Results

Total Results: 1,077 records

Showing results for "stage".

161. There's more to the 60 Minutes story on heparin errors. | PSNet
     psnet.ahrq.gov/issue/theres-more-60-minutes-story-heparin-errors
     March 15, 2022 - May 7, 2018 Anticoagulant safety takes center stage in 2007.

162. Saying Sorry. | PSNet
     psnet.ahrq.gov/issue/saying-sorry
     October 20, 2021 - August 2, 2023 High Quality Care for All: NHS Next Stage Review Final Report.

163. Double key bounce and double keying errors. | PSNet
     psnet.ahrq.gov/issue/double-key-bounce-and-double-keying-errors
     February 01, 2023 - May 2, 2018 Anticoagulant safety takes center stage in 2007.

164. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40167/psn-pdf
     January 22, 2017 - take effect in July 2011, and one of those recommendations emphasizes enhanced supervision of early-stage

165. Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units. | PSNet
     psnet.ahrq.gov/issue/preventable-adverse-drug-events-hospitalized-patients-comparative-study-intensive-care-and
     March 31, 2021 - The authors also present data on the stage at which an ADE occurred, consequences of the preventable

166. Leading change: why transformation efforts fail. | PSNet
     psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail
     March 03, 2021 - Commentary Classic Leading change: why transformation efforts fail. Citation Text: Leading change: why transformation efforts fail. Kotter JP. Harvard Bus Rev  1995;73(2);59-67. Copy Citation Save Save to your library …

167. Addressing Burnout in the Behavioral Health Workforce through Organizational Strategies. | PSNet
     psnet.ahrq.gov/issue/addressing-burnout-behavioral-health-workforce-through-organizational-strategies
     December 24, 2008 - Behavioral health workers are particularly susceptible to burnout , which sets the stage for unsafe

168. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45893/psn-pdf
     August 28, 2017 - Investigators determined multiple unintended consequences of electronic prescribing, at every stage

169. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43388/psn-pdf
     July 30, 2014 - For the baseline stage, patients received a live follow-up call 3 weeks after their visit.

170. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37838/psn-pdf
     June 11, 2008 - However, as noted in prior research, problems were noted at each stage of the testing process, implying

171. Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. | PSNet
     psnet.ahrq.gov/issue/analysis-nature-and-contributory-factors-medication-safety-incidents-following-hospital
     October 25, 2023 - Overall, most incidents occurred at the prescribing stage, but varied by patient age group.

172. Relationships between medications used in a mental health hospital and types of medication errors: a cross-sectional study over an 8-year period. | PSNet
     psnet.ahrq.gov/issue/relationships-between-medications-used-mental-health-hospital-and-types-medication-errors
     November 29, 2023 - Nearly one-third of errors were wrong dose and occurred in the prescribing stage.

173. Patient Safety Incident Response Framework. | PSNet
     psnet.ahrq.gov/issue/patient-safety-incident-response-framework
     October 20, 2021 - June 12, 2019 High Quality Care for All: NHS Next Stage Review Final Report.

174. Statement of The Hospital & Healthsystem Association of Pennsylvania. | PSNet
     psnet.ahrq.gov/issue/statement-hospital-healthsystem-association-pennsylvania
     January 08, 2020 - March 19, 2014 Hearing on Patient Safety and Quality Issues in End Stage Renal Disease

175. NHS Improvement. | PSNet
     psnet.ahrq.gov/issue/nhs-improvement
     April 15, 2020 - May 1, 2016 High Quality Care for All: NHS Next Stage Review Final Report.

176. Patient Safety Improvement Act of 2020. | PSNet
     psnet.ahrq.gov/issue/patient-safety-improvement-act-2020
     February 12, 2020 - October 3, 2017 Hearing on Patient Safety and Quality Issues in End Stage Renal Disease

177. Medication Errors and Adverse Drug Events | PSNet
     psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
     December 15, 2024 - Preventing medication errors requires specific steps to ensure safety at each stage of the pathway (Table … Strategies to Prevent Adverse Drug Events Stage Safety Strategy Prescribing   Avoid unnecessary medications

178. Prevalence of medication administration errors in two medical units with automated prescription and dispensing. | PSNet
     psnet.ahrq.gov/issue/prevalence-medication-administration-errors-two-medical-units-automated-prescription-and
     February 26, 2020 - provider order entry (CPOE) hold promise for reducing medication errors at the prescribing and dispensing stage

179. The nature, severity and causes of medication incidents from an Australian community pharmacy incident reporting system: the QUMwatch study. | PSNet
     psnet.ahrq.gov/issue/nature-severity-and-causes-medication-incidents-australian-community-pharmacy-incident
     May 05, 2021 - Most errors occurred during the prescribing stage and were the result of interrelated causes such as

180. Developing a high value care programme from the bottom up: a programme of faculty-resident improvement projects targeting harmful or unnecessary care. | PSNet
     psnet.ahrq.gov/issue/developing-high-value-care-programme-bottom-programme-faculty-resident-improvement-projects
     December 16, 2020 - success in reducing the unneeded intervention: fewer serum creatinine tests ordered in those with end stage