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Total Results: 1,040 records

Showing results for "type".

141. Addressing Workplace Violence and Creating a Safer Workplace | PSNet
     psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
     October 31, 2023 - The most common type of violence in healthcare settings is violence from patients, families, or visitors … conflicts, work overload, and insufficient support from management. 14 In addition to varying by type

142. Failure to Rescue the Mother | PSNet
     psnet.ahrq.gov/web-mm/failure-rescue-mother
     September 23, 2020 - of the newborn, and upon admission for an anticipated vaginal or cesarean delivery, a repeat blood type … In these women, a type-specific crossmatch of at least 2–6 units packed RBCs is strongly recommended … All patients should undergo repeat type and screen on admission—particularly women who have had transfusions

143. Hyperglycemia and Switching to Subcutaneous Insulin | PSNet
     psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
     May 19, 2021 - The Case A 47-year-old man with type 2 diabetes was admitted to the hospital with nonketotic hyperglycemia … care guidelines discuss the transition from intravenous (IV) to subcutaneous insulin in patients with type … summarizes the systems redesign recommendations that an organization should implement to address this type

144. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33596/psn-pdf
     January 29, 2025 - characteristics (e.g., advanced age, lower socioeconomic status, comorbidities, frailty) as well as the type … of surgery and type of complication also increase the likelihood of failure-to-rescue after serious

145. Resilient actions in the diagnostic process and system performance. | PSNet
     psnet.ahrq.gov/issue/resilient-actions-diagnostic-process-and-system-performance
     November 13, 2024 - Study Resilient actions in the diagnostic process and system performance. Citation Text: Smith MW, Giardina TD, Murphy DR, et al. Resilient actions in the diagnostic process and system performance. BMJ Qual Saf. 2013;22(12):1006-13. doi:10.1136/bmjqs-2012-001661. Copy Citation Fo…

146. An international review of patient safety measures in radiotherapy practice. | PSNet
     psnet.ahrq.gov/issue/international-review-patient-safety-measures-radiotherapy-practice
     May 22, 2019 - Review An international review of patient safety measures in radiotherapy practice. Citation Text: Shafiq J, Barton M, Noble DJ, et al. An international review of patient safety measures in radiotherapy practice. Radiother Oncol. 2009;92(1):15-21. doi:10.1016/j.radonc.2009.03.007. Co…

147. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/74277
     January 01, 2021 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Medication/Drug Errors Curated Library Primers Medication Administration Errors Paul MacDowell, PharmD, BCPS, Ann Cabri, PharmD, and Michaela Davis, MSN, RN, CNS | March, 12 2021 Medication administration errors are a persistent patient saf…

148. Diagnosing crime and diagnosing disease—part 1 and part 2. | PSNet
     psnet.ahrq.gov/issue/diagnosing-crime-and-diagnosing-disease-part-1-and-part-2
     December 05, 2018 - July 1, 2013 Frequency, type and clinical importance of medication history errors at

149. Interventions targeted at reducing diagnostic error: systematic review. | PSNet
     psnet.ahrq.gov/issue/interventions-targeted-reducing-diagnostic-error-systematic-review
     March 10, 2021 - Review Interventions targeted at reducing diagnostic error: systematic review. Citation Text: Dave N, Bui S, Morgan C, et al. Interventions targeted at reducing diagnostic error: systematic review. BMJ Qual Saf. 2022;31(4):297-307. doi:10.1136/bmjqs-2020-012704. Copy Citation Forma…

150. The Different Count Contributions to Retention (pdf file)
     psnet.ahrq.gov/sites/default/files/2024-10/The%20Different%20Count%20Contributions%20to%20Retention.pdf
     January 01, 2024 - technological adjunct was developed using bar-code technology, where a matrix label is applied to each type … Table Case # Operation; year of report Retained Soft Good type End Case Count documentation

151. Failure to Rescue | PSNet
     psnet.ahrq.gov/primer/failure-rescue
     September 15, 2024 - characteristics (e.g., advanced age, lower socioeconomic status, comorbidities, frailty) as well as the type … of surgery and type of complication also increase the likelihood of failure-to-rescue after serious

152. Diagnostic Error | PSNet
     psnet.ahrq.gov/curated-library/diagnostic-error
     April 17, 2025 - in the outpatient setting—were both the most common and the most costly (in terms of total payments) type

153. Implications of electronic health record downtime: an analysis of patient safety event reports. | PSNet
     psnet.ahrq.gov/issue/implications-electronic-health-record-downtime-analysis-patient-safety-event-reports
     February 14, 2024 - A text mining approach to categorize patient safety event reports by medication error type

154. Diagnostic Failure: The Growing Deficit | PSNet
     psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
     June 01, 2005 - Intentional use of type 2 (slow) in favor of type 1 (fast) thinking (so-called cognitive debiasing) has … Sentinel Event Data—Event Type by Year. The Joint Commission. [Available at] 9.

155. Haste Makes Care Unsafe | PSNet
     psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
     January 07, 2015 - This type of rushed and difficult circumstance places a high premium on comprehensive, accurate communication … , to help avoid the type of oversight error that did occur. … "( 7 ) Checklists of the type applicable to this case have been published about pediatric cardiac surgery

156. Two Wrongs Don't Make a Right (Kidney) | PSNet
     psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
     April 01, 2010 - Sentinel Event Data: Event Type by Year. Oakbrook Terrace, IL: The Joint Commission; 2014. … Sentinel Event Data: Root Causes by Event Type. Oakbrook Terrace, IL: The Joint Commission; 2014. … Definitions and Examples of Wrong-Site Surgeries.( 2 ) Type Definition Example

157. A Seasonal Care Transition Failure | PSNet
     psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
     June 01, 2016 - Few studies have examined the safety risks presented by the type of handoff in this case—the academic … complementary strategies are potentially useful but they also may need adaption, depending on the specialty and type

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49714/psn-pdf
     August 21, 2014 - 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

159. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected | PSNet
     psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
     September 25, 2024 - This risk varies depending on the indication, patient, type of procedure, and experience of the proceduralist … Failures of this type almost always have multiple contributing factors. … recommended to discuss the optimal location (i.e., main operating room or procedural suite), timing, type

160. Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two Canadian adverse event studies. | PSNet
     psnet.ahrq.gov/issue/associations-between-patient-factors-and-adverse-events-home-care-setting-secondary-data
     November 27, 2013 - Study Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two Canadian adverse event studies. Citation Text: Sears NA, Blais R, Spinks M, et al. Associations between patient factors and adverse events in the home care setting: a …