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Showing results for "continues".

  1. 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…

  2. 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…

  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. 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

  16. 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

  17. 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

  18. 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…

  19. 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…

  20. 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 …
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