Results

Total Results: 7,144 records

Showing results for "involving".

161. Medication errors with the dosing of insulin: problems across the continuum. | PSNet
     psnet.ahrq.gov/issue/medication-errors-dosing-insulin-problems-across-continuum
     March 14, 2012 - This article analyzed 2685 event reports involving insulin and found that the most common error types … April 17, 2017 Medication errors involving healthcare students.

162. Fatal misadministration of IV vincristine. | PSNet
     psnet.ahrq.gov/issue/fatal-misadministration-iv-vincristine
     December 21, 2016 - December 1, 2005 This alert responds to fatal medication errors involving vincristine and reiterates … December 23, 2016 Medication prescribing errors involving the route of administration

163. Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. | PSNet
     psnet.ahrq.gov/issue/seeking-systems-based-facilitators-safety-and-healthcare-resilience-thematic-review-incident
     December 06, 2023 - This study used incident reports involving anticoagulant medication errors to demonstrate the effectiveness … August 10, 2011 USP drug safety review: medication errors involving NMBAs.   

164. 2016 Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards, including standards for pediatric oncology. | PSNet
     psnet.ahrq.gov/issue/2016-updated-american-society-clinical-oncologyoncology-nursing-society-chemotherapy
     February 15, 2023 - Administration errors involving chemotherapeutic agents can result in patient harm. … September 24, 2010 Oncology nurses' perceptions about involving patients in the prevention

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865531/psn-pdf
     April 10, 2024 - Using standardized participants, trainees were presented with a case involving an 18-month-old African … As part of the simulation, an orthopedic resident on the care team was pushing for involving child welfare

166. Paralyzed by mistakes: preventing errors with neuromuscular blocking agents. | PSNet
     psnet.ahrq.gov/issue/paralyzed-mistakes-preventing-errors-neuromuscular-blocking-agents
     June 10, 2018 - This article provides examples of incidents involving neuromuscular blocking agents and lists recommendations … December 23, 2016 Medication prescribing errors involving the route of administration

167. Patient Stories 2013: Time for Change. | PSNet
     psnet.ahrq.gov/issue/patient-stories-2013-time-change
     November 14, 2011 - This publication provides patient and family accounts of incidents involving inadequate care or harm … April 24, 2013 Involving Patients in Improving Safety.

168. The future of safety and quality in radiation oncology. | PSNet
     psnet.ahrq.gov/issue/future-safety-and-quality-radiation-oncology
     May 17, 2023 - Radiation oncology represents a complex care process involving a multidisciplinary team and can present … March 15, 2023 Root cause analysis of cases involving diagnosis.

169. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60248/psn-pdf
     April 22, 2020 - Incidents were equally divided among calls involving prescription- only medications, over-the-counter … involved medication that had been removed from the original container; this was more likely in incidents involving

170. Patterns of disrespectful physician behavior at an academic medical center: implications for training, prevention, and remediation. | PSNet
     psnet.ahrq.gov/issue/patterns-disrespectful-physician-behavior-academic-medical-center-implications-training
     June 14, 2023 - Researchers retrospectively reviewed events involving disrespectful provider behavior at a single academic … Male physicians and those in procedural specialties were more likely to be involved in an event involving

171. Delays in care during the COVID-19 pandemic in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/delays-care-during-covid-19-pandemic-veterans-health-administration
     May 17, 2023 - submitted to the VHA National Center of Patient Safety , researchers identified healthcare delays involving … October 26, 2022 Adverse events involving telehealth in the Veterans Health Administration

172. Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? | PSNet
     psnet.ahrq.gov/issue/retrospective-cohort-study-wrong-patient-imaging-order-errors-how-many-reach-patient
     February 22, 2023 - 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

173. High-risk medication errors: insight from the UK National Reporting and Learning System. | PSNet
     psnet.ahrq.gov/issue/high-risk-medication-errors-insight-uk-national-reporting-and-learning-system
     January 12, 2022 - Errors involving high-risk medications have the potential to cause serious harm or death. … In this study, incident reports from the UK's National Reporting and Learning System involving three

174. Thresholds, rules and defensive strategies: how physicians learn from their prior diagnosis-related experiences. | PSNet
     psnet.ahrq.gov/issue/thresholds-rules-and-defensive-strategies-how-physicians-learn-their-prior-diagnosis-related
     April 15, 2020 - After reviewing cases involving a missed diagnosis, clinicians proposed both analytical and intuitive … frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving

175. Technological methods used to prevent errors aren't infallible. | PSNet
     psnet.ahrq.gov/issue/technological-methods-used-prevent-errors-arent-infallible
     January 05, 2017 - Download Citation Related Resources From the Same Author(s) Medication errors involving … January 5, 2017 Medication errors involving wrong administration technique. … January 2, 2017 Medication errors involving pediatric patients.

176. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43394/psn-pdf
     July 30, 2014 - dispensing more than one dose of certain medications, this newsletter article describes an incident involving … psnet.ahrq.gov/issue/oral-chemotherapy-we-simply-must-do-better https://psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy

177. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38942/psn-pdf
     November 25, 2009 - situ simulation to identify and resolve latent environmental threats to patient safety: case study involving … situ simulation to identify and resolve latent environmental threats to patient safety: case study involving

178. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35376/psn-pdf
     April 11, 2011 - pediatric resuscitation cart based on the Broselow tape: a randomized, controlled, crossover trial involving … pediatric resuscitation cart based on the Broselow tape: a randomized, controlled, crossover trial involving

179. Learning from experience: a qualitative study of surgeons' perspectives on reporting and dealing with serious adverse events. | PSNet
     psnet.ahrq.gov/issue/learning-experience-qualitative-study-surgeons-perspectives-reporting-and-dealing-serious
     June 12, 2024 - In this qualitative study involving 15 surgeons from four academic hospitals in Norway, researchers identified … September 21, 2022 Gender bias in risk management reports involving physicians in training

180. FDA Advise-ERR: avoid using the error-prone abbreviation, TPA. | PSNet
     psnet.ahrq.gov/issue/fda-advise-err-avoid-using-error-prone-abbreviation-tpa
     April 29, 2015 - Describing incidents involving abbreviation confusion for ACTIVASE (alteplase) and TNKASE (tenecteplase … November 18, 2015 Accidental overdoses involving fluorouracil infusions.