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Showing results for "described".

6381. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33582/psn-pdf
      September 15, 2024 - Detection of Safety Hazards September 15, 2024 Detection of Safety Hazards. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/detection-safety-hazards PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient s…

6382. Primers | PSNet
      psnet.ahrq.gov/primers-0
      March 15, 2025 - Primers Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts. Latest Primers Clinical Decision Support Systems March…

6383. Rescue Improvement Conference Innovation Summary | PSNet
      psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
      September 23, 2024 - Rescue Improvement Conference Innovation Summary Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL July 23, 2024 View more articles from the same authors. Innovation Contact …

6384. Detection of Safety Hazards | PSNet
      psnet.ahrq.gov/primer/detection-safety-hazards
      March 30, 2022 - Detection of Safety Hazards Citation Text: Detection of Safety Hazards. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…

6385. Systems Approach | PSNet
      psnet.ahrq.gov/primer/systems-approach
      June 15, 2024 - Systems Approach Citation Text: Systems Approach. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downl…

6386. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865697/psn-pdf
      April 24, 2024 - In Conversation with...Katie Boston-Leary about Patient Safety Amid Nursing Workforce Challenges April 24, 2024 Leary KB. In Conversation with..Katie Boston-Leary about Patient Safety Amid Nursing Workforce Challenges. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-a…

6387. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836839/psn-pdf
      March 31, 2022 - Interestingly, a barrier identified in the systematic analysis study that the authors described as “less … The areas of action are described as having three core pillars for ultimate outcomes of psychologically … Adaptation of existing measures for assessing psychological safety has been described, and one study

6388. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73455/psn-pdf
      June 30, 2021 - She described it as “not a black-out but a feeling of a white-out” occurring roughly once every month … a time when she was feeling particularly stressed, she experienced a more severe episode that she described … This sensation is described by patients in a variety of ways such as a forceful or irregular heartbeat

6389. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49864/psn-pdf
      June 01, 2019 - things to go well in the health care setting and are only possible in an environment that can best be described … In the case described above, a patient care assistant spoke up after witnessing a physician making a … In the vignette described above, we know that the patient care assistant did speak up.

6390. 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.

6391. 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

6392. 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

6393. 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

6394. 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

6395. 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

6396. 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

6397. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49412/psn-pdf
      September 01, 2003 - study, with 7% having the potential for harming the patient.(4) Wrong dose errors, such as the case described … omission error may be a possible explanation.(4) The investigation following the suspected error described

6398. Duplicate Insulin Order | PSNet
      psnet.ahrq.gov/web-mm/duplicate-insulin-order
      May 04, 2012 - 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

6399. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49552/psn-pdf
      January 01, 2008 - that such errors are common, but better tracking is needed before these rates can be more accurately described … While some legal experts may highlight the perceived risk of full error disclosure (as described in … there are relatively few formal support programs available for providers after errors occur.(6) As described

6400. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33663/psn-pdf
      September 15, 2008 - Conclusion The path to a totally safe hospital or health system can be best described as a journey. … This report has described steps from our particular journey at AHS. … psnet.ahrq.gov//#ref7 https://psnet.ahrq.gov//#ref8 https://psnet.ahrq.gov//#figure This report has described