Results

Total Results: 7,144 records

Showing results for "involving".

141. Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. | PSNet
     psnet.ahrq.gov/issue/sources-unsafe-primary-care-older-adults-mixed-methods-analysis-patient-safety-incident
     October 12, 2016 - to this mixed-methods analysis of 8 years of data, the most common voluntarily reported incidents involving … December 16, 2015 Patient safety incidents involving sick children in primary care in … December 15, 2021 A mixed-methods analysis of patient safety incidents involving opioid

142. The patient died: what about involvement in the investigation process? | PSNet
     psnet.ahrq.gov/issue/patient-died-what-about-involvement-investigation-process
     June 24, 2020 - The authors discuss how involving families  in the investigations of fatal adverse events can improve … June 24, 2020 Root cause analysis of adverse events involving opioid overdoses in the

143. Opioid Stewardship | PSNet
     psnet.ahrq.gov/curated-library/opioid-stewardship
     December 15, 2024 - WebM&Ms (1) Spotlight Case Patient Safety Events Involving Opioid Dose Stacking … Cathy Lammers, MD | January 26, 2022 This WebM&M features two cases involving … Patient Safety Events Involving Opioid Dose Stacking Hollie Porras, PharmD, BCPS, and Cathy Lammers … Facebook Twitter Linkedin Copy URL This WebM&M features two cases involving

144. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860724/psn-pdf
     January 17, 2024 - January 1 to December 31, 2019, this study calculated the proportion of wrong-patient imaging orders involving … The researchers estimated an overall rate of 51.5 per 100,000 imaging orders involving wrong-patient

145. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50852/psn-pdf
     January 29, 2020 - failure-mode-and-effects-analysis-reduce-risk-heparin-use https://psnet.ahrq.gov/issue/harmful-medication-errors-involving-unfractionated-and-low-molecular-weight-heparin-three … https://psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin https://psnet.ahrq.gov/web-mm/central-line-clot

146. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844555/psn-pdf
     February 15, 2023 - ahrq-funded-patient-safety-project-highlights-improving-healthcare-safety- engaging-patients Research has shown that involving … Efforts highlighted include those involving patients and families in activities designed to report and

147. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families. | PSNet
     psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-healthcare-safety-engaging-patients
     March 22, 2024 - Research has shown that involving patients , their families and caregivers, in the planning, delivery … Efforts highlighted include those involving patients and families in activities designed to report

148. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73358/psn-pdf
     June 02, 2021 - exploring-how-nursing-schools-handle-student-errors-and-near-misses https://psnet.ahrq.gov/issue/medication-errors-involving-nursing-students-systematic-review … https://psnet.ahrq.gov/issue/medication-errors-involving-nursing-students-systematic-review https://

149. Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor study. | PSNet
     psnet.ahrq.gov/issue/understanding-medication-safety-involving-patient-transfer-intensive-care-hospital-ward
     November 14, 2018 - Study Understanding medication safety involving patient transfer from intensive care … Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative … Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative

150. The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations. | PSNet
     psnet.ahrq.gov/issue/frequency-diagnostic-errors-outpatient-care-estimations-three-large-observational-studies
     April 09, 2013 - frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving … frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving … frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving

151. Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to historically marginalized patients. | PSNet
     psnet.ahrq.gov/issue/experiences-and-perceptions-healthcare-stakeholders-disclosing-errors-and-adverse-events
     July 31, 2024 - This qualitative study involving clinicians and patient safety professionals explored challenges responding … to and disclosing errors involving historically marginalized patients.

152. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/858171/psn-pdf
     December 13, 2023 - uncovering-risks-anticancer-therapy-through-incident-report-analysis-using- newly-developed Oncology is a high-risk care environment involving … /web-mm/chemotherapy-administration-safety-standards https://psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy

153. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47496/psn-pdf
     June 15, 2019 - Mortality database over a 1-year period, researchers fully audited 3422 deaths and identified 226 cases involving … A WebM&M commentary discussed an incident involving a diagnostic error in which a patient was taken

154. Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. | PSNet
     psnet.ahrq.gov/issue/prevalence-errors-anaphylaxis-kids-peak-multicenter-simulation-based-study
     June 15, 2022 - This simulation study involved 28 hospitals in 6 countries to characterize medication errors involving … View More Related Resources Medication errors and error chains involving

155. What interventions could reduce diagnostic error in emergency departments? A review of evidence, practice and consumer perspectives. | PSNet
     psnet.ahrq.gov/issue/what-interventions-could-reduce-diagnostic-error-emergency-departments-review-evidence
     November 25, 2020 - A WebM&M commentary discussed an incident involving a diagnostic delay in the emergency department. … October 19, 2022 Root cause analysis of cases involving diagnosis.

156. Enhanced free-text search for aggregated medication error report analysis and risk detection. | PSNet
     psnet.ahrq.gov/issue/enhanced-free-text-search-aggregated-medication-error-report-analysis-and-risk-detection
     April 12, 2019 - This study used an enhanced free-text search method to identify the medication error (ME) reports involving … This approach increased the number of identified ME reports involving the specified medications and identified

157. Patient safety incidents caused by poor quality surgical instruments. | PSNet
     psnet.ahrq.gov/issue/patient-safety-incidents-caused-poor-quality-surgical-instruments
     April 06, 2022 - identified numerous cases of patient harm due to malfunctioning surgical equipment, the most common involving … A WebM&M commentary discussed an incident involving life-threatening hemorrhage due to a broken surgical

158. Nursing student medication errors: a case study using root cause analysis. | PSNet
     psnet.ahrq.gov/issue/nursing-student-medication-errors-case-study-using-root-cause-analysis
     November 16, 2022 - This commentary examines a medication error involving insulin using root case analysis to identify … October 19, 2022 View More Related Resources Medication errors involving

159. The hidden cost of regulation: the administrative cost of reporting serious reportable events. | PSNet
     psnet.ahrq.gov/issue/hidden-cost-regulation-administrative-cost-reporting-serious-reportable-events
     December 02, 2020 - January 13, 2021 An examination of medical malpractice claims involving physician trainees … August 19, 2020 Lessons learned from medical malpractice claims involving critical care … August 5, 2020 A description of medical malpractice claims involving advanced practice

160. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42042/psn-pdf
     December 18, 2013 - https://psnet.ahrq.gov/issue/finding-patient-patient-safety Highlighting the value of involving patients … https://psnet.ahrq.gov/issue/finding-patient-patient-safety https://psnet.ahrq.gov/issue/involving-patients-improving-safety