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psnet.ahrq.gov/node/854897/psn-pdf
October 31, 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 their … , supervision, and pharmacist oversight in healthcare systems. … effective alerts
within EHR systems.
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psnet.ahrq.gov/issue/state-starts-project-track-serious-hospital-mistakes
May 10, 2006 - May 11, 2005
The consumer: and now, a warning about labels. … March 6, 2005
Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance … Human Errors, System Failures and Lack of Mindfulness. … July 13, 2016
View More
See More About The Topic
Hospitals
Health Care … Providers
Health Care Executives and Administrators
Information Professionals
Governmental
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psnet.ahrq.gov/node/837215/psn-pdf
July 08, 2022 - Learning Objectives
Describe how health care providers should evaluate acute neurological deficits of … AHA/ASA guidelines recommend implementation of
acute clinical assessment teams, imaging protocols, and … 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
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psnet.ahrq.gov/issue/teamstepps-20-online-master-trainer-course
October 03, 2023 - August 5, 2020
Scalia's death and the value of autopsy: a teachable moment. … August 2, 2017
Hospitals Can Take Key Steps to Improve Safe Use of Digital Systems. … 2018
Patient Safety Learning Laboratories: Advancing Patient Safety through Design, Systems … Corrective Action of Sentinel and Adverse Events. … May 6, 2020
The impact of post-fall huddles on repeat fall rates and perceptions of safety
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psnet.ahrq.gov/web-mm/overriding-considerations
March 09, 2009 - No increased level of care was needed.
The Commentary
Some health care providers will think Dr. … outpatient setting, so most systems probably do not have similar rigorous checks in place.( 6 ) But … the Handoff Communication Assessment. … View More
See More About The Topic
Ambulatory Clinic or Office
Health … Care Providers
Information Professionals
Primary Care
Obstetrics
View More
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psnet.ahrq.gov/issue/junior-medics-bullied-lie-about-hours-doctors-ordered-work-without-proper-training
April 27, 2016 - March 8, 2006
Patient safety, systems design and ergonomics. … March 5, 2014
Clinical ICT Systems in the Victorian Public Health Sector. … March 6, 2005
Systems Approach in Healthcare. … April 26, 2023
Impact of sleep deficiency on surgical performance: a prospective assessment … July 6, 2022
Assessment of perioperative outcomes among surgeons who operated the night
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psnet.ahrq.gov/node/33815/psn-pdf
September 01, 2016 - , in which patients are constantly connected to their
health care providers. … encryption systems to protect patient privacy; (iv) increase regulatory, professional, and health care … in
telemedicine interventions; (vi) create systems for clinicians to document telemedicine services … and
integrate them as part of regular workflow; and (vii) increase efforts to lessen social risks by … The impact of telehealthcare on the quality and safety of care: a
systematic overview.
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psnet.ahrq.gov/issue/surveys-patient-safety-culturetm-sopsr-ambulatory-surgery-center-survey-2021-user-database
June 01, 2022 - July 7, 2021
Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting … During and Immediately After Childbirth: State of the Science. … June 2, 2010
Improving Patient Safety Systems for Patients With Limited English Proficiency … Evidence Report/Technology Assessment. … July 1, 2015
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer
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psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
May 01, 2014 - There are systems that are RFID-linked, recognizing the time and exact amount of product used at the … Other systems monitor the gestures of the health care workers, or the amount of time and where and when … transmitters to measure hand hygiene compliance.( 16 ) Whatever the assessment method, each of these … Measuring healthcare worker hand hygiene activity: current practices and emerging technologies. … Automated measures of hand hygiene compliance among healthcare workers using ultrasound: validation and
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psnet.ahrq.gov/web-mm/flying-object-hits-mri
September 01, 2005 - at a single institution.( 3 ) Before any discussion of systems approaches to this and all cases involving … A primer on medical device interactions with magnetic resonance imaging systems. [ go to related site … 2016
Locating errors through networked surveillance: a multimethod approach to peer assessment … June 1, 2003
View More
See More About The Topic
Hospitals
Health … Care Providers
Facility and Group Administrators
Anesthesiology
Pediatrics
View More
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psnet.ahrq.gov/node/49570/psn-pdf
October 01, 2008 - health care providers, and protection against
errors. … Many health care systems recognize this and provide proxy access for authorized family
members, such … care provider or system, and others offered by
outside vendors. … systems. … Robust personal health record systems are now available and will continue to flourish with the
advent
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psnet.ahrq.gov/issue/safety-information-alaris-se-infusion-pumps
June 07, 2006 - Assessment Guidance to Reduce Entrapment. … care providers. … SARS-CoV-2--letter to clinical laboratory staff and health care providers. … April 30, 2014
Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples … September 7, 2022
Letter to Health Care Providers: Safe Use of Surgical Staplers and
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psnet.ahrq.gov/node/49456/psn-pdf
July 12, 2004 - , and the limitations of "signout," the transfer of patient data and care responsibility
when the primary … Without a complete history, a physical exam, and a full assessment of a patient's problems,
providing … Checklists (7) and signout cards (8) may decrease the risk of
error and improve the satisfaction of … 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.
