Results

Total Results: over 10,000 records

Showing results for "involving".

401. 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

402. 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

403. 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

404. 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

405. 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

406. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38933/psn-pdf
     June 16, 2019 - ismp-medication-error-report-analysis-38 This monthly selection of error reports discusses incidents involving

407. Analysis of reported drug interactions: a recipe for harm to patients. | PSNet
     psnet.ahrq.gov/issue/analysis-reported-drug-interactions-recipe-harm-patients
     January 20, 2016 - Copy Citation Related Resources From the Same Author(s) Medication errors involving … December 19, 2016 Medication errors involving healthcare students.

408. Medication errors affecting pediatric patients: unique challenges for this special population. | PSNet
     psnet.ahrq.gov/issue/medication-errors-affecting-pediatric-patients-unique-challenges-special-population
     January 20, 2016 - Copy Citation Related Resources From the Same Author(s) Medication errors involving … April 16, 2018 Medication errors involving healthcare students.

409. Why it's so easy for doctors to misdiagnose kids. | PSNet
     psnet.ahrq.gov/issue/why-its-so-easy-doctors-misdiagnose-kids
     December 09, 2015 - February 10, 2015 Human-based errors involving smart infusion pumps: a catalog of error … frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39158/psn-pdf
     June 16, 2019 - ismp-medication-error-report-analysis-40 This monthly selection of error reports discusses incidents involving

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38266/psn-pdf
     June 16, 2019 - includes examples of confusion regarding medication delivery instructions and sound-alike mistakes involving

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37162/psn-pdf
     June 16, 2019 - ismp-medication-error-report-analysis-16 This monthly selection of medication error reports describes mix-ups involving

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38605/psn-pdf
     June 16, 2019 - issue/ismp-medication-error-report-analysis-34 This monthly selection of reports discusses an error involving

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36356/psn-pdf
     June 16, 2019 - value of learning from rare yet severe events, shares successes with read backs, and reports on errors involving

415. 2015-05 Public (pdf file)
     hcup-us.ahrq.gov/reports/methods/2015-05_public.pdf
     January 01, 2015 - Offer guidance on how to identify hospital visits involving OS in the HCUP State databases and how … Data for visits involving OS need to be identified across multiple HCUP State databases to create a … observation and ED services  Outpatient records from the SASD involving OS but not ED services …  Inpatient records from the SID involving OS. … Most Common First-Listed Diagnosis on State Emergency Department Databases (SEDD) Records Involving

416. Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review. | PSNet
     psnet.ahrq.gov/issue/comparing-rates-adverse-events-detected-incident-reporting-and-global-trigger-tool-systematic
     December 13, 2023 - July 19, 2023 A mixed-methods analysis of patient safety incidents involving opioid substitution … October 12, 2016 Patient safety incidents involving sick children in primary care in

417. Errors originating in hospital and health-system outpatient pharmacies. | PSNet
     psnet.ahrq.gov/issue/errors-originating-hospital-and-health-system-outpatient-pharmacies
     December 19, 2016 - December 19, 2016 Medication errors involving healthcare students. … January 11, 2017 Medication errors involving overrides of healthcare technology.

418. Characteristics of medication errors made by students during the administration phase: a descriptive study. | PSNet
     psnet.ahrq.gov/issue/characteristics-medication-errors-made-students-during-administration-phase-descriptive-study
     July 13, 2009 - Related Resources From the Same Author(s) Nursing student medication errors involving … July 13, 2009 Medication errors involving the intravenous administration route: characteristics

419. Current status of the monitoring of medication practice. | PSNet
     psnet.ahrq.gov/issue/current-status-monitoring-medication-practice
     May 28, 2015 - January 5, 2017 Medication errors involving wrong administration technique. … April 6, 2011 Medication errors involving patient-controlled analgesia.  

420. Omission of high-alert medications: a hidden danger. | PSNet
     psnet.ahrq.gov/issue/omission-high-alert-medications-hidden-danger
     January 11, 2017 - January 11, 2017 Medication errors involving overrides of healthcare technology. … December 19, 2016 Medication errors involving healthcare students.