Results

Total Results: 153 records

Showing results for "environmental scan".

81. Inattentional blindness: what captures your attention? | PSNet
    psnet.ahrq.gov/issue/inattentional-blindness-what-captures-your-attention
    May 07, 2018 - This article defines inattentional blindness, explains its role in medical errors, and explores the environmental

82. 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 - November 21, 2016 Guide to Patient and Family Engagement: Environmental Scan Report.

83. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50927/psn-pdf
    February 21, 2020 - communication-between-primary-and-secondary-care-deficits-and-danger https://psnet.ahrq.gov/issue/overview-environmental-scan-primary-care-based-effort-reduce-readmissions … https://psnet.ahrq.gov/issue/overview-environmental-scan-primary-care-based-effort-reduce-readmissions

84. Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures with an equity lens. | PSNet
    psnet.ahrq.gov/issue/achieving-diagnostic-excellence-roadmaps-develop-and-use-patient-reported-measures-equity
    November 02, 2022 - In this study, researchers used human-centered design principles , information from environmental scans

85. The "top 10" drug errors and how to prevent them. | PSNet
    psnet.ahrq.gov/issue/top-10-drug-errors-and-how-prevent-them
    April 15, 2015 - August 20, 2014 Guide to Patient and Family Engagement: Environmental Scan Report.

86. Triggers contributing to health care clinicians' disruptive behaviors. | PSNet
    psnet.ahrq.gov/issue/triggers-contributing-health-care-clinicians-disruptive-behaviors
    June 24, 2020 - The most frequent triggers included pressures from high census; environmental overload; chronic, unresolved

87. Systematic review of intraoperative anesthesia handoffs and handoff tools. | PSNet
    psnet.ahrq.gov/issue/systematic-review-intraoperative-anesthesia-handoffs-and-handoff-tools
    March 10, 2021 - April 7, 2021 Distraction in the operating room: a narrative review of environmental

88. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49830/psn-pdf
    May 01, 2018 - A CT scan of the head and cervical spine was obtained, which was normal. … This can be accomplished using an environmental checklist such as the one that has been used in the … VHA since 2007.(13,14) We have found that using a standard checklist for environmental rounds allows … Use a standard checklist to review the mental health unit for environmental hazards every 6 months. … Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental

89. Kaiser-Santa Clara hospital fined after baby's death: $25,000 penalty for Kaiser's drug error. | PSNet
    psnet.ahrq.gov/issue/kaiser-santa-clara-hospital-fined-after-babys-death-25000-penalty-kaisers-drug-error
    September 16, 2015 - Copy Citation Related Resources From the Same Author(s) Environmental Cleaning

90. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/850362/psn-pdf
    June 14, 2023 - also has recognized limitations, especially when the involved staff are both affected by the same environmental

91. Healthcare 411. Mistake proofing the health care environment. | PSNet
    psnet.ahrq.gov/issue/healthcare-411-mistake-proofing-health-care-environment
    October 12, 2011 - April 9, 2008 Overview of the Environmental Scan of Primary Care-Based Effort To Reduce … October 14, 2015 Environmental Cleaning for the Prevention of Healthcare-Associated Infections

92. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49755/psn-pdf
    February 01, 2016 - A CT scan showed no evidence of a new stroke. … therapeutic procedures, https://psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong medication effects, and environmental … These protocols have historically focused on addressing environmental factors such as loud noise, bright … hospitalized patients and is caused by underlying illness(es), diagnostic and therapeutic procedures, and environmental

93. Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital | PSNet
    psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
    May 16, 2022 - practice also has recognized limitations, especially when the involved staff are both affected by the same environmental

94. Suicide Risk in the Hospital | PSNet
    psnet.ahrq.gov/web-mm/suicide-risk-hospital
    November 01, 2011 - A CT scan of the head and cervical spine was obtained, which was normal. … This can be accomplished using an environmental checklist such as the one that has been used in the VHA … since 2007.( 13,14 ) We have found that using a standard checklist for environmental rounds allows … Use a standard checklist to review the mental health unit for environmental hazards every 6 months. … Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards

95. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/857259/psn-pdf
    November 30, 2023 - When the barcode on the jug of dialysis liquid did not scan, the nurse called the hospital pharmacy … may become inattentive to new stimuli (such as, in this case, failure of the medication barcode to scan … mortality rates.10 In this case, the ICU nurse may have been frustrated by the unexpected inability to scan … Within these 3 categories, a total of 31 probable causes have been identified,12  ranging from environmental

96. Medication Mix-Up Leads to Patient Death | PSNet
    psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
    July 08, 2022 - When the barcode on the jug of dialysis liquid did not scan, the nurse called the hospital pharmacy for … may become inattentive to new stimuli (such as, in this case, failure of the medication barcode to scan … mortality rates. 10 In this case, the ICU nurse may have been frustrated by the unexpected inability to scan … Within these 3 categories, a total of 31 probable causes have been identified, 12  ranging from environmental

97. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-420
    November 29, 2023 - Global health challenges and local environmental disasters have prompted an increase of research into … percutaneous endoscopic gastrostomy (PEG) tube in the intensive care unit (ICU) after computed tomography (CT) scan … After several weeks of poorly tolerated tube feedings, the interventional radiology team reviewed a CT scan … When the barcode on the jug of dialysis liquid did not scan, the nurse called the hospital pharmacy for

98. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49665/psn-pdf
    September 01, 2012 - A reader is used to scan the sponge onto the operative field and then the sponge is rescanned when it … cavity/site procedures • Personnel change • High blood loss Patient-specific factors • High BMI Environmental

99. Good Night's Sleep Gone Wrong | PSNet
    psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong
    September 01, 2015 - A CT scan showed no evidence of a new stroke. … causes, including underlying illness(es), diagnostic and therapeutic procedures, medication effects, and environmental … These protocols have historically focused on addressing environmental factors such as loud noise, bright … hospitalized patients and is caused by underlying illness(es), diagnostic and therapeutic procedures, and environmental

100. Did We Forget Something? | PSNet
     psnet.ahrq.gov/web-mm/did-we-forget-something
     April 28, 2021 - An abdominal computed tomographic (CT) scan during the previous hospitalization had shown a metallic … In the present case, a CT scan was obtained at the time of the initial hospitalization, but the foreign … Listen to the Family June 1, 2004 WebM&M Cases Environmental