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Total Results: 364 records

Showing results for "secondary".

21. Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients. | PSNet
    psnet.ahrq.gov/issue/associations-between-double-checking-and-medication-administration-errors-direct
    January 18, 2023 - October 7, 2020 Differences between methods of detecting medication errors: a secondary … March 11, 2020 A secondary care nursing perspective on medication administration safety

22. The contribution of staffing to medication administration errors: a text mining analysis of incident report data. | PSNet
    psnet.ahrq.gov/issue/contribution-staffing-medication-administration-errors-text-mining-analysis-incident-report
    December 21, 2022 - December 21, 2022 Differences between methods of detecting medication errors: a secondary … April 14, 2021 The secondary use of data to support medication safety in the hospital

23. The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety. | PSNet
    psnet.ahrq.gov/issue/devil-detail-how-closed-loop-documentation-system-iv-infusion-administration-contributes-and
    February 12, 2020 - Related Resources From the Same Author(s) Nurses as a source of system-level resilience: Secondary … April 7, 2021 The secondary use of data to support medication safety in the hospital

24. Components of pharmacist-led medication reviews and their relationship to outcomes: a systematic review and narrative synthesis. | PSNet
    psnet.ahrq.gov/issue/components-pharmacist-led-medication-reviews-and-their-relationship-outcomes-systematic
    November 16, 2022 - Association of adverse effects of medical treatment with mortality in the United States: a secondary … September 20, 2023 Interdisciplinary collaboration across secondary and primary care

25. Understanding models of error and how they apply in clinical practice. | PSNet
    psnet.ahrq.gov/issue/understanding-models-error-and-how-they-apply-clinical-practice
    October 11, 2016 - March 18, 2020 The secondary use of data to support medication safety in the hospital … February 23, 2022 Nurses as a source of system-level resilience: Secondary analysis of

26. Medication administration errors: understanding the issues. | PSNet
    psnet.ahrq.gov/issue/medication-administration-errors-understanding-issues
    December 15, 2011 - Download Citation Related Resources From the Same Author(s) A secondary … June 19, 2013 A secondary care nursing perspective on medication administration safety

27. Developing, implementing, evaluating electronic apparent cause analysis across a health care system. | PSNet
    psnet.ahrq.gov/issue/developing-implementing-evaluating-electronic-apparent-cause-analysis-across-health-care
    February 07, 2018 - Improving quality and safety of care using "technovigilance": an ethnographic case study of secondary … April 12, 2023 Differences between methods of detecting medication errors: a secondary

28. Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system. | PSNet
    psnet.ahrq.gov/issue/impact-pharmacist-led-admission-medication-reconciliation-patient-outcomes-large-health
    March 17, 2010 - of prescribing errors generated from using computerized provider order entry systems in primary and secondary … August 16, 2023 Interdisciplinary collaboration across secondary and primary care to

29. How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals. | PSNet
    psnet.ahrq.gov/issue/how-not-waste-crisis-qualitative-study-problem-definition-and-its-consequences-three
    April 21, 2015 - Improving quality and safety of care using "technovigilance": an ethnographic case study of secondary … Risk controls identified in action plans following serious incident investigations in secondary

30. Effects of work shift or shift length on radiation safety perception. | PSNet
    psnet.ahrq.gov/issue/effects-work-shift-or-shift-length-radiation-safety-perception
    August 23, 2023 - This secondary analysis of survey data found that radiologists working night shifts and shifts exceeding

31. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73281/psn-pdf
    May 19, 2021 - https://psnet.ahrq.gov/issue/associations-between-patient-factors-and-adverse-events-home-care-setting-secondary-data

32. Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis. | PSNet
    psnet.ahrq.gov/issue/impact-cancelrx-discontinuation-controlled-substance-prescriptions-interrupted-time-series
    September 01, 2021 - Using secondary data from the electronic health record (EHR) system of a midwestern academic health system

33. An Inadvertent Bolus of Norepinephrine. | PSNet
    psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
    December 04, 2016 - Image adapted and printed with permission from Pinkney et al., 2014 17 Errors Associated with Secondary … Infusions Secondary (“piggyback”) infusions are IV infusions that are attached to the primary continuous … Medication errors associated with secondary infusions arise from their complex setup process and include … infusion bags, and programming errors. 24 Secondary infusion errors accounted for approximately 39% … /piggyback infusion. 42 Attachment of a secondary infusion may result in transition of a continuous

34. Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-dimer. | PSNet
    psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-dimer
    May 01, 2005 - with nocturnal angina do not have obstructive coronary artery disease, making their symptoms likely secondary … Stress testing is the modality of choice in determining if a patient’s symptoms are likely secondary … The impact of pharmacists-led medicines reconciliation on healthcare outcomes in secondary … May 26, 2021 WebM&M Cases Hyponatremia Secondary

35. Use barcode scanning to prevent errors with enteral nutrition feedings. | PSNet
    psnet.ahrq.gov/issue/use-barcode-scanning-prevent-errors-enteral-nutrition-feedings
    December 04, 2024 - Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in secondary

36. Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data. | PSNet
    psnet.ahrq.gov/issue/maternal-and-infant-health-inequality-new-evidence-linked-administrative-data
    August 23, 2017 - the alignment of economic stability with maternal and infant care quality and found parental income secondary

37. Speaking up and sharing information improves trainee neonatal resuscitations. | PSNet
    psnet.ahrq.gov/issue/speaking-and-sharing-information-improves-trainee-neonatal-resuscitations
    April 08, 2011 - This secondary analysis of a teamwork training trial identified the specific teamwork behaviors that

38. Recommendations but no Action: Improving the Effectiveness of Quality and Safety Recommendations in Healthcare. | PSNet
    psnet.ahrq.gov/issue/recommendations-no-action-improving-effectiveness-quality-and-safety-recommendations
    January 16, 2025 - August 19, 2020 Differences between methods of detecting medication errors: a secondary

39. Rapid response teams as a patient safety practice for failure to rescue. | PSNet
    psnet.ahrq.gov/issue/rapid-response-teams-patient-safety-practice-failure-rescue
    January 26, 2022 - The authors note that evidence does support that RRTs are associated with reduced secondary outcomes,

40. Approaches to improving patient safety in integrated care: a scoping review. | PSNet
    psnet.ahrq.gov/issue/approaches-improving-patient-safety-integrated-care-scoping-review
    May 18, 2022 - Care integration —the linking of care across primary, secondary, social, community, and mental health—can