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Total Results: 606 records

Showing results for "concept".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33573/psn-pdf
    March 15, 2025 - The concept of just culture provides an appropriate foundation for dealing with disruptive behavior,

  2. Rate of sepsis hospitalizations after misdiagnosis in adult emergency department patients: a look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology in an integrated health system. | PSNet

    psnet.ahrq.gov/issue/rate-sepsis-hospitalizations-after-misdiagnosis-adult-emergency-department-patients-look
    December 08, 2021 - Study Rate of sepsis hospitalizations after misdiagnosis in adult emergency department patients: a look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology in an integrated health system. Citation Text: Horberg MA, Nassery …

  3. Antecedent treat-and-release diagnoses prior to sepsis hospitalization among adult emergency department patients: a look-back analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology. | PSNet

    psnet.ahrq.gov/issue/antecedent-treat-and-release-diagnoses-prior-sepsis-hospitalization-among-adult-emergency
    May 12, 2021 - Study Antecedent treat-and-release diagnoses prior to sepsis hospitalization among adult emergency department patients: a look-back analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology. Citation Text: Nassery N, Horberg MA, …

  4. Home | PSNet

    psnet.ahrq.gov/
    March 25, 2025 - This website is up to date as of March 24, 2025. You will not be able to register for an account and will no longer be able to obtain Continuing Medical Education (CME), Maintenance of Certification (MOC), or Continuing Pharmacy Education (CPE) credits. We are not taking submissions for WebM&M cases, Innovations, Train…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33589/psn-pdf
    September 15, 2024 - The concept of high reliability is attractive for health care, due to the complexity of operations and

  6. Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery | PSNet

    psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
    September 15, 2024 - The concept of the surgical timeout—a planned pause before beginning the procedure in order to review

  7. 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 - Peter Pronovost) at a prominent academic health center (Johns Hopkins).( 12-14 ) Applying the concept … target (central line–associated bloodstream infections), Pronovost and colleagues achieved proof of concept

  8. Haste Makes Care Unsafe | PSNet

    psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
    January 07, 2015 - An extension of this concept was articulated in Reason's Swiss-Cheese Model ( 2,3 ) in which the lining … Porteous JM, Stewart-Wynne EG, Connolly M, Crommelin PF. iSoBAR—a concept and handover checklist: the

  9. Post-Acute Transitional Services: Safety in Home-Based Care Programs | PSNet

    psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
    April 24, 2024 - The “house call” concept started in the 1930s, when it was common for physicians to make home visits … Hospital in the home: a concept under question. Med J Aust . 2006;184(12):599-600. … Primers Simulation Training March 1, 2023 Nurse well-being: a concept

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35849/psn-pdf
    July 21, 2010 - Taking aim at infusion confusion. July 21, 2010 Burdeu G, Crawford R, Van de Vreede M, et al. Taking aim at infusion confusion. J Nurs Care Qual. 2006;21(2):151-159. https://psnet.ahrq.gov/issue/taking-aim-infusion-confusion Investigators applied a systems approach and design concepts to improve drug infusion safe…

  11. In Conversation with...Patrick S. Romano, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-withpatrick-s-romano-md-mph
    July 10, 2024 - PR: Failure to Rescue was a concept originally described by Jeff Silber and colleagues at the University … It's an interesting concept—to look at patients who experience some kind of adverse event or complication

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41566/psn-pdf
    July 01, 2013 - Patient safety in psychiatric inpatient care: a literature review. July 1, 2013 Kanerva A, Lammintakanen J, Kivinen T. Patient safety in psychiatric inpatient care: a literature review. J Psychiatr Ment Health Nurs. 2013;20(6):541-8. doi:10.1111/j.1365-2850.2012.01949.x. https://psnet.ahrq.gov/issue/patient-safety…

  13. Disruptive and Unprofessional Behavior | PSNet

    psnet.ahrq.gov/primer/disruptive-and-unprofessional-behavior
    September 15, 2024 - The concept of just culture provides an appropriate foundation for dealing with disruptive behavior

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33561/psn-pdf
    September 15, 2024 - Current Context While the concept of reporting and learning from serious reportable adverse events is

  15. Communication Between Clinicians | PSNet

    psnet.ahrq.gov/primer/communication-between-clinicians
    September 15, 2024 - The concept of situational awareness refers to the ability to access and track data relevant to the task

  16. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/838351
    July 01, 2024 - In light of recent expert analysis and improvement work, the concept of treating diagnosis as team activity … In light of recent expert analysis and improvement work, the concept of treating diagnosis as team activity

  17. Diagnostic Safety Improvement | PSNet

    psnet.ahrq.gov/curated-library/diagnostic-safety-improvement
    April 17, 2025 - In light of recent expert analysis and improvement work, the concept of treating diagnosis as team activity … In light of recent expert analysis and improvement work, the concept of treating diagnosis as team activity

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40430/psn-pdf
    October 18, 2011 - Eliminating CLABSI: A National Patient Safety Imperative. October 18, 2011 Rockville, MD: Agency for Healthcare Research and Quality; September 2011. AHRQ Publication No. 11- 0037-1-EF. https://psnet.ahrq.gov/issue/eliminating-clabsi-national-patient-safety-imperative This publication reports the impact hospital p…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34638/psn-pdf
    December 23, 2008 - What is accountability in health care? December 23, 2008 Emanuel EJ, Emanuel LL. What is accountability in health care? Ann Intern Med. 1996;124(2):229-239. https://psnet.ahrq.gov/issue/what-accountability-health-care This perspective details the concepts surrounding “accountability” in health care. The discussion …

  20. Communication Error in a Closed ICU | PSNet

    psnet.ahrq.gov/web-mm/communication-error-closed-icu
    July 01, 2016 - For example, the team structure based on hierarchy can enforce the concept that communication must also … Exploratory works also suggest that how surgeons and intensivists interpret the concept of the closed
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