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Showing results for "example".

201. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60847/psn-pdf
     August 26, 2020 - avoiding-second-wave-medical-errors-importance-human-factors-context- pandemic Using a case of mislabeled lab specimens as an example

202. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73667/psn-pdf
     September 01, 2021 - safety-medical-devices https://psnet.ahrq.gov/issue/overlooked-guide-wire-multicomplicated-swiss-cheese-model-example-analysis-case-and-review

203. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33846/psn-pdf
     November 01, 2017 - For example, the growing demand for improved and more efficient communication between health care providers … with the ability to access health information, choose providers, and manage their health care.(3) For example … and care delivery efficiency, reduced costs, and better quality of care and patient safety.(8,9) For example … Finally, in some cases patient-facing health IT may raise ethical and patient privacy issues; for example

204. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.236_slideshow.ppt
     March 01, 2011 - characteristics increase risk of medical errors or adverse events in children Physical characteristics Example … : miscalculation of medication dosing Developmental issues Example: an infant is unable to ask a provider … to wash his or her hands Minor legal status issues Example: obtaining consent for procedures from … * Example Calculation Standard fluid requirement for a 25 kg child would be 65 mL per hour.

205. Beyond the Pandemic: Creating Total Systems Safety | PSNet
     psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
     August 30, 2023 - For example, IHI partnered on weekly virtual learning hours to convey time-sensitive learnings and support … Leaders, for example, were physically present and accessible, rounding on units and actively visible … Another example is how they prioritized the safety and wellbeing of the workforce, and valued human assets … Medication error is another example. … An example of a related initiative that I’m especially excited about is our learning and action network

206. In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety | PSNet
     psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
     August 30, 2023 - For example, IHI partnered on weekly virtual learning hours to convey time-sensitive learnings and support … Leaders, for example, were physically present and accessible, rounding on units and actively visible … Another example is how they prioritized the safety and wellbeing of the workforce, and valued human assets … Medication error is another example. … An example of a related initiative that I’m especially excited about is our learning and action network

207. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40046/psn-pdf
     June 15, 2012 - ://psnet.ahrq.gov/issue/applying-hfmea-prevent-chemotherapy-errors This study provides a practical example

208. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37463/psn-pdf
     January 06, 2017 - This article describes one hospital's implementation of a rapid response system and provides a case example

209. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865815/psn-pdf
     May 08, 2024 - All three groups proposed that inter- and intrateam communication could be improved, for example with

210. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/863215/psn-pdf
     February 28, 2024 - This article uses an example of a medication error in the intensive care unit presented in a PSNet WebM

211. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867634/psn-pdf
     February 26, 2025 - Barriers included concerns over simulation being punitive, for example, to justify firing staff involved

212. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38862/psn-pdf
     August 12, 2009 - can be applied in health care by describing its application in the clinical transfer process as an example

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40141/psn-pdf
     April 04, 2011 - the importance of effective communication in the emergency department, this commentary uses a case example

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39342/psn-pdf
     March 03, 2010 - //psnet.ahrq.gov/issue/discharge-missteps-can-send-seniors-back-hospital This news article uses an example

215. Health Literacy Practices in Primary Care Settings: Examples from the Field. | PSNet
     psnet.ahrq.gov/issue/health-literacy-practices-primary-care-settings-examples-field
     April 27, 2022 - Book/Report Health Literacy Practices in Primary Care Settings: Examples from the Field. Citation Text: Health Literacy Practices in Primary Care Settings: Examples from the Field. Barrett SE, Puryear JS, Westpheling K. Washington DC: The Commonweath Fund; January 1, 2008. Copy Ci…

216. Multifactorial Medication Mishap | PSNet
     psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
     September 01, 2016 - For example, a simple response to this case would be to tell the nurse to read the medication label and … For example, the physician may not have known the patient's opioid-use history, such as which liquid … For example, a pain order set, guideline, or protocol could be used to identify when a patient is ready … For example, if concentrated oxycodone is restricted to ordering by pain specialists, this drug should … For example, instead of telling the nurse to read the label more carefully next time, the manipulation

217. Premature Closure: Was It Just Syncope? | PSNet
     psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
     February 10, 2021 - For example, presented with the choice between a guaranteed modest monetary gain and an uncertain larger … For example, checklists are used widely in commercial aviation; federal regulations effectively mandate … For example, in order to avoid the administration of the wrong medication during an anesthesia procedure … One example, currently in use at our hospital, requires providers ordering an MRI study to complete a … In another example, an informatics team developed an EHR alert that, when triggered, sends a page to

218. In Conversation With… Vineet Arora, MD, MAPP | PSNet
     psnet.ahrq.gov/perspective/conversation-vineet-arora-md-mapp
     May 31, 2023 - For example, making sure that VTE [venous thromboembolism] prophylaxis is ordered, when best practice … synergy where I see patient safety and IT working together: identifying a drug–drug interaction, for example … The greatest example is that the medication administration record (MAR) can populate the signout and … For example, the pediatricians want a lot of information, whereas the hospitalists really just need bare … When EHRs were implemented, it was a great example of reverse mentoring.

219. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72516/psn-pdf
     November 25, 2020 - For example, presented with the choice between a guaranteed modest monetary gain and an uncertain larger … For example, checklists are used widely in commercial aviation; federal regulations effectively mandate … For example, in order to avoid the administration of the wrong medication during an anesthesia procedure … One example, currently in use at our hospital, requires providers ordering an MRI study to complete … In another example, an informatics team developed an EHR alert that, when triggered, sends a page to

220. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837592/psn-pdf
     June 29, 2022 - The four steps of CPRA are illustrated using the example of outpatient blood draws in the Veterans Health