Results

Total Results: 1,110 records

Showing results for "occurrence".

201. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44056/psn-pdf
     May 19, 2018 - impact-inpatient-harms-hospital-finances-and-patient-clinical-outcomes https://psnet.ahrq.gov/issue/relationship-between-occurrence-surgical-complications-and-hospital-finances

202. Defusing Disruptive Behavior. A Workbook for Health Care Leaders. | PSNet
     psnet.ahrq.gov/issue/defusing-disruptive-behavior-workbook-health-care-leaders
     April 24, 2007 - tools for health care managers to develop awareness initiatives and policies to reduce the impact and occurrence

203. Beyond the count: preventing the retention of foreign objects. | PSNet
     psnet.ahrq.gov/issue/beyond-count-preventing-retention-foreign-objects
     November 28, 2018 - factors associated with retention of foreign objects  and suggests several tactics to prevent its occurrence

204. Medication errors related to product names. | PSNet
     psnet.ahrq.gov/issue/medication-errors-related-product-names
     January 02, 2017 - Reporting Program to illustrate look-alike/sound-alike errors and provide strategies to minimize their occurrence

205. Proactive prevention of maternal death from maternal hemorrhage. | PSNet
     psnet.ahrq.gov/issue/proactive-prevention-maternal-death-maternal-hemorrhage
     January 15, 2020 - This article discusses the importance of standard practice bundles as a strategy to reduce its occurrence

206. Implement strategies to prevent persistent medication errors and hazards. | PSNet
     psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards
     March 14, 2023 - errors that continue to occur despite established practices that, if applied, can mitigate error occurrence

207. Prep, Stop, Block. | PSNet
     psnet.ahrq.gov/issue/prep-stop-block
     March 14, 2018 - This tool outlines a three-step process for minimizing the occurrence of wrong-side peripheral nerve

208. Utah DoH Patient Safety Initiatives. | PSNet
     psnet.ahrq.gov/issue/utah-doh-patient-safety-initiatives
     November 21, 2016 - Utah established a number of collaborative initiatives to understand the nature and occurrence of adverse

209. Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error. | PSNet
     psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath-fatal-medication
     August 17, 2022 - Organizational factors can contribute to the occurrence of patient safety events and how health systems

210. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42352/psn-pdf
     January 14, 2014 - psnet.ahrq.gov/issue/making-business-case-patient-safety https://psnet.ahrq.gov/issue/relationship-between-occurrence-surgical-complications-and-hospital-finances

211. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41535/psn-pdf
     December 31, 2014 - minimizing-electronic-health-record-patient-note-mismatches https://psnet.ahrq.gov/issue/nature-and-occurrence-registration-errors-emergency-department

212. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41557/psn-pdf
     August 01, 2012 - integrated public health care system evaluated the usefulness of six laboratory triggers to detect the occurrence

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39948/psn-pdf
     December 21, 2014 - Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis of a prospective database of physician self-reported occurrences. December 21, 2014 Stahel PF, Sabel A, Victoroff MS, et al. Wrong-site and wrong-patient procedures in the universal protocol era: analysis of a prospective database of p…

214. IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition. | PSNet
     psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
     January 09, 2019 - paper describes a tool that employs triggers  to identify adverse events and measure their rate of occurrence

215. Medication errors: the year in review: January through December 2021. | PSNet
     psnet.ahrq.gov/issue/medication-errors-year-review-january-through-december-2021
     September 26, 2018 - medications involved, recommendations for improvement, and technologies to be employed to minimize error occurrence

216. USP drug safety review: medication errors involving NMBAs.    | PSNet
     psnet.ahrq.gov/issue/usp-drug-safety-review-medication-errors-involving-nmbas
     July 27, 2005 - Medmarx  database, what factors contributed to those errors, and what can be done to minimize their occurrence

217. IV potassium given epidurally: getting to the "route" of the problem. | PSNet
     psnet.ahrq.gov/issue/iv-potassium-given-epidurally-getting-route-problem
     April 20, 2022 - April 25, 2018 Tubing misconnections—a persistent and potentially deadly occurrence.

218. Double key bounce and double keying errors. | PSNet
     psnet.ahrq.gov/issue/double-key-bounce-and-double-keying-errors
     February 01, 2023 - January 5, 2017 Tubing misconnections—a persistent and potentially deadly occurrence.

219. Exploring the experience of nurse practitioners who have committed medical errors: a phenomenological approach. | PSNet
     psnet.ahrq.gov/issue/exploring-experience-nurse-practitioners-who-have-committed-medical-errors-phenomenological
     April 21, 2021 - October 12, 2016 The occurrence of adverse events potentially attributable to nursing

220. Considering insulin pens for routine hospital use? Consider this... | PSNet
     psnet.ahrq.gov/issue/considering-insulin-pens-routine-hospital-use-consider
     May 03, 2023 - January 5, 2017 Tubing misconnections—a persistent and potentially deadly occurrence.