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Showing results for "example".

141. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33863/psn-pdf
     August 01, 2018 - Further, multicenter studies, for example from the VA and of obstetric teams, showed that team-based … A coherent example of this is the "cave" or what I call the simulation holodeck. … For example, instead of moulaging a standardized patient to look like they have smallpox, the person … You can imagine, for example, in pediatric cardiac surgery—where you have unusual anatomy—that the … RW: Do you find that experienced surgeons, for example, are willing to take the time to do that?

142. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33815/psn-pdf
     September 01, 2016 - For example, a synthesis of evidence from 15 systematic reviews published between 2003 and 2013 demonstrated … As one example, a number of studies have shown that medication errors can be significantly reduced by … For example, even telemedicine advocates would not argue that patients with chest pain should be managed … applications are marketed directly to consumers without any formal safety or efficacy testing.(11) For example

143. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60652/psn-pdf
     June 29, 2020 - Prior to COVID, most of the shortages were a result of a supply chain disruption, for example a company … surge hospital or non-hospital setting (like the McCormick Place Convention Center in Chicago, for example … Things that were in place before (for example, team-based care and the pharmacist being involved in … The use of telehealth is a great example. … One final example of resource developed by members on behalf of members is a Business Recovery Toolkit

144. Forcing Function | PSNet
     psnet.ahrq.gov/glossary/forcing-function
     September 13, 2021 - For example, automobiles are now designed so that the driver cannot shift into reverse without first

145. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73493/psn-pdf
     July 14, 2021 - Using an example of a smart infusion pump, the authors discuss how to apply this concept in healthcare

146. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33618/psn-pdf
     September 01, 2005 - long used read-backs to ensure that orders have been correctly transmitted) for guidance.(5) A third example … individual blame to a richer understanding of systems thinking and engineering principles—was a marvelous example … For example, as American Nurses Association president Barbara Blakeney recently described in this space … ref18back https://psnet.ahrq.gov//#caseTop https://psnet.ahrq.gov//#Tableback Strategy Non–health care example

147. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42165/psn-pdf
     April 03, 2013 - psnet.ahrq.gov/issue/critical-supply https://psnet.ahrq.gov/issue/impact-drug-shortages-children-cancer-example-mechlorethamine

148. Triple Handoff | PSNet
     psnet.ahrq.gov/web-mm/triple-handoff
     March 01, 2004 - For example, this case also illustrates nursing handoffs. … For example, in this case, the written signout would include: "Check CXR which was taken at 4:00 PM. … An example of this is Synopsis, a platform built within the UCSF Medical Center EMR ( Figure 2 ). … For example, a less experienced practitioner who is new to the patient may require more information in … An example of such a structure is SBAR (Situation-Background-Assessment-Recommendation), a communication

149. The Empty Bag | PSNet
     psnet.ahrq.gov/web-mm/empty-bag
     June 01, 2018 - summit on infusion device safety in 2010, which generated a list of 13 priorities relating to, for example … For example, research has shown how the design of infusion pump number entry systems can be used to reduce … For example, one might read this case and conclude that a double check, by a different nurse, should … For example, Namshirin and colleagues suggest that by involving various stakeholders and considering … 24-hour and 1-hour versions.( 10 ) HFE considers misalignments across the system as a whole, for example

150. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49519/psn-pdf
     September 01, 2006 - responsibility and necessary patient information is transferred is referred to as a signout.(2) For example … For example, this case also illustrates nursing handoffs. … For example, in this case, the written signout would include: "Check CXR which was taken at 4:00 PM. … An example of this is Synopsis, a platform built within the UCSF Medical Center EMR (Figure 2). … For example, a less experienced practitioner who is new to the patient may require more information

151. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33718/psn-pdf
     October 01, 2011 - Statins, for example, seem to work pretty much in any kind of population, but beta-blockers seem to … So for example, you might find that it worked best in places that had strong unit- level leadership … 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? PS: Clearly it's not just the checklist. … It's a fabulous example of exactly what we're talking about.

152. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36457/psn-pdf
     May 27, 2011 - This commentary identifies several potential benefits and risks of order sets; for example, the potential

153. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60554/psn-pdf
     June 03, 2020 - artificial-intelligence-health-care-accountability-and-safety Using clinical artificial intelligence as an example

154. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836720/psn-pdf
     March 09, 2022 - and uncertainty in HROs using the increased uncertainties brought on by the COVID-19 pandemic as an example

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865705/psn-pdf
     May 01, 2024 - There were also difficulties stemming from gaps in knowledge of reassigned staff, for example, pediatric

156. In Conversation with…Vineet Arora, MD, MA | PSNet
     psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
     March 01, 2011 - For example, in disciplines like emergency medicine and OBGYN that have structured shifts—often when … For example, a shift change where the sender is returning is going to be very different from a service … Another example would be transferring the patient to a different specialty service. … For example in the hospital, someone handing off to their colleague who's going to cover their patients … For example, while everyone wants the well-rested intern to put in an arterial line, the results were

157. Failed Interpretation of Screening Tool: Delayed Treatment | PSNet
     psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
     August 20, 2018 - Martin, MD, MSc This case provides an important example of diagnostic error as an unintended consequence … For example, a common electronic health record (EHR) sepsis alert is based upon meeting at least two … For example, emphasis and education on the role of sepsis screening and highlighting that they are not … Example Cognitive Biases. … Thus, this is a good example of blind obedience.

158. Missed Patient Assignment: Is Anyone There? | PSNet
     psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
     September 01, 2017 - This adverse event is an excellent example of an unintended consequence that occurred when a portion … implemented as well as to help investigators analyze problems following implementation involving, for example … For example, clinicians need a common, partially structured data interchange format that ensures that … For example, a process that involves both shift-change clinicians walking together into each of the off-going … For example, one could measure and regularly report on certain measures of the safety of the handoff

159. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33670/psn-pdf
     July 01, 2008 - 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

160. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49633/psn-pdf
     September 01, 2011 - For example, the rate of pressure ulcers in nursing homes has been shown to range between 2.2% to 23.9% … For example, in the Institute of Medicine report on Preventing Medication Errors, approximately 800,000 … For example, nursing homes can monitor their organization's fall rates, pressure ulcer rates, and infection … For example, technology systems can be designed to identify high-risk residents (e.g., pressure ulcer … For example, nursing homes can conduct daily safety briefings where frontline caregivers are provided