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Total Results: 1,738 records

Showing results for "difficult".

301. Preventing falls and fall-related injuries in health care facilities. | PSNet
     psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
     December 23, 2016 - 465 such cases reported to The Joint Commission since 2009 and acknowledges that preventing falls is difficult

302. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33881/psn-pdf
     August 01, 2019 - What's characteristic of health care—it's complicated, unpredictable, and very difficult to regulate … https://psnet.ahrq.gov/perspective/conversation-erik-hollnagel-phd EH: I think it's difficult and to … I can imagine an organization stressed for resources finds it difficult to allocate this time where

303. Crossing the Line | PSNet
     psnet.ahrq.gov/web-mm/crossing-line
     December 01, 2012 - rates of pneumothorax for internal jugular versus subclavian vein placement.( 6 ) However, it is more difficult … if a catheter is not inserted far enough, then the course of the venous and arterial system can be difficult … Although this method often works, the result may be difficult to interpret if the patient is particularly … In contrast, visualizing the subclavian vein with ultrasound is more difficult; it is probably for this

304. Transfusion Thresholds in Gastrointestinal Bleeding | PSNet
     psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
     November 26, 2014 - It can be difficult to identify a single source of bleeding, and blood loss is often attributed to diffuse … likelihood of upper GIB.( 9 ) However, in some cases, particularly those with brisk hematochezia, it can be difficult … In addition, the presence of altered anatomy, in this case an ileostomy, may make it difficult to predict … Indeed, small bowel sources of bleeding are generally more difficult to localize and treat than upper

305. Empty Handoff | PSNet
     psnet.ahrq.gov/web-mm/empty-handoff
     August 01, 2017 - The Commentary It is not difficult to put oneself in the position of the senior nurse in a busy surgical … Thus, the consequences of errors associated with handoffs can be diverse and may be difficult to identify … "standardization" might be, as their social, teaching, and error-capturing functions especially are difficult … is still relatively primitive, and associations between handoff practice and outcomes are extremely difficult

306. Who Nose Where the Airway Is? | PSNet
     psnet.ahrq.gov/web-mm/who-nose-where-airway
     May 01, 2016 - external portion of the NPA that would rest outside of the patient's nose, which could make it more difficult … While specific problems have not been reported, it is not difficult to imagine how a safety pin could … It is difficult to ascertain when the NPA was lost into the nasopharynx of this patient, but the location … Given that airway device retention or aspiration is probably rarer than RFOs in surgery, it is difficult

307. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49437/psn-pdf
     March 01, 2004 - rates of pneumothorax for internal jugular versus subclavian vein placement.(6) However, it is more difficult … if a catheter is not inserted far enough, then the course of the venous and arterial system can be difficult … Although this method often works, the result may be difficult to interpret if the patient is particularly … In contrast, visualizing the subclavian vein with ultrasound is more difficult; it is probably for this

308. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33754/psn-pdf
     September 01, 2013 - SD: I have always found it very difficult to define a just culture. … The patient dies; in fact it later becomes very difficult to connect Kimberly's actions to the patient's … in trying to calibrate the response, is it that the public often demands a pound of flesh, and it's difficult … To make that story a public winner is very difficult.

309. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33865/psn-pdf
     September 01, 2018 - We learned that patients found it difficult to understand what you meant by safety incidents when we … Staff mostly valued the feedback, but they found it very difficult to meet as a multidisciplinary team … When they developed action plans, they found it very difficult to implement those action plans where … some patient groups are less willing to get involved, particularly older patients, and then it's more difficult

310. Sustaining teamwork behaviors through reinforcement of TeamSTEPPS principles. | PSNet
     psnet.ahrq.gov/issue/sustaining-teamwork-behaviors-through-reinforcement-teamstepps-principles
     September 02, 2015 - TeamSTEPPS program has successfully enhanced operating room teamwork, but behavioral changes are difficult

311. Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR. | PSNet
     psnet.ahrq.gov/issue/getting-teams-talk-development-and-pilot-implementation-checklist-promote-interprofessional
     April 06, 2011 - Team members valued these discussions, but diverse work flow patterns made group discussion difficult

312. Misunderstanding of prescription drug warning labels among patients with low literacy. | PSNet
     psnet.ahrq.gov/issue/misunderstanding-prescription-drug-warning-labels-among-patients-low-literacy
     February 28, 2011 - This study discovered that multi-step instructions, difficult text, the use of icons and colors, and

313. The predictors of patient safety culture in hospital setting: a systematic review. | PSNet
     psnet.ahrq.gov/issue/predictors-patient-safety-culture-hospital-setting-systematic-review
     March 05, 2014 - identified 81 predictors of PSC in hospital settings, but methodological differences in study design make it difficult

314. The influence of context on diagnostic reasoning: a narrative synthesis of experimental findings. | PSNet
     psnet.ahrq.gov/issue/influence-context-diagnostic-reasoning-narrative-synthesis-experimental-findings
     June 01, 2016 - This review identifies cognitive biases that are intrinsic (e.g., " difficult " patients) and extrinsic

315. Surgical safety checklist compliance: a job done poorly! | PSNet
     psnet.ahrq.gov/issue/surgical-safety-checklist-compliance-job-done-poorly
     April 25, 2016 - This study adds to a growing body of literature showing that checklists can be a difficult intervention

316. Accuracy of the Safer Dx Instrument to identify diagnostic errors in primary care. | PSNet
     psnet.ahrq.gov/issue/accuracy-safer-dx-instrument-identify-diagnostic-errors-primary-care
     April 13, 2017 - Diagnostic errors are difficult to detect from medical records.

317. Evaluation of a measurement system to assess ICU team performance. | PSNet
     psnet.ahrq.gov/issue/evaluation-measurement-system-assess-icu-team-performance
     November 17, 2014 - Researchers found that it was difficult to establish interrater reliability for teamwork when observing

318. An initiative to improve the management of clinically significant test results in a large health care network. | PSNet
     psnet.ahrq.gov/issue/initiative-improve-management-clinically-significant-test-results-large-health-care-network
     November 26, 2014 - Appropriate follow-up of abnormal test results remains a difficult issue.

319. A piece of my mind. Despite my best intentions. | PSNet
     psnet.ahrq.gov/issue/piece-my-mind-despite-my-best-intentions
     September 13, 2016 - End-of-life care can be difficult for patients, families, and the care team.

320. Rules, safety and the narrativisation of identity: a hospital operating theatre case study. | PSNet
     psnet.ahrq.gov/issue/rules-safety-and-narrativisation-identity-hospital-operating-theatre-case-study
     June 24, 2010 - rule-based strategies in patient safety, the authors posit that individual behaviors and attitudes make it difficult