Results

Total Results: 2,581 records

Showing results for "occurrence".

301. 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

302. 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

303. 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

304. 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

305. 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

306. 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

307. 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

308. Considering insulin pens for routine hospital use? Consider this... | PSNet
     psnet.ahrq.gov/issue/considering-insulin-pens-routine-hospital-use-consider
     May 03, 2023 - January 5, 2017 Tubing misconnections—a persistent and potentially deadly occurrence.

309. Double key bounce and double keying errors. | PSNet
     psnet.ahrq.gov/issue/double-key-bounce-and-double-keying-errors
     February 01, 2023 - January 5, 2017 Tubing misconnections—a persistent and potentially deadly occurrence.

310. Exploring the experience of nurse practitioners who have committed medical errors: a phenomenological approach. | PSNet
     psnet.ahrq.gov/issue/exploring-experience-nurse-practitioners-who-have-committed-medical-errors-phenomenological
     April 21, 2021 - October 12, 2016 The occurrence of adverse events potentially attributable to nursing

311. IV potassium given epidurally: getting to the "route" of the problem. | PSNet
     psnet.ahrq.gov/issue/iv-potassium-given-epidurally-getting-route-problem
     April 20, 2022 - April 25, 2018 Tubing misconnections—a persistent and potentially deadly occurrence.

312. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39948/psn-pdf
     December 21, 2014 - Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis of a prospective database of physician self-reported occurrences. December 21, 2014 Stahel PF, Sabel A, Victoroff MS, et al. Wrong-site and wrong-patient procedures in the universal protocol era: analysis of a prospective database of p…

313. 004-Cusp-Learning-From-Defects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docx
     October 01, 2024 - Bleach wipes that were out of stock were determined to be a major reason and a common occurrence. … staffed and hand hygiene adherence being low for the past 90 days was a major reason but was not a common occurrence … Curtains not being changed was listed as a minor reason with common occurrence. … increased length of stay of patients was not a major contributor, as it was a minor reason with rare occurrence

314. 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

315. 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

316. The Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety | PSNet
     psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
     May 01, 2012 - approaches to measuring adverse event rates have been used, including voluntary reports ("incident" or "occurrence … Occurrence reports : The most well known strategy to identify and measure patient safety in U.S. hospitals … is the use of occurrence ("incident") reports submitted by caregivers. … Although these data are relatively easy and inexpensive to obtain, evidence suggests that occurrence … characteristics than other measurement approaches and detect significantly more adverse events than occurrence

317. In Conversation With…David C. Classen, MD, MS | PSNet
     psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
     May 01, 2012 - Occurrence reports : The most well known strategy to identify and measure patient safety in U.S. hospitals … is the use of occurrence ("incident") reports submitted by caregivers. … Although these data are relatively easy and inexpensive to obtain, evidence suggests that occurrence … characteristics than other measurement approaches and detect significantly more adverse events than occurrence … table citation in the text) Harm Detection Method Advantages Limitations Incident (occurrence

318. Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-fac-guide.html
     February 01, 2017 - individuals, we realize that we can redesign care and delivery processes to improve care and minimize the occurrence … improve the ability to learn from mistakes and implement procedures that reduce the risk of the future occurrence

319. 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

320. 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