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Total Results: 955 records

Showing results for "answer".

441. Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. | PSNet
     psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-intensive-care-unit-direct-observation-approach
     August 26, 2011 - Study Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. Citation Text: Kopp BJ, Erstad BL, Allen ME, et al. Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. Crit…

442. Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. | PSNet
     psnet.ahrq.gov/issue/missed-lesions-abdominal-oncologic-ct-lessons-learned-quality-assurance
     April 21, 2011 - Study Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. Citation Text: Siewert B, Sosna J, McNamara A, et al. Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. Radiographics. 2008;28(3):623-38. doi:10.1148/rg.283075188. …

443. Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit. | PSNet
     psnet.ahrq.gov/issue/non-clinical-errors-using-voice-recognition-dictation-software-radiology-reports
     December 29, 2014 - Study Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit. Citation Text: Chang CA, Strahan R, Jolley D. Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit. J Digit Imaging. …

444. Time out—charting a path for improving performance measurement. | PSNet
     psnet.ahrq.gov/issue/time-out-charting-path-improving-performance-measurement
     March 06, 2005 - Commentary Classic Time out—charting a path for improving performance measurement. Citation Text: MacLean CH, Kerr EA, Qaseem A. Time Out - Charting a Path for Improving Performance Measurement. N Engl J Med. 2018;378(19):1757-1761. doi:10.1056/NEJMp1802595. C…

445. Improving patient safety in radiology: concepts for a comprehensive patient safety program. | PSNet
     psnet.ahrq.gov/issue/improving-patient-safety-radiology-concepts-comprehensive-patient-safety-program
     December 14, 2016 - Commentary Improving patient safety in radiology: concepts for a comprehensive patient safety program. Citation Text: Donnelly LF, Dickerson JM, Goodfriend MA, et al. Improving patient safety in radiology: concepts for a comprehensive patient safety program. Semin Ultrasound CT MR. 2010…

446. Cost implications of actual and potential adverse events prevented by interventions of a critical care pharmacist. | PSNet
     psnet.ahrq.gov/issue/cost-implications-actual-and-potential-adverse-events-prevented-interventions-critical-care
     June 28, 2010 - Study Cost implications of actual and potential adverse events prevented by interventions of a critical care pharmacist. Citation Text: Kopp BJ, Mrsan M, Erstad BL, et al. Cost implications of and potential adverse events prevented by interventions of a critical care pharmacist. Am J H…

447. Impact of pharmacist involvement in the transitional care of high-risk patients through medication reconciliation, medication education, and postdischarge call-backs (IPITCH Study). | PSNet
     psnet.ahrq.gov/issue/impact-pharmacist-involvement-transitional-care-high-risk-patients-through-medication
     August 25, 2011 - Review Impact of pharmacist involvement in the transitional care of high-risk patients through medication reconciliation, medication education, and postdischarge call-backs (IPITCH Study). Citation Text: Phatak A, Prusi R, Ward B, et al. Impact of pharmacist involvement in the transition…

448. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. | PSNet
     psnet.ahrq.gov/issue/redesign-health-care-systems-reduce-diagnostic-errors-leveraging-human-experience-and
     December 04, 2016 - Commentary Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. Citation Text: Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. J Clin Outcomes M…

449. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.218_slideshow.ppt
     May 01, 2010 - Spotlight Case [MONTH] 2003 Spotlight Case Fatal Error in Neonate: Does ‘Just Culture’ Provide an Answer

450. The source of purchased medications and its impact on medication mistakes and hospitalizations. | PSNet
     psnet.ahrq.gov/issue/source-purchased-medications-and-its-impact-medication-mistakes-and-hospitalizations
     March 11, 2020 - Study The source of purchased medications and its impact on medication mistakes and hospitalizations. Citation Text: Coates MC, Granche J, Sefcik JS, et al. The source of purchased medications and its impact on medication mistakes and hospitalizations. Res Gerontol Nurs. 2022;15(2):69-75…

451. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps | PSNet
     psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
     April 24, 2018 - The attending physician stopped by to answer questions and to confirm that the procedure was running … While this may be a simplistic answer, it highlights an oft forgot source of verification – the patient

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33791/psn-pdf
     September 01, 2015 - But "because they can" is the answer. … The answer is education, and we have been teaching people how to use social media through workshops … VA: The short answer is probably no.

453. Safety in Radiology | PSNet
     psnet.ahrq.gov/perspective/safety-radiology
     October 01, 2013 - radiologist be able to make a well-considered decision regarding which imaging modality is the best choice to answer … In some cases, these repetitive protocols are necessary and have enabled CT to answer a more diverse … I think the answer is no, we have much to do to improve that. … But a private practice radiologist at the end—during a very exciting question and answer and comment

454. An American View of the UK's Patient Safety Enterprise: Top Down vs. Bottom Up | PSNet
     psnet.ahrq.gov/perspective/american-view-uks-patient-safety-enterprise-top-down-vs-bottom
     December 01, 2005 - My answer, sadly, was no. … As always in issues this complex, the right answer is likely to be a thoughtful blend of the two approaches

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60173/psn-pdf
     March 30, 2020 - BS: That’s hard to answer because there were a lot of little things. … We thought that was going to be the answer, but later figured out it was not the best approach.

456. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33883/psn-pdf
     July 01, 2019 - algorithm, and this magical algorithm—you might call it deep learning—is going to figure out what the answer … RW: I like that answer, because sometimes you can just be pointing to all of the potential harms from

457. The Joint Commission's ongoing professional practice evaluation process: costly, ineffective, and potentially harmful to safety culture. | PSNet
     psnet.ahrq.gov/issue/joint-commissions-ongoing-professional-practice-evaluation-process-costly-ineffective-and
     July 01, 2017 - Study The Joint Commission's ongoing professional practice evaluation process: costly, ineffective, and potentially harmful to safety culture. Citation Text: Donnelly LF, Podberesky DJ, Towbin AJ, et al. The Joint Commission's ongoing professional practice evaluation process: costly, ine…

458. Effect of therapeutic interchange on medication reconciliation during hospitalization and upon discharge in a geriatric population. | PSNet
     psnet.ahrq.gov/issue/effect-therapeutic-interchange-medication-reconciliation-during-hospitalization-and-upon
     November 20, 2013 - Study Effect of therapeutic interchange on medication reconciliation during hospitalization and upon discharge in a geriatric population. Citation Text: Wang JS, Fogerty RL, Horwitz LI. Effect of therapeutic interchange on medication reconciliation during hospitalization and upon dischar…

459. A collaborative learning network approach to improvement: the CUSP learning network. | PSNet
     psnet.ahrq.gov/issue/collaborative-learning-network-approach-improvement-cusp-learning-network
     July 21, 2017 - Commentary A collaborative learning network approach to improvement: the CUSP learning network. Citation Text: Weaver SJ, Lofthus J, Sawyer M, et al. A Collaborative Learning Network Approach to Improvement: The CUSP Learning Network. Jt Comm J Qual Patient Saf. 2015;41(4):147-159. Cop…

460. Performance of a trigger tool for identifying adverse events in oncology. | PSNet
     psnet.ahrq.gov/issue/performance-trigger-tool-identifying-adverse-events-oncology
     May 23, 2018 - Study Performance of a trigger tool for identifying adverse events in oncology. Citation Text: Lipitz-Snyderman A, Classen D, Pfister D, et al. Performance of a Trigger Tool for Identifying Adverse Events in Oncology. J Oncol Pract. 2017;13(3). doi:10.1200/jop.2016.016634. Copy Citatio…