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Showing results for "involving".

341. Large-scale implementation of the I-PASS handover system at an academic medical centre. | PSNet
     psnet.ahrq.gov/issue/large-scale-implementation-i-pass-handover-system-academic-medical-centre
     March 27, 2018 - January 13, 2021 An examination of medical malpractice claims involving physician trainees … April 29, 2020 Lessons learned from medical malpractice claims involving critical care … August 5, 2020 A description of medical malpractice claims involving advanced practice

342. Pediatric ADHD medication exposures reported to US poison control centers. | PSNet
     psnet.ahrq.gov/issue/pediatric-adhd-medication-exposures-reported-us-poison-control-centers
     November 28, 2018 - November 4, 2014 Therapeutic errors involving diabetes medications reported to United … October 30, 2024 Unintentional therapeutic errors involving insulin in the ambulatory … February 28, 2018 Patient safety incidents involving sick children in primary care in

343. Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. | PSNet
     psnet.ahrq.gov/issue/patient-safety-palliative-care-mixed-methods-study-reports-national-database-serious
     May 16, 2018 - April 1, 2020 A mixed-methods analysis of patient safety incidents involving opioid substitution … November 11, 2020 Patient safety incidents involving sick children in primary care in … February 8, 2018 Learning from patient safety incidents involving acutely sick adults

344. Safety incidents in the primary care office setting. | PSNet
     psnet.ahrq.gov/issue/safety-incidents-primary-care-office-setting
     October 12, 2016 - October 12, 2016 Patient safety incidents involving sick children in primary care in … September 24, 2017 A mixed-methods analysis of patient safety incidents involving opioid … December 18, 2017 Patient safety incidents involving sick children in primary care in

345. The texting debate: beneficial means of communication or safety and security risk? | PSNet
     psnet.ahrq.gov/issue/texting-debate-beneficial-means-communication-or-safety-and-security-risk
     July 12, 2023 - July 8, 2015 Accidental overdoses involving fluorouracil infusions. … November 30, 2016 Medication errors involving overrides of healthcare technology.

346. RFID tags reduce restocking errors of anesthesia medications. | PSNet
     psnet.ahrq.gov/issue/rfid-tags-reduce-restocking-errors-anesthesia-medications
     August 07, 2019 - , 2021 WebM&M Cases Multiple High-Risk Events Involving … August 31, 2011 WebM&M Cases Vial Mistakes Involving

347. Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist reported errors in oncology infusion centers of a health-system. | PSNet
     psnet.ahrq.gov/issue/assessing-impact-electronic-chemotherapy-order-verification-checklist-pharmacist-reported
     January 22, 2016 - Medication errors involving chemotherapy can lead to serious patient harm. … This retrospective study examined medication errors involving chemotherapies reported at one hospital

348. Virginia Tech as a sentinel event: the role of psychiatry in managing emotionally troubled students on college and university campuses. | PSNet
     psnet.ahrq.gov/issue/virginia-tech-sentinel-event-role-psychiatry-managing-emotionally-troubled-students-college
     April 24, 2018 - Exploring a sentinel event at a college involving a student with mental health issues, this commentary … The author advocates for a more robust process for involving psychiatrists in the care of troubled students

349. Mobile in situ obstetric emergency simulation and teamwork training to improve maternal–fetal safety in hospitals. | PSNet
     psnet.ahrq.gov/issue/mobile-situ-obstetric-emergency-simulation-and-teamwork-training-improve-maternal-fetal
     July 09, 2008 - This article describes the development of a teamwork training program involving high-fidelity simulation … situ simulation to identify and resolve latent environmental threats to patient safety: case study involving

350. Preventing medication errors in long-term care: results and evaluation of a large scale web-based error reporting system. | PSNet
     psnet.ahrq.gov/issue/preventing-medication-errors-long-term-care-results-and-evaluation-large-scale-web-based
     June 15, 2011 - More than 2700 errors were reported in the first year, primarily involving errors in medication administration … , and frequently involving known high-risk medications such as sedatives, pain medications, and anticoagulants

351. Missed diagnosis of cancer in primary care: insights from malpractice claims data. | PSNet
     psnet.ahrq.gov/issue/missed-diagnosis-cancer-primary-care-insights-malpractice-claims-data
     March 15, 2017 - A previous WebM&M commentary discussed an incident involving a missed diagnosis of spinal cord injury … frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving

352. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38871/psn-pdf
     August 19, 2009 - Involving patients resulted in significantly more medication adjustments and likely more accurate medication … This study highlights the importance of involving patients in safety efforts, which is a 2009 Joint

353. How To: Collaborate with Patients on Patient-Centered Clinical Decision Support (pdf file)
     cdsic.ahrq.gov/sites/default/files/2025-09/Collaborate%20with%20Patients%20How%20To%20Guide_Final%208.27.25.pdf
     January 01, 2025 - Publication Number: 25-0076 OVERVIEW ___________________________________________________ Involving … Methods for Involving End-Users in PC CDS Codesign 4. … To guide stakeholders in effectively involving end-users in the codesign of PC CDS, the report identifies … Trust and Patient Centeredness Workgroup: Methods for Involving End-users in PC CDS Co-design. … Trust and Patient-Centeredness Workgroup: Methods for Involving End-Users in PC CDS Codesign.

354. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49845/psn-pdf
     October 01, 2018 - 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

355. Resident and Family Engagement: What is my role as a leader? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/engage/rfe-role-leader.pdf
     March 01, 2017 - Involving residents and family members in harm prevention efforts— • Promotes a comprehensive approach … Develop resident councils. • Invite residents to participate in decisions involving new programs and

356. Nurses' experiences of drug administration errors. | PSNet
     psnet.ahrq.gov/issue/nurses-experiences-drug-administration-errors
     October 14, 2020 - March 22, 2023 View More Related Resources Medication errors involving … February 2, 2011 Oncology nurses' perceptions about involving patients in the prevention

357. Challenges and Opportunities with ICD-10-CM/PCS: Implications for Surgical Research Involving Administrative Data (pdf file)
     hcup-us.ahrq.gov/datainnovations/Challenges_and_Opportunities_ICD10CMPCS.pdf
     October 01, 2014 - Challenges and Opportunities with ICD-10-CM/PCS: Implications for Surgical Research Involving Administrative … COLLECTIVE REVIEWS Challenges and Opportunities with ICD-10-CM/PCS: Implications for Surgical Research Involving … Immunity Disorders 3 D50-D89 Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving … Most laparoscopic and thoracoscopic procedures would be coded as involving a “percutaneous endoscopic … 00327-X/sref6 Challenges and Opportunities with ICD-10-CM/PCS: Implications for Surgical Research Involving

358. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39004/psn-pdf
     April 04, 2011 - accountability, discusses why enforcement of safety standards tends to be lax (particularly in cases involving … They also offer suggested penalties (mostly involving suspension of clinical privileges) for repeated

359. Fatal flaws in clinical decision making. | PSNet
     psnet.ahrq.gov/issue/fatal-flaws-clinical-decision-making
     March 03, 2011 - 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

360. Competencies for improving diagnosis: an interprofessional framework for education and training in health care. | PSNet
     psnet.ahrq.gov/issue/competencies-improving-diagnosis-interprofessional-framework-education-and-training-health
     September 12, 2018 - A previous WebM&M commentary discussed an incident involving a diagnostic error. … September 12, 2018 Root cause analysis of cases involving diagnosis.