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Showing results for "example".

101. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866622/psn-pdf
     August 28, 2024 - For example, when a safety event occurs, it’s important to do a post-event review. … Kathy Helak: One example is that we don't refer to event reviews as investigations. … For example, instead of incident, we’ll say event. … For example, most people don't fall or get a wrong site surgery. … For example, is it the insertion? If so, we'll do a learning team about catheter insertion.

102. Right Electrocardiogram, Wrong Patient | PSNet
     psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
     April 24, 2024 - number was “drastically underreported”. 1  Charting on Wrong Patient in EHR (COWPIE) is prevalent; for example … Foundation survey had found an error in their electronic health record documentation. 4  In an extreme example … For example, documentation of an EKG showing atrial fibrillation in the wrong patient chart could result … For example, if a normal EKG is documented on a patient intended to receive an EKG for chest pain, it … For example, Levin et al. concluded that misidentified order entry was associated with the clinical context

103. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60268/psn-pdf
     April 29, 2020 - Here follows an example structure for a Treatment A-B-C that may be adjusted and adapted for care of … Device operating at proper settings (example: ventilator pressures, pump rpm)        iii. … Device effective output is within targeted goal (example: pump pressure provides the adequate blood … Auxiliary (example: heater on in ECMO and renal replacement therapy) 4. … For example, orotracheal cuff balloon inflated, tube that should be tempered is warm, color adequate

104. In Conversation With… Paul G. Shekelle, MD, MPH, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
     February 26, 2025 - Statins, for example, seem to work pretty much in any kind of population, but beta-blockers seem to vary … For example, what kinds of training resources you had, how were they deployed, did you hire external … Is that a good example of what you're trying to achieve? … It's a fabulous example of exactly what we're talking about. … It's also a fabulous example of how what starts out as context—in terms of trying to understand issues

105. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74252/psn-pdf
     January 12, 2022 - For example, we used baby monitors in some patients’ rooms so nursing could be responsive and monitor … Another example relates to prone positioning.  … A third example is that bed alarms became somewhat ineffective. … For example, our anesthesia team needed additional protections to decrease risk of exposure as those … For example, to make IV tubing long enough that pumps could be moved to hallways, staff had to find

106. Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic | PSNet
     psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
     January 12, 2022 - For example, the Centers for Disease Control and Prevention has produced guidance for optimizing PPE … For example, the use of baby monitors (which include cameras) with patients in isolation can allow for … For example, we used baby monitors in some patients’ rooms so nursing could be responsive and monitor … Another example relates to prone positioning.  … A third example is that bed alarms became somewhat ineffective.

107. In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO | PSNet
     psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
     January 12, 2022 - For example, we used baby monitors in some patients’ rooms so nursing could be responsive and monitor … Another example relates to prone positioning.  … A third example is that bed alarms became somewhat ineffective. … For example, our anesthesia team needed additional protections to decrease risk of exposure as those … For example, the Centers for Disease Control and Prevention has produced guidance for optimizing PPE

108. In Conversation with...Albert Wu, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph
     February 26, 2025 - something that will become more robust because it must be done at a higher level, national level, for example … For example, virtually every institution has problems with, for example, medications being incorrectly … Here's an example that we gave in our paper. … would need to be a process to convince people who could actually change things at a high level, for example … Wrong site surgeries are a pretty good example of this—they happen to every big institution a few times

109. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867986/psn-pdf
     March 24, 2025 - For example, people may admit to having had thoughts of killing themselves in the past two weeks, or … For example, tobacco and blood pressure screenings are routine in many healthcare settings to catch … For example, the screener that has been most well-studied in children between 12 and 18 years old is … For example, if they have intent to act on their suicidal thoughts. … For example, if the person has had a psychiatric hospitalization or substance use issues.

110. Application of Safety-II Principles | PSNet
     psnet.ahrq.gov/perspective/application-safety-ii-principles
     August 28, 2024 - For example, when a safety event occurs, it’s important to do a post-event review. … Kathy Helak: One example is that we don't refer to event reviews as investigations. … For example, instead of incident, we’ll say event. … For example, most people don't fall or get a wrong site surgery. … For example, is it the insertion? If so, we'll do a learning team about catheter insertion.

