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Total Results: 1,773 records

Showing results for "details".

221. 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 - potential bacterial infections to prevent downstream morbidity and mortality from sepsis 4 Case Details … The treating physician did not mention pneumonia in the differential diagnosis. 5 Case Details ( … • The child was sent home with a prescription for amoxicillin. 6 Case Details (3) • On day 3 … Case Details (1) Case Details (2) Case Details (3) Do Not Miss Sepsis Needles in Viral Haystacks!

222. ER doctor discusses role in Ebola patient's initial misdiagnosis. | PSNet
     psnet.ahrq.gov/issue/er-doctor-discusses-role-ebola-patients-initial-misdiagnosis
     October 15, 2014 - widely publicized delayed diagnosis of Ebola at a Dallas hospital and reveals previously undisclosed details

223. Survey results: community liaison programs to decrease hospital readmissions. | PSNet
     psnet.ahrq.gov/issue/survey-results-community-liaison-programs-decrease-hospital-readmissions
     June 10, 2018 - This newsletter article details the characteristics of successful community liaison programs , which

224. Survey shows recession has weakened patient safety net. | PSNet
     psnet.ahrq.gov/issue/survey-shows-recession-has-weakened-patient-safety-net
     June 10, 2018 - This newsletter article details findings of an ISMP survey on how the economy is affecting patient safety

225. Management of drug shortages in the perioperative setting. | PSNet
     psnet.ahrq.gov/issue/management-drug-shortages-perioperative-setting
     August 13, 2008 - This magazine article details how one academic medical center used a collaborative approach and implemented

226. External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001. | PSNet
     psnet.ahrq.gov/issue/external-inquiry-adverse-incident-occurred-queens-medical-centre-nottingham-4th-january-2001
     September 10, 2014 - This UK Department of Health report details a series of errors that led to the death of a young man due

227. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37569/psn-pdf
     March 21, 2017 - how-often-are-potential-patient-safety-events-present-admission https://psnet.ahrq.gov/issue/medicares-decision-withhold-payment-hospital-errors-devil-details

228. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
     January 01, 2021 - unit settings and best practices for co- administration of multiple intravenous infusions 4 Case Details … received IV norepinephrine at a rate of 0.5 - 6 mcg/minute until 21:00 on postoperative day 1 5 Case Details … received approximately 4.5 mL (or 160 micrograms) of norepinephrine infused over 15 minutes 6 Case Details … 20FINAL.pdf Spotlight Source and Credits Objectives An Inadvertent bolus of norepinephrine Case Details … Case Details Case Details An Inadvertent bolus of norepinephrine ICU Hypotension Slide Number 10

229. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35264/psn-pdf
     June 29, 2009 - Discussion provides details of the clinical patient characteristics, the range in severity of incidents

230. Quality and patient safety improvement is never finished. | PSNet
     psnet.ahrq.gov/issue/quality-and-patient-safety-improvement-never-finished
     September 18, 2024 - This report details how members of the NEJM Catalyst Insights Council rate their organizations on quality

231. Medication reconciliation in a community, nonteaching hospital. | PSNet
     psnet.ahrq.gov/issue/medication-reconciliation-community-nonteaching-hospital
     October 19, 2012 - This article details how one community hospital implemented medication reconciliation and summarizes

232. Changing practice to improve patient safety and quality of care in perinatal medicine. | PSNet
     psnet.ahrq.gov/issue/changing-practice-improve-patient-safety-and-quality-care-perinatal-medicine
     November 18, 2016 - This review details how change strategies can improve safety in perinatal care .

233. Reducing hospital errors: interventions that build safety culture. | PSNet
     psnet.ahrq.gov/issue/reducing-hospital-errors-interventions-build-safety-culture
     September 27, 2017 - This review details a framework to help health care organizations develop, implement, and enhance safety

234. Personal accountability in healthcare: searching for the right balance. | PSNet
     psnet.ahrq.gov/issue/personal-accountability-healthcare-searching-right-balance
     March 02, 2011 - This commentary details the challenges in balancing a "no blame" systems approach with accountability

235. Eight recommendations for policies for communicating abnormal test results. | PSNet
     psnet.ahrq.gov/issue/eight-recommendations-policies-communicating-abnormal-test-results
     March 10, 2011 - This article details specific principles for developing organizational policies to improve test-result

236. How to Identify and Address Unsafe Conditions Associated With Health IT. | PSNet
     psnet.ahrq.gov/issue/how-identify-and-address-unsafe-conditions-associated-health-it
     June 29, 2016 - This white paper details how health care organizations can identify health information technology concerns

237. Secret data on hospital inspections may soon become public. | PSNet
     psnet.ahrq.gov/issue/secret-data-hospital-inspections-may-soon-become-public
     January 30, 2019 - Summary data about serious errors in hospitals are available, but often details of accreditation investigation

238. A Safer Place for Patients: Learning to Improve Patient Safety. | PSNet
     psnet.ahrq.gov/issue/safer-place-patients-learning-improve-patient-safety
     October 04, 2017 - This report details the current state of patient safety in the National Health Service (NHS).

239. Transparency and public reporting are essential for a safe health care system. | PSNet
     psnet.ahrq.gov/issue/transparency-and-public-reporting-are-essential-safe-health-care-system
     March 05, 2010 - and public reporting—this perspective, written by the father of the modern patient safety movement, details

240. Hospital discharge and readmission. | PSNet
     psnet.ahrq.gov/issue/hospital-discharge-and-readmission
     March 27, 2005 - This review examines hospital discharge, details elements of the process that can increase risk of