-
psnet.ahrq.gov/node/851916/psn-pdf
August 02, 2023 - Hospitals reported small scale success and
described challenges with implementation when the Framework
-
psnet.ahrq.gov/issue/factors-associated-disclosure-medical-errors-housestaff
January 27, 2019 - This survey of internal medicine and surgical residents found that only a small minority fully disclosed
-
psnet.ahrq.gov/issue/morphine-overdose-error-propagation-acute-pain-service-une-surdose-de-morphine-resultant-de
January 13, 2016 - They discuss how the case illustrates that small mistakes can combine to create major problems.
-
psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events
March 06, 2005 - As shown in prior research , incident reports identified only a small proportion of adverse events.
-
psnet.ahrq.gov/node/866398/psn-pdf
July 31, 2024 - The
Patient Advocacy Reporting System (PARS) includes a peer messenger component for the small
proportion
-
psnet.ahrq.gov/node/73376/psn-pdf
June 09, 2021 - (86%) had been involved in a patient safety incident at some point during their career but only a small
-
psnet.ahrq.gov/node/848366/psn-pdf
May 03, 2023 - children who
received a weight-based medication found that weight documentation was associated with a small
-
psnet.ahrq.gov/node/47717/psn-pdf
June 27, 2019 - Researchers noted a small increase in length of procedure for overlapping surgeries.
-
psnet.ahrq.gov/node/73571/psn-pdf
August 04, 2021 - August 4, 2021
Small K, Sidebotham M, Gamble J, et al.
-
psnet.ahrq.gov/node/60054/psn-pdf
March 18, 2020 - and the liability
insurer, use of formal decision protocols, collaborative group implementation, and small
-
psnet.ahrq.gov/node/836995/psn-pdf
April 27, 2022 - Researchers found that multiple interventions (e.g., education, changes in the transport
process) with small
-
psnet.ahrq.gov/node/73168/psn-pdf
April 21, 2021 - patient safety incidents
in critical care units in England between 2009 and 2017 and found that a small
-
psnet.ahrq.gov/node/836715/psn-pdf
March 09, 2022 - observations during live operations and found that non-technical
skills were equivalent; there was a small
-
psnet.ahrq.gov/node/45692/psn-pdf
January 01, 2020 - They found that patients
were able to accurately identify adverse events and near misses, only a small
-
psnet.ahrq.gov/node/73998/psn-pdf
October 27, 2021 - Intravenous catheter placement in the pediatric population, particularly in the very young or small child … include the ability to aspirate blood from the catheter with a syringe, the
ability to easily inject a small … volume of normal saline, the absence of infiltration or hematoma after small
volume fluid injection … Unfortunately, these
methods are not always reliable in the small and fragile veins of neonates and
-
psnet.ahrq.gov/issue/2006-update-consumers-views-patient-safety-and-quality-information
July 28, 2013 - aware of information comparing the quality of hospitals, health care plans, or providers, but only a small
-
psnet.ahrq.gov/node/73251/psn-pdf
May 12, 2021 - majority of complications were attributed to personal performance (technical or
judgement issues) and a small
-
psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph
May 01, 2013 - And the small number of leading institutions ultimately represent a small amount of care and what I want … it's a stretch to say that if CMS wanted this, we could soon have every hospital claim linked with a small … If the alternative is to do nothing at all or to keep focusing on the small number of processes, most … It's still a small number but that means in a couple of years about 20% of American hospitals adopted … important to keep in mind that what we know about the benefits and risks of these programs is based on a small
-
psnet.ahrq.gov/node/61016/psn-pdf
October 14, 2020 - A small proportion (5%) of pediatric anesthesia adverse events were
associated with transport, but the
-
psnet.ahrq.gov/node/47704/psn-pdf
April 03, 2019 - Investigators found that a small proportion of physicians,
about 10%, had one or more paid malpractice