Results

Total Results: 1,040 records

Showing results for "type".

41. Checking all the boxes: a checklist for when and how to use checklists effectively. | PSNet
    psnet.ahrq.gov/issue/checking-all-boxes-checklist-when-and-how-use-checklists-effectively
    June 29, 2022 - refinement of checklists including how to decide if a checklist is the most effective intervention and what type

42. Variation in the reporting of elective surgeries and its influence on patient safety indicators. | PSNet
    psnet.ahrq.gov/issue/variation-reporting-elective-surgeries-and-its-influence-patient-safety-indicators
    June 30, 2021 - This study found that a hospital’s internal policies about admission type introduces variation in PSI

43. Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. | PSNet
    psnet.ahrq.gov/issue/root-cause-analysis-adverse-events-involving-opioid-overdoses-veterans-health-administration
    November 17, 2021 - The most frequent event type was medication administration error and the most frequent root cause was

44. How safe are paediatric emergency departments? A national prospective cohort study. | PSNet
    psnet.ahrq.gov/issue/how-safe-are-paediatric-emergency-departments-national-prospective-cohort-study
    May 20, 2020 - within 21 days of an emergency department visit, whether the AE may have been preventable, and the type

45. Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. | PSNet
    psnet.ahrq.gov/issue/medical-malpractice-lawsuits-involving-trainees-obstetrics-and-gynecology-usa
    February 15, 2023 - Cases are categorized by type of injury, patient outcome, category of error, outcome of lawsuit, and

46. Communication through the electronic health record: frequency and implications of free text orders. | PSNet
    psnet.ahrq.gov/issue/communication-through-electronic-health-record-frequency-and-implications-free-text-orders
    May 12, 2021 - The authors analyzed 26,000 communication for non-medication orders (CNMOs, a type of free-text communication

47. Using potentially preventable severe maternal morbidity to monitor hospital performance. | PSNet
    psnet.ahrq.gov/issue/using-potentially-preventable-severe-maternal-morbidity-monitor-hospital-performance
    February 02, 2022 - Disease Control and Prevention (CDC) SMM measure was adapted and results are stratified by hospital type

48. Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting system. | PSNet
    psnet.ahrq.gov/issue/situation-awareness-errors-anesthesia-and-critical-care-200-cases-critical-incident-reporting
    August 03, 2017 - Download Citation Related Resources From the Same Author(s) Frequency and type … paper-based and computerized diabetes management with decision support for hospitalized patients with type … March 7, 2018 Frequency and type of situational awareness errors contributing to death

49. Vital signs: maternity care experiences — United States, April 2023. | PSNet
    psnet.ahrq.gov/issue/vital-signs-maternity-care-experiences-united-states-april-2023
    July 19, 2023 - survey data for 2,402 respondents found that approximately one in five women experienced at least one type

50. A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. | PSNet
    psnet.ahrq.gov/issue/controlled-trial-smart-infusion-pumps-improve-medication-safety-critically-ill-patients
    March 13, 2019 - Investigators used a decision support system that allowed categorization of noted events by type, preventability

51. Helping healthcare teams to debrief effectively: associations of debriefers' actions and participants' reflections during team debriefings. | PSNet
    psnet.ahrq.gov/issue/helping-healthcare-teams-debrief-effectively-associations-debriefers-actions-and-participants
    February 02, 2022 - video-recorded debrief sessions to assess the interactions between debriefer and participants to identify the type

52. Cognitive errors in diagnosis: instantiation, classification, and consequences. | PSNet
    psnet.ahrq.gov/issue/cognitive-errors-diagnosis-instantiation-classification-and-consequences
    June 21, 2016 - Discussion includes detailed examples of each cognitive error type to better illustrate the results,

53. Duplicate medication order errors: safety gaps and recommendations for improvement. | PSNet
    psnet.ahrq.gov/issue/duplicate-medication-order-errors-safety-gaps-and-recommendations-improvement
    March 22, 2023 - This study examined the error type (same medication, therapeutic class, or order), when they were recognized

54. Using name overlap analysis to understand medication name search safety. | PSNet
    psnet.ahrq.gov/issue/using-name-overlap-analysis-understand-medication-name-search-safety
    August 31, 2022 - study describes a new method of ensuring the appropriate medication is selected by requiring users to type

55. Malpractice cases in breast surgery: an assessment of litigation involving surgeons. | PSNet
    psnet.ahrq.gov/issue/malpractice-cases-breast-surgery-assessment-litigation-involving-surgeons
    August 04, 2021 - Plastic surgeons were the most commonly named provider type (64%), error in surgical treatment was the

56. Nursing home error and level of staff credentials. | PSNet
    psnet.ahrq.gov/issue/nursing-home-error-and-level-staff-credentials
    September 24, 2010 - This study investigated whether type of credentials affected rates of medication errors and found no

57. COVID-19 Pandemic Impact on Healthcare Associated Conditions | PSNet
    psnet.ahrq.gov/curated-library/covid-19-pandemic-impact-healthcare-associated-conditions
    April 17, 2025 - Library Organization Content Type - This library is organized by the PSNet default organization … decreases in diagnoses and associated medication prescriptions for circulatory system diseases and type

58. Don’t Bite Your Tongue. | PSNet
    psnet.ahrq.gov/web-mm/dont-bite-your-tongue
    September 18, 2024 - This type of intraoperative monitoring may minimize the risk of paralysis, which is a catastrophic and … the TES motor evoked potential monitoring should also alert team members to the use and risks of this type … Lastly, patients who will undergo this type of monitoring should be educated regarding potential risks … Perioperative anesthesia care providers should be vigilant regarding risks when this type of monitoring

59. Effects of mental demands during dispensing on perceived medication safety and employee well-being: a study of workload in pediatric hospital pharmacies. | PSNet
    psnet.ahrq.gov/issue/effects-mental-demands-during-dispensing-perceived-medication-safety-and-employee-well-being
    May 16, 2012 - This study measured the type and intensity of mental demands to illustrate the complex relationships

60. System approach to prevent common bile duct injury and enhance performance of laparoscopic cholecystectomy. | PSNet
    psnet.ahrq.gov/issue/system-approach-prevent-common-bile-duct-injury-and-enhance-performance-laparoscopic
    March 09, 2009 - The authors describe their analysis of one type of surgical error and strategies for addressing the systemic