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Total Results: 2,581 records

Showing results for "occurrence".

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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

  12. 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

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35160/psn-pdf
    January 02, 2017 - Unlabeled containers lead to patient's death. January 2, 2017 Cohen MR, Smetzer JL. Unlabeled containers lead to patient's death. Jt Comm J Qual Patient Saf. 2005;31(7):414-7. https://psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death The authors review selected incidents of harm involving unlabeled con…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35161/psn-pdf
    March 13, 2016 - The forgotten tourniquet—an update. March 13, 2016 PA Patient Saf Advis. 2016;13(1):4. http://patientsafety.pa.gov/ADVISORIES/Pages/201603_32.aspx. https://psnet.ahrq.gov/issue/forgotten-tourniquet-update This advisory from the Pennsylvania Patient Safety Reporting System discusses 1079 reports of tourniquets bein…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35932/psn-pdf
    October 03, 2017 - Injury to research volunteers—the clinical-research nightmare. October 3, 2017 Wood AJJ, Darbyshire J. Injury to research volunteers--the clinical-research nightmare. N Engl J Med. 2006;354(18):1869-71. https://psnet.ahrq.gov/issue/injury-research-volunteers-clinical-research-nightmare The authors discuss a high-…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37915/psn-pdf
    January 27, 2009 - Barcode technology flaws put some patients at risk. January 27, 2009 Preidt R. ABC News. July 4, 2008. https://psnet.ahrq.gov/issue/barcode-technology-flaws-put-some-patients-risk This article discusses the findings of a recent study that reported deficiencies in barcode systems requiring numerous overrides a…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38348/psn-pdf
    December 30, 2014 - Implementing a bar-code medication administration system. December 30, 2014 Weber RJ. Implementing a Bar-Code Medication Administration System. Hosp Pharm. 2010;43(12):1016- 1022. doi:10.1310/hpj4312-1016. https://psnet.ahrq.gov/issue/implementing-bar-code-medication-administration-system This commentary discusse…

  18. 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: …

  19. Chase H et al. 2003 "Modem transmission of glucose values reduces the costs and need for clinic visits." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/chase-h-et-al-2003
    January 01, 2003 - The occurrence of mild-to-moderate hypoglycemic events were similar in the two groups, and there were

  20. A system-wide initiative to prevent retained vaginal sponges. | PSNet

    psnet.ahrq.gov/issue/system-wide-initiative-prevent-retained-vaginal-sponges
    November 07, 2012 - April 16, 2018 Implementation of a protocol to reduce occurrence of retained sponges
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