Results

Total Results: 398 records

Showing results for "aspects".

261. Medication Administration Errors | PSNet
     psnet.ahrq.gov/primer/medication-administration-errors
     December 15, 2024 - Safety advancements require a comprehensive, systems-oriented approach that considers all aspects of

262. 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 - I came away highly impressed with many aspects of the British health care system, particularly the fact

263. Double Trouble | PSNet
     psnet.ahrq.gov/web-mm/double-trouble
     August 01, 2012 - studies of preventable ADEs have been conducted in hospital and long-term care settings, where all aspects

264. Vial Mistakes Involving Heparin | PSNet
     psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
     May 11, 2014 - All aspects of the heparin administration process must be standardized.

265. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49687/psn-pdf
     August 21, 2013 - Unfortunately, in patients who present critically ill, these aspects of care are often performed poorly

266. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose | PSNet
     psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
     March 15, 2023 - Reason highlights two critical aspects of these holes.

267. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836839/psn-pdf
     March 31, 2022 - Conducting Schwartz rounds, which are interdisciplinary meetings held to discuss emotional and social aspects

268. Medication Mix-Up Leads to Patient Death | PSNet
     psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
     July 08, 2022 - Failure mode and effect analysis should be implemented across all aspects of the BCMA system.

269. Systems Approach | PSNet
     psnet.ahrq.gov/primer/systems-approach
     June 15, 2024 - Systems Approach Citation Text: Systems Approach. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downl…

270. Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety | PSNet
     psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
     March 01, 2017 - So my bread and butter is looking at aspects of how people behave, the norms that guide them, the values … And someone who isn't as sophisticated as you are is trying to manage the sociological aspects of it.

271. In Conversation With… Charles Vincent, MPhil, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
     July 10, 2024 - There are two aspects. One is the idea that you can manage things entirely by top-down control.

272. Simulation Training | PSNet
     psnet.ahrq.gov/primer/simulation-training
     September 15, 2024 - simulation as a valid and reliable element of nursing education that supplements and even enhances certain aspects

273. Amended Lab Results: Communication Slip | PSNet
     psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip
     September 26, 2012 - Amended Lab Results: Communication Slip Citation Text: Mohta V. Amended Lab Results: Communication Slip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…

274. Prolonged DKA in Pregnancy: A Case of Communication Breakdown. | PSNet
     psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
     June 28, 2023 - While there are many aspects to creating a culture of safety, communication is a key component.

275. Nurse Wellbeing and Patient Safety | PSNet
     psnet.ahrq.gov/curated-library/nurse-wellbeing-and-patient-safety
     August 30, 2023 - labor and delivery nurses from 253 hospitals across the United States found an average of 11 of 25 aspects

276. Annual Perspective: Psychological Safety of Healthcare Staff | PSNet
     psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
     November 16, 2022 - Conducting Schwartz rounds, which are interdisciplinary meetings held to discuss emotional and social aspects

277. Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia | PSNet
     psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
     August 29, 2021 - Medication management in the perioperative setting is uniquely challenging, and while some aspects of

278. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
     January 01, 2020 - Safety aspects of postoperative pain relief. Pain Digest. 1996;6(4):219-225. 18.

279. Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis. | PSNet
     psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
     August 25, 2021 - characterize what happened in the diagnostic process in this case, we can see that errors occurred in several aspects

280. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. | PSNet
     psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
     March 15, 2023 - order sets, when designed and used appropriately, can help standardize and organize the most crucial aspects