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Total Results: 2,551 records

Showing results for "occurrence".

  1. 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…

  2. 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 …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849613/psn-pdf
    May 31, 2023 - Smart infusion pump investigations after an unexplained over-infusion. May 31, 2023 ISMP Patient Safety Alert! Acute care edition. May 18, 2023;28(10);1-3. https://psnet.ahrq.gov/issue/smart-infusion-pump-investigations-after-unexplained-over-infusion Dose error-reduction systems (DERS) and drug libraries are tool…

  4. The role of automation in complex system failures. | PSNet

    psnet.ahrq.gov/issue/role-automation-complex-system-failures
    June 28, 2013 - March 7, 2012 The nature and occurrence of registration errors in the emergency department

  5. Why don't nurses consistently take patient respiratory rates? | PSNet

    psnet.ahrq.gov/issue/why-dont-nurses-consistently-take-patient-respiratory-rates
    October 10, 2012 - December 30, 2014 The occurrence of adverse events potentially attributable to nursing

  6. Compensation of chief executive officers at nonprofit US hospitals. | PSNet

    psnet.ahrq.gov/issue/compensation-chief-executive-officers-nonprofit-us-hospitals
    December 18, 2018 - October 16, 2013 The relationship between the nursing work environment and the occurrence

  7. Safe use of opioids in hospitals. | PSNet

    psnet.ahrq.gov/issue/safe-use-opioids-hospitals
    February 28, 2018 - December 23, 2016 Tubing misconnections—a persistent and potentially deadly occurrence

  8. Attitudes toward medical device use errors and the prevention of adverse events. | PSNet

    psnet.ahrq.gov/issue/attitudes-toward-medical-device-use-errors-and-prevention-adverse-events
    September 24, 2016 - September 28, 2016 The nature and occurrence of registration errors in the emergency

  9. Safety climate and medical errors in 62 US emergency departments. | PSNet

    psnet.ahrq.gov/issue/safety-climate-and-medical-errors-62-us-emergency-departments
    June 16, 2009 - April 3, 2013 The nature and occurrence of registration errors in the emergency department

  10. Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds. | PSNet

    psnet.ahrq.gov/issue/reevaluating-recovery-perceived-violations-and-preemptive-interventions-emergency-psychiatry
    September 17, 2008 - May 4, 2012 The nature and occurrence of registration errors in the emergency department

  11. Integrating human factors research and surgery: a review. | PSNet

    psnet.ahrq.gov/issue/integrating-human-factors-research-and-surgery-review
    August 02, 2015 - June 9, 2011 Equipment-related incidents in the operating room: an analysis of occurrence

  12. "Canary measures" among the AHRQ Patient Safety Indicators. | PSNet

    psnet.ahrq.gov/issue/canary-measures-among-ahrq-patient-safety-indicators
    November 27, 2012 - July 3, 2016 Patient characteristics and the occurrence of never events.

  13. ISMP National Vaccine Errors Reporting Program: one in three vaccine errors associated with age-related factors. | PSNet

    psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-one-three-vaccine-errors-associated-age
    July 27, 2016 - November 13, 2013 The relationship between the nursing work environment and the occurrence

  14. Preventing patient positioning injuries in the nonoperating room setting. | PSNet

    psnet.ahrq.gov/issue/preventing-patient-positioning-injuries-nonoperating-room-setting
    November 21, 2012 - March 29, 2023 Implementing the clinical occurrence reporting and learning system: a

  15. Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous thromboembolism in trauma. | PSNet

    psnet.ahrq.gov/issue/improved-prophylaxis-and-decreased-rates-preventable-harm-use-mandatory-computerized-clinical
    June 21, 2016 - June 21, 2016 The occurrence of potential patient safety events among trauma patients

  16. Can we use incident reports to detect hospital adverse events? | PSNet

    psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events
    March 06, 2005 - September 29, 2021 The relationship between nursing experience and education and the occurrence

  17. The SAGES FUSE program: bridging a patient safety gap. | PSNet

    psnet.ahrq.gov/issue/sages-fuse-program-bridging-patient-safety-gap
    April 05, 2017 - February 10, 2021 Association between night-time surgery and occurrence of intraoperative

  18. Nursing student medication errors involving tubing and catheters: a descriptive study. | PSNet

    psnet.ahrq.gov/issue/nursing-student-medication-errors-involving-tubing-and-catheters-descriptive-study
    July 14, 2010 - December 13, 2017 The relationship between nursing experience and education and the occurrence

  19. Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strategies. | PSNet

    psnet.ahrq.gov/issue/reducing-disruptive-effects-interruption-cognitive-framework-analysing-costs-and-benefits
    September 11, 2013 - April 16, 2019 Applied use of safety event occurrence control charts of harm and non-harm

  20. Wrong-side thoracentesis: lessons learned from root cause analysis. | PSNet

    psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis
    July 16, 2015 - Study Wrong-side thoracentesis: lessons learned from root cause analysis. Citation Text: Miller K, Mims M, Paull DE, et al. Wrong-side thoracentesis: lessons learned from root cause analysis. JAMA Surg. 2014;149(8):774-9. doi:10.1001/jamasurg.2014.146. Copy Citation Format: …
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