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psnet.ahrq.gov/issue/do-falls-and-other-safety-issues-occur-more-often-during-handovers-when-nurses-are-away
January 08, 2020 - Study
Do falls and other safety issues occur more often during handovers when nurses … Do falls and other safety issues occur more often during handovers when nurses are away from patients … Do falls and other safety issues occur more often during handovers when nurses are away from patients
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psnet.ahrq.gov/node/46827/psn-pdf
March 14, 2018 - Prior research has shown that
medication errors occur frequently and are associated with a longer hospital … The authors estimate that 237
million medication errors occur annually and that 66 million of these … The
majority of potentially harmful errors likely occur in the outpatient setting where most medications
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psnet.ahrq.gov/issue/preventable-harm-occurring-critically-ill-children
September 28, 2010 - Study
Preventable harm occurring to critically ill children.
Citation Text:
Larsen G, Donaldson AE, Parker HB, et al. Preventable harm occurring to critically ill children. Pediatr Crit Care Med. 2007;8(4):331-336.
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psnet.ahrq.gov/issue/prevalence-and-economic-burden-medication-errors-nhs-england
September 11, 2018 - Prior research has shown that medication errors occur frequently and are associated with a longer hospital … The authors estimate that 237 million medication errors occur annually and that 66 million of these errors … The majority of potentially harmful errors likely occur in the outpatient setting where most medications
-
psnet.ahrq.gov/node/47919/psn-pdf
April 03, 2019 - They
encourage continued use of the aviation metaphor to illustrate why medical errors occur and how … when done correctly, can help health care systems identify safety hazards, regain trust after
they occur
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psnet.ahrq.gov/node/836808/psn-pdf
March 30, 2022 - medication-safety-emergency-department-study-serious-medication-errors-
reported-101-hospitals
Medication errors can occur … Errors were more likely to occur on weekends and between 12:00 pm and midnight; patients were more
likely
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psnet.ahrq.gov/node/72820/psn-pdf
March 10, 2021 - persist with long-term use of CPOE systems, but future research should explore the types of errors
that occur … , when they occur, and the system factors contributing to the errors.
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psnet.ahrq.gov/node/47291/psn-pdf
October 31, 2018 - Little is known about the
epidemiology of hospital suicides other than that they are rare and occur … Nationally, between 49 and 65 hospital suicides occur each year.
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psnet.ahrq.gov/taxonomy/term/3477
FMEA begins with a complete process mapping that identifies all the steps that must occur for a given … process to occur (e.g., programming an infusion pump or preparing an intravenous medication in the pharmacy
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psnet.ahrq.gov/issue/how-talk-about-patient-safety
June 24, 2019 - They encourage continued use of the aviation metaphor to illustrate why medical errors occur and how … when done correctly, can help health care systems identify safety hazards, regain trust after they occur
-
psnet.ahrq.gov/issue/critical-incidents-involving-medical-emergency-team-5-year-retrospective-assessment
November 11, 2020 - effectiveness of medical emergency teams (MET) has been widely researched , critical incidents that occur … Related Resources From the Same Author(s)
Do falls and other safety issues occur
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psnet.ahrq.gov/node/35588/psn-pdf
February 03, 2011 - This theory asks
the question of what should change, to what should it change, and how should change occur … Responses
are framed with discussion of six thought processes that must occur at an organization for
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psnet.ahrq.gov/node/34784/psn-pdf
June 24, 2015 - to introduce emergency department communities to teamwork systems, teamwork failures
that commonly occur … includes retrospective
analysis of more than 50 incidents suggesting that nearly nine teamwork failures occur
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psnet.ahrq.gov/issue/recalls-and-safety-alerts-affecting-automated-external-defibrillators
December 03, 2014 - authors analyzed recall and safety alerts for automated external defibrillators and found that advisories occur … frequently, and actual malfunctions occur occasionally.
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psnet.ahrq.gov/glossary/failure-mode-and-effect-analysis-fmea
September 13, 2021 - FMEA begins with a complete process mapping that identifies all the steps that must occur for a given … process to occur (e.g., programming an infusion pump or preparing an intravenous medication in the pharmacy
-
psnet.ahrq.gov/node/44767/psn-pdf
January 20, 2016 - failures-modern
Despite widespread efforts to improve health care safety, medical errors continue to occur … psychology, including theories related to behavior and cognition, to
understand why care failures occur
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psnet.ahrq.gov/issue/potential-improved-teamwork-reduce-medical-errors-emergency-department
July 07, 2021 - to introduce emergency department communities to teamwork systems, teamwork failures that commonly occur … includes retrospective analysis of more than 50 incidents suggesting that nearly nine teamwork failures occur
-
psnet.ahrq.gov/node/36315/psn-pdf
July 10, 2008 - A prior study indicated a rate of
approximately 1 case per 112,000 surgeries, but WSPEs may occur in … from both mandatory and
voluntary reporting systems indicates that approximately 1300 to 2700 WSPEs occur
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psnet.ahrq.gov/issue/medication-safety-emergency-department-study-serious-medication-errors-reported-101-hospitals
March 24, 2021 - Medication errors can occur in all clinical settings , but can have especially devastating results … Errors were more likely to occur on weekends and between 12:00 pm and midnight; patients were more likely
-
psnet.ahrq.gov/issue/incidence-and-method-suicide-hospitals-united-states
October 04, 2023 - Little is known about the epidemiology of hospital suicides other than that they are rare and occur mostly … Nationally, between 49 and 65 hospital suicides occur each year.