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Showing results for "involving".

261. 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

262. 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.

263. 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

264. 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

265. 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

266. 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

267. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
     March 31, 2008 - multiple harm outcomes (involving either more than one patient or multiple outcomes for a single patient … Errors involving participants outside the office were reported in 137 events (22.5 percent) and were … Errors involving communication from other offices were reported in 73 events (12.0 percent) and were … Errors involving disclosure, explanation, or followup with patients were reported in 55 events (9.9 … Errors involving the physician of record were nearly twice as likely to be associated with increased

268. 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

269. 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.

270. 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

271. Data Infographics | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/infographics/index.html
     July 01, 2025 - Spending in 2017 Sports-Related Traumatic Brain Injuries Among Children Inpatient Hospitalizations Involving … Influenza, 2006-2016 Treat and Release Emergency Department Visits Involving Influenza, 2006-2016 Emergency … providers' instructions Declines in Hospital-Acquired Conditions Opioid-related Hospitalizations in 2016 Involving

272. Facts and Figures Exhibit 5.12
     hcup-us.ahrq.gov/reports/factsandfigures/2008/exhibit5_12.jsp
     January 01, 2008 - Similarly, 44 percent of ED visits involving an alcohol-related disorder resulted in inpatient admission … Almost half (49 percent) of ED visits involving a drug-related disorder led to inpatient admission; 5 … (text version)   The discharge status of ED visits involving MHSA conditions varied by specific … Almost half of the ED visits involving a diagnosis of schizophrenia resulted in an inpatient admission … ED visits involving an anxiety or attention-deficit/conduct/disruptive behavior disorder led more often

273. 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.   

274. Black History Month | Agency for Healthcare Research and Quality
     www.ahrq.gov/priority-populations/observances/bhm/index.html
     February 01, 2025 - and Utilization Project Statistical Briefs #243: Trends and Disparities in Delivery Hospitalizations Involving … Infographic ( PDF , 171 KB) #222: Delivery Hospitalizations Involving Preeclampsia and Eclampsia, 2005

275. 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

276. 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

277. 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

278. 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.

279. 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.

280. 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