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Showing results for "details".

341. Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. | PSNet
     psnet.ahrq.gov/issue/making-health-care-safer-ii-updated-critical-analysis-evidence-patient-safety-practices
     March 13, 2013 - cost, implementation, and contextual considerations may affect the real-world effectiveness of PSPs, details

342. Misleading one detail: a preventable mode of diagnostic error? | PSNet
     psnet.ahrq.gov/issue/misleading-one-detail-preventable-mode-diagnostic-error
     February 10, 2016 - Study Misleading one detail: a preventable mode of diagnostic error? Citation Text: Arzy S, Brezis M, Khoury S, et al. Misleading one detail: a preventable mode of diagnostic error? J Eval Clin Pract. 2009;15(5):804-6. doi:10.1111/j.1365-2753.2008.01098.x. Copy Citation Format: …

343. Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study. | PSNet
     psnet.ahrq.gov/issue/effects-two-commercial-electronic-prescribing-systems-prescribing-error-rates-hospital
     September 01, 2016 - The article also details types of new errors induced by CPOE systems, which, while common, were generally

344. Speaking up about care concerns in the ICU: patient and family experiences, attitudes and perceived barriers. | PSNet
     psnet.ahrq.gov/issue/speaking-about-care-concerns-icu-patient-and-family-experiences-attitudes-and-perceived
     August 09, 2018 - labeled a troublemaker, and worry that the team would judge them for not understanding the medical details

345. Understanding the root cause analysis process to increase safety event reporting. | PSNet
     psnet.ahrq.gov/issue/understanding-root-cause-analysis-process-increase-safety-event-reporting
     August 08, 2018 - 2011 Medicare's decision to withhold payment for hospital errors: the devil is in the details

346. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49475/psn-pdf
     March 01, 2005 - The Syndrome of IT Dependence The details of digital radiology and IT are only one aspect of this interesting … We can only speculate because the details are unavailable, but the critical issue is that the neurosurgeon … As for countermeasures, our attention is initially drawn to the details of the computer systems and

347. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
     June 01, 2012 - Minimal other clinical details were discussed. … There were few other details in any of the notes about the cardiac arrest. 7 8 Case: Transfer Troubles … recommendation Example* Pre-transport coordination and communication Receiving clinician is provided with full details

348. Hospital doctors' workflow interruptions and activities: an observation study. | PSNet
     psnet.ahrq.gov/issue/hospital-doctors-workflow-interruptions-and-activities-observation-study
     March 06, 2013 - March 13, 2013 Medication details documented on hospital discharge: cross-sectional observational

349. Medication reconciliation: a qualitative analysis of clinicians' perceptions. | PSNet
     psnet.ahrq.gov/issue/medication-reconciliation-qualitative-analysis-clinicians-perceptions
     October 10, 2015 - May 25, 2011 Medication details documented on hospital discharge: cross-sectional observational

350. Assessment of adverse drug events among patients in a tertiary care medical center. | PSNet
     psnet.ahrq.gov/issue/assessment-adverse-drug-events-among-patients-tertiary-care-medical-center
     September 28, 2005 - June 13, 2011 Medication details documented on hospital discharge: cross-sectional observational

351. Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care. | PSNet
     psnet.ahrq.gov/issue/survey-medication-documentation-hospital-discharge-implications-patient-safety-and-continuity
     March 02, 2011 - Download Citation Related Resources From the Same Author(s) Medication details

352. Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy. | PSNet
     psnet.ahrq.gov/issue/understanding-vs-competency-case-accuracy-checking-dispensed-medicines-pharmacy
     December 11, 2013 - March 1, 2011 Medication details documented on hospital discharge: cross-sectional observational

353. Academic detailing to improve laboratory testing among outpatient medication users. | PSNet
     psnet.ahrq.gov/issue/academic-detailing-improve-laboratory-testing-among-outpatient-medication-users
     September 24, 2010 - Study Academic detailing to improve laboratory testing among outpatient medication users. Citation Text: Lafata JE, Gunter MJ, Hsu J, et al. Academic detailing to improve laboratory testing among outpatient medication users. Med Care. 2007;45(10):966-72. Copy Citation Format: …

354. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
     January 01, 2024 - features of high reliability organizations can empower staff to raise patient safety concerns 4 4 Case Details … the ALIF while the junior surgeon managed the incision and the bone graft donor site.  5 5 Case Details … of back and pelvic pain, not feeling right, and expressed feelings of impending doom.  6 6 Case Details

355. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_stable_airway_slides_final.pptx
     January 01, 2024 - monitoring, and strategies to safeguard tracheostomy tube care during transition of care. 4 4 Case Details … directly to a long-term care hospital (LTCH) for continued mechanical ventilation weaning. 5 5 Case Details … cardiac arrest, during which the resuscitative team was unable to ventilate the patient. 6 6 Case Details

356. Microsoft PowerPoint - Spotlight Case_Delayed Diagnosis and Treatment of Lupus_SLIDES - FINAL.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2024-03/delayed_diagnosis_and_treatment_of_sle.pdf
     January 01, 2024 - need for clear communication between medical specialists to ensure safe, high-quality care 4 Case Details … psychiatrist evaluated the patient and recommended initiation of an antipsychotic medication. 5 Case Details … • The patient was never referred for further evaluation of these findings. 6 Case Details (3)

357. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_mismanagement_of_acute_decompensated_heart_failure_slides_final.pptx
     January 01, 2024 - treatment for hypertensive emergencies in the emergency department and intensive care unit 4 4 Case Details … intravenous (IV) bolus of one liter of normal saline and ibuprofen for her headache. 5 5 Case Details … patient to the cardiac intensive care unit (ICU) for continuous nitroglycerin infusion. 6 6 Case Details

358. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
     January 01, 2024 - results led to the missed diagnosis of pseudohyperkalemia, incorrect treatment and death. 4 4 Case Details … blood pressure was 103/87 mmHg, and oxygen saturation was normal on supplemental oxygen. 5 5 Case Details … Chest x-ray revealed mild cardiomegaly and pulmonary vascular congestion. 6 6 Case Details (3) The

359. Microsoft PowerPoint - Spotlight Case_Suicide Attempts_03.17.2023 FINAL.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2023-03/challenging_case_of_multiple_suicide_attempts_in_a_complex_patient_with_psychiatric_comorbidities.pdf
     January 01, 2023 - pharmacotherapy and follow-up after the patient has medically recovered from a suicide attempt 4 Case Details … critical care service of a hospital and received a low dose of lorazepam to relieve anxiety. 5 Case Details … medications until she could be re- evaluated by a licensed clinical social worker in eight days. 6 Case Details

360. Approaches for improving continuity of care in medication management: a systematic review. | PSNet
     psnet.ahrq.gov/issue/approaches-improving-continuity-care-medication-management-systematic-review
     April 13, 2022 - September 7, 2011 Medication details documented on hospital discharge: cross-sectional