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psnet.ahrq.gov/web-mm/discharge-fumbles
September 09, 2009 - Infrastructure, such as clinic space on the medical ward, is required so that when patients need to be … on high-risk or large numbers of medications, and patients with multiple diagnoses who have received intensive … In-hospital case management with intensive nurse follow-up has been demonstrated to reduce hospital readmissions … Adverse events among medical patients after discharge from hospital. … The cost-effectiveness of intensive postdischarge care. A randomized trial.
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psnet.ahrq.gov/web-mm/double-dose-transfer
November 01, 2012 - Key stakeholders, including the medical staff, nursing, and pharmacy leadership, should determine those … Electronic medical records provide both opportunities and risks related to adverse drug events and must … Hackman, MD Chief Medical Information Officer Truman Medical Centers References 1. … Medication errors in neonatal and paediatric intensive-care units. Lancet. 1989;2:374-376. … Automated drug dispensing system reduces medication errors in an intensive care setting.
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psnet.ahrq.gov/issue/crisis-health-care-call-action-physician-burnout
February 05, 2014 - Waltham, MA: Massachusetts Medical Society, Massachusetts Health and Hospital Association, Harvard T.H … Waltham, MA: Massachusetts Medical Society, Massachusetts Health and Hospital Association, Harvard T.H … Waltham, MA: Massachusetts Medical Society, Massachusetts Health and Hospital Association, Harvard T.H … Association between mobile telephone interruptions and medication administration errors in a pediatric intensive … August 24, 2022
Testimonial injustice: linguistic bias in the medical records of black
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psnet.ahrq.gov/issue/smart-pumps-advanced-capabilities-and-continuous-quality-improvement
December 10, 2014 - October 11, 2017
Inside Canada's secret world of medical error: 'There is a lot of lying … Dealing with medical errors when they happen--instead of in court--can benefit doctors and patients, … Monitoring to Improve Patient Safety in Acute Hospital Care Units
April 26, 2023
Intensive
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psnet.ahrq.gov/issue/alert-reports-severe-harm-after-intravenous-administration-breast-milk-infants
May 02, 2018 - August 7, 2024
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Related Resources
Medical line entanglement … : the unspoken patient safety hazard of medical devices. … Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive
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psnet.ahrq.gov/issue/using-hfmea-assess-potential-patient-harm-tubing-misconnections
April 19, 2013 - 2017
Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive … safety checklist and research approach to determine whether to launch an artificial intelligence-based medical … June 29, 2011
Perspective
The Safety of Medical Devices
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psnet.ahrq.gov/web-mm/copy-and-paste
December 10, 2014 - Her only relevant past medical history included a postoperative pulmonary embolus after hip surgery. … Computerized provider order entry implementation: no association with increased mortality rates in an intensive … Are electronic medical records trustworthy? Observations on copying, pasting and duplication. … Copying and pasting of examinations within the electronic medical record. … March 11, 2011
Use of simulation to assess electronic health record safety in the intensive
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psnet.ahrq.gov/issue/outcomes-after-out-hospital-endotracheal-intubation-errors
July 20, 2010 - July 20, 2010
Tort claims and adverse events in emergency medical services. … September 9, 2008
Identification of adverse events in ground transport emergency medical … January 17, 2018
Association of surgical resident wellness with medical errors and patient … prehospital patient safety: results of a national Delphi survey by the Children's Safety Initiative-Emergency Medical … July 3, 2014
Overview of adverse events related to invasive procedures in the intensive
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psnet.ahrq.gov/issue/perspective-culture-respect-part-1-and-part-2
October 04, 2006 - Applying human factors engineering to address the telemetry alarm problem in a large medical … July 2, 2014
The Medical Apology: Making It Right When Things Go Wrong. … March 21, 2017
Health care workers as second victims of medical errors. … : The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care
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psnet.ahrq.gov/issue/family-alert-implementing-direct-family-activation-pediatric-rapid-response-team
December 16, 2009 - Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive … Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … 21, 2016
Reduction in hospital mortality over time in a hospital without a pediatric medical … April 8, 2011
Attitudes and barriers to a medical emergency team system at a tertiary … December 16, 2009
Transition from a traditional code team to a medical emergency team
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psnet.ahrq.gov/issue/role-patient-involvement-diagnostic-process-internal-medicine-cognitive-approach
