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Showing results for "involving".

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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.

  7. AHRQ CDSiC Project Summary March 2025 (pdf file)

    digital.ahrq.gov/sites/default/files/CDSiC%20Project%20Summary_1.31.25_508c.pdf
    March 01, 2025 - Preferences for PC CDS Within Clinician Workflows and Patient Lifeflows * GUIDES & TOOLS • Methods for Involving … End Users in PC CDS Co-Design • Chartbook: Involving End-Users in Co-Design of PC CDS * • An Introductory … patient-preferences-infographic https://cdsic.ahrq.gov/cdsic/patient-preferences-workflow-lifeflow https://cdsic.ahrq.gov/cdsic/involving-endusers-codesign … https://cdsic.ahrq.gov/cdsic/involving-endusers-codesign-chartbookbook https://cdsic.ahrq.gov/cdsic/

  8. AHRQ CDSiC Project Summary March 2025 (pdf file)

    cdsic.ahrq.gov/sites/default/files/2025-03/CDSiC%20Project%20Summary_1.31.25_508c.pdf
    January 01, 2025 - Preferences for PC CDS Within Clinician Workflows and Patient Lifeflows * GUIDES & TOOLS • Methods for Involving … End Users in PC CDS Co-Design • Chartbook: Involving End-Users in Co-Design of PC CDS * • An Introductory … patient-preferences-infographic https://cdsic.ahrq.gov/cdsic/patient-preferences-workflow-lifeflow https://cdsic.ahrq.gov/cdsic/involving-endusers-codesign … https://cdsic.ahrq.gov/cdsic/involving-endusers-codesign-chartbookbook https://cdsic.ahrq.gov/cdsic/

  9. 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

  10. 2024 Network of Patient Safety Databases Chartbook (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
    January 01, 2024 - Incorrect action Incidents involving a Medication/substance that is known to be an allergen to the … Incorrect action Incidents involving a Medication/substance that is known to be contraindicated for … Incorrect action Incidents involving Expired or deteriorated medication/substances reported the lowest … Incorrect actions involving Allergens and Contraindications displayed similar rates with the majority … Staff qualifications were most frequently reported as a contributing factor for Near Misses involving

  11. Obstetric Delivery Inpatient Stays Involving Substance Use Disorders and Related Clinical Outcomes, 2016 #254

    hcup-us.ahrq.gov/reports/statbriefs/sb254-Delivery-Hospitalizations-Substance-Use-Clinical-Outcomes-2016.jsp
    October 01, 2019 - STATISTICAL BRIEF #254

  12. 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

  13. 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

  14. 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

  15. Healthcare Cost and Utilization Project (HCUP) NRD Notes

    hcup-us.ahrq.gov/db/vars/samedayevent/nrdnote.jsp
    August 01, 2015 - Identifies transfer and same-day stay collapsed records 0 Not a transfer or other same-day stay 1 Transfer involving … two discharges from different hospitals 2 Same-day stay involving two discharges from different hospitals … 3 Same-day stay involving two discharges at the same hospital 4 Same-day stay involving three or more

  16. 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.

  17. Deploying med reconciliation. | PSNet

    psnet.ahrq.gov/issue/deploying-med-reconciliation
    January 06, 2017 - This commentary describes how one medical center developed a medication reconciliation  program involving … July 19, 2010 Medication errors involving pediatric patients.

  18. Statistical Brief #137: Hospital Visits in the U.S. for Firearm-Related Injuries, 2009 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb136.pdf
    March 01, 2012 - of all suicides) and 12,200 homicides (68 percent of all homicides) in the United States.1 Assault involving … Emergency department visits involving injury with a firearm by manner/intent In 2009, about half of … Characteristics of emergency department visits for injury involving a firearm ED visits for firearm … Emergency department visits in the U.S. for injury involving a firearm by manner/intent, 2009 Manner … ED visits for unintentional and self-inflicted injuries involving a firearm were more likely to occur

  19. Medication errors attributed to health information technology. | PSNet

    psnet.ahrq.gov/issue/medication-errors-attributed-health-information-technology
    March 27, 2018 - March 27, 2018 Medication errors involving healthcare students. … January 11, 2017 Medication errors involving overrides of healthcare technology. … September 7, 2016 Medication errors involving overrides of healthcare technology.

  20. ESP-VAERS Case Identification and Reporting Protocol | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/esp-vaers-case-identification
    January 01, 2023 - Reporting Protocol Description Describes a protocol used to report adverse events involving
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