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Total Results: 4,685 records

Showing results for "continues".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49562/psn-pdf
    May 01, 2008 - controversy surrounds the Universal Protocol, and in particular the time out portion of it, since there continues

  2. Premature Extubation | PSNet

    psnet.ahrq.gov/web-mm/premature-extubation
    May 25, 2011 - reliably identifying when a patient is ready to be extubated following invasive mechanical ventilation continues

  3. 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…

  4. 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…

  5. 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…

  6. 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…

  7. 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…

  8. 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…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46816/psn-pdf
    March 21, 2018 - Results of an enhanced clinic handoff and resident education on resident patient ownership and patient safety. March 21, 2018 Pincavage A, Dahlstrom M, Prochaska M, et al. Results of an enhanced clinic handoff and resident education on resident patient ownership and patient safety. Acad Med. 2013;88(6):795-801. d…

  10. 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

  11. 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

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39512/psn-pdf
    June 11, 2010 - An intervention to decrease patient identification band errors in a children's hospital. June 11, 2010 Hain PD, Joers B, Rush M, et al. An intervention to decrease patient identification band errors in a children's hospital. Qual Saf Health Care. 2010;19(3):244-7. doi:10.1136/qshc.2008.030288. https://psnet.ahrq.g…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34949/psn-pdf
    June 23, 2009 - A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours. June 23, 2009 Van Eaton EG, Horvath KD, Lober WB, et al. A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continui…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38759/psn-pdf
    April 05, 2010 - Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. April 5, 2010 Benn J, Burnett S, Parand A, et al. Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. J Eval Cl…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49406/psn-pdf
    June 01, 2003 - The Dangerous Detour June 1, 2003 Gibson J, HTaylor D. The Dangerous Detour. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/dangerous-detour The Case Following an overdose of alcohol and Ativan, a 26-year-old woman was admitted to the Medicine service for observation after being placed on a 72-hour hold by…

  16. Smart pumps in practice: survey results reveal widespread use, but optimization is challenging. | PSNet

    psnet.ahrq.gov/issue/smart-pumps-practice-survey-results-reveal-widespread-use-optimization-challenging
    December 27, 2018 - Newspaper/Magazine Article Smart pumps in practice: survey results reveal widespread use, but optimization is challenging. Citation Text: Smart pumps in practice: survey results reveal widespread use, but optimization is challenging. ISMP Medication Safety Alert! Acute Care Edition. Apri…

  17. To Transfer or Not to Transfer | PSNet

    psnet.ahrq.gov/web-mm/transfer-or-not-transfer
    November 23, 2016 - SPOTLIGHT CASE To Transfer or Not to Transfer Citation Text: Pines JM. To Transfer or Not to Transfer. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote …

  18. Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections. | PSNet

    psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-leadership-needed-hhs-prioritize-prevention
    October 15, 2008 - Book/Report Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections. Citation Text: Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices a…

  19. Organizational culture, critical success factors, and the reduction of hospital errors. | PSNet

    psnet.ahrq.gov/issue/organizational-culture-critical-success-factors-and-reduction-hospital-errors
    December 12, 2014 - Study Organizational culture, critical success factors, and the reduction of hospital errors. Citation Text: Stock GN, McFadden KL, Gowen CR. Organizational culture, critical success factors, and the reduction of hospital errors. Int J Prod Econ. 2006;106(2). doi:10.1016/j.ijpe.2006.0…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40232/psn-pdf
    February 23, 2011 - Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation. February 23, 2011 Benning A, Ghaleb M, Suokas A, et al. Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation. BMJ. 2011;342(feb03 1):d195. doi:1…
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