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Total Results: 6,755 records

Showing results for "described".

401. Just Culture: Restoring Trust and Accountability in Your Organization, Third Edition. | PSNet
     psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition
     November 10, 2017 - This tension was notably described early on in the context of resident training programs. Dr.

402. Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. Updated edition. | PSNet
     psnet.ahrq.gov/issue/internal-bleeding-truth-behind-americas-terrifying-epidemic-medical-mistakes-updated-edition
     March 27, 2005 - adapted many of the cases they previously published in the academic literature, some cases previously described

403. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49750/psn-pdf
     January 01, 2016 - Therefore, it is possible that the staff nurse assigned to perform admission activities in the case described … material resources (56%), and communication issues (38%).(5) Although the root cause of the errors described … Although the details around the communication in the case described are unknown, below is a suggested … Improving Processes to Reduce Risk of Error A previous AHRQ WebM&M commentary described best practices … a bed on the receiving unit based on information provided by the electronic bed board application (described

404. Triaging Interhospital Transfers | PSNet
     psnet.ahrq.gov/web-mm/triaging-interhospital-transfers
     April 12, 2023 - reasons, such as patient/family preference or expediting diagnostic evaluation ( 5 ), the most commonly described … systems, which may help mitigate discontinuity of care, remains inadequate.( 15 ) As we see in the case described … experience worse outcomes, which cannot be attributed to their illness severity alone.( 13,14,17 ) The described … transfers (by obviating unnecessary transfers) without impacting patient outcomes.( 25 ) In the case described

405. Identifying health information technology usability issues contributing to medication errors across medication process stages. | PSNet
     psnet.ahrq.gov/issue/identifying-health-information-technology-usability-issues-contributing-medication-errors
     November 03, 2021 - Most errors described usability issues which should be considered and addressed to improve medication

406. Malpractice cases in breast surgery: an assessment of litigation involving surgeons. | PSNet
     psnet.ahrq.gov/issue/malpractice-cases-breast-surgery-assessment-litigation-involving-surgeons
     August 04, 2021 - While prior research has described malpractice cases related to breast cancer diagnosis and treatment

407. Family participation during intensive care unit rounds: goals and expectations of parents and health care providers in a tertiary pediatric intensive care unit. | PSNet
     psnet.ahrq.gov/issue/family-participation-during-intensive-care-unit-rounds-goals-and-expectations-parents-and
     June 12, 2019 - In this study, health care providers and parents of children in a pediatric intensive care unit described

408. Perspectives about racism and patient-clinician communication among black adults with serious illness. | PSNet
     psnet.ahrq.gov/issue/perspectives-about-racism-and-patient-clinician-communication-among-black-adults-serious
     September 13, 2023 - In this study, 25 hospitalized Black patients with serious illness described their experiences with racism

409. FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy. | PSNet
     psnet.ahrq.gov/issue/fda-safety-communication-caution-when-using-robotically-assisted-surgical-devices-womens
     September 01, 2021 - A WebM&M commentary described the challenges and benefits associated with robotic surgery.

410. Advancing perinatal patient safety through application of safety science principles using health IT. | PSNet
     psnet.ahrq.gov/issue/advancing-perinatal-patient-safety-through-application-safety-science-principles-using-health
     April 27, 2019 - A variety of uses for health IT were described, including integration of checklists and standardized

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45533/psn-pdf
     November 02, 2016 - multimethod-study-large-scale-programme-improve-patient-safety-using-harm- free-care-approach This study described

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46068/psn-pdf
     July 09, 2018 - Nearly 200 health systems responded to the survey, and respondents described widely differing practices

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38706/psn-pdf
     June 17, 2009 - - ambulatory-primary Trigger tools are a useful method to screen for adverse events and have been described

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43418/psn-pdf
     April 24, 2017 - patients-teachers-randomised-controlled-trial-use-personal-stories-harm-raise- awareness In a 2010 report, patient safety was described

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45183/psn-pdf
     July 20, 2016 - A previous PSNet interview described the role of health information technology in patient safety.

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37387/psn-pdf
     January 10, 2017 - While similar benefits of teamwork training are described in other clinical settings, this study’s findings

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39329/psn-pdf
     September 30, 2015 - checklists to reduce central line infections in more than 100 Michigan ICUs, a story also recently described

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43570/psn-pdf
     March 26, 2015 - Nurses who worked overtime, even if shift length was less than 10 hours, described similar concerns.

419. A patient safety toolkit for family practices. | PSNet
     psnet.ahrq.gov/issue/patient-safety-toolkit-family-practices
     August 22, 2018 - In this study, investigators described the use of a patient safety toolkit across 46 outpatient family

420. Understanding whistleblowing: qualitative insights from nurse whistleblowers. | PSNet
     psnet.ahrq.gov/issue/understanding-whistleblowing-qualitative-insights-nurse-whistleblowers
     April 24, 2018 - Most nurses who were interviewed described their decision as fulfilling their role as an advocate for