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psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
September 01, 2007 - : dissatisfaction with test result management systems in primary care. … SAFER Self-Assessment. Test Results Reporting and Follow-Up. … Improving clinical practice using clinical decision support systems: a systematic review of trials to … order entry systems in U.S. hospitals. … reminder systems.
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psnet.ahrq.gov/perspective/measuring-patient-safety
December 14, 2022 - , the shift to digital measures has facilitated real-time assessment of the quality of care being provided … Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 1: Assessment). … systems of safety and ensuring that organizations and providers are implementing known best practices … System Failures on Healthcare Workers
March 21, 2023
Perspective … Care Providers
View More
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psnet.ahrq.gov/node/865376/psn-pdf
March 27, 2024 - , 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.
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psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
December 14, 2022 - systems of safety and ensuring that organizations and providers are implementing known best practices … The last thing I want to mention is establishing the systems of safety and those key tools of high-reliability … , the shift to digital measures has facilitated real-time assessment of the quality of care being provided … Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 1: Assessment). … Care Providers
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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.
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psnet.ahrq.gov/web-mm/inadvertent-castration
October 27, 2010 - procedures and systems that recognize the frailties of normal human cognition. … The role of mental models in team performance in complex systems. … IEEE Transactions on Systems, Man, and Cybernetics. 1992;22:1296-1308. [ go to related site ]
Figure … March 10, 2011
Surgical crisis management skills training and assessment: a stimulation-based … Care Providers
Quality and Safety Professionals
Geriatrics
Surgery
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psnet.ahrq.gov/node/49621/psn-pdf
March 01, 2011 - the inability of children
to communicate with health care providers (in this case, a patient who is … In this case,
the institutional expectation and standard of care should have been assessment and reporting … of all intakes
and outputs as mL/kg of body weight/hour. … Tools to assist in managing children, such as computerized bedside management systems (that can
both … and safe care of children.
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psnet.ahrq.gov/node/845472/psn-pdf
March 15, 2023 - providers that can be processed accordingly. … At times, patients will want to please
their health care provider, and with the pen and paper method … systems and clinical entities handle these data. … same assessment. … All sorts of measurements are enabled through consumer-grade wearable devices.
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
April 10, 2024 - toll on healthcare workers in NHs. … providers for resident care, infection control materials, COVID-19-related expenses, and increased funding … to form an independent commission responsible for conducting a comprehensive assessment of how NHs responded … and met nine times over the summer. 69 The commission included 25 LTC experts, consumer advocates, academics … Care Providers
Allied Health Professionals
Health Care Executives and Administrators
Facility
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psnet.ahrq.gov/primer/opioid-safety
September 07, 2019 - Department of Health and Human Services. … cohort study in diverse US health systems. … Health Systems and Providers Can Do. … April 17, 2019
Assessment of the FDA Risk Evaluation and Mitigation Strategy for transmucosal … January 23, 2019
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See More About The Topic
Health Care Providers
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psnet.ahrq.gov/node/33697/psn-pdf
June 01, 2010 - (iv) ED systems for teamwork and handoffs as well as guidelines for
procedures and checklists should … costs of the various systems and should be adopted with caution. … cognitive
errors; unique patient population characteristics; and the systems or environment of care … Assessment of emergency physician workforce needs
in the United States, 2005. … ,
analysis of
medical
record
systems
Stop boarding
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psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
October 31, 2023 - toward healthcare providers. … acts against healthcare workers. … healthcare workers today. … family toward healthcare providers because the exposure of clinicians to patients is broad and sometimes … Patients and families assume that healthcare providers and organizations are safe places—they actually
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psnet.ahrq.gov/perspective/conversation-cheryl-jones-about-addressing-workplace-violence-and-creating-safer
October 31, 2023 - toward healthcare providers. … acts against healthcare workers. … healthcare workers today. … family toward healthcare providers because the exposure of clinicians to patients is broad and sometimes … Patients and families assume that healthcare providers and organizations are safe places—they actually
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psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
March 15, 2023 - Alert fatigue is a significant concern in healthcare, as healthcare workers may become desensitized … In pediatric care, accurate assessment of a child’s weight and growth trajectory is critical for determining … for weight/height , and fostering a culture of learning, healthcare systems can improve safety for … , supervision, and pharmacist oversight in healthcare systems. … Care Providers
Nurses
Pharmacists
Pediatric Emergency Medicine
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psnet.ahrq.gov/node/60066/psn-pdf
March 25, 2020 - solutions to effective communication between healthcare providers
The Case
https://psnet.ahrq.gov/ … a visual assessment. … It is a “team-building tool that increases effective communication among healthcare providers.”
24 … Most healthcare providers know the critical
actions necessary to care for a critically ill patient but … Healthcare providers should train in
teams to support a team-based healthcare delivery paradigm.
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psnet.ahrq.gov/node/49728/psn-pdf
March 01, 2015 - medications by performing an internal risk assessment. … This process should include an assessment of the
product's look-alike and sound-alike similarity compared … potential for look-alike or sound-alike error should be
evaluated through an internal proactive risk assessment … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/glucose-roller-coaster
February 02, 2022 - Without a complete history, a physical exam, and a full assessment of a patient's problems, providing … signout database systems are two examples of relatively simple, inexpensive interventions that can improve … signouts and cross-coverage while more expensive and complex systems are being implemented. … March 1, 2004
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See More About The Topic
Hospitals
Health … Care Providers
Information Professionals
Medicine
Nurse Care
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psnet.ahrq.gov/issue/diagnostic-errors-medicine-case-neglect
July 15, 2015 - A review of evidence, practice and consumer perspectives. … March 16, 2011
A systems approach to morbidity and mortality conference. … December 13, 2023
Complexity and challenges of the clinical diagnosis and management … April 12, 2023
Assessment of potentially inappropriate prescribing of opioid analgesics … July 6, 2022
Improving medical residents’ self-assessment of their diagnostic accuracy
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psnet.ahrq.gov/web-mm/citrate-mix
February 01, 2010 - What systems are available to the nurse and others who administer medications to recognize acceptable … effective error-prevention systems. … a patient's medication orders and adjustment of the regimen based on the patient's level of care and … administration screening technology (BCMA) may have prevented this Polycitra overdosage, because these systems … Most BCMA systems require that all products are packaged and bar coded by unit of use; BCMA may have
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psnet.ahrq.gov/issue/why-doctors-so-often-get-it-wrong
October 03, 2007 - October 21, 2015
Unintended side effects: arbitration and the deterrence of medical error … May 11, 2005
The consumer: and now, a warning about labels. … Candour and of the Incentives for Care Organisations to Be Candid. … March 6, 2005
Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance … Human Errors, System Failures and Lack of Mindfulness.