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Total Results: 6,755 records

Showing results for "described".

  1. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
    January 01, 2021 - Spotlight Spotlight An Inadvertent Bolus of Norepinephrine Source and Credits • This presentation is based on the May 2021 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Sarina Fazio, PhD, RN, Emma Blackmon, PhD, RN, Amy Doroy, PhD,…

  2. In Conversation With... Cindy Brach | PSNet

    psnet.ahrq.gov/perspective/conversation-cindy-brach
    December 27, 2019 - In Conversation With... Cindy Brach December 27, 2019  Also Read the Essay Citation Text: In Conversation With.. Cindy Brach. PSNet [internet]. 2019.In Conversation With... Cindy Brach. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, …

  3. 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

  4. 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

  5. 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.

  6. 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.

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848124/psn-pdf
    April 26, 2023 - Distraction is traditionally described in human factors as: when people are multitasking, they’re presumably

  13. The Safety of Medical Devices | PSNet

    psnet.ahrq.gov/perspective/safety-medical-devices
    June 01, 2011 - and how to authentically account for human performance.( 10 ) It also requires what Sterman ( 11 ) described

  14. In Conversation with… Edward Tenner, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
    June 01, 2011 - and how to authentically account for human performance.( 10 ) It also requires what Sterman ( 11 ) described

  15. Operationalizing Patient Safety at Academic Medical Centers | PSNet

    psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
    August 01, 2010 - developed a national safety education framework.( 24 ) In late 2005, the American College of Surgeons described

  16. 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

  17. 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

  18. 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

  19. 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

  20. 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
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