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psnet.ahrq.gov/issue/safety-considerations-learning-new-procedures-survey-surgeons
January 23, 2017 - requirements should be tailored to individual surgical experience rather than standardized by procedure type
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psnet.ahrq.gov/issue/engaging-patient-observer-promote-hand-hygiene-compliance-ambulatory-care
September 02, 2020 - observations correlated well to independent direct observations of hand hygiene rates, suggesting that this type
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psnet.ahrq.gov/issue/medical-line-entanglement-unspoken-patient-safety-hazard-medical-devices
May 08, 2019 - healthcare providers and caregivers were aware of the risk of medical line entanglement, and what, if any, type
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psnet.ahrq.gov/issue/accuracy-and-safety-medication-histories-obtained-time-intensive-care-unit-admission
October 20, 2021 - The most common type of discrepancy from both alternate sources was addition, followed by omission.
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psnet.ahrq.gov/issue/anesthesia-related-closed-claims-free-standing-ambulatory-surgery-centers
March 29, 2023 - The most common type of injury in both ASC and HOR was dental injury followed by nerve damage.
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psnet.ahrq.gov/issue/common-general-surgical-never-events-analysis-nhs-england-never-event-data
April 14, 2021 - Never events , a significant type of adverse event, should never occur in healthcare.
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psnet.ahrq.gov/issue/utilizing-pharmacy-students-transitions-care-services
October 19, 2022 - October 19, 2022
Type 1 diabetes defined by severe insulin deficiency occurs after 30 … years of age and is commonly treated as type 2 diabetes.
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psnet.ahrq.gov/issue/development-icu-safety-reporting-system
May 27, 2011 - The authors suggest that wide adoption of this type of reporting system, coordinated by a professional
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psnet.ahrq.gov/issue/human-based-errors-involving-smart-infusion-pumps-catalog-error-types-and-prevention
November 16, 2022 - Review
Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies.
Citation Text:
Kirkendall ES, Timmons K, Huth H, et al. Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. Drug Saf. 2020;43(1…
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psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
September 15, 2024 - Devices Devices are any type of equipment or tools that have designated functions used during a procedure … or device fragment and (2) keeps a record of cases to identify trends and patterns (for example, by type … of procedure, by type of retained item, by manufacturer, by practitioner) that may highlight opportunities … (30%) involved SMI and device fragments. 9 cases (11%) involved instruments. 7/9 cases involved one type … reported to internal facility reporting systems (with drill bits lodged in bone as the most common type
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psnet.ahrq.gov/issue/randomized-ambora-trial-clinical-practice-comparison-medication-errors-oral-antitumor-therapy
April 21, 2021 - Other demographics and outcomes (e.g., type of error) were similar in both groups.
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psnet.ahrq.gov/issue/potential-biases-machine-learning-algorithms-using-electronic-health-record-data
June 12, 2019 - Machine learning , a type of computing that uses data and statistical methods to enable computers to
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psnet.ahrq.gov/issue/use-revised-second-victim-experience-and-support-tool-examine-second-victim-experiences
November 03, 2021 - In line with other studies, the most desired type of support following an adverse event was talking to
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psnet.ahrq.gov/issue/analysis-prehospital-pediatric-medication-dosing-errors-after-implementation-state-wide-ems
August 25, 2021 - Dosing errors were most common for hyperglycemia reversal medications, opioids, and one type of bronchodilator
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psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
February 12, 2020 - containing antibiotics and pain medications were similar in appearance and could be accessed with the same type
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psnet.ahrq.gov/issue/medication-administration-errors-urban-mental-health-hospital-direct-observation-study
September 03, 2014 - were identified in 3% of medication administration episodes, with omission being the most common error type
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psnet.ahrq.gov/issue/systematic-review-natural-language-processing-classification-tasks-field-incident-reporting
October 18, 2018 - identified 35 studies demonstrating that NLP can be used to classify narrative text according to incident type
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psnet.ahrq.gov/issue/medication-prescribing-errors-involving-route-administration
January 12, 2011 - study sought to further characterize prescribing errors by determining the incidence of one specific type
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psnet.ahrq.gov/issue/care-left-undone-during-nursing-shifts-associations-workload-and-perceived-quality-care
July 19, 2019 - Missed nursing care —a type of error of omission in which required care elements are not completed—is
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psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-alerts-prescribing-older-patients
September 23, 2020 - support within CPOE does have some effect on safe prescribing, the use of computerized warnings of this type