111. In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles | PSNet
     psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
     August 28, 2024 - For example, when a safety event occurs, it’s important to do a post-event review. … Kathy Helak: One example is that we don't refer to event reviews as investigations. … For example, instead of incident, we’ll say event. … For example, most people don't fall or get a wrong site surgery. … For example, is it the insertion? If so, we'll do a learning team about catheter insertion.

112. Making Healthcare Safer III Report | PSNet
     psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report
     March 30, 2020 - For example, the PSP summary table included in the Executive Summary has been reformatted to include … For example, I work a lot in early detection of deterioration. … For example, after hurricane Maria and the resulting drug shortages. … For example, do we need to still look at wrong site surgery? … For example, the infection-related activities are very effective and we’re seeing massive reductions

113. Complications of ECMO During Transport | PSNet
     psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
     January 27, 2021 - Here follows an example structure for a Treatment A-B-C that may be adjusted and adapted for care of … Device operating at proper settings (example: ventilator pressures, pump rpm)         iii. … Device output reaches targeted settings (example: pressure provides tidal volume, rpm creates pressure … Auxiliary (example: heater on in ECMO and renal replacement therapy) 4. … For example, orotracheal cuff balloon inflated, tube that should be tempered is warm, color adequate,

114. In Conversation With... Ann Gaffey, RN, MSN, CPHRM and Bruce Spurlock, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
     March 30, 2020 - For example, I work a lot in early detection of deterioration. … For example, after hurricane Maria and the resulting drug shortages. … For example, do we need to still look at wrong site surgery? … For example, the infection-related activities are very effective and we’re seeing massive reductions … For example, the PSP summary table included in the Executive Summary has been reformatted to include

115. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860015/psn-pdf
     September 01, 2024 - For example, when reducing and repairing a fracture using plates or screws, the final construct is not … For example, if plain radiographs have not been helpful, the team may decide to get computed tomography … unretrieved device or device fragment and (2) keeps a record of cases to identify trends and patterns (for example … For example, data from one of the best state reporting systems provides information about the relative

116. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49527/psn-pdf
     December 01, 2006 - For example, although peer-reviewed studies document overall error rates of approximately 0.1% (1) ( … They also identify best practices associated with better performance.(5,7) For example, a Q probes study … For example, a study of wristband errors from 217 institutions showed that the wristband error rate … results or to numeric results where large changes are expected in common clinical conditions (for example … Strong Interventions with Specific Examples Related to Clinical Laboratory Services.(14) Interventions Example

117. In Conversation With… Enrico Coiera, MB, BS, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
     February 01, 2014 - For example, you might have administered a medication to a patient and then been interrupted, but because … My classic example is driving to the shops on a Saturday morning, when the cellphone goes off. … Another variable is the interruption modality—is the interrupting task visual or auditory for example … An easy example is using a cash machine: you put your card in the machine and then pull the cash out. … In aviation for example, when they're going down a checklist, they keep their finger on the clipboard

118. In Conversation with...Peter J. Pronovost, MD, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
     October 01, 2010 - For example, on admission to the ICU do this, this, this, this. … An example would be tying a shoelace—the "expert" lacer can perform the task quickly and accurately but … Consideration of physical demands is extremely important—for example, if hand hygiene is necessary, a … For example, in a cockpit, the checklist may only address the actions of pilot and co-pilot—individuals … For example, a checklist should refer to "each day," not the more jargony "per diem."

119. The Evolution of Patient Safety in Surgery | PSNet
     psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
     August 01, 2017 - First, he is as hard on himself as on others, a nice example of personal accountability. … For example, take the question of when residents should be able to operate independently. … A perfectly executed but inappropriate operation is still an example of preventable harm. … RW : Sometimes when I speak, I'll show Birkmeyer's videos of the good example and the bad example. … The question is always: Can that bad example person be trained to be at least good enough?

120. What Makes a Good Checklist | PSNet
     psnet.ahrq.gov/perspective/what-makes-good-checklist
     October 01, 2010 - An example would be tying a shoelace—the "expert" lacer can perform the task quickly and accurately but … Consideration of physical demands is extremely important—for example, if hand hygiene is necessary, a … For example, in a cockpit, the checklist may only address the actions of pilot and co-pilot—individuals … For example, a checklist should refer to "each day," not the more jargony "per diem." … For example, on admission to the ICU do this, this, this, this.