-
psnet.ahrq.gov/node/40702/psn-pdf
October 16, 2012 - Using an example case of a diagnostic error, the authors discuss how collective
accountability would
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psnet.ahrq.gov/node/34690/psn-pdf
February 10, 2011 - Using the airline industry
as an example, the authors advocate a nonpunitive systems approach as a more
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psnet.ahrq.gov/perspective/update-patient-engagement-safety
January 01, 2017 - The acceptance of the concept and consequences of psychological harm is an example of how the patient … For example, a health IT patient engagement intervention used tablet computers to show patients potentially … This example speaks to larger interoperability shortcomings that plague EHRs.
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psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
September 01, 2005 - used read-backs to ensure that orders have been correctly transmitted) for guidance.( 5 )
A third example … For example, as American Nurses Association president Barbara Blakeney recently described in this space … Examples of Translocational Research in Patient Safety
Strategy
Non–health care example … Many physicians, for example, have very strong views about various aspects of malpractice reform. … You get some information, for example, about aspects of hospital care and you want to know more, and
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psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
January 31, 2024 - I’ll give you an example, a real-world example. … That is one real-world example. … For example, I prescribed a medication for a patient and the pharmacist called me and asked, “Did you … For example, communication breakdowns in primary care can lead to failure to discuss abnormal test … For example, it may be necessary to reduce the data submission burden and mandate data reporting for
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psnet.ahrq.gov/web-mm/waiting-too-long
February 01, 2013 - For example, these techniques have been employed to assess neurosurgeon and orthopedic surgeon staffing … For example, JCAHO requires that emergency departments have sufficient numbers of qualified staff to … For example, a recent study demonstrated higher mortality rates with lower nurse-to-patient ratios ( … resource management, and these methods are rapidly spreading to other medical disciplines.( 13 ) For example
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psnet.ahrq.gov/web-mm/carpe-diem-seize-day
September 01, 2012 - For example, I usually write something brief such as, "State law regarding driving and seizures was discussed … For example, a patient whose uncontrolled seizures have already caused a crash is at greater risk for … is sent to the state motor vehicle administration and can be brief and factual—stating simply, for example … For example, in many European or American cities with excellent public transportation, a prohibition
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psnet.ahrq.gov/web-mm/two-pills-same-drug
May 27, 2011 - For example, clinicians may have a set of expectations about the processing and outcome of routine, free-form … orders: for example, that superseded older orders will automatically be discontinued, that staff will … algorithms alerting clinicians that a compound drug contains duplicates of currently active medications, for example … levels of safety and performance.( 10 ) Visual salience of critical information on ordering screens, for example
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psnet.ahrq.gov/node/49529/psn-pdf
February 01, 2007 - An example of a warfarin dosing guideline is shown in the Table. … One example is a policy that eliminates
standing orders for warfarin and requires the order to be rewritten … For example, pharmacy-managed inpatient anticoagulation
consultation services have been demonstrated … directed
to a dedicated anticoagulation pharmacist prior to the dispensing of the medication.(8,9) For example
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psnet.ahrq.gov/node/836812/psn-pdf
March 30, 2022 - Example Root Cause Analysis
https://psnet.ahrq.gov/issue/wrong-site-and-wrong-patient-procedures-universal-protocol-era-analysis-prospective-database
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psnet.ahrq.gov/node/40649/psn-pdf
April 21, 2015 - explaining-michigan-developing-ex-post-theory-quality-improvement-program
The remarkable success of the Keystone ICU project was initially publicized as an example
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psnet.ahrq.gov/node/36434/psn-pdf
February 18, 2011 - For example, if a patient was on a diuretic agent,
the physician was prompted to check the serum potassium
-
psnet.ahrq.gov/node/34794/psn-pdf
November 18, 2015 - The authors use a
case example in anesthesia to illustrate how searching for active failures alone fails
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psnet.ahrq.gov/node/39174/psn-pdf
December 16, 2009 - parents detected an adverse event as well as cases where the
parents caused the adverse event (for example
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psnet.ahrq.gov/node/38175/psn-pdf
April 11, 2011 - This study provides a
nice example of the challenges in evaluating multifaceted quality improvement
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psnet.ahrq.gov/node/38163/psn-pdf
April 11, 2011 - The
study provides an example of how standardization combined with decision support can improve medication
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psnet.ahrq.gov/node/38412/psn-pdf
September 01, 2016 - computerized provider order entry systems rests in large part on the ability to provide
decision support—for example
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psnet.ahrq.gov/node/35926/psn-pdf
July 26, 2010 - He uses the example that half of the nation's hospitals endorsed and implemented evidence-
based safety
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psnet.ahrq.gov/node/37446/psn-pdf
January 06, 2017 - Using warfarin data as an
example, the authors discuss the utility of voluntary error reporting systems
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psnet.ahrq.gov/node/39917/psn-pdf
October 13, 2010 - the benefit of computerized provider order entry
for preventing medication prescribing errors, an example