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Showing results for "occurrence".

  1. 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.

  2. Loud wake-up call: unlabeled containers lead to patient’s death. | PSNet

    psnet.ahrq.gov/issue/loud-wake-call-unlabeled-containers-lead-patients-death
    April 25, 2018 - April 29, 2018 Tubing misconnections—a persistent and potentially deadly occurrence.

  3. Patient safety 2.0: slaying dragons, not just investigating them. | PSNet

    psnet.ahrq.gov/issue/patient-safety-20-slaying-dragons-not-just-investigating-them
    September 14, 2016 - and analysis in lieu of the employment of actions that serve to reduce the potential for accident occurrence

  4. Medication reconciliation for reducing drug-discrepancy adverse events. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-reducing-drug-discrepancy-adverse-events
    October 10, 2018 - The investigators examined the effect of pharmacist-conducted medication reconciliation  on the occurrence

  5. Health Literacy Practices in Primary Care Settings: Examples from the Field. | PSNet

    psnet.ahrq.gov/issue/health-literacy-practices-primary-care-settings-examples-field
    April 27, 2022 - From the Same Author(s) The effect of a transitional pharmaceutical care program on the occurrence

  6. The effect of smartphone-based application learning on the nursing students' performance in preventing medication errors in the pediatric units. | PSNet

    psnet.ahrq.gov/issue/effect-smartphone-based-application-learning-nursing-students-performance-preventing
    June 14, 2023 - December 4, 2016 The relationship between nursing experience and education and the occurrence

  7. A proposal to use common ground that exists between the medical and legal professions to promote a culture of safety. | PSNet

    psnet.ahrq.gov/issue/proposal-use-common-ground-exists-between-medical-and-legal-professions-promote-culture
    December 15, 2021 - September 9, 2020 The effect of a transitional pharmaceutical care program on the occurrence

  8. 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

  9. 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

  10. 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

  11. The impact of language barriers on patient care: a pharmacy perspective. | PSNet

    psnet.ahrq.gov/issue/impact-language-barriers-patient-care-pharmacy-perspective
    February 05, 2025 - June 15, 2022 The effect of a transitional pharmaceutical care program on the occurrence

  12. Error in medicine. | PSNet

    psnet.ahrq.gov/issue/error-medicine
    November 02, 2014 - medicine, he advocates systems that assume human errors will occur and that are designed to minimize their occurrence

  13. Underwood Surgery Center: Slide Presentation (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/tinsleyslides.pdf
    September 01, 2015 - something happens that could harm the patient, but does not, how often is it documented in an incident or occurrence

  14. Physician accused of reusing devices has license suspended. | PSNet

    psnet.ahrq.gov/issue/physician-accused-reusing-devices-has-license-suspended
    December 08, 2010 - March 21, 2011 Association between night-time surgery and occurrence of intraoperative

  15. Skin tears: the clinical challenge. | PSNet

    psnet.ahrq.gov/issue/skin-tears-clinical-challenge
    March 18, 2010 - January 3, 2017 Tubing misconnections—a persistent and potentially deadly occurrence.

  16. How hepatitis probe led to clinic: old-fashioned legwork yielded clues that came together. | PSNet

    psnet.ahrq.gov/issue/how-hepatitis-probe-led-clinic-old-fashioned-legwork-yielded-clues-came-together
    September 01, 2011 - October 3, 2017 Association between night-time surgery and occurrence of intraoperative

  17. Human Factors in Anaesthesia and Critical Care. | PSNet

    psnet.ahrq.gov/issue/human-factors-anaesthesia-and-critical-care
    June 15, 2011 - March 6, 2005 Association between night-time surgery and occurrence of intraoperative

  18. Doctors perform thousands of unnecessary surgeries. | PSNet

    psnet.ahrq.gov/issue/doctors-perform-thousands-unnecessary-surgeries
    March 20, 2013 - August 13, 2008 Occurrence of no-harm incidents and adverse events in hospitalized patients

  19. Negligence, genuine error, and litigation. | PSNet

    psnet.ahrq.gov/issue/negligence-genuine-error-and-litigation
    July 10, 2024 - July 10, 2024 Maximum emergency department overcrowding is correlated with occurrence

  20. Obstacles to research on the effects of interruptions in healthcare. | PSNet

    psnet.ahrq.gov/issue/obstacles-research-effects-interruptions-healthcare
    April 19, 2017 - Interruptions are a common occurrence in health care.
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