Results

Total Results: 4,035 records

Showing results for "occurring".

441. In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments. | PSNet
     psnet.ahrq.gov/issue/situ-simulation-adoption-new-technology-improve-sepsis-care-rural-emergency-departments
     November 10, 2021 - August 24, 2022 Analysis of risk factors for patient safety events occurring in the emergency

442. Monitoring preventable adverse events and near misses: number and type identified differ depending on method used. | PSNet
     psnet.ahrq.gov/issue/monitoring-preventable-adverse-events-and-near-misses-number-and-type-identified-differ
     June 08, 2022 - March 16, 2022 Root cause analyses of reported adverse events occurring during gastrointestinal

443. Safety of elderly fallers: identifying associated risk factors for 30-day unplanned readmissions using a clinical data warehouse. | PSNet
     psnet.ahrq.gov/issue/safety-elderly-fallers-identifying-associated-risk-factors-30-day-unplanned-readmissions
     May 04, 2022 - July 13, 2022 Analysis of risk factors for patient safety events occurring in the emergency

444. Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital. | PSNet
     psnet.ahrq.gov/issue/nurse-reported-bullying-and-documented-adverse-patient-events-exploratory-study-us-hospital
     November 11, 2020 - September 29, 2021 Root cause analyses of reported adverse events occurring during gastrointestinal

445. A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients. | PSNet
     psnet.ahrq.gov/issue/systematic-review-methods-medical-record-analysis-detect-adverse-events-hospitalized-patients
     December 14, 2022 - September 23, 2020 Review of reported adverse events occurring among the homeless veteran

446. Patient misidentification events in the Veterans Health Administration: a comprehensive review in the context of high-reliability health care. | PSNet
     psnet.ahrq.gov/issue/patient-misidentification-events-veterans-health-administration-comprehensive-review-context
     November 24, 2021 - November 11, 2020 Review of reported adverse events occurring among the homeless veteran

447. Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system-monitoring-and-analysis
     May 18, 2022 - June 1, 2022 Root cause analyses of reported adverse events occurring during gastrointestinal

448. Validation of a secondary screener for suicide risk: results from the Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE). | PSNet
     psnet.ahrq.gov/issue/validation-secondary-screener-suicide-risk-results-emergency-department-safety-assessment-and
     May 31, 2023 - January 26, 2022 Analysis of risk factors for patient safety events occurring in the

449. The Veterans Affairs root cause analysis system in action. | PSNet
     psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysis-system-action
     June 22, 2022 - October 21, 2020 Root cause analyses of reported adverse events occurring during gastrointestinal

450. Overdiagnosis in low-dose computed tomography screening for lung cancer. | PSNet
     psnet.ahrq.gov/issue/overdiagnosis-low-dose-computed-tomography-screening-lung-cancer
     August 04, 2021 - October 20, 2010 Anatomy and pathophysiology of errors occurring in clinical radiology

451. A systems approach to analyzing and preventing hospital adverse events. | PSNet
     psnet.ahrq.gov/issue/systems-approach-analyzing-and-preventing-hospital-adverse-events
     March 30, 2022 - August 3, 2022 Root cause analyses of reported adverse events occurring during gastrointestinal

452. Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review. | PSNet
     psnet.ahrq.gov/issue/impact-teamwork-and-communication-training-interventions-safety-culture-and-patient-safety
     October 07, 2020 - Resources From the Same Author(s) Analysis of risk factors for patient safety events occurring

453. Misread Label | PSNet
     psnet.ahrq.gov/web-mm/misread-label
     August 28, 2024 - Wrong drug errors are typically a smaller proportion of these, occurring in about 0.2% of all doses given … increase the risk assessment carried out when naming medicinal products, to minimize the risks of mix-ups occurring

454. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50392/psn-pdf
     September 01, 2019 - We have to be extremely skeptical of that event occurring even once. … I have some concern that there is just a proliferation of measures occurring without a lot of rigor … The To Err Is Human report identified deaths occurring in the American health care system because of

455. Assessing frequency and risk of weight entry errors in pediatrics. | PSNet
     psnet.ahrq.gov/issue/assessing-frequency-and-risk-weight-entry-errors-pediatrics
     December 21, 2018 - October 30, 2010 Medication errors occurring with the use of bar-code administration

456. An analysis of adverse events in the rehabilitation department: using the Veterans Affairs root cause analysis system. | PSNet
     psnet.ahrq.gov/issue/analysis-adverse-events-rehabilitation-department-using-veterans-affairs-root-cause-analysis
     June 21, 2017 - April 12, 2019 Root cause analyses of reported adverse events occurring during gastrointestinal

457. Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/errors-upstream-and-downstream-universal-protocol-associated-wrong-surgery-events-veterans
     November 21, 2012 - January 17, 2019 Root cause analyses of reported adverse events occurring during gastrointestinal

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49425/psn-pdf
     November 01, 2003 - Wrong drug errors are typically a smaller proportion of these, occurring in about 0.2% of all doses … increase the risk assessment carried out when naming medicinal products, to minimize the risks of mix-ups occurring

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33617/psn-pdf
     August 01, 2005 - Preoperative care is crucial as well—to make sure that the operation is occurring on the right part … look at it from an interdisciplinary perspective, the more that system will help prevent errors from occurring

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836877/psn-pdf
     May 16, 2022 - now have a quality improvement department or quality management that looks to prevent errors from occurring … wasn't as systematic, and there wasn't this culture towards using measurement to prevent an error from occurring—a … focused around standardization of that communication and that handoff and whether or not that's actually occurring … again to changing that culture, so that we are preventing some of these patient safety events from occurring … noticed that we're a little bit below our goal, are you all aware of a particular facility where this is occurring