Results

Total Results: 7,144 records

Showing results for "involving".

241. Key vulnerabilities in the surgical environment: container mix-ups and syringe swaps. | PSNet
     psnet.ahrq.gov/issue/key-vulnerabilities-surgical-environment-container-mix-ups-and-syringe-swaps
     June 10, 2018 - July 8, 2015 Accidental overdoses involving fluorouracil infusions. … February 1, 2023 WebM&M Cases Multiple High-Risk Events Involving

242. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
     January 01, 2022 - Spotlight Spotlight Patient Safety Events Involving Opioid Dose Stacking Source and Credits • … Summarize strategies that can help address the multifactorial nature of pain 3 PATIENT SAFETY EVENTS INVOLVING … OPIOID DOSE STACKING Two cases involving patients who experienced adverse events due to perioperative … treating her ischemic heart disease and did not administer naloxone. 9 PATIENT SAFETY EVENTS INVOLVING … ://doi.org/10.3892/etm.2019.7915 Spotlight Source and Credits Objectives Patient Safety events involving

243. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60745/psn-pdf
     October 01, 2020 - Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia July 29, … Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia. … https://psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used- … https://psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia … prior to a procedure are all viable strategies to reduce overall waste.1 Medication Labeling Errors involving

244. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. | PSNet
     psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety-incident-report
     January 12, 2022 - December 16, 2015 A mixed-methods analysis of patient safety incidents involving opioid … December 16, 2020 Learning from patient safety incidents involving acutely sick adults

245. Causes of adverse events in home mechanical ventilation: a nursing perspective. | PSNet
     psnet.ahrq.gov/issue/causes-adverse-events-home-mechanical-ventilation-nursing-perspective
     November 10, 2021 - May 17, 2023 More than algorithms: an analysis of safety events involving ML-enabled … March 24, 2021 Reporting incidents involving the use of advanced medical technologies

246. High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. | PSNet
     psnet.ahrq.gov/issue/high-delayed-and-missed-injury-rate-after-inter-hospital-transfer-severely-injured-trauma
     December 02, 2020 - November 3, 2021 Medical malpractice lawsuits involving trainees in obstetrics and gynecology … February 5, 2020 Involving patients and carers in patient safety in primary care: a qualitative

247. "I am administering medication—please do not interrupt me": red tabards preventing interruptions as perceived by surgical patients. | PSNet
     psnet.ahrq.gov/issue/i-am-administering-medication-please-do-not-interrupt-me-red-tabards-preventing-interruptions
     May 12, 2021 - May 12, 2021 Critical incidents involving the medical emergency team: a 5-year retrospective … March 27, 2013 Oncology nurses' perceptions about involving patients in the prevention

248. Influences of physical layout and space on patient safety and communication in ambulatory oncology practices: a multisite, mixed method investigation. | PSNet
     psnet.ahrq.gov/issue/influences-physical-layout-and-space-patient-safety-and-communication-ambulatory-oncology
     August 25, 2021 - Related Resources From the Same Author(s) Learning from patient safety incidents involving … October 27, 2021 A mixed-methods analysis of patient safety incidents involving opioid

249. Evolution of intravenous medication errors and preventive systemic defenses in hospital settings-a narrative review of recent evidence. | PSNet
     psnet.ahrq.gov/issue/evolution-intravenous-medication-errors-and-preventive-systemic-defenses-hospital-settings
     July 01, 2020 - March 27, 2024 Medication errors and error chains involving high-alert medications in … December 8, 2021 Human-based errors involving smart infusion pumps: a catalog of error

250. Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives. | PSNet
     psnet.ahrq.gov/issue/factors-differentiating-nursing-homes-strong-resident-safety-climate-qualitative-study
     August 26, 2020 - November 3, 2021 Medical malpractice lawsuits involving trainees in obstetrics and gynecology … December 1, 2021 Involving patients and carers in patient safety in primary care: a qualitative

251. Human error, not communication and systems, underlies surgical complications. | PSNet
     psnet.ahrq.gov/issue/human-error-not-communication-and-systems-underlies-surgical-complications
     November 18, 2020 - December 11, 2024 Root cause analysis of cases involving diagnosis. … July 2, 2019 Medical malpractice lawsuits involving surgical residents.

