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Total Results: 1,773 records

Showing results for "details".

321. Advancing the science of patient safety. | PSNet
     psnet.ahrq.gov/issue/advancing-science-patient-safety
     March 13, 2013 - framework calls for investigators to use change theory to develop their projects; provide adequate details

322. Drug shortage-associated increase in catheter-related blood stream infection in children. | PSNet
     psnet.ahrq.gov/issue/drug-shortage-associated-increase-catheter-related-blood-stream-infection-children
     April 24, 2018 - Although the details leading to the voluntary facility shutdown were not transparent, the authors suggest

323. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013. | PSNet
     psnet.ahrq.gov/issue/2013-annual-hospital-acquired-condition-rate-and-estimates-cost-savings-and-deaths-averted
     May 01, 2017 - This update to a prior report from AHRQ details and confirms the declining rates in HACs between 2010

324. A 38-year-old woman with fetal loss and hysterectomy. | PSNet
     psnet.ahrq.gov/issue/38-year-old-woman-fetal-loss-and-hysterectomy
     January 12, 2011 - The case details a seemingly routine full-term pregnancy that rapidly evolved into a course of complications

325. Use of nondisclosure agreements in medical malpractice settlements by a large academic health care system. | PSNet
     psnet.ahrq.gov/issue/use-nondisclosure-agreements-medical-malpractice-settlements-large-academic-health-care
     December 19, 2018 - A related editorial details the types of disclosure that foster transparency while upholding the need

326. The critical incident technique. | PSNet
     psnet.ahrq.gov/issue/critical-incident-technique
     January 07, 2015 - This review details the background of a methodology aimed to record specific behaviors, rather than opinions

327. Tying up loose ends: discharging patients with unresolved medical issues. | PSNet
     psnet.ahrq.gov/issue/tying-loose-ends-discharging-patients-unresolved-medical-issues
     February 24, 2011 - outpatient investigations were not completed, frequently because the discharge summary did not contain details

328. Development of the ICU safety reporting system. | PSNet
     psnet.ahrq.gov/issue/development-icu-safety-reporting-system
     May 27, 2011 - Discussion includes details of the design features, a table of the system-based factors contributing

329. Long working hours, safety, and health: toward a national research agenda. | PSNet
     psnet.ahrq.gov/issue/long-working-hours-safety-and-health-toward-national-research-agenda
     November 16, 2022 - June 8, 2022 Medication details documented on hospital discharge: cross-sectional observational

330. Medicaid, hospital financial stress, and the incidence of adverse medical events for children. | PSNet
     psnet.ahrq.gov/issue/medicaid-hospital-financial-stress-and-incidence-adverse-medical-events-children
     December 21, 2022 - 2017 Medicare's decision to withhold payment for hospital errors: the devil is in the details

331. Quality improvement through implementation of discharge order reconciliation. | PSNet
     psnet.ahrq.gov/issue/quality-improvement-through-implementation-discharge-order-reconciliation
     September 23, 2020 - September 7, 2011 Medication details documented on hospital discharge: cross-sectional

332. Omitted and unjustified medications in the discharge summary. | PSNet
     psnet.ahrq.gov/issue/omitted-and-unjustified-medications-discharge-summary
     May 18, 2022 - November 26, 2014 Medication details documented on hospital discharge: cross-sectional

333. Potential risk of medication discrepancies and reconciliation errors at admission and discharge from an inpatient medical service. | PSNet
     psnet.ahrq.gov/issue/potential-risk-medication-discrepancies-and-reconciliation-errors-admission-and-discharge
     March 09, 2022 - May 25, 2011 Medication details documented on hospital discharge: cross-sectional observational

334. Making surgical wards safer for patients with diabetes: reducing hypoglycaemia and insulin errors. | PSNet
     psnet.ahrq.gov/issue/making-surgical-wards-safer-patients-diabetes-reducing-hypoglycaemia-and-insulin-errors
     February 18, 2019 - 2011 Medicare's decision to withhold payment for hospital errors: the devil is in the details

335. Predictors of completeness of patients' self-reported personal medication lists and discrepancies with clinic medication lists. | PSNet
     psnet.ahrq.gov/issue/predictors-completeness-patients-self-reported-personal-medication-lists-and-discrepancies
     October 19, 2022 - May 25, 2011 Medication details documented on hospital discharge: cross-sectional observational

336. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
     January 01, 2024 - of operating room team preparation to urgently address life threatening complications 4 Case Details … smoothly, and the patient came off cardiopulmonary bypass on a low-dose norepinephrine drip. 5 Case Details … Credits Objectives Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery Case Details … (1) Case Details (2) Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery Background

337. Microsoft PowerPoint - Spotlight Case_A Missed Bowel Perforation - SLIDES_FINAL.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
     January 01, 2023 - process led to fulminant sepsis with rapid clinical deterioration and eventual demise. 4 Case Details … believing that hypoperfusion and hypovolemia from diuresis explained the elevated lactic acid. 5 Case Details … blood products and albumin to increase oncotic pressure and expand intravascular volume. 6 Case Details … was diagnosed as having septic shock and disseminated intravascular coagulation (DIC). 7 Case Details

338. Transfer Troubles | PSNet
     psnet.ahrq.gov/web-mm/transfer-troubles
     December 29, 2014 - Minimal other clinical details were discussed. … There were few other details in any of the notes about the cardiac arrest. … started at the referring hospital, before the patient had been transported, with only brief clinical details … Example* Pre-transport coordination and communication Receiving clinician is provided with full details

339. Demonstrating high reliability on accountability measures at The Johns Hopkins Hospital. | PSNet
     psnet.ahrq.gov/issue/demonstrating-high-reliability-accountability-measures-johns-hopkins-hospital
     January 27, 2016 - This article details Johns Hopkins Hospital's efforts to exceed the Top Performer award thresholds

340. Clinical and economic outcomes attributable to health care–associated sepsis and pneumonia. | PSNet
     psnet.ahrq.gov/issue/clinical-and-economic-outcomes-attributable-health-care-associated-sepsis-and-pneumonia
     December 09, 2015 - Despite limitations in utilizing administrative data to draw clinical details, the findings are notable