Results

Total Results: 6,755 records

Showing results for "described".

381. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43553/psn-pdf
     August 28, 2017 - A previous AHRQ WebM&M perspective described office-based anesthesia as the "Wild West" of patient

382. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40289/psn-pdf
     March 16, 2011 - While insulin-related adverse events are well described in hospital and nursing home settings, the scope

383. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45323/psn-pdf
     June 28, 2017 - A recent WebM&M commentary described the unintended consequences of health IT.

384. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42577/psn-pdf
     December 31, 2014 - A serious medication error due to a problem with medication reconciliation is described an AHRQ WebM

385. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44671/psn-pdf
     September 20, 2016 - The second vignette described a breakdown in care coordination between providers responding to a patient's

386. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41941/psn-pdf
     February 11, 2013 - The detailed steps for performing an RCA are described in an AHRQ WebM&M commentary.

387. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45893/psn-pdf
     August 28, 2017 - A past WebM&M commentary described a medication error related to electronic prescribing.

388. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45541/psn-pdf
     September 28, 2016 - A WebM&M commentary described a change in diagnosis following a second opinion.

389. Diagnostic errors in musculoskeletal oncology and possible mitigation strategies. | PSNet
     psnet.ahrq.gov/issue/diagnostic-errors-musculoskeletal-oncology-and-possible-mitigation-strategies
     May 01, 2013 - Both individual education and system-level solutions are described.

390. Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit. | PSNet
     psnet.ahrq.gov/issue/conducting-efficient-proactive-risk-assessment-prior-cpoe-implementation-intensive-care-unit
     December 31, 2014 - This study described the use of proactive risk assessment as a tool to improve the implementation of

391. The faces of errors: a case-based approach to educating providers, policy makers, and the public about patient safety. | PSNet
     psnet.ahrq.gov/issue/faces-errors-case-based-approach-educating-providers-policy-makers-and-public-about-patient
     March 13, 2013 - The development of a case-based approach to educate patients and providers about patient safety is described

392. Junior doctors' reflections on patient safety. | PSNet
     psnet.ahrq.gov/issue/junior-doctors-reflections-patient-safety
     July 15, 2015 - This study used written portfolios to capture reflective learning that trainees described about their

393. Health care professionals' views of implementing a policy of open disclosure of errors. | PSNet
     psnet.ahrq.gov/issue/health-care-professionals-views-implementing-policy-open-disclosure-errors
     September 29, 2017 - semi-structured interviews with providers known to participate in open disclosure communication, and described

394. Critical Order Set Change and Critical Limb Ischemia | PSNet
     psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia
     July 02, 2019 - costs, for example by reducing the use of unnecessary red blood cell transfusions.( 6 ) In the case described … users who could potentially use the order set and be affected by the change, such as the resident (described … In the case described, one such metric might have been time from initiation of heparin to the first therapeutic

395. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49727/psn-pdf
     March 01, 2015 - Sometimes going under the names of panic values or alert values, they were originally described as " … Several such customized systems have been described in the literature.(11,12) Broader implementation … Obviously, backup systems to those described above would need to be in place to trigger traditional phone

396. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49757/psn-pdf
     April 01, 2016 - "(4) First described and embraced in military history, situational awareness has more recently been … Three levels of situational awareness have been described: perception, understanding, and prediction … Electronic health record–based solutions (15), such as safety-focused checklists, are well described

397. Medication prescribing errors involving the route of administration. | PSNet
     psnet.ahrq.gov/issue/medication-prescribing-errors-involving-route-administration
     January 12, 2011 - Error in medication prescribing is a well-described problem in the hospital setting.

398. Simulation for operational readiness in a new freestanding emergency department: strategy and tactics. | PSNet
     psnet.ahrq.gov/issue/simulation-operational-readiness-new-freestanding-emergency-department-strategy-and-tactics
     August 20, 2018 - This study described the use of a broad simulation curriculum to ensure clinicians had technical and

399. Human factors engineering in patient safety. | PSNet
     psnet.ahrq.gov/issue/human-factors-engineering-patient-safety
     September 13, 2017 - Interventions described included teamwork training , checklists , and safety culture .

400. A Randomized Field Study of a Leadership WalkRounds-Based Intervention. | PSNet
     psnet.ahrq.gov/issue/randomized-field-study-leadership-walkrounds-based-intervention
     May 24, 2016 - Leadership WalkRounds have been described as an effective tool for improving safety culture .