April 25, 2012 - April 13, 2022
Factors affecting attitudes and barriers to a medical emergency team among … nurses and medical doctors: a multi-centre survey. … February 25, 2015
Impact of intensive care unit discharge time on patient outcome. … March 27, 2019
Guided reflection interventions show no effect on diagnostic accuracy in medical … 14, 2017
Problem-based training improves recognition of patient hazards by advanced medical
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psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety
April 01, 2013 - trainees, and medical professionals. … Adverse events are more common, but more labor intensive, to measure since this usually requires detailed … Errors are more common still, but rely almost entirely on self-report or intensive direct observation … Effect of reducing interns' work hours on serious medical errors in intensive care units. … April 27, 2016
Controlled trial to improve resident sign-out in a medical intensive care
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psnet.ahrq.gov/issue/role-chief-executive-officer-maximizing-patient-safety
January 03, 2017 - July 10, 2017
In-hospital sequelae of injurious falls in 24 medical/surgical units in … December 12, 2012
Pediatric trainee perspectives on the decision to disclose medical … Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive … March 5, 2014
Systematic review of safety checklists for use by medical care teams in
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psnet.ahrq.gov/issue/saving-without-compromising-teaching-trainees-safely-provide-high-value-care
August 02, 2015 - July 10, 2019
Graded autonomy in medical education—managing things that go bump in the … mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive … April 17, 2019
Adaptive expertise in medical decision making. … See More About The Topic
Physicians
Educators
Medicine
Diagnostic Errors
Medical
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psnet.ahrq.gov/issue/ahrqs-safety-program-ambulatory-surgery
January 24, 2018 - April 23, 2014
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI … May 18, 2022
Advances in Patient Safety and Medical Liability. … August 20, 2018
Medical Office Survey on Patient Safety Culture: 2016 User Comparative
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psnet.ahrq.gov/issue/teaming-prevent-crashes-some-hospitals-give-patients-power-get-extra-help-stat
August 23, 2007 - March 1, 2017
Accuracy and safety of medication histories obtained at the time of intensive … September 9, 2009
Teams quicken response in medical emergencies. … 13, 2005
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See More About The Topic
Hospitals
Patients
Medical
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psnet.ahrq.gov/issue/demonstrating-value-postgraduate-fellowships-physicians-quality-improvement-and-patient
November 04, 2015 - Bridging leadership roles in quality and patient safety: experience of 6 US academic medical … 2011
Developing and testing a tool to measure nurse/physician communication in the intensive … 2019
Improving resident and fellow engagement in patient safety through a graduate medical … April 2, 2014
Teaching medical error disclosure to residents using patient-centered simulation … November 18, 2013
Teaching but not learning: how medical residency programs handle errors
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psnet.ahrq.gov/issue/enhancing-patient-safety-prehospital-environment-analyzing-patient-perspectives-non-transport
September 20, 2017 - July 11, 2018
Floating to intensive care units: nurses' messages for instant action to … 12, 2020
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Human errors in emergency medical … May 29, 2024
Rural emergency medical services clinicians' perceptions and preferences … influencing witnesses' perception of patient safety during pre-hospital health care from emergency medical … September 15, 2021
Patients' perceptions of safety in emergency medical services: an
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psnet.ahrq.gov/node/49687/psn-pdf
August 21, 2013 - The operation was cancelled and she was taken to the
intensive care unit. … (2) Administrative data from the UK has also
shown that increased provision of high dependency and intensive … emergency general surgical admissions.(7) High-dependency care is an intermediate step
between ward and intensive … other relationship with the manufacturers of any commercial products discussed
in this continuing medical … Postoperative medical complications are the main cause of early death after emergency surgery for colonic
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psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-thinking-outside-checklist
January 05, 2012 - 2018
Reducing the rate of catheter-associated bloodstream infections in a surgical intensive … , 2014
Sustaining reductions in catheter related bloodstream infections in Michigan intensive … nurse-driven checklist to prevent hospital-acquired catheter-associated urinary tract infections in intensive … November 17, 2010
Reducing catheter-associated bloodstream infections in the pediatric intensive … PICC Line
April 1, 2009
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See More About The Topic
Intensive