Results

Total Results: 1,110 records

Showing results for "occurrence".

221. Profiles in patient safety: confirmation bias in emergency medicine. | PSNet
     psnet.ahrq.gov/issue/profiles-patient-safety-confirmation-bias-emergency-medicine
     November 23, 2016 - suggests automation, cognitive forcing strategies, and metacognition as strategies to minimize its occurrence

222. How a series of errors led to recurrent hypoglycemia. | PSNet
     psnet.ahrq.gov/issue/how-series-errors-led-recurrent-hypoglycemia
     April 23, 2014 - illustrates how therapeutic duplication can lead to harm and provides several strategies to minimize its occurrence

223. Can you prevent adverse drug events after hospital discharge? | PSNet
     psnet.ahrq.gov/issue/can-you-prevent-adverse-drug-events-after-hospital-discharge
     September 09, 2009 - cases of postdischarge adverse drug events, as well as actions physicians can take to minimize their occurrence

224. Use of simulation to measure the effects of just-in-time information to prevent nursing medication errors: a randomized controlled study. | PSNet
     psnet.ahrq.gov/issue/use-simulation-measure-effects-just-time-information-prevent-nursing-medication-errors
     August 04, 2021 - that a smart phone app providing just-in-time medication administration information could reduce the occurrence

225. The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System. | PSNet
     psnet.ahrq.gov/issue/high-costs-weak-compliance-new-york-state-hospital-adverse-event-reporting-and-tracking
     July 22, 2020 - This report assesses the New York State Department of Health's New York Patient Occurrence and Tracking

226. Real-time debriefing after critical events: exploring the gap between principle and reality. | PSNet
     psnet.ahrq.gov/issue/real-time-debriefing-after-critical-events-exploring-gap-between-principle-and-reality
     December 15, 2021 - Debriefing is an established strategy teams use to learn from critical events , reduce event occurrence

227. The safety of outpatient health care: review of electronic health records. | PSNet
     psnet.ahrq.gov/issue/safety-outpatient-health-care-review-electronic-health-records
     January 25, 2023 - primary, radiology , emergency, ambulatory surgery) in Massachusetts in 2018, were reviewed for any occurrence

228. Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. | PSNet
     psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone-overdose
     June 03, 2020 - libraries  when programing pumps and assessed equipment competency as actions to mitigate similar incident occurrence

229. Representative case series from public hospital admissions 1998 II: surgical adverse events. | PSNet
     psnet.ahrq.gov/issue/representative-case-series-public-hospital-admissions-1998-ii-surgical-adverse-events
     June 07, 2023 - The authors analyzed surgical adverse events to assess the occurrence, cause, patient impact, and preventability

230. Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics. | PSNet
     psnet.ahrq.gov/issue/diagnostic-stewardship-improve-patient-outcomes-and-healthcare-associated-infection-hai
     May 18, 2022 - This article summarizes diagnostic stewardship strategies to reduce the occurrence of HAIs and contrasts

231. Adverse events and near miss reporting in the NHS. | PSNet
     psnet.ahrq.gov/issue/adverse-events-and-near-miss-reporting-nhs
     August 30, 2023 - Discussion includes detailed presentation of the frequency of events, their location of occurrence, and

232. The relationship between registered nurses and nursing home quality: an integrative review (2008–2014). | PSNet
     psnet.ahrq.gov/issue/relationship-between-registered-nurses-and-nursing-home-quality-integrative-review-2008-2014
     June 03, 2020 - Adverse events in the nursing home setting are a common , and often preventable, occurrence.

233. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42454/psn-pdf
     September 09, 2013 - perinatal-care-quality-and-safety-initiative-are-there-financial-rewards-improved-quality https://psnet.ahrq.gov/issue/relationship-between-occurrence-surgical-complications-and-hospital-finances

234. Examples of Medical Device Misconnections. | PSNet
     psnet.ahrq.gov/issue/examples-medical-device-misconnections
     March 04, 2015 - therapeutic agent administration failures, despite efforts to redesign equipment and minimize their occurrence

235. On Patient Safety. | PSNet
     psnet.ahrq.gov/issue/patient-safety-19
     August 14, 2019 - November 23, 2024 Association between night-time surgery and occurrence of intraoperative

236. Diagnostic overshadowing among groups experiencing health disparities. | PSNet
     psnet.ahrq.gov/issue/diagnostic-overshadowing-among-groups-experiencing-health-disparities
     February 10, 2021 - December 23, 2016 Tubing misconnections—a persistent and potentially deadly occurrence

237. Seeing through Google Glass: using an innovative technology to improve medication safety behaviors in undergraduate nursing students. | PSNet
     psnet.ahrq.gov/issue/seeing-through-google-glass-using-innovative-technology-improve-medication-safety-behaviors
     September 15, 2021 - September 20, 2016 The relationship between nursing experience and education and the occurrence

238. Getting the Medicines Right. | PSNet
     psnet.ahrq.gov/issue/getting-medicines-right
     January 26, 2022 - September 2, 2016 The effect of a transitional pharmaceutical care program on the occurrence

239. Loud wake-up call: unlabeled containers lead to patient’s death. | PSNet
     psnet.ahrq.gov/issue/loud-wake-call-unlabeled-containers-lead-patients-death
     April 25, 2018 - April 29, 2018 Tubing misconnections—a persistent and potentially deadly occurrence.

240. Patient safety 2.0: slaying dragons, not just investigating them. | PSNet
     psnet.ahrq.gov/issue/patient-safety-20-slaying-dragons-not-just-investigating-them
     September 14, 2016 - and analysis in lieu of the employment of actions that serve to reduce the potential for accident occurrence