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Total Results: 2,551 records

Showing results for "occurrence".

1221. 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…

1222. Module 5: How To Measure Pressure Injury Rates and Prevention Practices | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides5.html
      October 01, 2017 - Study what led to the occurrence.

1223. Module 2: Component Kit (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/huddles-component-kit.docx
      May 01, 2017 - focus on the surgical safety checklist, related communication behaviors and the expected frequency of occurrence

1224. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
      August 24, 2015 - It is not a one-time occurrence and can be revisited throughout the CANDOR process.

1225. Facilitator Guide: Deep-Rooting Your Data (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_deep_root_data_facnotes.docx
      December 01, 2017 - point is to think of your audience and anticipate its questions and informational needs to prevent occurrence

1226. Deep-Rooting Your Data: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/sustainability/deep-root-data-fac-notes.html
      December 01, 2017 - point is to think of your audience and anticipate its questions and informational needs to prevent occurrence

1227. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33600/psn-pdf
      June 16, 2024 - likely to give rise to human error and change the underlying systems of care in order to reduce the occurrence

1228. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33581/psn-pdf
      December 15, 2024 - As with the more general term adverse event, the occurrence of an ADE does not necessarily indicate

1229. Discharge Planning and Transitions of Care | PSNet
      psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
      June 15, 2024 - October 7, 2015 The effect of a transitional pharmaceutical care program on the occurrence of ADEs

1230. Workaround Error | PSNet
      psnet.ahrq.gov/web-mm/workaround-error
      October 30, 2024 - These factors have been shown to increase the occurrence of preventable medication errors.( 1 ) Many

1231. Missed TB | PSNet
      psnet.ahrq.gov/web-mm/missed-tb
      March 03, 2010 - reassured by a clinical response.( 6 ) Thus, the clinician is challenged by the relatively infrequent occurrence

1232. Making Do | PSNet
      psnet.ahrq.gov/web-mm/making-do
      September 05, 2018 - While an unfortunate occurrence after this procedure, I believe that it was coincidental, and that the

1233. Listen to the Family | PSNet
      psnet.ahrq.gov/web-mm/listen-family
      April 15, 2015 - The New York patient occurrence reporting and tracking system annual report 2000/2001.

1234. Cups of Error | PSNet
      psnet.ahrq.gov/web-mm/cups-error
      January 12, 2011 - April 19, 2017 The relationship between nursing experience and education and the occurrence

1235. Building a Safety Program Using Principles of Resilience Engineering | PSNet
      psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
      October 23, 2013 - However, the absence of reportable incidents does not mean that everything is going well, and the occurrence

1236. Systems Approach | PSNet
      psnet.ahrq.gov/primer/systems-approach
      June 15, 2024 - likely to give rise to human error and change the underlying systems of care in order to reduce the occurrence

1237. 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. …

1238. 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…

1239. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40304/psn-pdf
      March 23, 2011 - Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds. March 23, 2011 Miller DF, Fortier CR, Garrison KL. Bar Code Medication Administration Technology: Characterization of High-Alert Medication Triggers and Clinician Workarounds. Ann Pharmacoth…

1240. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37776/psn-pdf
      January 31, 2011 - Barcoded medication administration: a last line of defense. January 31, 2011 Cescon DW, Etchells E. Barcoded medication administration: a last line of defense. JAMA. 2008;299(18):2200-2. doi:10.1001/jama.299.18.2200. https://psnet.ahrq.gov/issue/barcoded-medication-administration-last-line-defense Barcoding techn…