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psnet.ahrq.gov/node/850678/psn-pdf
June 14, 2023 - The RRT nurse is then responsible for following up with the bedside clinical team to
determine next … If triggered, the virtual quality nurse consultant conducts a review of the patient’s chart to
determine … the AAM score, which is used to determine likely patient clinical
https://psnet.ahrq.gov//#2
https: … Work closely with the RRT and clinicians to determine the best workflow for triage and follow-up. … Getting Started with This Innovation
Develop an evidence-based algorithm to determine AAM score and
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psnet.ahrq.gov/node/39199/psn-pdf
January 28, 2010 - nurse-decision-making-prearrest-period
This qualitative study explored the cues that nurses use to determine … help from other experienced
nurses, and their prior knowledge of the patient's baseline condition to determine
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psnet.ahrq.gov/issue/30-day-potentially-avoidable-readmissions-due-adverse-drug-events
June 14, 2017 - In this retrospective observational study, physicians reviewed medical records to determine underlying … January 24, 2018
Medication errors resulting in harm: using chargemaster data to determine
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psnet.ahrq.gov/node/34707/psn-pdf
September 29, 2017 - The authors conclude that the ultimate test will be to determine whether NPSF
programs have an impact … The agency will conduct studies to determine the efficacy
of its programs.
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psnet.ahrq.gov/issue/national-patient-safety-foundation-agenda-research-and-development-patient-safety
June 16, 2011 - The authors conclude that the ultimate test will be to determine whether NPSF programs have an impact … The agency will conduct studies to determine the efficacy of its programs.
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psnet.ahrq.gov/node/866216/psn-pdf
July 10, 2024 - In the United States, insurance status can determine a patient’s access to safe, high-quality health … the CMS Care Compare website.7
In addition to their use for consumers, these measures can help plans determine … Health plans offer a means to finance healthcare expenses, and the plans determine which
healthcare … By collaborating with healthcare professionals to determine best practices, health plans can implement … several robust pay-for-performance programs related to healthcare quality, further research is
needed to determine
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.218_slideshow.ppt
May 01, 2010 - accountability and no learning—a lost opportunity
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*
Determining Whether an Error Occurred
To determine … Focus on why good nurses might make mistakes like this one, not why bad nurses might do so
*
*
Determine … System Contributions
Determine how multiple (and often conflicting) goals influenced performance: other … patients, shift length, other time pressures, expectations, or procedures that could get in the way
Determine
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psnet.ahrq.gov/node/38295/psn-pdf
May 27, 2010 - This study reviewed statutes from all 50 states to determine the
current legal climate regarding physician … Most of these laws were
enacted within the past 3 years, and thus the authors were unable to determine
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psnet.ahrq.gov/issue/narrative-review-do-state-laws-make-it-easier-say-im-sorry
June 16, 2010 - This study reviewed statutes from all 50 states to determine the current legal climate regarding physician … Most of these laws were enacted within the past 3 years, and thus the authors were unable to determine
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psnet.ahrq.gov/issue/determinants-adverse-events-vascular-surgery
March 21, 2012 - Study
Determinants of adverse events in vascular surgery.
Citation Text:
Hernandez-Boussard T, McDonald KM, Morton J, et al. Determinants of adverse events in vascular surgery. J Am Coll Surg. 2012;214(5):788-97. doi:10.1016/j.jamcollsurg.2012.01.045.
Copy Citation
Format:
…
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psnet.ahrq.gov/node/33830/psn-pdf
March 22, 2016 - Studies of the epidemiology of medical errors generally use a two-stage review
process to determine … results were extrapolated to estimate deaths on a population level were not
explicitly designed to determine … How should hospitals and
health care organizations seek to identify these patients, determine what factors … should implement formal
strategies for identifying preventable deaths and analyzing these deaths to determine
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psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
July 10, 2024 - Because of this, the plan can often determine if health plan members are on redundant medications. … to their network or implementing programs that encourage members to contact a triage nurse to help determine … In the United States, insurance status can determine a patient’s access to safe, high-quality health … Health plans offer a means to finance healthcare expenses, and the plans determine which healthcare services … By collaborating with healthcare professionals to determine best practices, health plans can implement
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psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
July 10, 2024 - In the United States, insurance status can determine a patient’s access to safe, high-quality health … CMS Care Compare website. 7 In addition to their use for consumers, these measures can help plans determine … Health plans offer a means to finance healthcare expenses, and the plans determine which healthcare services … By collaborating with healthcare professionals to determine best practices, health plans can implement … Because of this, the plan can often determine if health plan members are on redundant medications.
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psnet.ahrq.gov/issue/perioperative-safety-determinants-ethnic-patient-groups
February 09, 2022 - Study
Perioperative safety determinants in ethnic patient groups.
Citation Text:
Bloo G, Calsbeek H, Westert GP, et al. Perioperative safety determinants in ethnic patient groups. J Patient Saf Risk Manag. 2023;28(1):31-46. doi:10.1177/25160435231151545.
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Format:
…
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psnet.ahrq.gov/node/72558/psn-pdf
December 09, 2020 - participants as they work through a time-
delimited scenario with a sick child to gather clues and determine
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psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
June 24, 2020 - How can investigators determine whether this is an error, or at-risk or reckless behavior? … How can an investigator determine the system contributions? … Do three things to determine why it made sense for the nurse to do what he or she did. … Second, determine the (clinical) knowledge of the person involved: did he or she have sufficient training
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psnet.ahrq.gov/node/50900/psn-pdf
February 12, 2020 - disruptive behavior and
approaches to handle difficult encounters using the mnemonic device DEAL- determine
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.107_slideshow.ppt
November 01, 2005 - Medication Reconciliation Program
Examine the system currently in place
Use high-level flow diagram to determine … list prominently in the chart or use colored paper to facilitate access to information
Hospitals must determine … generate discharge prescriptions
Evaluate Reconciliation Success
Use a measurement strategy to determine … program’s effectiveness
Assessment form available here
Collecting data per admission or chart may help determine
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psnet.ahrq.gov/node/49603/psn-pdf
June 01, 2010 - How can investigators determine whether this is an error, or at-risk or reckless behavior? … How can an investigator determine the system contributions? … Do three things to determine why it made sense for the nurse to do what he or
she did. … Second, determine the (clinical) knowledge of the person involved: did he or she have
sufficient training
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psnet.ahrq.gov/issue/social-determinants-health-and-patient-safety-analysis-patient-safety-event-reports-related
October 17, 2018 - To determine whether language barriers contribute to patient safety events, the authors analyzed near-miss