-
psnet.ahrq.gov/node/60619/psn-pdf
June 24, 2020 - Antibiotics, pain medicines, and sedatives/hypnotics were the most
common medication types involved … in these errors, and the most common error types involved the wrong
medication, incorrect dose and incorrect
-
psnet.ahrq.gov/node/72723/psn-pdf
February 10, 2021 - impact-critical-incidents-nurses-and-midwives-systematic-review
Adverse events can have significant impacts on the providers involved … impact-critical-incidents-nurses-and-midwives-systematic-review
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
-
psnet.ahrq.gov/node/72721/psn-pdf
February 10, 2021 - supporting-recovery-after-adverse-events-essential-component-surgeon-well-
being
Clinicians who are involved … supporting-recovery-after-adverse-events-essential-component-surgeon-well-being
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
-
cdsic.ahrq.gov/cdsic/operations-center-operational-framework-oy2
December 06, 2024 - and Coordinating CDS
Resources
News
CDSiC Leadership Viewpoints
Get Involved … GET INVOLVED IN CDSiC BY:
Signing up for the CDSiC Insider newsletter
Expressing interest … joining a CDSiC Workgroup
Sharing your feedback and/or questions with the CDSiC team
Get Involved
-
cdsic.ahrq.gov/cdsic/stakeholder-center-quarterly-report-April-June-2024
July 01, 2024 - and Coordinating CDS
Resources
News
CDSiC Leadership Viewpoints
Get Involved … GET INVOLVED IN CDSiC BY:
Signing up for the CDSiC Insider newsletter
Expressing interest … joining a CDSiC Workgroup
Sharing your feedback and/or questions with the CDSiC team
Get Involved
-
www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-slides.html
February 01, 2017 - For 209 PT sessions:
45 percent involved exercises in bed.
25 percent involved passive transfer … to sitting.
11 percent involved sitting over the edge of the bed.
11 percent involved standing at … the bedside.
4 percent of all sessions involved transfer from bed to chair through standing.
12 … percent involved walking (no patients walked before day 7).
4.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
January 01, 2004 - , the occurrence
type, the medication or medication classes involved, and the breakdown by
patient … This finding is not unexpected, as 90
percent of the errors involved administration of a drug (errors … nurse was involved in 77
percent of the cases, physicians were involved in 58 percent of the cases, … and a
registered pharmacist was involved in 18 percent of the cases. … A review of medication classes involved revealed the
most common classes to be cardiovascular drugs
-
www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-11.html
July 01, 2022 - Tracks the type of discrepancies, number of interventions, drug/drug class involved, harm averted, etc … Note: Independent reviewer could be any discipline involved in medication reconciliation (e.g., physician
-
www.ahrq.gov/patient-safety/settings/hospital/match/figure-11.html
July 01, 2022 - Tracks the type of discrepancies, number of interventions, drug/drug class involved, harm averted, etc … Note: Independent reviewer could be any discipline involved in medication reconciliation (e.g., physician
-
psnet.ahrq.gov/node/860390/psn-pdf
January 10, 2024 - identified several factors supporting successful implementation of
programs to support healthcare workers involved … key-factors-effective-implementation-healthcare-workers-support-interventions-after-patient
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
-
cdsic.ahrq.gov/cdsic/project-summary
October 31, 2022 - Resources
Events
News
Newsletters
CDSiC Leadership Viewpoints
Get Involved … GET INVOLVED IN CDSiC BY:
Signing up for the CDSiC Insider newsletter
Expressing interest … joining a CDSiC Workgroup
Sharing your feedback and/or questions with the CDSiC team
Get Involved
-
www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-fac-guide.html
February 01, 2017 - you can see here, in 45 percent of these sessions, patients were able to exercise in bed. 25 percent involved … passive transfer to sitting, 11 percent involved sitting over the end of the bed—meaning their legs … dangled over the edge—11 percent involved patients standing at the bedside, 4 percent involved having … Slide 15: PT Reported Barriers to Early Mobilization
Say:
Physical therapists involved in the
-
psnet.ahrq.gov/node/836961/psn-pdf
April 20, 2022 - coping-and-recovery-surgical-residents-after-adverse-events-second-victim-phenomenon
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
https
-
psnet.ahrq.gov/node/60644/psn-pdf
July 01, 2020 - adverse-events-and-burnout-moderating-effects-workgroup-identification-and-
safety-climate
Healthcare providers involved … adverse-events-and-burnout-moderating-effects-workgroup-identification-and-safety-climate
https://psnet.ahrq.gov/issue/increased-risk-burnout-physicians-and-nurses-involved-patient-safety-incident
-
psnet.ahrq.gov/node/73376/psn-pdf
June 09, 2021 - This cross-sectional survey of Dutch nurses and doctors found that most respondents
(86%) had been involved … physicians-needs-coping-emotional-stressors-case-peer-support
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
-
psnet.ahrq.gov/node/841769/psn-pdf
December 21, 2022 - negative-emotions-experienced-healthcare-staff-following-medication-
administration-errors
Healthcare staff who are involved … negative-emotions-experienced-healthcare-staff-following-medication-administration-errors
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
-
psnet.ahrq.gov/node/73441/psn-pdf
June 30, 2021 - The most preferred phrase involved an explanation of risk of side effects
associated with the medications … while the least preferred options focused on the effort involved in taking
the medication and “this
-
psnet.ahrq.gov/node/72658/psn-pdf
January 20, 2021 - error
Physicians often experience considerable emotional distress, shame, and self-doubt after being involved … i-made-mistake-narrative-analysis-experienced-physicians-stories-preventable-error
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
-
psnet.ahrq.gov/node/73168/psn-pdf
April 21, 2021 - incidents
in critical care units in England between 2009 and 2017 and found that a small proportion (2%) involved … Common factors involved in fall incidents included patients attempting tasks without assistance, patient
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary8.html
September 01, 2015 - Pennsylvania, South Carolina, Utah, Vermont, West Virginia, and Wyoming had projects that explicitly involved … Two grants involved three-State partnerships: Oregon-Alaska-West Virginia and Maryland-Georgia-Wyoming … Four grants involved two-State partnerships: Utah-Idaho, Florida-Illinois, Maine-Vermont, and Colorado-New