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Showing results for "consumer assessment of healthcare providers and systems".
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301. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-335
     April 27, 2022 - Study Collaborative case review: a systems-based approach to patient safety event … Root cause analysis is a commonly used tool to identify systems-related factors that contributed to an … , location, and urgency of procedure. … training to healthcare workers, introducing risk management tools, and reducing preventable harm during … Advocates suggest that adjustments be made in curricula, instruction, and student assessment to address

302. Another look at medical error. | PSNet
     psnet.ahrq.gov/issue/another-look-medical-error
     November 16, 2022 - August 30, 2023 Implementation and evaluation of a prototype consumer reporting system … intensive care units of 2 integrated health care systems. … July 15, 2002 Assessment of incorrect surgical procedures within and outside the operating … June 3, 2020 The intended and unintended consequences of communication systems on general … March 9, 2022 Guidelines for US hospitals and clinicians on assessment of electronic

303. In Conversation With... Jeffrey Shuren, MD, JD | PSNet
     psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
     May 28, 2020 - On the cybersecurity front, the Department of Health and Human Services and the Department of Homeland … and effectiveness of the device. … However, it is important that the transfer of information between systems occur safely and securely. … guidance for securing medical devices and systems from cybersecurity risks. [7]   Device Maintenance … data owners, such as healthcare systems that collect real-world data from electronic health records,

304. Innovations to improve patient safety. | PSNet
     psnet.ahrq.gov/issue/innovations-improve-patient-safety
     May 25, 2016 - June 15, 2016 Developing and Testing the Health Care Safety Hotline: A Prototype Consumer … October 4, 2017 Health Care Facility Design Safety Risk Assessment Toolkit. … June 29, 2016 Developing and Testing the Health Care Safety Hotline: A Prototype Consumer … 2016 View More See More About The Topic Hospitals Long-Term Care Health … Care Providers Health Care Executives and Administrators Hospital Medicine View More

305. Volume Too Low: In and Out | PSNet
     psnet.ahrq.gov/web-mm/volume-too-low-and-out
     July 01, 2017 - and the inability of children to communicate with health care providers (in this case, a patient who … In this case, the institutional expectation and standard of care should have been assessment and reporting … Tools to assist in managing children, such as computerized bedside management systems (that can both … September 1, 2003 View More See More About The Topic Hospitals Health … Care Providers Pediatrics Medical Complications Cognitive Errors ("Mistakes") View

306. In Conversation With… Mark Chassin, MD, MPP, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
     April 26, 2023 - We have trained our surveyors in the most common electronic medical record systems. … We found too many instances where technology including EHRs, IV pumps, and monitoring systems don't talk … We're now teaching hospitals and systems how to use these tools as part of transformation, embed them … that we cannot expect that health care will follow a similar trajectory as automobile safety or as consumer … MC : Hospitals and systems, a small but growing number, that have taken this challenge for high reliability

307. Outbreak | PSNet
     psnet.ahrq.gov/web-mm/outbreak
     January 29, 2015 - Nevertheless, hospitals need to respond, adapt, and evolve their care delivery systems, particularly … Department of Health and Human Services. … Department of Health and Human Services. … 2003 View More See More About The Topic Emergency Departments Health … Care Providers Quality and Safety Professionals Emergency Medicine Infectious Diseases

308. The Safety of Medical Devices | PSNet
     psnet.ahrq.gov/perspective/safety-medical-devices
     June 01, 2011 - That requires an understanding of how complex systems work ( 7 ), and how to authentically account for … ET : One typical one that bridges health care and consumer behavior is the filter cigarette. … I know that in the current medical system that is very hard to do given the workloads and systems of … Some of them involve interaction between the technological system and organizational systems and the … the most optimistic assessment of just about everything.

309. Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care | PSNet
     psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
     December 23, 2020 - Their 2002 statement eliminated the phrase “at the end of life.” 15 This insightful assessment and the … However, systems-based barriers, both structural and cultural, persist. … Proactive Psychosocial Assessment and Care Although licensed clinical social workers are integral to … Referrals for psychosocial assessment and care planning can assist patients and families in dealing with … the impact of diagnosis and treatment on their lives and ability to access care. 19 Routine assessment

310. Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures | PSNet
     psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures
     November 27, 2019 - , Breathing, Circulation, Disability, and Exposure (ABCDE) assessment of the front and back of the patient … Adjuncts such as chest x-ray (CXR), pelvis x-ray, and/or the Focused Assessment with Sonography in Trauma … Most scoring systems consider the activation of MTP, combined with other laboratory values and vital … Regional trauma systems have been established to triage patients of this type to hospitals (i.e., trauma … Accuracy of Focused Assessment with Sonography for Trauma (FAST) in blunt abdominal trauma.

311. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-400
     July 31, 2023 - production pressures, encouraging a culture of safety and teamwork, and implementation of effective … This commentary provides a grounded assessment of this potential by examining clinician knowledge, physician … assessment, and leadership support to promote safety culture. … Commentary Issues and complexities in safety culture assessment in healthcare. … The patient’s Clinical Institute Withdrawal Assessment (CIWA) score was very high, indicating signs and

312. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72618/psn-pdf
     December 23, 2020 - Nudges should be transparent and never misleading, easy to opt out of if needed, and aligned with the … , and ensure a complete understanding of what measurement would be needed and how that would impact … This hypothesis will then inform the design of the pilot, implementation, and evaluation strategy and … for successful implementation but you must also engage the team from your informatics or information systems … Representatives from 22 health systems across the US and Canada attended.a To-date, approximately 30

313. Medication Mix-Up: From Bad to Worse | PSNet
     psnet.ahrq.gov/web-mm/medication-mix-bad-worse
     March 01, 2018 - medications by performing an internal risk assessment. … This process should include an assessment of the product's look-alike and sound-alike similarity compared … Department of Health and Human Services. … Department of Health and Human Services. … March 29, 2006 Assessment of the potential impact of a reminder system on the reduction

314. Value and Patient Safety | PSNet
     psnet.ahrq.gov/curated-library/value-and-patient-safety
     May 01, 2013 - The relationship between nurse staffing and the quality and safety of care has been reported.  … Apply Commentary Value assessment … around goals and priorities, and internal audits to ensure reliability and accuracy of safety and quality … A previous AHRQ WebM&M perspective discusses how to design safer CPOE systems. … One recent study demonstrated that commercial CPOE systems can effectively prevent adverse drug events

315. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60609/psn-pdf
     June 24, 2020 - timely assessment of response and consideration of efficacy Complete documentation and handoff communication … There was also a failure of systems to prevent this situation from happening. … on shift workers.8  Also relevant to this case is the reduced presence of other health care providers … Health systems have made attempts to decrease the likelihood of adverse drug events by implementing … Systematic Assessment of Preventable Adverse Events.

316. A fatal case of iatrogenic hypercalcemia after calcium channel blocker overdose. | PSNet
     psnet.ahrq.gov/issue/fatal-case-iatrogenic-hypercalcemia-after-calcium-channel-blocker-overdose
     October 26, 2022 - in healthcare workers during the Covid-19 pandemic: a multinational cross-sectional study. … systems. … assessment of success factors. … July 25, 2012 Rapid response systems: identification and management of the "prearrest … Learning Healthcare Systems.

317. In Conversation With… Matthew Weinger, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
     August 01, 2018 - Weinger is Director of the Center for Research and Innovation in Systems Safety and Professor of Anesthesiology … I've done all kinds of simulation, including computer simulation of systems to mannequin-based and human-based … Also, in terms of general clinical competence, one could see ongoing assessment of practitioners along … of systems and human actions … Use of simulation to test systems and prepare staff for a new hospital transition.

318. Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures. | PSNet
     psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
     August 31, 2022 - Learning Objectives Describe how health care providers should evaluate acute neurological deficits of … This situation facilitated the growth of the neurohospitalist specialty and the rise of telestroke systems … ’ examinations, information in the electronic health record, and “teleradiology” assessment of images … due in part to safe and timely administration of intravenous thrombolysis with both systems. 16 However … Care Providers Emergency Medicine Neurology Clinical Misdiagnosis View More

319. SNOMED CT: electronic health record enhances anesthesia patient safety. | PSNet
     psnet.ahrq.gov/issue/snomed-ct-electronic-health-record-enhances-anesthesia-patient-safety
     March 14, 2022 - prescribing systems: a systematic review and narrative synthesis. … August 9, 2017 A prospective risk assessment of informal carers' medication administration … August 28, 2013 How reliable are clinical systems in the UK NHS? … Assessment Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related … March 16, 2022 Guidelines for US hospitals and clinicians on assessment of electronic

320. In Conversation With… Reed V. Tuckson, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md
     September 01, 2016 - RW : Have you seen examples of really robust integration of telehealth and other consumer-facing IT into … are seeing physician leadership and engagement propelling the modernization of clinical delivery systems … , in which patients are constantly connected to their health care providers. … of acute care remote triage systems: a systematic review. … Care Providers Information Professionals Medicine Surgical Complications View More