Results

Total Results: 2,073 records

Showing results for "month".

301. ISMP QuarterWatch Reports. | PSNet
     psnet.ahrq.gov/issue/ismp-quarterwatch-reports
     June 07, 2017 - 2017 View More Related Resources "Talk About Your Medicines" Month

302. Effects of working conditions on intravenous medication errors in a Japanese hospital. | PSNet
     psnet.ahrq.gov/issue/effects-working-conditions-intravenous-medication-errors-japanese-hospital
     June 19, 2018 - 21, 2014 Analysis of risk of medical errors using structural-equation modelling: a 6-month

303. Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study. | PSNet
     psnet.ahrq.gov/issue/adverse-events-among-children-canadian-hospitals-canadian-paediatric-adverse-events-study
     April 22, 2011 - A preventable error in a critically ill 8-month-old child is discussed in an AHRQ WebM&M commentary

304. Effect of computer order entry on prevention of serious medication errors in hospitalized children. | PSNet
     psnet.ahrq.gov/issue/effect-computer-order-entry-prevention-serious-medication-errors-hospitalized-children
     May 27, 2011 - This study evaluated the impact of a commercial CPOE system on medication errors over a 16-month time

305. Decreasing handoff-related care failures in children's hospitals. | PSNet
     psnet.ahrq.gov/issue/decreasing-handoff-related-care-failures-childrens-hospitals
     April 24, 2018 - This quality improvement initiative aimed to enhance handoffs in 23 children's hospitals over a 12-month

306. Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests. | PSNet
     psnet.ahrq.gov/issue/preventing-diagnostic-errors-ambulatory-care-electronic-notification-tool-incomplete
     April 22, 2013 - higher rate of imaging completion (22.1% vs. 18.8%); this difference was sustained throughout the 12-month

307. The hidden costs of reconciling surgical sponge counts. | PSNet
     psnet.ahrq.gov/issue/hidden-costs-reconciling-surgical-sponge-counts
     May 08, 2013 - At this hospital, there were 212 incorrect counts (potential retained foreign objects) over a 9-month

308. Pre-analytical pitfalls: Missing and mislabeled specimens | PSNet
     psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
     April 18, 2018 - The patient did not manifest any signs or symptoms of infection one week and up to one month following … average cost due to a single irretrievable lost specimen was $548, and cumulative errors over a three-month … $20,430. 12 In contrast, a retrievable lost specimen incurred a cost of $401.25 per event, with a three-month … in a study by Norgan et al . that found a 75% (6 vs. 24 events) decrease in lost specimens over a 6-month

309. A Weighty Mistake | PSNet
     psnet.ahrq.gov/web-mm/weighty-mistake
     September 01, 2016 - The Case A 17-month-old toddler was brought to the emergency department (ED) by her parents with concerns … rather than relying on automation, would she have realized that this weight was incongruent with the 17-month-old … triage nurse certainly would have been warned that a weight of 25 kg is exceedingly uncommon for a 17-month-old … World Health Organization standard growth charts indicate that the 98th percentile cut-off for a 17-month-old

310. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.293_slideshow.ppt
     March 01, 2013 - strategies for reducing weight-based dosing medication errors * * Case: A Weighty Mistake A 17-month-old … relying on automation—would have likely realized the computer-listed weight was incongruent with the 17-month-old

311. A state-of-the-art review of speaking up in healthcare. | PSNet
     psnet.ahrq.gov/issue/state-art-review-speaking-healthcare
     October 13, 2021 - June 30, 2021 The impact of a 22-month multistep implementation program on speaking-up

312. Periodic resuscitation cart checks and nurse situational awareness: an observational study. | PSNet
     psnet.ahrq.gov/issue/periodic-resuscitation-cart-checks-and-nurse-situational-awareness-observational-study
     March 18, 2020 - March 11, 2020 Twelve-month review of infusion pump near-miss medication and dose selection

313. Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. | PSNet
     psnet.ahrq.gov/issue/work-arounds-and-artifacts-during-transition-computer-physician-order-entry-what-they-are-and
     January 12, 2022 - 23, 2016 Analysis of risk of medical errors using structural-equation modelling: a 6-month

314. The negative impact of nurse-physician disruptive behavior on patient safety: a review of the literature. | PSNet
     psnet.ahrq.gov/issue/negative-impact-nurse-physician-disruptive-behavior-patient-safety-review-literature
     August 18, 2021 - September 7, 2011 The impact of a 22-month multistep implementation program on speaking-up

315. Support methods for healthcare professionals who are second victims: an integrative review. | PSNet
     psnet.ahrq.gov/issue/support-methods-healthcare-professionals-who-are-second-victims-integrative-review
     April 27, 2022 - September 15, 2021 Twelve-month review of infusion pump near-miss medication and dose

316. Rate, causes and reporting of medication errors in Jordan: nurses' perspectives. | PSNet
     psnet.ahrq.gov/issue/rate-causes-and-reporting-medication-errors-jordan-nurses-perspectives
     April 15, 2020 - May 13, 2015 Twelve-month review of infusion pump near-miss medication and dose selection

317. A critical review of the systems approach within patient safety research. | PSNet
     psnet.ahrq.gov/issue/critical-review-systems-approach-within-patient-safety-research
     June 16, 2021 - May 10, 2023 Twelve-month review of infusion pump near-miss medication and dose selection

318. Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of published literature. | PSNet
     psnet.ahrq.gov/issue/lost-mislabeled-and-mishandled-surgical-and-clinical-pathology-specimens-systematic-review
     September 23, 2020 - June 30, 2011 Specimen labeling errors in surgical pathology: an 18-month experience.

319. Obstetric medical emergency teams are a step forward in maternal safety! | PSNet
     psnet.ahrq.gov/issue/obstetric-medical-emergency-teams-are-step-forward-maternal-safety
     November 04, 2020 - Download Citation Related Resources From the Same Author(s) Twelve-month

320. Decision-making processes used by nurses during intravenous drug preparation and administration. | PSNet
     psnet.ahrq.gov/issue/decision-making-processes-used-nurses-during-intravenous-drug-preparation-and-administration
     June 29, 2022 - March 20, 2024 Learning in radiation oncology: 12-month experience with a new incident