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Total Results: 811 records

Showing results for "phase".

141. The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident report analysis. | PSNet
     psnet.ahrq.gov/issue/nature-causes-and-clinical-impact-errors-clinical-laboratory-testing-process-leading
     May 18, 2022 - Netherlands and found that diagnostic testing errors most commonly occurred during the pre-analytic phase

142. A strategic solution to preventing the harm associated with ambulance handover delays. | PSNet
     psnet.ahrq.gov/issue/strategic-solution-preventing-harm-associated-ambulance-handover-delays
     July 22, 2020 - This article describes a two-phase quality improvement project to decrease overall handover times as

143. Beyond patient safety Flatland. | PSNet
     psnet.ahrq.gov/issue/beyond-patient-safety-flatland
     September 04, 2024 - July 15, 2020 Response of practicing chiropractors during the early phase of the COVID

144. Special Issue on Medication Safety. | PSNet
     psnet.ahrq.gov/issue/special-issue-medication-safety
     June 26, 2019 - Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase

145. 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 - 2010 Characteristics of medication errors made by students during the administration phase

146. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36943/psn-pdf
     May 08, 2018 - Remote CPOE error—a situation that's more than remotely possible. May 8, 2018 ISMP Medication Safety Alert! Acute Care Edition. May 31, 2007;12:1-3. https://psnet.ahrq.gov/issue/remote-cpoe-error-situation-thats-more-remotely-possible This article describes a wrong-patient drug error that was prescribed using a co…

147. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33615/psn-pdf
     June 01, 2005 - The first phase is engagement and a genuine search for the answer to the question: How is this making … The next phase is execution, which begins by being very clear about the plan.

148. In Conversation With… Edward Kelley, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-edward-kelley-phd
     December 01, 2014 - Phase 1: Co-development and program design (2009–2011) Unlike other patient safety initiatives to date … This phase involved co-development of a first batch of tools and resources and early components of a … 2: Managed partnership expansion (2011–2013) The lessons from phase 1 of APPS were then applied to … During this phase, France also began to support APPS hospital partnerships involving five additional … development across African countries, thus moving toward implementation-informed policymaking.( 16 ) Phase

149. High rates of adverse drug events in a highly computerized hospital. | PSNet
     psnet.ahrq.gov/issue/high-rates-adverse-drug-events-highly-computerized-hospital
     August 04, 2021 - The majority of errors that resulted in an ADE occurred in the medication ordering phase.

150. Severity and probability of harm of medication errors intercepted by an emergency department pharmacist. | PSNet
     psnet.ahrq.gov/issue/severity-and-probability-harm-medication-errors-intercepted-emergency-department-pharmacist
     May 04, 2012 - medication errors identified by an emergency department pharmacist primarily occurred at the prescribing phase

151. Medication error reduction and the use of PDA technology. | PSNet
     psnet.ahrq.gov/issue/medication-error-reduction-and-use-pda-technology
     August 28, 2024 - 2011 Characteristics of medication errors made by students during the administration phase

152. Learning from errors with the new COVID-19 vaccines. | PSNet
     psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines
     October 21, 2021 - December 2, 2020 Response of practicing chiropractors during the early phase of the COVID

153. Decision Making in Emergency Medicine: Biases, Errors and Solutions. | PSNet
     psnet.ahrq.gov/issue/decision-making-emergency-medicine-biases-errors-and-solutions
     January 20, 2021 - Building a simulation-based crisis resource management course for emergency medicine, phase

154. John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. | PSNet
     psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-concord-hospital
     October 19, 2022 - October 19, 2022 Response of practicing chiropractors during the early phase of the COVID

155. Medical errors education: a prospective study of a new educational tool. | PSNet
     psnet.ahrq.gov/issue/medical-errors-education-prospective-study-new-educational-tool
     March 20, 2024 - 2011 Characteristics of medication errors made by students during the administration phase

156. Medication assessment: one determinant of falls risk. | PSNet
     psnet.ahrq.gov/issue/medication-assessment-one-determinant-falls-risk
     July 24, 2013 - Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase

157. Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations. | PSNet
     psnet.ahrq.gov/issue/voluntary-electronic-reporting-laboratory-errors-analysis-37532-laboratory-event-reports-30
     February 24, 2011 - Most errors occurred at the preanalytic phase (before the specimen arrived in the laboratory), with many

158. Effects of patient-, environment- and medication-related factors on high-alert medication incidents. | PSNet
     psnet.ahrq.gov/issue/effects-patient-environment-and-medication-related-factors-high-alert-medication-incidents
     January 22, 2016 - high-alert medication uses had errors, with more occurring in the prescribing than the administration phase

159. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43795/psn-pdf
     December 17, 2014 - Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews. December 17, 2014 Duchscherer C, Davies JM. Calgary, Alberta, Canada: Health Quality Council of Alberta; 2012. https://psnet.ahrq.gov/issue/systematic-systems-analysis-practical-approach-patient-safety-reviews Drawing from human factors a…

160. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40747/psn-pdf
     September 07, 2011 - Misdiagnosis: analysis based on case record review with proposals aimed to improve diagnostic processes. September 7, 2011 Neale G, Hogan H, Sevdalis N. Misdiagnosis: analysis based on case record review with proposals aimed to improve diagnostic processes. Clin Med (Lond). 2011;11(4):317-321. https://psnet.ahrq.g…