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psnet.ahrq.gov/issue/preventing-patient-harms-through-systems-care
February 27, 2014 - Study
Preventing patient harms through systems of care.
Citation Text:
Pronovost P, Bo-Linn GW. Preventing patient harms through systems of care. JAMA. 2012;308(8):769-70. doi:10.1001/jama.2012.9537.
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psnet.ahrq.gov/node/33785/psn-pdf
May 01, 2015 - surprised how, even where you're focused on
comparatively high-volume surgeons all doing the same type … While in the ideal
world patients would have access to this type of information, the best that they
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psnet.ahrq.gov/issue/unit-based-incident-reporting-and-root-cause-analysis-variation-three-hospital-unit-types
April 14, 2011 - Study
Unit-based incident reporting and root cause analysis: variation at three hospital unit types.
Citation Text:
Wagner C, Merten H, Zwaan L, et al. Unit-based incident reporting and root cause analysis: variation at three hospital unit types. BMJ Open. 2016;6(6):e011277. doi:10.1136/…
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psnet.ahrq.gov/node/38656/psn-pdf
May 27, 2009 - Pediatric safety incidents from an intensive care reporting
system.
May 27, 2009
Skapik JL; Pronovost PJ; Miller MR; Thompson DA; Wu AW.
https://psnet.ahrq.gov/issue/pediatric-safety-incidents-intensive-care-reporting-system
The Intensive Care Unit Safety Reporting System (ICUSRS) is a model incident reporting sys…
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psnet.ahrq.gov/node/33847/psn-pdf
August 01, 2017 - ,
they essentially do that work for you of asking people, "Where do you think I should go for this type … somebody in the measurement field: I wish we could provide better information,
but we don't have that type … Patients want detailed data on every type of
condition and every type of operation and want to know
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psnet.ahrq.gov/node/49715/psn-pdf
August 21, 2014 - 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 … of complications of liver biopsy
Patient cooperation
Operator experience
Use of image guidance
Type … of technique (percutaneous/transvenous)
Number of needle passes
Needle diameter
Type of needle
Coagulation
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psnet.ahrq.gov/node/39917/psn-pdf
October 13, 2010 - Medication errors were the most common type of error in this study, and
prior research in the pediatric
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psnet.ahrq.gov/node/34805/psn-pdf
November 07, 2017 - Medication errors in neonatal and paediatric intensive-
care units.
November 7, 2017
Raju TN, Kecskes S, Thornton JP, et al. Medication errors in neonatal and paediatric intensive-care units.
Lancet. 1989;2(8659):374-6.
https://psnet.ahrq.gov/issue/medication-errors-neonatal-and-paediatric-intensive-care-units
Th…
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psnet.ahrq.gov/node/38675/psn-pdf
February 15, 2011 - A
new type of error is characterized in this study, in which investigators examined inconsistencies
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psnet.ahrq.gov/node/36813/psn-pdf
March 24, 2011 - The most common type of APAE was a missed or delayed
diagnosis, a concern also found in a past study
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psnet.ahrq.gov/node/40596/psn-pdf
December 31, 2014 - different computerized systems (ranging from 5%
to 38%) with omitted information the most common error type
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psnet.ahrq.gov/node/46595/psn-pdf
November 01, 2017 - performance as higher in the
presence of the computerized support, and the authors conclude that this type
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psnet.ahrq.gov/node/43481/psn-pdf
December 23, 2016 - New ISO (International
Organization for Standardization) standards prevent one type of tubing (such
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psnet.ahrq.gov/node/36696/psn-pdf
July 10, 2008 - been extensively evaluated, a recent review did not find evidence for the
superiority of any specific type
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psnet.ahrq.gov/node/46859/psn-pdf
January 01, 2020 - Mixed-methods evaluation of real-time safety reporting by
hospitalized patients and their care partners: the
MySafeCare application.
June 13, 2018
Collins SA, Couture B, Smith A, et al. Mixed-Methods Evaluation of Real-Time Safety Reporting by
Hospitalized Patients and Their Care Partners. J Patient Saf. 2020;16(2…
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psnet.ahrq.gov/node/49605/psn-pdf
June 01, 2010 - and are higher in pregnant women who are obese, African American, older than 35
years, and who have type … hypertension is approximately 20%; this risk is markedly increased in patients with twins and in
those with type … These included orders for type and frequency of blood tests,
fetal monitoring, and surveillance of symptoms … How can we avoid this type of error?
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psnet.ahrq.gov/node/38271/psn-pdf
February 18, 2011 - Computerized provider order entry adoption: implications
for clinical workflow.
February 18, 2011
Campbell EM, Guappone KP, Sittig DF, et al. Computerized provider order entry adoption: implications for
clinical workflow. J Gen Intern Med. 2009;24(1):21-6. doi:10.1007/s11606-008-0857-9.
https://psnet.ahrq.gov/issu…
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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/node/36154/psn-pdf
September 29, 2010 - The major type of error was
administration at an incorrect dose or quantity (especially for opioid analgesics
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psnet.ahrq.gov/node/38570/psn-pdf
April 22, 2009 - practices and found
that nurses were more aware of existing IR systems, while the level of harm, incident type