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Total Results: 6,757 records

Showing results for "described".

2321. Transfer Troubles | PSNet
      psnet.ahrq.gov/web-mm/transfer-troubles
      December 29, 2014 - The orthopedic surgeon briefly described a 92-year-old woman with a history of dementia who had a left … They were handwritten and difficult to read but described "profound hypotension" at the start of the … In the described case, it is clear that communication errors throughout the process were a primary contributor … If best practices described had been employed, the outcome may have been different.

2322. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33718/psn-pdf
      October 01, 2011 - Yet mostly these kinds of implementation issues aren't described in the patient safety literature, leaving … RW: And are they not described because we don't really know how to describe them? … For some people, context is a particular set of variables that can be described and measured, and for … However, it has to be described fully and transparently and in the context of the theory or logic model

2323. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49843/psn-pdf
      October 01, 2018 - inflammatory diseases, adrenal insufficiency, diabetic ketoacidosis, and acute pancreatitis.(13) In the case described … However, nearly 40% of patients with sepsis present with vague symptoms.(14) In addition, the patient described … For the patient described, the misdiagnosis delayed the correct diagnosis of cardiogenic shock, leading … psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references patient described

2324. After Mid Staffordshire: from acknowledgement, through learning, to improvement. | PSNet
      psnet.ahrq.gov/issue/after-mid-staffordshire-acknowledgement-through-learning-improvement
      August 28, 2024 - English National Health Service February 19, 2020 How well is quality improvement described

2325. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867022/psn-pdf
      October 30, 2024 - subdural hematomas have been reported to occur after initially negative head CTs, as in the patient described … Olivero and colleagues described 37 patients who underwent surgery for chronic subdural hematomas, 7 … In a series described by Amrhein and colleagues,25 the sensitivity and specificity of a non-enhanced … with concentration and memory were attributed to the prior concussion (a cognitive bias sometimes described

2326. In Conversation With… Paul G. Shekelle, MD, MPH, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
      February 26, 2025 - Yet mostly these kinds of implementation issues aren't described in the patient safety literature, leaving … RW : And are they not described because we don't really know how to describe them? … For some people, context is a particular set of variables that can be described and measured, and for … However, it has to be described fully and transparently and in the context of the theory or logic model

2327. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865419/psn-pdf
      March 27, 2024 - While the patient described in this case does not appear to have met criteria for septic shock on her … Such imaging may have aided in the diagnosis of the child described above, as earlier treatment of her … based on initial information, to the exclusion of other more likely diagnoses, as occurred in the described … They often present like the child described in this case, which may have led clinicians to anchor on … With a fever and no crackles or wheezing on exam, the patient described above would have had a PRS of

2328. Do Not Miss Sepsis Needles in Viral Haystacks! | PSNet
      psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
      March 27, 2024 - While the patient described in this case does not appear to have met criteria for septic shock on her … Such imaging may have aided in the diagnosis of the child described above, as earlier treatment of her … , based on initial information, to the exclusion of other more likely diagnoses, as occurred in the described … They often present like the child described in this case, which may have led clinicians to anchor on … With a fever and no crackles or wheezing on exam, the patient described above would have had a PRS of

2329. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
      January 01, 2024 - • While the patient described in this case does not appear to have met criteria for septic shock … – Such imaging may have aided in the diagnosis of the child described above, as earlier treatment … based on initial information, to the exclusion of other more likely diagnoses, as occurred in the described … They often present like the child described in this case, which may have led clinicians to anchor on … – With a fever and no crackles or wheezing on exam, the patient described above would have had a PRS

2330. Ten challenges in improving quality in healthcare: lessons from the Health Foundation's programme evaluations and relevant literature. | PSNet
      psnet.ahrq.gov/issue/ten-challenges-improving-quality-healthcare-lessons-health-foundations-programme-evaluations
      February 19, 2020 - June 16, 2021 How well is quality improvement described in the perioperative care literature

2331. Chest Tube Complications | PSNet
      psnet.ahrq.gov/web-mm/chest-tube-complications
      September 27, 2023 - Chest tube complications have been described most often in the trauma literature, with incidences varying … to help guide nurses in when to remove chest tubes.( 13,14 ) Unfortunately, clamping trials are not described … Funk and colleagues ( 15 ) have described a chest tube care path that outlines an algorithm for safe

2332. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49857/psn-pdf
      March 01, 2019 - insulin-related hypoglycemia and errors occur annually, with 30% resulting in hospital admission.(2) One report described … In the case described, several factors contributed to the error at each phase of the medication-use process … orders, as seen in this case, have also been found to be higher during handoff times.(9) One study described

2333. Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis | PSNet
      psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
      October 28, 2020 - diseases, adrenal insufficiency, diabetic ketoacidosis, and acute pancreatitis.( 13 ) In the case described … However, nearly 40% of patients with sepsis present with vague symptoms.( 14 ) In addition, the patient described … For the patient described, the misdiagnosis delayed the correct diagnosis of cardiogenic shock, leading … other potential life-threatening diagnoses that might present similarly, as in the case of the patient described

2334. Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers | PSNet
      psnet.ahrq.gov/issue/preserving-organizational-resilience-patient-safety-and-staff-retention-during-covid-19
      May 08, 2019 - January 18, 2023 How well is quality improvement described in the perioperative care

2335. A qualitative study comparing experiences of the surgical safety checklist in hospitals in high-income and low-income countries. | PSNet
      psnet.ahrq.gov/issue/qualitative-study-comparing-experiences-surgical-safety-checklist-hospitals-high-income-and
      June 16, 2021 - January 19, 2022 How well is quality improvement described in the perioperative care

2336. 'Speaking Up' for patient safety and staff well-being: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/speaking-patient-safety-and-staff-well-being-qualitative-study
      November 16, 2016 - September 23, 2017 How well is quality improvement described in the perioperative care

2337. Communication about harm reduction with patients who have opioid use disorder. | PSNet
      psnet.ahrq.gov/issue/communication-about-harm-reduction-patients-who-have-opioid-use-disorder
      January 02, 2017 - June 16, 2021 How well is quality improvement described in the perioperative care literature

2338. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49764/psn-pdf
      June 01, 2016 - In the scenario described above, the referring ED physician did not appropriately communicate the specific … Consultation," to highlight the general principles to be followed by a consultant.(2) In the case described

2339. Safeguarding Diagnostic Testing at the Point of Care | PSNet
      psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care
      September 30, 2011 - The simplest point-of-care tests, such as the urine pregnancy test described in this case, can be performed … require manual result entry into middleware or the patient record, as seen with the urine pregnancy test described … The type of pregnancy testing described in this case is CLIA waived.

2340. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49819/psn-pdf
      February 01, 2018 - due to a preventable adverse event in hospital, a series of errors contributed to the tragic outcome described … A more explicitly described contingency plan regarding the exact dose and route of heparin to be initiated … well as improved handoff quality and reductions in handoff-related adverse events such as the event described