Results

Total Results: 2,639 records

Showing results for "absence".

181. Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids. | PSNet
     psnet.ahrq.gov/issue/identifying-systems-failures-pathway-catastrophic-event-analysis-national-incident-report
     January 22, 2014 - used in this study provides a model for evaluating the resilience of safety practices, even in the absence

182. Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. | PSNet
     psnet.ahrq.gov/issue/estimating-hospital-deaths-due-medical-errors-preventability-eye-reviewer
     February 24, 2011 - related to medical errors are overestimates, which do not account for the expected risk of death in the absence

183. Anesthetic mishaps: breaking the chain of accident evolution. | PSNet
     psnet.ahrq.gov/issue/anesthetic-mishaps-breaking-chain-accident-evolution
     April 08, 2011 - key elements: The first is a complexity of interactions that exists in systems and the second is the absence

184. Health IT Hazard Manager Beta-Test Appendix B: Revised Hazard Manager Ontology (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/AppendixB_HIT_Hazard_Manager_Beta_Test.pdf
     June 16, 2021 - location, lighting, engineering) • Inadequately secured data • Hardware Failure • Use error in the absence

185. Building a case for medication reconciliation. | PSNet
     psnet.ahrq.gov/issue/building-case-medication-reconciliation
     June 10, 2018 - May 7, 2018 The absence of a drug–disease interaction alert leads to a child's death.

186. Electronic health record-based prediction models for in-hospital adverse drug event diagnosis or prognosis: a systematic review. | PSNet
     psnet.ahrq.gov/issue/electronic-health-record-based-prediction-models-hospital-adverse-drug-event-diagnosis-or
     October 18, 2023 - adherence to reporting standards, use of best practices to develop and validate prediction models, and absence

187. Quality Measures for Colonoscopy (pdf file)
     digital.ahrq.gov/sites/default/files/docs/resource/Logan_QMforColonoscopy_Narrative_v4.pdf
     December 12, 2008 - any screening indication (average risk or not) or by inclusion of a familial syndrome, and by the absence … • First time screening examinations will be determined by absence of prior colonoscopies documented … Indications by the selection of "Adenomatous Polyps" under "Surveillance of known prior disease" and absence … selection under "Screening" or by selection of "Adenomatous Polyps" under "Surveillance", and by the absence

188. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49535/psn-pdf
     May 01, 2007 - Production Pressures May 1, 2007 Carayon P. Production Pressures. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/production-pressures The Case A 65-year-old man with bipolar disorder was scheduled for maintenance electroconvulsive therapy (ECT), a procedure he had received dozens of times before. These pro…

189. Community-Acquired Pneumonia (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/CAP-one-page.docx
     November 01, 2019 - pleuritic chest pain (30%) · If symptoms are present, a chest x ray (CXR) should be obtained; the absence

190. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49856/psn-pdf
     March 01, 2019 - The absence of both an audible cough and a cuff leak indicates the patient is 10 times more likely to … Lack of an effective cough or absence of a cuff leak would have prompted the ICU team to initiate treatment … patients using previously identified risk factors such as female sex, lack of an effective cough, or absence

191. Tk2 T4 Common Suspected Infections Tools To Improve Communication And Decisionmaking (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK2_T4_Common_Suspected_Infections_Tools_To_Improve_Communication_and_Decisionmaking.docx
     October 01, 2016 - · bronchitis or asthma in a resident who does not have COPD · suspected or proven influenza in the absence … respiratory symptoms and are terminally ill, on palliative care, and · acute vomiting and/or diarrhea in the absence

192. Redesigning Primary Health Care Teams for Population Health and Quality Improvement | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/redesigningprimaryhealthcareteams.html
     November 01, 2017 - continue to see their providers of choice, but all providers cover for each other during leaves of absence … approach to training established flexibility for future sharing of CTMAs and coverage during leaves of absence … turnover (e.g., leaving Penobscot, transitioning to a different site within Penobscot, extended leaves of absence … This step led to greater understanding of the model and cross-coverage during leaves of absence.

193. Patient Monitors in Critical Care: Lessons for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_16.pdf
     January 01, 2003 - Operator control can range between the extremes of absence of control and the highest level of control … This is the lowest level of control, which is characterized by the absence of any control. … acting at this level shows random actions that are characteristic of a trial-and-error approach and the absence … The absence of a standardized alarm menu structure increases monitor complexity. … In the absence of an integrated display, a nurse faced with a low oxygen saturation alarm must remember

194. Final Progress Report: Quality of bag mask ventilation in critically ill children (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/nishisaki-report.pdf
     January 01, 2024 - tidal volume, which includes the leak around the mask), PIP, % leak around the mask, presence/absence … --expiratory Tidal Volume (TVe), Peak Inspiratory Pressure (PIP), % leak around the mask, presence/absence

195. From blaming to learning: re-framing organisational learning from adverse incidents. | PSNet
     psnet.ahrq.gov/issue/blaming-learning-re-framing-organisational-learning-adverse-incidents
     October 05, 2022 - April 14, 2021 Absence or presence: silent discourse in the operating room and impact

196. Wear face masks with no metal during MRI exams. | PSNet
     psnet.ahrq.gov/issue/wear-face-masks-no-metal-during-mri-exams
     April 08, 2020 - August 5, 2020 FDA alerts health care professionals to the temporary absence of warning

197. FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. | PSNet
     psnet.ahrq.gov/issue/fda-safety-communication-recommendations-reduce-surgical-fires-and-related-patient-injury
     October 19, 2022 - February 10, 2021 FDA alerts health care professionals to the temporary absence of warning

198. Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip). | PSNet
     psnet.ahrq.gov/issue/medication-errors-resulting-confusion-between-risperidone-risperdal-and-ropinirole-requip
     December 16, 2020 - January 19, 2011 FDA alerts health care professionals to the temporary absence of warning

199. Checking In on the Checklist. | PSNet
     psnet.ahrq.gov/issue/checking-checklist
     July 11, 2023 - October 21, 2020 Absence or presence: silent discourse in the operating room and impact

200. Hospira Carpuject pre-filled cartridges—drug alert: products may contain more than the intended fill volume. | PSNet
     psnet.ahrq.gov/issue/hospira-carpuject-pre-filled-cartridges-drug-alert-products-may-contain-more-intended-fill
     August 05, 2020 - October 19, 2022 FDA alerts health care professionals to the temporary absence of warning