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Total Results: 1,110 records

Showing results for "occurrence".

  1. Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance. | PSNet

    psnet.ahrq.gov/issue/improving-hand-hygiene-eight-hospitals-united-states-targeting-specific-causes-noncompliance
    April 13, 2022 - February 6, 2012 Building safer systems through critical occurrence reviews: nine years

  2. Variation in detected adverse events using trigger tools: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/variation-detected-adverse-events-using-trigger-tools-systematic-review-and-meta-analysis
    January 25, 2023 - January 25, 2023 Occurrence of no-harm incidents and adverse events in hospitalized patients

  3. A recent two-fold increase in medical adverse event deaths among US inpatients. | PSNet

    psnet.ahrq.gov/issue/recent-two-fold-increase-medical-adverse-event-deaths-among-us-inpatients
    April 06, 2022 - January 26, 2022 Occurrence of no-harm incidents and adverse events in hospitalized patients

  4. Preventable hospital admissions related to medication (HARM): cost analysis of the HARM study. | PSNet

    psnet.ahrq.gov/issue/preventable-hospital-admissions-related-medication-harm-cost-analysis-harm-study
    April 27, 2022 - From the Same Author(s) The effect of a transitional pharmaceutical care program on the occurrence

  5. From fable to reality at Parkland Hospital: the impact of evidence-based design strategies on patient safety, healing, and satisfaction in an adult inpatient environment. | PSNet

    psnet.ahrq.gov/issue/fable-reality-parkland-hospital-impact-evidence-based-design-strategies-patient-safety
    September 09, 2020 - October 26, 2022 The effect of a transitional pharmaceutical care program on the occurrence

  6. Long-term care nurses' experiences with patient safety incident management: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/long-term-care-nurses-experiences-patient-safety-incident-management-qualitative-study
    March 24, 2021 - Citation Related Resources From the Same Author(s) Implementing the clinical occurrence

  7. The enabling, enacting, and elaborating factors of safety culture associated with patient safety: a multilevel analysis. | PSNet

    psnet.ahrq.gov/issue/enabling-enacting-and-elaborating-factors-safety-culture-associated-patient-safety-multilevel
    September 21, 2022 - June 30, 2011 The effect of a transitional pharmaceutical care program on the occurrence

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849613/psn-pdf
    May 31, 2023 - Smart infusion pump investigations after an unexplained over-infusion. May 31, 2023 ISMP Patient Safety Alert! Acute care edition. May 18, 2023;28(10);1-3. https://psnet.ahrq.gov/issue/smart-infusion-pump-investigations-after-unexplained-over-infusion Dose error-reduction systems (DERS) and drug libraries are tool…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46593/psn-pdf
    November 08, 2017 - Unreadable barcodes and multiple barcodes on packages can lead to errors. November 8, 2017 ISMP Medication Safety Alert! Acute care edition. October 19, 2017;22:1-3. https://psnet.ahrq.gov/issue/unreadable-barcodes-and-multiple-barcodes-packages-can-lead-errors Barcodes can both enhance and degrade the medication …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42767/psn-pdf
    November 27, 2013 - Barcode medication administration work-arounds: a systematic review and implications for nurse executives. November 27, 2013 Voshall B, Piscotty R, Lawrence J, et al. Barcode medication administration work-arounds: a systematic review and implications for nurse executives. J Nurs Adm. 2013;43(10):530-535. doi:10.1…

  11. Wrong-side thoracentesis: lessons learned from root cause analysis. | PSNet

    psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis
    July 16, 2015 - Study Wrong-side thoracentesis: lessons learned from root cause analysis. Citation Text: Miller K, Mims M, Paull DE, et al. Wrong-side thoracentesis: lessons learned from root cause analysis. JAMA Surg. 2014;149(8):774-9. doi:10.1001/jamasurg.2014.146. Copy Citation Format: …

  12. Scale, nature, preventability and causes of adverse events in hospitalised older patients. | PSNet

    psnet.ahrq.gov/issue/scale-nature-preventability-and-causes-adverse-events-hospitalised-older-patients
    July 26, 2011 - Resources From the Same Author(s) Design of a retrospective patient record study on the occurrence

  13. Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications. | PSNet

    psnet.ahrq.gov/issue/barriers-implementation-patient-safety-systems-healthcare-institutions-leadership-and-policy
    July 14, 2010 - October 31, 2014 Relationship between occurrence of surgical complications and hospital

  14. Racial, ethnic, and socioeconomic disparities in estimates of AHRQ patient safety indicators. | PSNet

    psnet.ahrq.gov/issue/racial-ethnic-and-socioeconomic-disparities-estimates-ahrq-patient-safety-indicators
    April 03, 2005 - September 14, 2011 Design of a retrospective patient record study on the occurrence of

  15. Assessing the patient safety competencies of healthcare professionals: a systematic review. | PSNet

    psnet.ahrq.gov/issue/assessing-patient-safety-competencies-healthcare-professionals-systematic-review
    March 05, 2014 - March 1, 2011 The effect of a transitional pharmaceutical care program on the occurrence

  16. Surgeon's narcissism, hostility, stress, bullying, meaning in life and work environment: a two-centered analysis. | PSNet

    psnet.ahrq.gov/issue/surgeons-narcissism-hostility-stress-bullying-meaning-life-and-work-environment-two-centered
    November 07, 2018 - July 1, 2020 Minimization of occurrence of retained surgical items using machine learning

  17. Preventable mortality after common urological surgery: failing to rescue? | PSNet

    psnet.ahrq.gov/issue/preventable-mortality-after-common-urological-surgery-failing-rescue
    July 17, 2013 - August 2, 2015 Patient characteristics and the occurrence of never events.

  18. Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II. | PSNet

    psnet.ahrq.gov/issue/selected-medical-errors-intensive-care-unit-results-iatroref-study-parts-i-and-ii
    April 18, 2012 - July 8, 2008 Impact of contact isolation for multidrug-resistant organisms on the occurrence

  19. The role of surgeon error in withdrawal of postoperative life support. | PSNet

    psnet.ahrq.gov/issue/role-surgeon-error-withdrawal-postoperative-life-support
    July 03, 2014 - September 18, 2019 Association between night-time surgery and occurrence of intraoperative

  20. Relationship between patient complaints and surgical complications. | PSNet

    psnet.ahrq.gov/issue/relationship-between-patient-complaints-and-surgical-complications
    January 05, 2011 - View More Related Resources Association between night-time surgery and occurrence
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