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Total Results: 1,109 records

Showing results for "occurrence".

921. Development and content validation of a surgical safety checklist for operating theatres that use robotic technology. | PSNet
     psnet.ahrq.gov/issue/development-and-content-validation-surgical-safety-checklist-operating-theatres-use-robotic
     February 25, 2015 - December 21, 2014 Minimization of occurrence of retained surgical items using machine

922. Decisions about critical events in device-related scenarios as a function of expertise. | PSNet
     psnet.ahrq.gov/issue/decisions-about-critical-events-device-related-scenarios-function-expertise
     January 02, 2017 - June 3, 2013 The nature and occurrence of registration errors in the emergency department

923. Amid the COVID-19 pandemic, meaningful communication between family caregivers and residents of long-term care facilities is imperative. | PSNet
     psnet.ahrq.gov/issue/amid-covid-19-pandemic-meaningful-communication-between-family-caregivers-and-residents-long
     May 26, 2011 - August 19, 2020 Implementing the clinical occurrence reporting and learning system: a

924. Soft factors, smooth transport? The role of safety climate and team processes in reducing adverse events during intrahospital transport in intensive care. | PSNet
     psnet.ahrq.gov/issue/soft-factors-smooth-transport-role-safety-climate-and-team-processes-reducing-adverse-events
     September 27, 2016 - : how patient engagement and safety climate jointly affect error occurrence in hospital units.

925. 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…

926. 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 …

927. Insert Omission | PSNet
     psnet.ahrq.gov/web-mm/insert-omission
     May 09, 2014 - Insert Omission Citation Text: Darney P. Insert Omission. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

928. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33821/psn-pdf
     December 01, 2016 - Errors and Near Misses: What Health Care Could Learn From Aviation December 1, 2016 Macrae C. Errors and Near Misses: What Health Care Could Learn From Aviation. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation Perspective Some of the most urg…

929. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49791/psn-pdf
     April 01, 2017 - Wrong-side Bedside Paravertebral Block: Preventing the Preventable April 1, 2017 Barrington MJ, Uda Y. Wrong-side Bedside Paravertebral Block: Preventing the Preventable. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable The Case An 84-year-old wo…

930. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49650/psn-pdf
     March 01, 2012 - Turn the Other Cheek March 1, 2012 Starling J. Turn the Other Cheek. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/turn-other-cheek The Case A 56-year-old man underwent two skin biopsies to evaluate clinically concerning lesions. The first biopsy was diagnostic for squamous cell carcinoma (SCC) and docume…

931. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-10/final_slides_oct_2020_spotlight_case_inpt_stroke_mngt_in_adolescent_with_type1_diabetes.pdf
     January 01, 2020 - Spotlight Spotlight Inpatient Stroke Management in a Patient with Type 1 Diabetes and Home Insulin Pump Source and Credits • This presentation is based on the October 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Berit B…

932. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836915/psn-pdf
     April 13, 2022 - Workarounds in electronic health record systems and the revised Sociotechnical Electronic Health Record Workaround Analysis Framework: scoping review. April 13, 2022 Blijleven V, Hoxha F, Jaspers MWM. Workarounds in electronic health record systems and the revised sociotechnical Electronic Health Record workaround…

933. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45249/psn-pdf
     June 22, 2016 - PHSO Review: Quality of NHS Complaints Investigations. June 22, 2016 First Report of Session 2016–17 Report. House of Commons Public Administration and Constitutional Affairs Committee. London, England: The Stationery Office; May 24, 2016. Publication HC 94. https://psnet.ahrq.gov/issue/phso-review-quality-nhs-comp…

934. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838243/psn-pdf
     October 05, 2022 - Evaluation of medication incidents in a long-term care facility using electronic medication administration records and barcode technology. October 5, 2022 Fuller AEC, Guirguis LM, Sadowski CA, et al. Evaluation of medication incidents in a long-term care facility using electronic medication administration records …

935. Managing Ascites: Hazards of Fluid Removal | PSNet
     psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
     June 01, 2018 - Therefore, the re-occurrence of ascites in someone who is supposedly abstinent raises the possibility

936. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49512/psn-pdf
     May 01, 2006 - NYPORTS—New York Patient Occurrence and Tracking System—Annual Report 1999.

937. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46101/psn-pdf
     January 01, 2018 - Factors associated with barcode medication administration technology that contribute to patient safety: an integrative review. December 19, 2017 Strudwick G, Reisdorfer E, Warnock C, et al. Factors Associated With Barcode Medication Administration Technology That Contribute to Patient Safety: An Integrative Review…

938. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38721/psn-pdf
     June 25, 2009 - Effect of bar-code–assisted medication administration on medication error rates in an adult medical intensive care unit. June 25, 2009 DeYoung JL, Vanderkooi ME, Barletta JF. Effect of bar-code-assisted medication administration on medication error rates in an adult medical intensive care unit. Am J Health Syst Ph…

939. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47044/psn-pdf
     April 18, 2018 - Bedside computer vision—moving artificial intelligence from driver assistance to patient safety. April 18, 2018 Yeung S, Downing L, Fei-Fei L, et al. Bedside Computer Vision - Moving Artificial Intelligence from Driver Assistance to Patient Safety. New Engl J Med. 2018;378(14):1271-1273. doi:10.1056/NEJMp1716891. …

940. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44746/psn-pdf
     January 20, 2016 - Creating a culture of safety around bar-code medication administration: an evidence-based evaluation framework. January 20, 2016 Kelly K, Harrington L, Matos P, et al. Creating a Culture of Safety Around Bar-Code Medication Administration: An Evidence-Based Evaluation Framework. J Nurs Adm. 2016;46(1):30-7. doi:10…