 2020 - Most studies used video and more than half were intended to detect bleeding.