-
psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
January 01, 2020 - Case Details
• On Day 13, while being assisted to standing, the patient’s
leg buckled and he developed … to other physiologic stessors,
including recovery from trauma
10
Background (1)
• The patient developed … on that shared decision-making
14
Approach to Improving Safety (1)
• The multidisciplinary team developed … • Once the plan is developed for such a patient, it is important
to follow it as prescribed.
-
psnet.ahrq.gov/node/47630/psn-pdf
February 27, 2019 - teaching-about-diagnostic-errors-through-virtual-patient-cases-pilot-exploration
Prior research has shown that educational interventions can be developed
-
psnet.ahrq.gov/node/43339/psn-pdf
April 08, 2018 - A health care facility in Maine developed a root cause analysis model to determine
common factors, and
-
psnet.ahrq.gov/node/47730/psn-pdf
January 23, 2019 - The team also developed and validated a novel diagnostic performance measure combining
these two constructs
-
psnet.ahrq.gov/node/47265/psn-pdf
February 22, 2019 - In this study, the investigators
developed a smartphone-based application for voluntary reporting of
-
psnet.ahrq.gov/node/47131/psn-pdf
July 18, 2018 - issue/good-catch-campaign-improving-perioperative-culture-safety
This quality improvement initiative developed
-
psnet.ahrq.gov/node/45567/psn-pdf
October 12, 2016 - Articles in this special issue discuss recommendations developed to address risks associated
with pen
-
psnet.ahrq.gov/node/35006/psn-pdf
October 25, 2013 - The report used the Patient Safety Indicators
developed for the Agency for Healthcare Research and Quality
-
psnet.ahrq.gov/node/44660/psn-pdf
December 02, 2015 - psnet.ahrq.gov/issue/squire-guidelines-evaluation-field-5-years-post-release
The SQUIRE Guidelines were developed
-
psnet.ahrq.gov/node/37679/psn-pdf
June 12, 2008 - The
authors developed a standardized protocol for oxytocin dosing and monitoring through a structured
-
psnet.ahrq.gov/node/46025/psn-pdf
July 11, 2017 - Using
data from the electronic health record, researchers developed and validated metrics to assess
-
psnet.ahrq.gov/node/46157/psn-pdf
June 07, 2017 - A safety intervention was developed that specifically targeted the
vulnerabilities identified by the
-
psnet.ahrq.gov/node/46272/psn-pdf
January 01, 2019 - Building on a previously described model, the institution developed a system to provide support
for
-
psnet.ahrq.gov/node/44784/psn-pdf
May 03, 2017 - The session summarized findings of a report developed for the
event, Transforming Patient Safety: a
-
psnet.ahrq.gov/node/35966/psn-pdf
January 02, 2017 - medications administered by override, used
an expert panel to revise the medication override list, developed
-
psnet.ahrq.gov/node/40768/psn-pdf
September 14, 2011 - physician-reporting-clinically-significant-events-through-computerized-patient-
sign-out
This study developed
-
psnet.ahrq.gov/node/43461/psn-pdf
April 22, 2015 - A structured handoff
tool has been developed to address this known safety hazard.
-
psnet.ahrq.gov/node/45164/psn-pdf
May 25, 2016 - This toolkit provides a collection of checklists that have been developed and field tested
by participants
-
psnet.ahrq.gov/node/43557/psn-pdf
October 01, 2014 - accidental-awareness-during-general-
anaesthesia-protocol
This study details the novel methodology and protocols developed
-
psnet.ahrq.gov/node/47081/psn-pdf
September 02, 2018 - beyond-dr-google-evidence-consumer-facing-digital-tools-diagnosis
Recently, several mobile health care applications have been developed