252. Is oral chemotherapy prescription safe for patients? A cross-sectional survey. | PSNet
     psnet.ahrq.gov/issue/oral-chemotherapy-prescription-safe-patients-cross-sectional-survey
     May 18, 2022 - October 10, 2012 Predictors of prescription errors involving anticancer chemotherapy … December 1, 2011 Fatality involving vinblastine overdose as a result of a complex medical

253. Online patient feedback as a safety valve: an automated language analysis of unnoticed and unresolved safety incidents. | PSNet
     psnet.ahrq.gov/issue/online-patient-feedback-safety-valve-automated-language-analysis-unnoticed-and-unresolved
     August 05, 2020 - November 9, 2022 Learning from patient safety incidents involving acutely sick adults … September 19, 2018 A mixed-methods analysis of patient safety incidents involving opioid

254. Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database. | PSNet
     psnet.ahrq.gov/issue/patient-safety-trends-2021-analysis-288882-serious-events-and-incidents-nations-largest-event
     May 19, 2021 - March 24, 2021 Learning from patient safety incidents involving acutely sick adults in … October 12, 2022 Reporting incidents involving the use of advanced medical technologies

255. Association of past and future paid medical malpractice claims. | PSNet
     psnet.ahrq.gov/issue/association-past-and-future-paid-medical-malpractice-claims
     February 01, 2023 - August 26, 2020 An examination of medical malpractice claims involving physician trainees … August 3, 2020 A description of medical malpractice claims involving advanced practice

256. What are the experiences of team members involved in root cause analysis? A qualitative study. | PSNet
     psnet.ahrq.gov/issue/what-are-experiences-team-members-involved-root-cause-analysis-qualitative-study
     August 16, 2023 - December 6, 2023 A mixed-methods analysis of patient safety incidents involving opioid … July 7, 2021 Root cause analysis of adverse events involving opioid overdoses in the

257. Coming Up Short: Maintaining Safety in the Face of Drug Shortages | PSNet
     psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
     November 01, 2012 - This case raises two different patient safety concerns: (i) errors involving heparin and saline and ( … Errors involving heparin occur all too often. … Just like errors involving heparin, errors involving saline injection can lead to devastating outcomes … Adding to confusion about concentration in the case above was a drug shortage involving sterile saline … Involving upper management is critical for implementing any plan as they can help fulfill the plan if

258. Secondary traumatic stress in ob-gyn: a mixed methods analysis assessing physician impact and needs. | PSNet
     psnet.ahrq.gov/issue/secondary-traumatic-stress-ob-gyn-mixed-methods-analysis-assessing-physician-impact-and-needs
     July 07, 2021 - July 14, 2021 Learning from patient safety incidents involving acutely sick adults in … August 26, 2020 A mixed-methods analysis of patient safety incidents involving opioid

259. Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods. | PSNet
     psnet.ahrq.gov/issue/patient-harm-and-institutional-avoidability-out-hours-discharge-intensive-care-analysis-using
     February 10, 2021 - February 10, 2021 Learning from patient safety incidents involving acutely sick adults … September 7, 2022 A mixed-methods analysis of patient safety incidents involving opioid

260. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836978/psn-pdf
     May 16, 2022 - of communication surrounding transportation, either pre-, intra-, or post-transportation.2,4 Errors involving … Other types of errors involving patient transport include equipment malfunction, displacement of indwelling … Problems involving oxygen delivery have been noted, such https://psnet.ahrq.gov/issue/emergency-department-crowding-canary-health-care-system … multidisciplinary team developed a nurse-to-nurse in person checklist for intrahospital transfers involving … Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery