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psnet.ahrq.gov/issue/investigation-interventions-reduce-nurses-medication-errors-adult-intensive-care-units
September 29, 2021 - Review
Investigation of interventions to reduce nurses' medication errors in adult intensive care units: a systematic review.
Citation Text:
Mohanna Z, Kusljic S, Jarden R. Investigation of interventions to reduce nurses’ medication errors in adult intensive care units: a systematic revi…
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psnet.ahrq.gov/issue/analysis-iatrogenic-and-hospital-medication-errors-reported-united-states-poison-centers
November 28, 2018 - Study
Analysis of iatrogenic and in-hospital medication errors reported to United States poison centers: a retrospective observational study.
Citation Text:
Leonard JB, McFadden C, Feemster AA, et al. Analysis of iatrogenic and in-hospital medication errors reported to United States pois…
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psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
September 16, 2015 - procedure (i.e., CT versus MRI), and incorrect details of how the exam or procedure is performed (i.e., type … If the use, diagnosis, and patient type align with what the CDS has been programmed to identify as appropriate … the intended use of the catheter; this intended use may depend on the disease entity in a specific type … However, it is not clear that a simple successive check of this type would have helped in this case, … This type of successive check might well have identified the error before the adverse event occurred.
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psnet.ahrq.gov/periodic-issue/periodic-issue-470
December 31, 2024 - Around half of errors for each type of medication occurred at administration. 97% of errors resulted … Around half of errors for each type of medication occurred at administration. 97% of errors resulted
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psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
March 07, 2012 - Pain may occur locally at the skin incision site, but the most common and concerning type of pain is … The latter include the type of needle used, the caliber of the needle, and whether image-assisted guidance … liver biopsy
Patient cooperation
Operator experience
Use of image guidance
Type … of technique (percutaneous/transvenous)
Number of needle passes
Needle diameter
Type
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psnet.ahrq.gov/primer/computerized-provider-order-entry
March 15, 2025 - Computerized Provider Order Entry
Citation Text:
Computerized Provider Order Entry. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/primer/radiation-safety
September 15, 2024 - Nuclear medicine scans use a special type of camera that images gamma-radiation–emitting radioisotopes … One study showed that even for the same type of CT examination, the radiation doses varied as much
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psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
March 25, 2020 - The Commentary
By Christian Bohringer MD
This incident describes a common type of adverse drug … they are resuspended in different concentrations when they are drawn up from the ampule. 1,2 This type … provided in smaller ampules than those provided for dilute solutions to reduce the likelihood of this type
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psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mph
April 01, 2013 - infrastructural elements needed to surround those work hours changes are hugely different depending on the type … The alternative approach to this type of a night float, in a system where you're flipping from days to … CL : Putting any type of restriction in place for senior physicians is really difficult for a host of … types of long hours that are common here in the States are fairly rare in New Zealand, even without any type
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psnet.ahrq.gov/web-mm/admission-drug-dose-too-low
September 01, 2011 - The Commentary Medication errors are the most common type of medical error and occur frequently in … transition between health care settings.( 2 ) Within hospitals, ordering errors are the most common type … , as stipulated by the American Recovery and Reinvestment Act, may be very helpful in creating this type
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psnet.ahrq.gov/web-mm/pitfalls-diagnosing-necrotizing-fasciitis
March 24, 2021 - , scientists have reported that the pathogenesis of necrotizing fasciitis is usually polymicrobial (type … 1 NF) rather than monomicrobial (type 2 NF).( 19-21 ) Type 1 NF is a slower process that evolves over … 2 to 4 days after the initial insult, while type 2 NF tends to more insidious in onset, but once it
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psnet.ahrq.gov/node/40341/psn-pdf
November 30, 2016 - The full report
contains detailed comparative data for various hospital characteristics (type and size
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psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety
April 01, 2013 - infrastructural elements needed to surround those work hours changes are hugely different depending on the type … The alternative approach to this type of a night float, in a system where you're flipping from days to … CL : Putting any type of restriction in place for senior physicians is really difficult for a host of … types of long hours that are common here in the States are fairly rare in New Zealand, even without any type
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psnet.ahrq.gov/issue/causes-errors-clinical-reasoning-cognitive-biases-knowledge-deficits-and-dual-process
April 12, 2019 - Exploring the accuracy of the size and type of group diagnosis: an experimental study.
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psnet.ahrq.gov/issue/intensive-care-unit-safety-incidents-medical-versus-surgical-patients-prospective-multicenter
June 29, 2009 - Study
Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study.
Citation Text:
Sinopoli DJ, Needham DM, Thompson DA, et al. Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. J Cr…
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psnet.ahrq.gov/perspective/safety-culture-ems
May 26, 2021 - performance goals that may or may not align with the principles of a Just Culture. 3 Additionally, this type … people who are in management, supervision, senior leadership don't have EMS certifications or some type … There are some states that may have some type of trauma reporting, maybe it could be part of that same … KH: Like a registry-type system? … Until there's some type of EMS entity that is going to move globally, it's really going to be organization-dependent
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psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd
December 22, 2020 - charts from academic institutions sought to classify dentistry adverse events, identify the most common type … Pain is the most common type of AE identified, followed by hard tissue damage, nerve injury, and soft
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psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
May 31, 2023 - The technology can only enhance that type of communication. … perspectives of residency holdover handoffs: a qualitative study to understand an increasingly important type
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psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - At minimum, submassive PE should be treated with anticoagulation, but the preferred type of anticoagulation … immobilization are known risk factors for VTE, users of Wells’ Criteria are not required to specify the type … Anchoring, a type of cognitive bias, occurs when a clinician fixates on features of a specific diagnosis … Assays for brain-type natriuretic peptide (BNP) and Troponin-T are sensitive but not specific for PE. … Submassive PE does not cause hemodynamic instability but does produce right heart strain. 9 The timing and type
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psnet.ahrq.gov/node/49632/psn-pdf
July 01, 2011 - Few studies have examined the safety
risks presented by the type of handoff in this case—the academic … strategies
are potentially useful but they also may need adaption, depending on the specialty and type