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Showing results for "assessing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49819/psn-pdf
    February 01, 2018 - Signout Fallout February 1, 2018 Starmer AJ, Landrigan CP. Signout Fallout. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/signout-fallout Case Objectives Understand the role of communication failures in medical errors and preventable adverse events. Review the evidence in support of handoff improvement pr…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49699/psn-pdf
    February 01, 2014 - Multifactorial Medication Mishap February 1, 2014 Yang A. Multifactorial Medication Mishap. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/multifactorial-medication-mishap Case Objectives Understand the system-based causes of medication errors. Describe a model for a systems approach to error analysis. Id…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49676/psn-pdf
    February 01, 2013 - Death by PCA February 1, 2013 Hicks RW. Death by PCA. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/death-pca The Case A healthy 21-year-old pregnant woman delivered a healthy baby via Caesarean section after an uncomplicated pregnancy. Two hours after delivery, the post-anesthesia care unit (PACU) nurse …

  4. The Safety Challenges of Supervision and Night Coverage in Academic Residency | PSNet

    psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
    February 21, 2024 - The Safety Challenges of Supervision and Night Coverage in Academic Residency Citation Text: Raffel K. The Safety Challenges of Supervision and Night Coverage in Academic Residency. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73456/psn-pdf
    June 30, 2021 - Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia June 30, 2021 Bohringer C. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubat…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33863/psn-pdf
    August 01, 2018 - that simulation has a role not just in training but also in system and process improvement and in assessing

  7. There is an app for that: mobile technology improves complication reporting and resident perception of their role in patient safety | PSNet

    psnet.ahrq.gov/innovation/there-app-mobile-technology-improves-complication-reporting-and-resident-perception
    November 28, 2012 - EMERGING INNOVATIONS There is an app for that: mobile technology improves complication reporting and resident perception of their role in patient safety Citation Text: Johnson CR, Noorzad A, Pujari A, et al. There is an app for that: mobile technology improves complication reporting and resident p…

  8. Hospital board and management practices are strongly related to hospital performance on clinical quality metrics. | PSNet

    psnet.ahrq.gov/issue/hospital-board-and-management-practices-are-strongly-related-hospital-performance-clinical
    October 27, 2021 - Study Classic Hospital board and management practices are strongly related to hospital performance on clinical quality metrics. Citation Text: Tsai TC, Jha AK, Gawande AA, et al. Hospital board and management practices are strongly related to hospital performanc…

  9. Using harm-based weights for the AHRQ Patient Safety for Selected Indicators composite (PSI-90): does it affect assessment of hospital performance and financial penalties in Veterans Health Administration hospitals? | PSNet

    psnet.ahrq.gov/issue/using-harm-based-weights-ahrq-patient-safety-selected-indicators-composite-psi-90-does-it
    March 15, 2016 - Study Using harm-based weights for the AHRQ Patient Safety for Selected Indicators composite (PSI-90): does it affect assessment of hospital performance and financial penalties in Veterans Health Administration hospitals? Citation Text: Chen Q, Rosen AK, Borzecki A, et al. Using Harm-Bas…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838221/psn-pdf
    September 28, 2022 - In Conversation With... Freya Spielberg, MD, MPH September 28, 2022 In Conversation With.. Freya Spielberg, MD, MPH. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph Editor’s Note: Freya Spielberg, MD, MPH, is the Founder and CEO of Urgent Wellness LLC, a social enterp…

  11. Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit | PSNet

    psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
    December 01, 2012 - be prevented if things were handled perfectly, the argument would be that we need a standard way of assessing

  12. A pinpoint beam strays invisibly, harming instead of healing. | PSNet

    psnet.ahrq.gov/issue/pinpoint-beam-strays-invisibly-harming-instead-healing
    March 09, 2011 - Newspaper/Magazine Article A pinpoint beam strays invisibly, harming instead of healing. Citation Text: A pinpoint beam strays invisibly, harming instead of healing. Bogdanich W; Rebelo K. Copy Citation Save Save to your library Print Download PDF …

  13. Rise to Health Coalition. | PSNet

    psnet.ahrq.gov/issue/rise-health-coalition
    January 08, 2020 - Multi-use Website Rise to Health Coalition. Citation Text: Rise to Health Coalition. Boston, MA; Institute for Healthcare Improvement: December 2022. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  14. ISMP List of Error-Prone Abbreviations, Symbols, and Dose Designations. | PSNet

    psnet.ahrq.gov/issue/ismp-list-error-prone-abbreviations-symbols-and-dose-designations
    January 14, 2024 - Fact Sheet/FAQs ISMP List of Error-Prone Abbreviations, Symbols, and Dose Designations. Citation Text: ISMP List of Error-Prone Abbreviations, Symbols, and Dose Designations. Horsham, PA; Institute for Safe Medication Practices; April 17, 2024. Copy Citation Save …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42063/psn-pdf
    January 06, 2018 - Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. January 6, 2018 Shekelle PG, Wachter RM, Pronovost PJ, et al. Making Health Care Safer Ii: An Updated Critical Analysis Of The Evidence For Patient Safety Practices.; 2013:Evid Rep Technol Assess (Full Rep).(211)…

  16. Patient Safety Awareness Week. | PSNet

    psnet.ahrq.gov/issue/patient-safety-awareness-week
    July 12, 2017 - Webinar Patient Safety Awareness Week. Citation Text: Patient Safety Awareness Week. Institute for Healthcare Improvement. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  17. Statement on the prevention of retained foreign bodies after surgery. | PSNet

    psnet.ahrq.gov/issue/statement-prevention-retained-foreign-bodies-after-surgery
    October 15, 2018 - Organizational Policy/Guidelines Statement on the prevention of retained foreign bodies after surgery. Citation Text: Statement on the prevention of retained foreign bodies after surgery. Chicago, IL: American College of Surgeons; October 2016. Copy Citation Save …

  18. In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet

    psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
    September 24, 2024 - Statistically, patient harm is rare enough that reliably assessing whether a harm is preventable or not

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49800/psn-pdf
    July 01, 2017 - The Hidden Harms of Hand Sanitizer July 1, 2017 Stewart S. The Hidden Harms of Hand Sanitizer. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/hidden-harms-hand-sanitizer The Case A 57-year-old woman with a history of alcohol abuse and severe depression was admitted to the hospital for community-acquired pn…

  20. Application of Safety-II Principles | PSNet

    psnet.ahrq.gov/perspective/application-safety-ii-principles
    August 28, 2024 - Traditional root cause analysis limits the learning that can be gained from assessing adverse events
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