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psnet.ahrq.gov/perspective/comprehensivist-model-care-hospitalists-view
November 01, 2018 - David Meltzer, Chief of the Section of Hospital Medicine and Director of the Center for Health and Social … Finally, growing pressures to improve quality and safety created a new paradigm which emphasized systems … Far from being a threat to the hospitalist model, I can easily see health systems embracing a hybrid … For the better care part of it, we used HCAHPS [Hospital Consumer Assessment of Healthcare Providers … and Systems] scores to measure patient experience.
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psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
November 01, 2006 - , are making machines and systems more and more intelligent, to take over more and more of the load from … And the automatic systems will not cope. … DN: What we need is systems thinking, first of all, and second, integrated displays that capture a large … care providers, I have found that the concepts of human factors engineering often inspire two types … Cognitive and usability engineering methods for the evaluation of clinical information systems.
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psnet.ahrq.gov/node/73153/psn-pdf
April 28, 2021 - wad of
packing material was in the vagina, health care providers in this Case relied on perfunctory … Such systems usually include (1) use of packing materials with radiopaque markers, which must not
be … Organizational
culture should encourage health care providers to communicate and collaborate with each … Systems analysis of adverse drug events. J Am Med Assoc.
1995;274(1):35-43.
9. Farrell G. … Applying the knowledge of nursing procedures and psychomotor skills to the
techniques of physical assessment
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psnet.ahrq.gov/node/72516/psn-pdf
November 25, 2020 - Approach to Improving Safety and Systems Change Needed
To help clinicians avoid similar errors, hospitals … Forcing Functions
Forcing functions are automatic, built in features of systems designed to minimize … Systems-level changes like checklists and forcing functions, when integrated into the EHR, provide
additional … Checklists and forcing functions are two tools that healthcare providers can use to mitigate cognitive … Assessment of a Best Practice Alert and Referral Process
for Preprocedure Antithrombotic Medication
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psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications
October 10, 2017 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … OPAT has been successfully utilized by health systems since the 1970s. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/49660/psn-pdf
August 01, 2012 - Understand the hazards of alert fatigue in automated results management systems. … and capabilities of an ideal laboratory results
management systems are shown in the Table.(16,17) … systems to ensure that results are consistently communicated to
patients in a timely manner; and (iv … ).(18)
Unfortunately, IT systems have limitations and do not always provide for 100% effective laboratory … www.ncbi.nlm.nih.gov/pubmed/17873665
http://www.ncbi.nlm.nih.gov/pubmed/21486478
http://www.ahrq.gov/consumer
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psnet.ahrq.gov/node/33703/psn-pdf
November 01, 2010 - and mandatory patient
safety reporting systems, promoting automated surveillance of clinical data, … state, and federal levels as part of internal safety improvement programs.(2) These systems gather … and comparison of
data across systems untenable. … Data elements across health care systems are not consistent, and the accuracy and
reliability of ICD … inaccuracy of ICD-9-CM
codes across and within systems, may
detect high proportion of false positives