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Showing results for "described".

461. Electronic health record reviews to measure diagnostic uncertainty in primary care. | PSNet
     psnet.ahrq.gov/issue/electronic-health-record-reviews-measure-diagnostic-uncertainty-primary-care
     August 20, 2018 - Researchers conducted a retrospective chart review of primary care visits to assess how clinicians described

462. Improving patient handovers from hospital to primary care: a systematic review. | PSNet
     psnet.ahrq.gov/issue/improving-patient-handovers-hospital-primary-care-systematic-review
     March 06, 2013 - The efforts described are primarily focused on smoothing the coordination of care and communication

463. Differences of reasons for alert overrides on contraindicated co-prescriptions by admitting department. | PSNet
     psnet.ahrq.gov/issue/differences-reasons-alert-overrides-contraindicated-co-prescriptions-admitting-department
     January 23, 2017 - Alert fatigue is a well-described limitation of clinical decision support systems.

464. Managing diagnostic uncertainty in primary care: a systematic critical review. | PSNet
     psnet.ahrq.gov/issue/managing-diagnostic-uncertainty-primary-care-systematic-critical-review
     February 15, 2017 - A recent commentary described fear of uncertainty as a contributor to diagnostic error .

465. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33717/psn-pdf
     September 01, 2011 - about 2000 studies on incident reporting but found only 13 US reporting systems for which publications described … Some authors have described hospital incident reporting systems with feedback loops that have been successful … 10,17,18) A panel of incident reporting experts from several different industries and nations recently described

466. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33709/psn-pdf
     July 01, 2011 - controlled studies of handover training interventions were found.(9) Recently, Gakhar and colleagues described … and led to higher ratings of handover quality and patient continuity.(10) More recently, others have described … Until then, the approaches described above provide a good starting point to guide medical centers in

467. Critical Opportunity Lost | PSNet
     psnet.ahrq.gov/web-mm/critical-opportunity-lost
     February 17, 2017 - Sometimes going under the names of panic values or alert values, they were originally described as "values … 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

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33650/psn-pdf
     May 01, 2007 - This, together with the other initiatives described, played a part in the development of patient safety … It described the NHS as having an old- fashioned approach to learning lessons when things go wrong and … The "Safer Patients Initiative" has gone further than those described already in finding ways to directly

469. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49784/psn-pdf
     February 01, 2017 - references https://psnet.ahrq.gov//#references point-of-care tests, such as the urine pregnancy test described … 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.

470. Situational Awareness and Patient Safety | PSNet
     psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
     May 01, 2012 - "( 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

471. 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.

472. 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

473. 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

474. 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

475. 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

476. 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

477. 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

478. 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

479. 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

480. 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