Výsledky vyhledávání - "Peter D, Mills"

A Review of Adverse Event Reports From Emergency Departments in the Veterans Health Administration

Autor: Douglas E. Paull, Anne Tomolo, Bradley V. Watts, Sonia Gill, Peter D Mills

Publikováno v: Journal of Patient Safety. 17:e898-e903

Background Previous work assessing the frequency of adverse events in emergency medicine has been limited. The emergency department (ED) provides an initial point of care for millions of patients. Given the volume of patient encounters and the comple

Externí odkaz: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d77520a423d1ebcaa3a79a8f034e3f33
https://doi.org/10.1097/pts.0000000000000636

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Hemodialysis Bleeding Events and Deaths: An 18-Year Retrospective Analysis of Patient Safety and Root Cause Analysis Reports in the Veterans Health Administration

Autor: William Gunnar, Maureen Charles, Christina Soncrant, Peter D. Mills, Edward Walton, Wendy Morrish

Publikováno v: Journal of Patient Safety. 18:e620-e625

Objectives Eighteen years of patient safety (PS) and root cause analysis reports for hemodialysis bleeding events and deaths in the Veterans Health Administration were analyzed with dual purpose: to determine the impact of a 2008 Veterans Health Admi

Externí odkaz: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::50cc99a1f5423d5c0be274c2e2387308
https://doi.org/10.1097/pts.0000000000000898

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Review of Reported Adverse Events Occurring Among the Homeless Veteran Population in the Veterans Health Administration

Autor: Peter D. Mills, William Gunnar, Christina Soncrant, Robin P Pendley Louis

Publikováno v: Journal of Patient Safety. 17:e821-e828

Background United States veterans face an even greater risk of homelessness and associated medical conditions, mental health conditions, and fatal and nonfatal overdose as compared with nonveterans. Beginning 2009, the Department of Veterans Affairs

Externí odkaz: https://explore.openaire.eu/search/publication?articleId=doi_________::8e9369c8e844f58752eca6ad0202348c
https://doi.org/10.1097/pts.0000000000000884

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Root Cause Analysis of Adverse Events Involving Opioid Overdoses in the Veterans Health Administration

Autor: Christina Soncrant, Peter D. Mills, William Gunnar, Brittany Norris

Publikováno v: The Joint Commission Journal on Quality and Patient Safety. 47:489-495

Objective The Veterans Health Administration (VHA) serves a population with compounding risk factors for opioid misuse, including chronic pain, substance use disorders, and mental health conditions. The objective of this study was to analyze opioid-r

Externí odkaz: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fd7239d83d332f142146133d2f68c340
https://doi.org/10.1016/j.jcjq.2021.04.010

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Delays in Diagnosis, Treatment, and Surgery: Root Causes, Actions Taken, and Recommendations for Healthcare Improvement

Autor: Ruth E. Politi, Peter D. Mills, Lisa Zubkoff, Julia Neily

Publikováno v: Journal of patient safety. 18(7)

Although patient safety continues to be a priority in the U.S. healthcare system, delays in diagnosis, treatment, or surgery still led to adverse events for patients. The purpose of this study was to review root cause analysis (RCA) reports in the Ve

Externí odkaz: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::dc9f28ecca19ef4d03287f0b372c1d2c
https://pubmed.ncbi.nlm.nih.gov/35532991

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Suicide and Suicide Attempts on Veterans Affairs Medical Center Outpatient Clinic Areas, Common Areas, and Hospital Grounds

Autor: William Gunnar, Bradley V. Watts, Peter D Mills, Sreevaishali Rajendran

Publikováno v: Journal of Patient Safety. 18:33-39

Objectives Few studies have analyzed suicide deaths and attempts occurring outside inpatient units on other hospital locations. We aimed to quantify and analyze suicide deaths and attempts occurring on Department of Veterans Affairs medical center ou

Externí odkaz: https://explore.openaire.eu/search/publication?articleId=doi_________::e04ed527eb6cd420b5fc3d38f26c8bf3
https://doi.org/10.1097/pts.0000000000000796

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Retrospective analysis of reported suicide deaths and attempts on veterans health administration campuses and inpatient units

Autor: Christina Soncrant, William Gunnar, Peter D Mills

Publikováno v: BMJ Quality & Safety. 30:567-576

IntroductionSuicide is the 10th leading cause of death in the USA. Inpatient suicide is the fourth most common sentinel event reported to the Joint Commission. This study reviewed root cause analysis (RCA) reports of suicide events by hospital unit t

Externí odkaz: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::23fd80e3f1a39e6569b7ab97e1d94563
https://doi.org/10.1136/bmjqs-2020-011312

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