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Total Results: 1,040 records

Showing results for "types".

121. Medication errors with electronic prescribing (eP): two views of the same picture. | PSNet
     psnet.ahrq.gov/issue/medication-errors-electronic-prescribing-ep-two-views-same-picture
     November 13, 2009 - a mixed-methods approach, including structured interviews with staff and patients, to determine the types

122. Cognitive errors in diagnosis: instantiation, classification, and consequences. | PSNet
     psnet.ahrq.gov/issue/cognitive-errors-diagnosis-instantiation-classification-and-consequences
     June 21, 2016 - Classification of these error types may lead to future prevention efforts as a result of greater understanding

123. 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 - This review summarizes the epidemiology and common etiology of three types of surgical never events

124. Consumer involvement in the design and development of medication safety interventions or services in primary care: a scoping review. | PSNet
     psnet.ahrq.gov/issue/consumer-involvement-design-and-development-medication-safety-interventions-or-services
     August 30, 2023 - The authors recommend increased reporting of how consumers were involved, the types of consumers, and

125. Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. | PSNet
     psnet.ahrq.gov/issue/analysis-nature-and-contributory-factors-medication-safety-incidents-following-hospital
     October 25, 2023 - Most contributory factors were organizational (e.g., continuity of care between provider types), followed

126. The Lost Start Date: an Unknown Risk of E-prescribing | PSNet
     psnet.ahrq.gov/web-mm/lost-start-date-unknown-risk-e-prescribing
     December 02, 2020 - of the patient safety movement, there was optimism that electronic prescribing could eliminate many types … positive safety intervention, we now know that (i) it has not fulfilled its promise of preventing many types … of errors and (ii) it can introduce new types of errors—as illustrated by this patient's potentially … outpatient systems to observe potential errors by the prescriber and/or computer.(8-10) We found that the types … We developed a detailed taxonomy of the types of errors that were seen and reported, and we summarized

127. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867747/psn-pdf
     March 12, 2025 - Nine types of communication errors were identified.

128. Discharge Fumbles | PSNet
     psnet.ahrq.gov/web-mm/discharge-fumbles
     September 09, 2009 - Case Objectives List the types of adverse events that occur at discharge Identify the characteristics … The following discussion describes types of post-discharge adverse events, their epidemiology, important … Types of adverse events affecting patients after discharge Several types of adverse events may occur … Although ADEs make up the majority of adverse events, there are other important types as well.

129. Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool. | PSNet
     psnet.ahrq.gov/issue/exploring-nursing-sensitive-events-home-healthcare-national-multicenter-cohort-study-using
     August 05, 2020 - The most common types of nursing-sensitive events were falls , pressure injuries, healthcare-associated

130. Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/adverse-events-during-intrahospital-transport-critically-ill-patients-systematic-review-and
     March 02, 2022 - The authors conducted a systematic review and meta-analysis of all types of adverse events, critical

131. Unmasking bias in artificial intelligence: a systematic review of bias detection and mitigation strategies in electronic health record-based models. | PSNet
     psnet.ahrq.gov/issue/unmasking-bias-artificial-intelligence-systematic-review-bias-detection-and-mitigation
     March 24, 2019 - In this systematic review, researchers describe possible types of bias (e.g., implicit, selection) that

132. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33798/psn-pdf
     January 01, 2015 - As the public and professionals call for individual accountability for certain types of unsafe acts, … These types of errors are not necessarily solved through systems approaches; they may require actions … The authors encourage institutions to promote voluntary reporting of these types of harms and to apply

133. Radiation Safety | PSNet
     psnet.ahrq.gov/primer/radiation-safety
     September 15, 2024 - As the use of radiotherapy for certain types of cancer has grown, providers and researchers have raised … Radiation dose varies widely for different types of examinations and is operator- and facility-dependent … These issues may be exacerbated by the use of different software programs and varying types of radiotherapy

134. Diagnostic Error | PSNet
     psnet.ahrq.gov/curated-library/diagnostic-error
     April 17, 2025 - Researchers also sought to determine the types of diagnoses most vulnerable to misdiagnosis. … due to diagnostic error were more likely to be for male patients older than 50, compared with other types … Compared with other types of errors, diagnostic errors were more likely to result in serious patient … Although data from closed malpractice claims may not be representative of all error types, it is clear

135. A patient feedback reporting tool for OpenNotes: implications for patient–clinician safety and quality partnerships. | PSNet
     psnet.ahrq.gov/issue/patient-feedback-reporting-tool-opennotes-implications-patient-clinician-safety-and-quality
     June 06, 2018 - June 6, 2018 Frequency and types of patient-reported errors in electronic health record … November 25, 2020 Frequency and types of patient-reported errors in electronic health

136. National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. | PSNet
     psnet.ahrq.gov/issue/national-voluntary-consensus-standards-patient-safety-measures-consensus-report
     January 11, 2013 - The measures—relevant to specific types of health care–associated infections (including central line–associated

137. IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. | PSNet
     psnet.ahrq.gov/issue/ihi-skilled-nursing-facility-trigger-tool-measuring-adverse-events
     February 15, 2017 - This toolkit outlines steps to use a trigger tool in skilled nursing facilities, reviews types of

138. How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies? An ethnographic study across surgical specialties. | PSNet
     psnet.ahrq.gov/issue/how-does-who-surgical-safety-checklist-fit-existing-perioperative-risk-management-strategies
     March 18, 2020 - associated with use (69%); nurse anesthetists and anesthesiologists were more likely than other provider types

139. The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. | PSNet
     psnet.ahrq.gov/issue/barriers-and-enhancers-trust-just-culture-hospital-settings-systematic-review
     February 02, 2022 - This systematic review identified three types of factors influencing trust in error reporting – organizational

140. Increases in drug and opioid overdose deaths—United States, 2000–2015. | PSNet
     psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states-2000-2015
     January 23, 2019 - The types of opioids most commonly involved in overdose deaths are natural and semisynthetic opioids,