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Showing results for "details".

401. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_intraoperative_awareness_during_rhinoplasty_slides_final.pptx
     January 01, 2024 - patient’s experience, including addressing symptoms of post-traumatic stress syndrome. 4 4 Case Details … anesthesia was restored, and she later awoke in the recovery room without complications. 5 5 Case Details … Details of what is recalled should be elicited and compared with what happened during the operation.

402. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46936/psn-pdf
     April 11, 2018 - You've detailed your last wishes, but doctors may not see them. April 11, 2018 Lamas D. https://psnet.ahrq.gov/issue/youve-detailed-your-last-wishes-doctors-may-not-see-them Advance care planning can affect patient safety if the information is unheeded, unavailable, or unread. Reporting on a physician's experienc…

403. Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children | PSNet
     psnet.ahrq.gov/innovation/implementing-watcher-program-improve-timeliness-recognition-deterioration-hospitalized
     June 30, 2021 - Centralized watcher huddles providing twice-daily reports on watcher patients, including watcher criteria, details

404. Inpatient Transitions of Care: Challenges and Safety Practices | PSNet
     psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
     June 15, 2024 - patient information occurs during these transitions, it can lead to the miscommunication of vital patient details … practice guarantees the generation of the most precise and all-encompassing compilation of medication details

405. In response to "Failure to Report" (March 2007) | PSNet
     psnet.ahrq.gov/perspective/response-failure-report-march-2007
     June 01, 2007 - Although limited details on the error itself were provided, the information that was contained in the

406. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
     January 01, 2024 - foreign body removal, effective imaging, and diligent follow-up to prevent complications 4 4 Case Details … prescription for cephalexin and instructions to return in 10-14 days for suture removal. 5 5 Case Details … following day, the wound was inspected and sutured again, but no x-rays were obtained. 6 6 Case Details … administration of tetanus immune globulin for at-risk individuals. 11 11 Background (3) We do not have details

407. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33786/psn-pdf
     May 01, 2015 - video-improve-patient-safety-clinical-and-educational-uses https://psnet.ahrq.gov//#ref1 https://archive.org/details … In the video review of a prolonged esophageal intubation, audio communication details and timing of

408. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49502/psn-pdf
     February 01, 2006 - Refining important details such as the location of computers (eg, bedside portable terminals) and adapting … systems to particular clinical settings (such as intensive care units) are critical details that cannot

409. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860049/psn-pdf
     January 04, 2024 - multiple studies detailing how poorly maintained problem lists or copy-pasted notes can hide important details … usually not a verbal hand-off; instead, outpatient providers rely on the discharge summary to learn the details

410. The NSTEMI Curbside Consultation | PSNet
     psnet.ahrq.gov/web-mm/nstemi-curbside-consultation
     August 04, 2021 - Due to the nature of curbside consults, clinically significant details and facts may not have been communicated … Pertinent details that would have been uncovered through medical record review or patient interview were … However, this case illustrates the danger in doing so, as key details are inevitably left out of the … rely on curbside consultations to obtain specialist input in a timely and inexpensive manner, but key details

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33653/psn-pdf
     June 01, 2007 - Although limited details on the error itself were provided, the information that was contained in the

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42023/psn-pdf
     May 25, 2013 - Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts. May 25, 2013 Kennerly DA, Saldaña M, Kudyakov R, et al. Description and evaluation of adaptations to the global trigger tool to enhance value to adverse event reduction efforts. J Patient Saf. …

413. Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts. | PSNet
     psnet.ahrq.gov/issue/description-and-evaluation-adaptations-global-trigger-tool-enhance-value-adverse-event
     November 23, 2014 - Study Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts. Citation Text: Kennerly DA, Saldaña M, Kudyakov R, et al. Description and evaluation of adaptations to the global trigger tool to enhance value to adverse eve…

414. The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety. | PSNet
     psnet.ahrq.gov/issue/devil-detail-how-closed-loop-documentation-system-iv-infusion-administration-contributes-and
     February 12, 2020 - Study The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety. Citation Text: Furniss D, Dean Franklin B, Blandford A. The devil is in the detail: how a closed-loop documentation system for IV infusi…

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866731/psn-pdf
     September 18, 2024 - Root cause analysis of cases involving diagnosis. September 18, 2024 Graber ML, Castro GM, Danforth M, et al. Root cause analysis of cases involving diagnosis. Diagnosis (Berl). 2024;11(4):353-368. doi:10.1515/dx-2024-0102. https://psnet.ahrq.gov/issue/root-cause-analysis-cases-involving-diagnosis Root cause analy…

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49790/psn-pdf
     April 01, 2017 - Even in systems where specific codes are not used, implicit details need to be recorded in order to

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854849/psn-pdf
     October 31, 2023 - documentation should provide narratives that clearly illustrate the arc of a patient’s story, as well as the details … Current LLMs have a propensity to ‘hallucinate’ details of generated text,18 so training them on health

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33717/psn-pdf
     September 01, 2011 - and peri-partum incidents, have dedicated forms with checkboxes that prompt reporters for specific details … Narratives that focused on errors conveyed these details much more frequently than narratives addressing

419. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49459/psn-pdf
     September 01, 2004 - It illustrates how the "messy details" of technical work—those factors investigators would usually like … The messy details: insights from technical work studies in health care.

420. Delayed Clozapine Prescription in an Elderly Man With Dementia | PSNet
     psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
     August 06, 2014 - warrants a REMS program, it works with the drug manufacturer to approve the REMS.( 2 ) The specific details … has a website that lists all current REMS drugs, and FDA-approved prescribing information can provide details