-
psnet.ahrq.gov/node/45566/psn-pdf
October 19, 2016 - This
report reviews the results of the second round of funded effort, which involved more than 1500
-
psnet.ahrq.gov/node/42247/psn-pdf
June 12, 2013 - multicenter-multidisciplinary-high-alert-medication-collaborative-improve-
patient-safety
This study involved
-
psnet.ahrq.gov/node/36021/psn-pdf
September 24, 2016 - The most frequent failures identified involved medications,
orders, supplies, staffing, and equipment
-
psnet.ahrq.gov/node/42607/psn-pdf
January 09, 2014 - for patients being discharged from the intensive care unit (ICU) to general
wards, which generally involved
-
psnet.ahrq.gov/node/44341/psn-pdf
July 22, 2015 - outcomes of
patients who underwent neurosurgery with only attending physicians versus those that also involved
-
psnet.ahrq.gov/node/47213/psn-pdf
June 20, 2018 - are-second-victims-getting-help-they-need
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
-
psnet.ahrq.gov/node/43835/psn-pdf
February 11, 2015 - doctors-experiences-adverse-events-secondary-care-professional-and-
personal-impact
According to this survey study, physicians involved
-
psnet.ahrq.gov/node/36122/psn-pdf
January 05, 2017 - In this case, the
MET conducted the initial resuscitation of the patient and was involved in coordinating
-
psnet.ahrq.gov/node/35216/psn-pdf
December 22, 2009 - issue/educational-intervention-enhance-nurse-leaders-perceptions-patient-safety-
culture
This study involved
-
psnet.ahrq.gov/node/47159/psn-pdf
August 01, 2018 - safety-ii-behavior-pediatric-intensive-care-unit
The traditional approach to patient safety, frequently referred to as Safety-I, involved
-
psnet.ahrq.gov/node/34644/psn-pdf
December 23, 2008 - The most common type of error involved dosing.
-
psnet.ahrq.gov/node/39174/psn-pdf
December 16, 2009 - review of incident reports found more than 100
cases in a 5-year period in which parents were directly involved
-
psnet.ahrq.gov/node/49664/psn-pdf
January 01, 2013 - In a study of 60 surgical malpractice claims associated with poor
communication, 43% involved poor handoffs … checklist and standardized
communication, and a joint plan developed by the multiprofessional teams involved … situational picture and
goals
Briefings
A specific phase for
information transfer
All team members
involved … about having the
best people but having
people who work
together")
Involvement
All team members
involved … Consultants maintain overall
picture and awareness by
standing back and monitoring
rather than being involved
-
psnet.ahrq.gov/node/39501/psn-pdf
January 03, 2017 - Of the 300,000 medication events
reported, approximately 4% involved heparin products, with the administration
-
psnet.ahrq.gov/node/45060/psn-pdf
January 01, 2017 - patients undergoing
upper endoscopy, there was an increased rate of serious adverse events in cases that involved
-
psnet.ahrq.gov/node/42252/psn-pdf
May 08, 2013 - Many of the events involved failure to rescue.
-
psnet.ahrq.gov/node/44186/psn-pdf
November 10, 2015 - This study reports on the development of a checklist for
safe intra-hospital transport, which involved
-
psnet.ahrq.gov/node/34812/psn-pdf
March 05, 2008 - Further discussion outlines the steps involved in applying the technique and
how this systematic process
-
psnet.ahrq.gov/node/43784/psn-pdf
December 17, 2014 - The authors suggest that clinicians and
health care consumers be involved in designing metrics and collecting
-
psnet.ahrq.gov/node/39032/psn-pdf
September 19, 2016 - This study examined how clinicians recover from the
psychological stress of being involved in an error