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Total Results: 7,150 records

Showing results for "involved".

  1. Rates of Patient Safety Indicators in Belgian hospitals were low but generally higher than in US hospitals, 2016-18. | PSNet

    psnet.ahrq.gov/issue/rates-patient-safety-indicators-belgian-hospitals-were-low-generally-higher-us-hospitals-2016
    September 13, 2023 - July 31, 2019 Increased risk of burnout for physicians and nurses involved in a patient … A comparative study measuring the difference of healthcare workers reactions among those involved

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866863/psn-pdf
    October 02, 2024 - Among 5,033 patients, 1.4% had experienced an adverse event, most of which were mild or moderate and involved

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40647/psn-pdf
    February 20, 2019 - too-many-abandon-second-victims-medical-errors This piece discusses second victims and describes how five factors can help clinicians involved

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60737/psn-pdf
    July 29, 2020 - second-victim-support-programs-healthcare-organizations https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863220/psn-pdf
    February 28, 2024 - psnet.ahrq.gov/issue/second-victim-phenomenon https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865820/psn-pdf
    May 08, 2024 - https://psnet.ahrq.gov/issue/breaking-silence-medical-mistakes Individuals involved in medical errors

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867224/psn-pdf
    December 04, 2024 - Adverse events involved all types of healthcare professionals and all areas of perioperative care (e.g

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60883/psn-pdf
    September 02, 2020 - misdiagnosed child abuse can not only affect the patient but create collateral damage to the families involved

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73401/psn-pdf
    June 16, 2021 - /second-victim-traumatic-experience https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863764/psn-pdf
    March 06, 2024 - The piece discusses medications involved, error mitigation strategies, and the role of teamwork in medication

  11. Patient Identification Errors: A Systems Challenge | PSNet

    psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
    February 23, 2011 - The Cases The following four events involving five patients all involved incorrect patient identification … Event #1 involved a 68-year-old woman who presented to the emergency department (ED) from the ambulatory … Event #2 involved two patients whose ED visits overlapped in time. … Event #3 involved a 2-year-old patient who presented to the ED, subsequently underwent surgery, recovered … electronic records performed at New York Presbyterian Hospital revealed that only 3.2% of the errors involved

  12. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.167_slideshow.ppt
    January 01, 2008 - Understand coping strategies, including error disclosure Review potential support structures for providers involved … Support for Providers Involved in Medical Errors Few formal support programs are available for providers … cmd=retrieve&db=pubmed&dopt=abstract&list_uids=10720336 Support for Providers Involved in Medical … cmd=retrieve&db=pubmed&dopt=abstract&list_uids=12606742 Support for Providers Involved in Medical … cmd=retrieve&db=pubmed&dopt=abstract&list_uids=12764888 Improving Support for Providers Involved

  13. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.317_slideshow.ppt
    March 01, 2014 - Standardizing performance review and assessment Committing to providing feedback early and often to the involved … Unsafe Acts Algorithm In the present case, Reason's algorithm may define the error as blameless if the involved … clinician acted in good faith However, if the involved professional had a history of unsafe acts, the … regarding how to provide feedback and what recipients should expect For example, in this case, assume the involved … intervention by an authority figure may be necessary At this level, an authority figure may direct the involved

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47740/psn-pdf
    April 10, 2019 - psnet.ahrq.gov/issue/abandon-term-second-victim https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43371/psn-pdf
    June 19, 2019 - This book provides information about medication errors and quality improvement to guide clinicians involved

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74249/psn-pdf
    January 12, 2022 - medication-safety-issues-newly-authorized-paxlovid Emerging care practices can produce unsafe situations due to the newness of the approaches involved

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854267/psn-pdf
    October 04, 2023 - originators of the concept as a strategy for successful resolution, learning and support for those involved

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60331/psn-pdf
    May 13, 2020 - She draws from both general and COVID-19 pandemic care experiences to illustrate the difficulties involved

  19. Vial Mistakes Involving Heparin | PSNet

    psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
    May 11, 2014 - This operating room (OR) case also involved a look-alike packaging issue ( Figure ). … Heparin was involved in 143 (3.9%); however, it was second among the drugs most frequently associated … (Note: The vials pictured were not involved in the presented case.)

  20. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis | PSNet

    psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
    February 26, 2025 - I became involved in RCA 2 as part of my role at Ochsner, a health system that was quickly expanding … In RCA 2 , we have small working teams without the staff involved in the adverse event. … Some organizations need help with this piece because they are accustomed to having the staff involved … Some of these events can be very traumatic, and we need to support the staff who have been involved. … As an example, a traditional RCA would often feature large meetings with leadership, the staff involved
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