Results

Total Results: 1,040 records

Showing results for "type".

421. Medication complexity, medication number, and their relationships to medication discrepancies. | PSNet
     psnet.ahrq.gov/issue/medication-complexity-medication-number-and-their-relationships-medication-discrepancies
     November 16, 2022 - Study Medication complexity, medication number, and their relationships to medication discrepancies. Citation Text: Patel CH, Zimmerman KM, Fonda JR, et al. Medication Complexity, Medication Number, and Their Relationships to Medication Discrepancies. Ann Pharmacother. 2016;50(7):534-40.…

422. Medication reconciliation campaign in a clinic for homeless patients. | PSNet
     psnet.ahrq.gov/issue/medication-reconciliation-campaign-clinic-homeless-patients
     November 16, 2022 - Commentary Medication reconciliation campaign in a clinic for homeless patients. Citation Text: Moczygemba LR, Gatewood SBS, Kennedy AK, et al. Medication reconciliation campaign in a clinic for homeless patients. Am J Health Syst Pharm. 2012;69(7):558, 560-2. doi:10.2146/ajhp110334. …

423. Medication reconciliation in a community pharmacy setting. | PSNet
     psnet.ahrq.gov/issue/medication-reconciliation-community-pharmacy-setting
     November 16, 2022 - Study Medication reconciliation in a community pharmacy setting. Citation Text: Johnson CM, Marcy TR, Harrison DL, et al. Medication reconciliation in a community pharmacy setting. J Am Pharm Assoc (2003). 2010;50(4):523-6. doi:10.1331/JAPhA.2010.09121. Copy Citation Format: …

424. The elephant of patient safety: what you see depends on how you look. | PSNet
     psnet.ahrq.gov/issue/elephant-patient-safety-what-you-see-depends-how-you-look
     June 22, 2022 - Commentary Classic The elephant of patient safety: what you see depends on how you look. Citation Text: Shojania KG. The elephant of patient safety: what you see depends on how you look. Jt Comm J Qual Patient Saf. 2010;36(9):399-401. Copy Citation Format:…

425. 10,000 good catches: increasing safety event reporting in a pediatric health care system. | PSNet
     psnet.ahrq.gov/issue/10000-good-catches-increasing-safety-event-reporting-pediatric-health-care-system
     April 20, 2022 - Study 10,000 good catches: increasing safety event reporting in a pediatric health care system. Citation Text: Crandall KM, Almuhanna A, Cady R, et al. 10,000 Good Catches: Increasing Safety Event Reporting In A Pediatric Health Care System. Pediatr Qual Saf. 2019;3(2):e072. doi:10.1097/…

426. Integrating systemic accident analysis into patient safety incident investigation practices. | PSNet
     psnet.ahrq.gov/issue/integrating-systemic-accident-analysis-patient-safety-incident-investigation-practices
     October 27, 2021 - Study Integrating systemic accident analysis into patient safety incident investigation practices. Citation Text: Canham A, Jun GT, Waterson P, et al. Integrating systemic accident analysis into patient safety incident investigation practices. Appl Ergon. 2018;72:1-9. doi:10.1016/j.aperg…

427. Learning from errors and resilience. | PSNet
     psnet.ahrq.gov/issue/learning-errors-and-resilience
     December 18, 2019 - Review Learning from errors and resilience. Citation Text: Arnal-Velasco D, Heras-Hernando V. Learning from errors and resilience. Curr Opin Anaesthesiol. 2023;36(3):376-381. doi:10.1097/aco.0000000000001257. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML En…

428. Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. | PSNet
     psnet.ahrq.gov/issue/avoiding-second-wave-medical-errors-importance-human-factors-context-pandemic
     March 09, 2022 - Commentary Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. Citation Text: Tejos R, Navia A, Cuadra A, et al. Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. Aesthetic Plast Sur…

429. Errors and nonadherence in pediatric oral chemotherapy use. | PSNet
     psnet.ahrq.gov/issue/errors-and-nonadherence-pediatric-oral-chemotherapy-use
     April 08, 2020 - Study Errors and nonadherence in pediatric oral chemotherapy use. Citation Text: Walsh KE, Ryan J, Daraiseh N, et al. Errors and Nonadherence in Pediatric Oral Chemotherapy Use. Oncology. 2016;91(4):231-236. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

430. Harm From Alarm Fatigue | PSNet
     psnet.ahrq.gov/web-mm/harm-alarm-fatigue
     February 14, 2018 - have been moved to the V3 or V4 position and the source of alarm fatigue (frequent false bradycardia type

431. E-prescribing: E for error? | PSNet
     psnet.ahrq.gov/web-mm/e-prescribing-e-error
     February 03, 2021 - For example, a provider will type patient instructions using the Latin Sig "t.i.d." in the text; the

432. Anchoring Bias With Critical Implications | PSNet
     psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
     June 15, 2022 - SPOTLIGHT CASE Anchoring Bias With Critical Implications Citation Text: Etchells E. Anchoring Bias With Critical Implications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google…

433. The Role of Bar Coding and Smart Pumps in Safety | PSNet
     psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
     September 01, 2008 - To really get to a very high reliability state, you may need a more precise type of technology that can … You can imagine this type of setup wasn't really designed with the best ergonomics in mind. … correctly and perhaps increase satisfaction, and ultimately I think patients could benefit from that type

434. An Incomplete Anesthesia History Leads to Adverse Outcomes | PSNet
     psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
     January 29, 2021 - The reasons for this type of event should be clearly documented in the patient’s medical record. … This type of online register is useful when a patient receives care in different health care systems

435. Root Cause Analysis | PSNet
     psnet.ahrq.gov/primer/root-cause-analysis
     March 30, 2022 - Factors That May Lead to Latent Errors Type of Factor Example Institutional/regulatory A patient on anticoagulants

436. Detection of Safety Hazards | PSNet
     psnet.ahrq.gov/primer/detection-safety-hazards
     March 30, 2022 - Detection of Safety Hazards Citation Text: Detection of Safety Hazards. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…

437. Failure to Report | PSNet
     psnet.ahrq.gov/web-mm/failure-report
     July 01, 2008 - This can be done by either moving medication storage to a quieter location or creating some type of " … could have participated in a frank discussion about what had happened and how future mistakes of this type

438. Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? | PSNet
     psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
     February 01, 2007 - Consistent with the large literature on developing expertise ( 12 ), this type of focused feedback improves … Physicians in the near future will not have to type in "chest pain, fever, shortness of breath," but … If you have a standalone system that you have to go in and actually type in fever, headache, vomiting

439. Patient safety: threats and solutions. | PSNet
     psnet.ahrq.gov/issue/patient-safety-threats-and-solutions
     January 19, 2011 - Commentary Patient safety: threats and solutions. Citation Text: McCaughan D, Kaufman G. Patient safety: threats and solutions. Nurs Stand. 2013;27(44):48-55; quiz 56, 58. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

440. Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. | PSNet
     psnet.ahrq.gov/issue/prevention-3-never-events-operating-room-fires-gossypiboma-and-wrong-site-surgery
     February 10, 2012 - Review Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Citation Text: Zahiri HR, Stromberg J, Skupsky H, et al. Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Surg Innov. 2011;18(1):55-…