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Showing results for "continues".

4101. In Conversation with...Steven J. Spear, DBA, MS, MS | PSNet
      psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
      August 01, 2009 - Soon after the start of the joint venture, that plant started winning awards from JD Power, and it continues … This pattern of behavior, called first-order problem solving, seems successful because patient care continues

4102. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39128/psn-pdf
      December 01, 2009 - Rapid response teams and continuous quality improvement. November 25, 2009 Dailey MS, Durkin S, Gulczynski B, et al. Patient Saf Qual Healthc. Nov/Dec 2009;6:28-31. https://psnet.ahrq.gov/issue/rapid-response-teams-and-continuous-quality-improvement This study discusses how analysis of rapid response team calls id…

4103. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40225/psn-pdf
      March 12, 2011 - As industry automates, adverse events continue to haunt caregivers. March 12, 2011 Wetzel TG. As industry automates, adverse events haunt caregivers. Health data management. 2011;19(2):86, 88, 90 passim. https://psnet.ahrq.gov/issue/industry-automates-adverse-events-continue-haunt-caregivers This article discusse…

4104. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37972/psn-pdf
      May 02, 2018 - Heparin errors continue despite prior, high-profile, fatal events. May 2, 2018 ISMP Medication Safety Alert! Acute Care Edition. July 17, 2008;13:1-2. https://psnet.ahrq.gov/issue/heparin-errors-continue-despite-prior-high-profile-fatal-events Drawing on analysis from previously reported errors, this article descr…

4105. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45583/psn-pdf
      January 18, 2017 - ASHP IV Adult Continuous Infusions. January 18, 2017 Bethesda, MD: American Society of Health-System Pharmacists; 2016. https://psnet.ahrq.gov/issue/ashp-iv-adult-continuous-infusions Miscalculations of intravenous infusion concentrations can result in patient harm. Representing the first phase of a standards deve…

4106. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40520/psn-pdf
      June 08, 2011 - Wrong body part, wrong patient surgeries continue despite new procedures. June 8, 2011 Rojas-Burke J. https://psnet.ahrq.gov/issue/wrong-body-part-wrong-patient-surgeries-continue-despite-new-procedures This newspaper article discusses wrong-site surgeries and explores why the number of reported errors has not ch…

4107. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49576/psn-pdf
      January 01, 2009 - To Transfer or Not to Transfer January 1, 2009 Pines JM. To Transfer or Not to Transfer. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/transfer-or-not-transfer Case Objectives Explore the benefits of the continuity of hospital care. Understand the rules and regulations behind triage and hospital choice de…

4108. The Wrong Shot: Error Disclosure | PSNet
      psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
      May 01, 2011 - "( 5 ) Yet disclosure of errors, particularly discussion of the details of the event, continues to be

4109. Death by PCA | PSNet
      psnet.ahrq.gov/web-mm/death-pca
      January 06, 2017 - order processing Dispensing Begins with a pharmacist's assessment of a medication order and continues

4110. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49669/psn-pdf
      November 01, 2012 - The optimal transfusion threshold continues to be a subject of much debate, although two trials provide

4111. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49816/psn-pdf
      January 01, 2018 - Postoperative pain experience: results from a national survey suggest postoperative pain continues to

4112. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49627/psn-pdf
      June 01, 2011 - Had he gone about obtaining the test "the right way," he continues, "I am sure I would have gotten the

4113. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49450/psn-pdf
      June 01, 2004 - "(5) Yet disclosure of errors, particularly discussion of the details of the event, continues to be

4114. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49760/psn-pdf
      May 01, 2016 - 2,3) Although clinical guidelines and evidence-based reviews are available (4-6), managing delirium continues

4115. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49567/psn-pdf
      September 01, 2008 - empiric steroids, 80–100 mg prednisolone/day, intravenously, are appropriate therapy while the work-up continues

4116. The Inside of a Time Out | PSNet
      psnet.ahrq.gov/web-mm/inside-time-out
      March 01, 2004 - controversy surrounds the Universal Protocol, and in particular the time out portion of it, since there continues

4117. The Role of Graduate Medical Education (GME) in Improving Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
      February 01, 2010 - Requirements and Policies The Outcomes Project The mainstay of resident education has been and continues … associated with discontinuity of care.( 1 ) At the present time, the ACGME Resident Duty Hour Task Force continues

4118. In Conversation with…Thomas J. Nasca, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
      February 01, 2010 - Requirements and Policies The Outcomes Project The mainstay of resident education has been and continues … associated with discontinuity of care.( 1 ) At the present time, the ACGME Resident Duty Hour Task Force continues

4119. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46636/psn-pdf
      January 24, 2018 - Drug shortages continue to compromise patient care. January 24, 2018 ISMP Medication Safety Alert! Acute Care Edition. January 11, 2018;23:1-4. https://psnet.ahrq.gov/issue/drug-shortages-continue-compromise-patient-care Drug shortages are known to disrupt the safety of care. This newsletter article reports the res…

4120. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44714/psn-pdf
      November 25, 2015 - Continuous Improvement of Patient Safety: The Case for Change in the NHS. November 25, 2015 Illingworth J. London, UK: The Health Foundation; 2015. ISBN: 9781906461706. https://psnet.ahrq.gov/issue/continuous-improvement-patient-safety-case-change-nhs The Francis inquiry uncovered problems in the National Health S…