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Total Results: 2,551 records

Showing results for "occurrence".

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
    January 01, 2017 - process asks four questions that help us understand and identify the factors that contribute to defect occurrence … , and develop and implement interventions to reduce the risks of defect occurrence in the future. … defect happened, we get to the point where we can understand what system factors contributed to defect occurrence … we are able to develop and implement interventions that help us to reduce the risk of future defect occurrence

  11. Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.html
    February 01, 2017 - process asks four questions that help us understand and identify the factors that contribute to defect occurrence … , and develop and implement interventions to reduce the risks of defect occurrence in the future. … defect happened, we get to the point where we can understand what system factors contributed to defect occurrence … we are able to develop and implement interventions that help us to reduce the risk of future defect occurrence

  12. 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

  13. 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

  14. Data Display and Organization | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/data-display
    January 01, 2023 - The height of the bar indicates the frequency of occurrence.

  15. 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

  16. Force-Field Analysis | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/force-field-analysis
    January 01, 2023 - BRAINSTORM ALL THE RESTRAINING FORCES that inhibit the action’s occurrence, or diminish the chances of

  17. 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

  18. 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

  19. Research on Person-Centered Care

    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/ncepcr-webinar-person-centered-care.pptx
    June 27, 2024 - 9 Today’s Webinar Presenters Ian Hargraves, PhD, Mayo Rochester, SDMo – a Measure of the Occurrence … You can also pop your questions into the chat for later. 10 Presentation 1 Shared Decision Making Occurrence … (SDMo) – a Measure of the Occurrence of SDM in the Care of Patients with Chronic Conditions Ian Hargraves … ’s Method of Inquiry7 noticing formulating trying on integrating 19 19 SDMo – A Measure of the Occurrence … Definitely did not Definitely did Probably did Probably did not SDM occurrence did the participants work

  20. 047-Ss-Faqs-Staff-Safety-Side-Effects (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/047-ss-faqs-staff-safety-side-effects.docx
    April 01, 2025 - Such serious reactions are so rare that their occurrence prompts the submission of case reports.
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