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Showing results for "type".

81. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73324/psn-pdf
    May 26, 2021 - Medication-related hospital readmissions within 30 days of discharge: prevalence, preventability, type … Medication-related hospital readmissions within 30 days of discharge: prevalence, preventability, type

82. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73465/psn-pdf
    July 07, 2021 - This study reviewed 2,700 patient safety event reports to identify the type of medication error, the … Errors in dosing were the most frequent type, and occurred during ordering or reviewing.

83. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/844993/psn-pdf
    February 22, 2023 - In this pilot study, patients presenting to the emergency department at risk of type 2 diabetes were … prevalence-undiagnosed-diabetes-identified-novel-electronic-medical-record-diabetes-screening https://psnet.ahrq.gov/issue/prevalence-and-predictors-delayed-clinical-diagnosis-type

84. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/849128/psn-pdf
    May 17, 2023 - primary-care-patient-safe-setting-prevalence-severity-nature-and-causes- adverse-events Research into the nature, type … This study used medical record review to determine the prevalence, preventability, severity, type, and

85. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60169/psn-pdf
    March 25, 2020 - The Commentary By Christian Bohringer, MD These two incidents describe a common type of error that … This type of error has been reported previously with heparinized irrigation solutions.1 Diluted sodium … Risk arising from these incidents Gentamicin is an aminoglycoside type antibiotic that is one of the … as much as possible.10 Implementing these changes to the operating room workflow will prevent this type … A designated pole for irrigation fluids can also help to prevent this type of error.

86. 25-Year summary of US malpractice claims for diagnostic errors 1986–2010: an analysis from the National Practitioner Data Bank. | PSNet
    psnet.ahrq.gov/issue/25-year-summary-us-malpractice-claims-diagnostic-errors-1986-2010-analysis-national
    July 17, 2019 - the outpatient setting —were both the most common and the most costly (in terms of total payments) type

87. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/43324/psn-pdf
    July 23, 2014 - adverse event reports in an integrated health system found that error rates vary widely by surgery type … The authors suggest that tracking specific adverse event rates by surgical type and patient characteristics

88. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/836942/psn-pdf
    April 27, 2022 - Adverse drug events are the second most common type of error in healthcare.2 It has long been known … one-third of these errors led to an observed harm, and 24% represented labeling errors, the most common type … Of these events, 276 were medication errors, of which the most common type was accidental administration … Color designation, or use of a pre-assigned color for each type of medication, can also facilitate prevention … Take Home Points Medication errors are common and labeling errors are the single most common type of

89. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46002/psn-pdf
    October 13, 2018 - perspectives of residency holdover handoffs: a qualitative study to understand an increasingly important type … Perspectives of Residency Holdover Handoffs: A Qualitative Study to Understand an Increasingly Important Type

90. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49697/psn-pdf
    December 01, 2013 - Medication error is among the most common type of errors in anesthesia; they have been studied for more … Each type of volatile anesthetic has an agent-specific vaporizer. … This type of system was demonstrated (7) in 1978 but is not so easy to design into a failsafe system … Perhaps the most effective prevention measure for this type of error is the use of a preoperative machine … Take-Home Points Medication error is among the most common type of error in anesthesia, with incidence

91. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45100/psn-pdf
    June 15, 2016 - paper-based and computerized diabetes management with decision support for hospitalized patients with type … paper-based and computerized diabetes management with decision support for hospitalized patients with type

92. 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

93. Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program. | PSNet
    psnet.ahrq.gov/issue/harmful-medication-errors-children-5-year-analysis-data-usps-medmarxr-program
    July 12, 2010 - The major type of error was administration at an incorrect dose or quantity (especially for opioid analgesics

94. Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and classifying root causes. | PSNet
    psnet.ahrq.gov/issue/analysis-unintended-events-hospitals-inter-rater-reliability-constructing-causal-trees-and
    April 30, 2014 - However, this study found that interrater agreement on the number and type of root causes was only moderate

95. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866311/psn-pdf
    January 01, 2025 - Systematic review of types of safety incidents and the processes and systems used for safety incident reporting in care homes. July 17, 2024 Scott J, Sykes K, Waring J, et al. Systematic review of types of safety incidents and the processes and systems used for safety incident reporting in care homes. J Adv Nurs. …

96. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60887/psn-pdf
    September 09, 2020 - Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. September 9, 2020 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(11):1073-1087. doi:10.1007/s40264…

97. Using incident reports to assess communication failures and patient outcomes. | PSNet
    psnet.ahrq.gov/issue/using-incident-reports-assess-communication-failures-and-patient-outcomes
    February 06, 2019 - Errors of purpose—a type of error in which the goals of the communication event remain unresolved, implying

98. Is that solution for IV or irrigation?: Fluid administration errors in the operating room. | PSNet
    psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-errors-operating-room
    January 29, 2021 - The Commentary By Christian Bohringer, MD These two incidents describe a common type of error that … This type of error has been reported previously with heparinized irrigation solutions. 1  Diluted sodium … Risk arising from these incidents Gentamicin is an aminoglycoside type antibiotic that is one of the … much as possible. 10 Implementing these changes to the operating room workflow will prevent this type … A designated pole for irrigation fluids can also help to prevent this type of error.

99. Improving Diagnostic Safety and Quality | PSNet
    psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
    January 31, 2024 - 1 thinking); and one that is analytical and deliberative (type 2 thinking). 1 Cognitive biases and … heuristics (mental shortcuts that aid decision making) are examples of type 1 decision making during … A recent study examined heuristics related to type 1 processing in a primary care setting, noting that … Further, telling clinicians to slow down, ostensibly to switch from type 1 to type 2 thinking, may not … This type of holistic analysis is the logical effect of acknowledging that misdiagnosis is complex and

100. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60601/psn-pdf
     June 17, 2020 - Prevalence, types, and sources of bullying reported by US general surgery residents in 2019. June 17, 2020 Zhang LM, Ellis RJ, Ma M, et al. Prevalence, types, and sources of bullying reported by US general surgery residents in 2019. JAMA. 2020;323(20):2093-2095. doi:10.1001/jama.2020.2901. https://psnet.ahrq.gov/i…