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Showing results for "example".

2821. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49532/psn-pdf
      March 15, 2007 - This decision making represented the wrong approach in this setting, an example of a rule-based error … effectively than those who understand neither the context nor the orders.(1,2,9 ) The Figure shows an example … Example Insulin Protocol. (Reprinted with permission of Richard Hellman, MD.)

2822. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33741/psn-pdf
      November 01, 2012 - In patients with suspected pneumonia, for example, one evidence-based approach filters through scores … Pneumonia is far from the only example of situations in which physical findings have stunning accuracy … For example, the interobserver agreement for most physical examination findings is no different than

2823. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49520/psn-pdf
      September 01, 2006 - achieved.(4) Similar issues arise when a patient with a DNR order undergoes conscious sedation, for example … For example, a patient might require mechanical ventilation or vasopressors for longer than anticipated … For example, drugs to support blood pressure and measures to maintain breathing are used in the operating

2824. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37873/psn-pdf
      June 16, 2009 - Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. June 16, 2009 Horwitz LI, Meredith T, Schuur JD, et al. Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. Ann Emerg Med. …

2825. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36044/psn-pdf
      April 27, 2010 - Expected and unanticipated consequences of the quality and information technology revolutions. April 27, 2010 Wachter R. Expected and unanticipated consequences of the quality and information technology revolutions. JAMA. 2006;295(23):2780-3. https://psnet.ahrq.gov/issue/expected-and-unanticipated-consequences-qua…

2826. Clinician-directed performance improvement: moving beyond externally mandated metrics. | PSNet
      psnet.ahrq.gov/issue/clinician-directed-performance-improvement-moving-beyond-externally-mandated-metrics
      July 10, 2008 - rapid assessment procedures for implementation research using a team-based approach to analysis: a case example

2827. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.122_slideshow.ppt
      April 01, 2006 - procedures require complex teamwork among anesthesiologists, nurses, and a variety of specialists For example … that operate in hazardous conditions but have fewer than their fair share of adverse events Example

2828. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38981/psn-pdf
      September 30, 2009 - alerts were accepted nearly half the time, and alerts were generally rejected for valid reasons (for example

2829. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39790/psn-pdf
      March 21, 2017 - For example, diagnostic errors were frequently cited in malpractice cases, but executive walk rounds

2830. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40586/psn-pdf
      March 21, 2017 - pharmacy review of the dashboard provided a vehicle to prevent medication errors or optimize therapy; for example

2831. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42067/psn-pdf
      March 18, 2013 - For example, only 6 of 16 included studies considered administration of a drug at the wrong time to

2832. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45156/psn-pdf
      June 22, 2017 - were informal and related to difficulty using the software or to preserve professional roles (for example

2833. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45231/psn-pdf
      February 14, 2017 - This study is an important example of the need to rigorously evaluate safety interventions, even those

2834. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39947/psn-pdf
      July 03, 2014 - An accompanying editorial lauds this study as an example of how to conduct a rigorous, evidence-based

2835. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46424/psn-pdf
      March 20, 2018 - This study is a rigorous example of how trigger tools can detect safety hazards and improve timely cancer

2836. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47238/psn-pdf
      October 13, 2018 - One such example is screening for lung cancer using low-dose computed tomography (LDCT), which may benefit

2837. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35979/psn-pdf
      September 17, 2010 - They provide a case-type example of their suggested process to illustrate their framework.

2838. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42548/psn-pdf
      December 29, 2014 - The studies had varying definitions of adverse events; for example, some did not include geriatric syndromes

2839. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42361/psn-pdf
      September 19, 2013 - While patients were observed engaging in safety behaviors—for example, questioning the dose of a new

2840. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45190/psn-pdf
      February 15, 2017 - For example, prior studies have postulated that a weekend effect exists for patients with acute stroke