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Showing results for "types".

21. 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 - remain unresolved, implying that situational awareness was not achieved—were among the most common types … without physical harm, highlighting the difficulty of measuring communication issues compared to other types

22. Accident analysis of large-scale technological disasters applied to an anaesthetic complication. | PSNet
    psnet.ahrq.gov/issue/accident-analysis-large-scale-technological-disasters-applied-anaesthetic-complication
    November 16, 2022 - The model discussed focuses on two types of failures, which share equal importance in analysis but distinguish … Communication failures in the operating room: an observational classification of recurrent types

23. Patient safety and telephone medicine: some lessons from closed claim case review. | PSNet
    psnet.ahrq.gov/issue/patient-safety-and-telephone-medicine-some-lessons-closed-claim-case-review
    May 18, 2022 - telephone-related closed malpractice claims from a large insurance company database in order to elucidate specific types … Most cases alleged that clinicians failed to accurately diagnose the patient; types of errors leading

24. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33564/psn-pdf
    March 15, 2025 - help prevent errors at the medication ordering and dispensing stages and can improve safety of other types … A great deal of research has characterized the types of unintended consequences and disruptions to clinician … Types of Unintended Consequences of Computerized Provider Order Entry Systems More or new work for clinicians … communication patterns and practices Negative feelings toward the new technology Generation of new types … Types of unintended consequences related to computerized provider order entry.

25. Carers' medication administration errors in the domiciliary setting: a systematic review. | PSNet
    psnet.ahrq.gov/issue/carers-medication-administration-errors-domiciliary-setting-systematic-review
    December 18, 2017 - Less is known about the types of errors that may occur in the home setting and the role caregivers … November 23, 2016 Medication errors in chemotherapy: incidence, types and involvement

26. Advanced medication reconciliation: a systematic review of the impact on medication errors and adverse drug events associated with transitions of care. | PSNet
    psnet.ahrq.gov/issue/advanced-medication-reconciliation-systematic-review-impact-medication-errors-and-adverse
    December 18, 2017 - This review compared three types of discharge medication reconciliation : paper-based, electronic, and … December 14, 2022 Human-based errors involving smart infusion pumps: a catalog of error types

27. Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports. | PSNet
    psnet.ahrq.gov/issue/identifying-patient-safety-problems-associated-information-technology-general-practice
    December 21, 2017 - This analysis of data from a voluntary reporting system characterizes the types of errors associated … The investigators found that IT introduced new types of errors (for example, choosing the wrong medication

28. The relationship between professional burnout and quality and safety in healthcare: a meta-analysis. | PSNet
    psnet.ahrq.gov/issue/relationship-between-professional-burnout-and-quality-and-safety-healthcare-meta-analysis
    April 24, 2018 - These relationships were present across a range of outcomes and study types. … August 3, 2017 A systematic review of the types and causes of prescribing errors generated

29. Electronic health record-based surveillance of diagnostic errors in primary care. | PSNet
    psnet.ahrq.gov/issue/electronic-health-record-based-surveillance-diagnostic-errors-primary-care
    April 09, 2013 - Diagnostic errors are one of the most common types of preventable errors in ambulatory care , according … RIS Download Citation Related Resources From the Same Author(s) Types

30. Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences and attitudes of palliative care professionals. | PSNet
    psnet.ahrq.gov/issue/errors-palliative-care-kinds-causes-and-consequences-pilot-survey-experiences-and-attitudes
    December 04, 2016 - care, and respondents cited medication errors and errors related to communication as the most common types … December 4, 2016 Patients' perception of types of errors in palliative care—results from

31. Computerized Provider Order Entry | PSNet
    psnet.ahrq.gov/primer/computerized-provider-order-entry
    March 15, 2025 - help prevent errors at the medication ordering and dispensing stages and can improve safety of other types … A great deal of research has characterized the types of unintended consequences and disruptions to … Types of Unintended Consequences of Computerized Provider Order Entry Systems More or new work for clinicians … communication patterns and practices Negative feelings toward the new technology Generation of new types … Types of unintended consequences related to computerized provider order entry.

