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Total Results: 7,210 records

Showing results for "decision".

6521. What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared consumers. | PSNet
      psnet.ahrq.gov/issue/what-price-must-we-pay-safety-excessive-cost-epinephrine-auto-injectors-leads-error-prone-use
      September 14, 2016 - Newspaper/Magazine Article What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared consumers. Citation Text: What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-p…

6522. Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. | PSNet
      psnet.ahrq.gov/issue/saving-lives-saving-money-imperative-computerized-physician-order-entry-massachusetts
      November 18, 2011 - Book/Report Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. Citation Text: Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. Adams M, Bates D, Coffman G, et al. Bosto…

6523. Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service? | PSNet
      psnet.ahrq.gov/issue/which-clinical-errors-lead-referral-uk-paediatricians-national-clinical-assessment-service
      January 22, 2014 - Study Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service? Citation Text: Raine J, Scarrott D. Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service? Eur J Pediatr. 2012;171(10…

6524. Identifying violation-provoking conditions in a healthcare setting. | PSNet
      psnet.ahrq.gov/issue/identifying-violation-provoking-conditions-healthcare-setting
      April 18, 2011 - Study Identifying violation-provoking conditions in a healthcare setting. Citation Text: Phipps D, Parker D, Pals EJM, et al. Identifying violation-provoking conditions in a healthcare setting. Ergonomics. 2008;51(11):1625-42. doi:10.1080/00140130802331617. Copy Citation Form…

6525. Improving patient safety by practicing in a just culture. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-practicing-just-culture
      June 14, 2017 - Commentary Improving patient safety by practicing in a just culture. Citation Text: Duffy W. Improving Patient Safety by Practicing in a Just Culture. AORN J. 2017;106(1):66-68. doi:10.1016/j.aorn.2017.05.005. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

6526. Creating complex health improvement programs as mindful organizations: from theory to action. | PSNet
      psnet.ahrq.gov/issue/creating-complex-health-improvement-programs-mindful-organizations-theory-action
      October 19, 2022 - Commentary Creating complex health improvement programs as mindful organizations: from theory to action. Citation Text: Issel M, Narasimha KM. Creating complex health improvement programs as mindful organizations: from theory to action. J Health Organ Manag. 2007;21(2):166-83. Copy C…

6527. Confronting Racism in Health Care: Moving from Proclamations to New Practices. | PSNet
      psnet.ahrq.gov/issue/confronting-racism-health-care-moving-proclamations-new-practices
      July 31, 2012 - Book/Report Confronting Racism in Health Care: Moving from Proclamations to New Practices. Citation Text: Confronting Racism in Health Care: Moving from Proclamations to New Practices. Hostetter M, Klein S. New York, NY: Commonwealth Fund;  October 18, 2021 Copy Citation …

6528. Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. | PSNet
      psnet.ahrq.gov/issue/medication-mix-what-happened-vanderbilt-and-how-it-impacts-health-care-providers
      March 18, 2020 - Commentary Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. Citation Text: Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. Michel C, Talley C. J Health Life Sci Law. 2022;17(1):71 Copy Citation …

6529. Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. | PSNet
      psnet.ahrq.gov/issue/designing-and-delivering-whole-person-transitional-care-hospital-guide-reducing-medicaid
      March 27, 2019 - Toolkit Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Citation Text: Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Boutwell A, Bourgoin A , Maxwell J, et al. Rockvill…

6530. Crossing the Quality Chasm: A New Health System for the 21st Century. | PSNet
      psnet.ahrq.gov/issue/crossing-quality-chasm-new-health-system-21st-century
      July 08, 2016 - Book/Report Classic Crossing the Quality Chasm: A New Health System for the 21st Century. Citation Text: Crossing the Quality Chasm: A New Health System for the 21st Century. Committee on Quality of Health Care in America, Institute of Medicine. Washington DC: N…

6531. Communication and Resolution After an Adverse Health Care Incident. | PSNet
      psnet.ahrq.gov/issue/communication-and-resolution-after-adverse-health-care-incident
      August 01, 2014 - Legislation/Regulation Communication and Resolution After an Adverse Health Care Incident. Citation Text: Communication and Resolution After an Adverse Health Care Incident. Pettersen B, Tate J, Tipper K, McKean H. Colorado Senate Bill 19-201. Copy Citation Save S…

6532. Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening and Review. | PSNet
      psnet.ahrq.gov/issue/obstetric-care-consensus-no-5-severe-maternal-morbidity-screening-and-review
      August 20, 2018 - Organizational Policy/Guidelines Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening and Review. Citation Text: Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening and Review. Obstet Gynecol. 2016;128(3):e54-60. doi:10.1097/AOG.0000000000001642. Copy C…

6533. In Conversation with... Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
      November 27, 2023 - safety-related challenges and compel students to consider patient safety principles and best practices in their decision-making … acquisition, the clinical setting introduces dynamic and unpredictable real-world context to their decision

6534. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73899/psn-pdf
      September 29, 2021 - 90” OME or “carefully justify a decision (to do so) based on individualized assessment of benefits and … Prescriber order entry systems with clinical decision support should suggest alternatives that do not

6535. In Conversation with...James P. Bagian, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
      September 01, 2006 - VA's transformation was multifaceted, four changes are particularly noteworthy: decentralization of decision-making … The VISNs became the locus of decision-making and accountability.

6536. Lost in Transitions of Care: Managing an Opioid-Dependent Patient with Frequent Hospitalizations | PSNet
      psnet.ahrq.gov/web-mm/lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
      October 27, 2022 - dosage” and recommended that they “avoid increasing opioid doses to ≥90” OME or “carefully justify a decision … Prescriber order entry systems with clinical decision support should suggest alternatives that do not

6537. The Role of Undergraduate Nursing Education in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
      November 27, 2023 - safety-related challenges and compel students to consider patient safety principles and best practices in their decision-making … acquisition, the clinical setting introduces dynamic and unpredictable real-world context to their decision

6538. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.143_slideshow.ppt
      January 01, 2015 - Spotlight Case [MONTH] 2003 Spotlight Case February 2007 The ‘Customer’ Is Always Right Source and Credits This presentation is based on the February 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Niraj L. Sehgal,…

6539. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
      June 01, 2014 - PowerPoint Presentation Spotlight Wandering Off the Floors: Safety and Security Risks of Patient Wandering 1 This presentation is based on the June 2014 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Thomas A. Smith, CHPA, CPP, President, Healthc…

6540. To think is good: querying an initial hypothesis reduces diagnostic error in medical students. | PSNet
      psnet.ahrq.gov/issue/think-good-querying-initial-hypothesis-reduces-diagnostic-error-medical-students
      October 19, 2022 - Study To think is good: querying an initial hypothesis reduces diagnostic error in medical students. Citation Text: Coderre S, Wright B, McLaughlin K. To think is good: querying an initial hypothesis reduces diagnostic error in medical students. Acad Med. 2010;85(7):1125-9. doi:10.1097/A…