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Total Results: 4,687 records

Showing results for "continues".

  1. 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…

  2. 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…

  3. 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…

  4. 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…

  5. 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…

  6. 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…

  7. 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

  8. 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

  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 Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. | PSNet

    psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
    January 23, 2017 - expertise evolve, the frequency of pediatric procedural sedation performed outside the operating room continues … The readback/hearback process continues until a shared understanding is mutually verified. 39 There is

  11. 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

  12. Workarounds and Resiliency on the Front Lines of Health Care | PSNet

    psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
    August 01, 2009 - This pattern of behavior, called first-order problem solving, seems successful because patient care continues … Soon after the start of the joint venture, that plant started winning awards from JD Power, and it continues

  13. 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…

  14. 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…

  15. 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

  16. 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

  17. 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

  18. 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

  19. 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

  20. 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
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