32. Surgical Site Infections | PSNet
    psnet.ahrq.gov/primer/surgical-site-infections
    December 15, 2024 - The most common types of inpatient surgical procedures include obstetrical procedures (e.g., cesarean … patients also undergo surgery at ambulatory surgery centers (facilities specifically designed for certain types … Information on other types of health care–associated infections (HAIs) may be found in the  Health Care–Associated … This project aims to address multiple types of patient harm, including SSI and other harms, in an integrated

33. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-470
    December 31, 2024 - high-risk medications—opioids, insulin, and anticoagulants—were analyzed to determine the nature and types … Failure to diagnose and delay in diagnosis were the most common specific allegation types. … Failure to diagnose and delay in diagnosis were the most common specific allegation types. … high-risk medications—opioids, insulin, and anticoagulants—were analyzed to determine the nature and types … Drug-drug and drug-age misuse types were more common at control pharmacies for high-risk medications.

34. PSNet Curated Library (pdf file)
    psnet.ahrq.gov/print/pdf/node/74277
    January 01, 2021 - Common types of errors among hospitalized neonatal patients... … Adverse drug events after hospital discharge in older adults: types, severity, and involvement of Beers … coordinates a nationwide campaign for medication error reporting and prevention which includes a index on types … medication-safety-program https://psnet.ahrq.gov/issue/adverse-drug-events-after-hospital-discharge-older-adults-types-severity-and-involvement … https://psnet.ahrq.gov/issue/adverse-drug-events-after-hospital-discharge-older-adults-types-severity-and-involvement

35. Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two Canadian adverse event studies. | PSNet
    psnet.ahrq.gov/issue/associations-between-patient-factors-and-adverse-events-home-care-setting-secondary-data
    November 27, 2013 - December 4, 2016 Patients' perception of types of errors in palliative care—results from … November 30, 2016 Types and patterns of safety concerns in home care: client and family … November 23, 2016 Types and patterns of safety concerns in home care: staff perspectives

36. Ambulatory Care Safety | PSNet
    psnet.ahrq.gov/primer/ambulatory-care-safety
    December 15, 2024 - These efforts have identified and characterized factors that influence safety in office practice, the types … September 1, 2021 Frequency and types of patient-reported errors in electronic health record ambulatory

37. Resilient actions in the diagnostic process and system performance. | PSNet
    psnet.ahrq.gov/issue/resilient-actions-diagnostic-process-and-system-performance
    November 13, 2024 - May 12, 2021 Types and origins of diagnostic errors in primary care settings. … December 9, 2014 Types and origins of diagnostic errors in primary care settings.

38. Are Residency Duty Hour Rules Improving Patient Safety? | PSNet
    psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety
    April 01, 2013 - A series of relatively small studies has been done by programs that implemented these types of changes … In our work looking at the actual effects of these types of changes on work hours and sleep, we found … While some common structures can be potentially used across all of those types of handoffs and groups … We need data on how best to limit resident fatigue and what types of systems will be most effective. … So gradually the entire system has changed such that the types of long hours that are common here in

39. In Conversation With… Christopher P. Landrigan, MD, MPH | PSNet
    psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mph
    April 01, 2013 - A series of relatively small studies has been done by programs that implemented these types of changes … But the overall message is that when these types of interventions are put in place, indicators of quality … In our work looking at the actual effects of these types of changes on work hours and sleep, we found … So with those types of very modest changes in work and sleep hours, you wouldn't expect massive changes … While some common structures can be potentially used across all of those types of handoffs and groups

40. Crowdsourcing a diagnosis? Exploring the accuracy of the size and type of group diagnosis: an experimental study. | PSNet
    psnet.ahrq.gov/issue/crowdsourcing-diagnosis-exploring-accuracy-size-and-type-group-diagnosis-experimental-study
    October 27, 2021 - Process types were equally effective.