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Showing results for "example".

41. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/845472/psn-pdf
    March 15, 2023 - For example, you start thinking about population health and population management. … There is a chance that someone can misuse the medical device, or for example someone other than the … For example, the patient did not warm up their fingers or was putting the device on incorrectly. … For example, we could have serial electrocardiograms sent to us or stream vital signs. … For example, you might be able to catch asymptomatic hypertension that is out of bounds earlier.

42. Equity in Patient Safety | PSNet
    psnet.ahrq.gov/perspective/equity-patient-safety
    September 24, 2024 - For example, healthcare organizations can stratify voluntary adverse event report data by race, ethnic … For example, healthcare staff who identify as racial minorities are less likely to make patient safety … For example, the REPAIR project initiates conversations on topics such as medical reparations. … For example, maternal death remains more common in non-Hispanic Black women than in white women. … For example, AHRQ has announced an initiative to fund innovative research meant to build new evidence

43. In Conversation With... Heidi Wald, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-heidi-wald-md
    November 26, 2019 - HW: Absolutely, I would say that an example is the aging diabetic. … [As another example,] if you’re getting dizzy every time you stand up because we’re over treating your … HW: I think the geriatric ED is one example, the ACE unit is another example. … For example, what happens to me, at my age, when I’m on bed rest for a week? … For example, prolonged length of stay, falls, and malnutrition.

44. Patient Safety in Frail Older Patients | PSNet
    psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
    November 26, 2019 - HW: Absolutely, I would say that an example is the aging diabetic. … HW: I think the geriatric ED is one example, the ACE unit is another example. … For example, what happens to me, at my age, when I’m on bed rest for a week? … For example, if you’re using two medications that are sedating, even if they’re in different classes … For example, prolonged length of stay, falls, and malnutrition.

45. Microsoft PowerPoint - FINAL Nov_Spotlight Case_Premature Closing-Snycope_11.20.2020-revised.pptx (pdf file)
    psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
    January 01, 2020 - Framing/framing effect occurs when decisions are influenced by the way information is presented — Example … a treatment when it is framed in terms of their likelihood of survival rather than mortality — Example … identical 12 Framing and Premature Closure (1) • Framing may also influence diagnostic reasoning — Example … Forcing functions are automatic, built-in features of systems designed to minimize or avert errors —Example … with unique fittings that physically prevent the connection of a gas cylinder to the wrong hose —Example

46. Implementing a national strategy for patient safety: lessons from the National Health Service in England. | PSNet
    psnet.ahrq.gov/issue/implementing-national-strategy-patient-safety-lessons-national-health-service-england
    March 02, 2011 - Using the example of the National Health Service in England, this article highlights the importance of … January 3, 2017 Intentionally harmful violations and patient safety: the example of Harold

47. In Conversation with...Diane Rydrych, MA | PSNet
    psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
    February 26, 2025 - In either case, can you give an example of one? DR: It really depends on the case. … For example, we saw a case of suicide by hanging in an inpatient psychiatric facility and felt that the … For example, we had a safety alert about retained objects in labor and delivery, based on having seen … RW: A number of other states have taken your example and run with it. … For example, if you're going in for a heart procedure and you can find information on outcomes of patients

48. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45115/psn-pdf
    September 07, 2016 - national-survey-effect-oncology-drug-shortages-cancer-care https://psnet.ahrq.gov/issue/impact-drug-shortages-children-cancer-example-mechlorethamine … https://psnet.ahrq.gov/issue/impact-drug-shortages-children-cancer-example-mechlorethamine

49. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33604/psn-pdf
    December 15, 2024 - Safety action What is involved Example of impact Ensure access to medication Evaluate ability to pay … ://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events Safety action What is involved Example … For example, a cluster-randomized trial of pharmacist involvement in medication management planning

50. Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure. | PSNet
    psnet.ahrq.gov/issue/public-reporting-antibiotic-timing-patients-pneumonia-lessons-flawed-performance-measure
    May 08, 2017 - flawed performance measures, using time to first antibiotic dose (TFAD) in patients with pneumonia as an example … The authors conclude with a number of lessons learned from this case example, including the tension that

51. In Conversation With... David Gruen, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-david-gruen-md
    January 31, 2020 - For example, in breast imaging, is the technologist getting enough coverage of the pectoral muscle, the … DG: For the average clinical oncologist, for example, it is inconceivable that he or she can keep up … For example, in the breast and lung cancer world we are comparing our imaging results using AI to the … For example, we know that 30% of brain scans are normal and AI could identify that a neuroradiologist … Another example includes an insensitivity to potential impact.

52. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/857259/psn-pdf
    November 30, 2023 - The metaphorical example of an error occurring in a complex system is the Swiss Cheese Model. … For example, if a unit is poorly organized and important items are not stored in the usual or expected … One example is a hand-off, where one individual hands off a medication to another for administration … For example, standardized policies may require verification of a medication https://psnet.ahrq.gov// … For example, assessing data related to bar code overrides can identify areas of targeted improvement

53. Technology as a Tool for Improving Patient Safety | PSNet
    psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
    April 26, 2023 - For example, overburdened clinicians can experience alert fatigue and fail to respond to notifications … For example, if users are required to enter data in multiple places or prompted to enter data that are … For example, one study last year looked at using machine learning to improve and filter CDS alerts. … For example, a commonly used sepsis detection model was recently found to have very low sensitivity. … For example, when a scribe encounters a CDS alert, do they alert the clinician in all cases? 

54. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/852700/psn-pdf
    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 … One example is in our work to implement bundles of care, which we know is important, however if the … Medication error is another example.

55. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33738/psn-pdf
    December 01, 2012 - For example, design around medication errors. … For example, design for standardization, fatigue, and visibility. … For example, conduct a matrix exercise at the beginning of design and do mock-ups day one. … For example, develop common beliefs and implement Lean processes. … For example, you don't think about brushing your teeth, you just do it.

56. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/39123/psn-pdf
    April 30, 2014 - procedures, including near misses and errors in procedures performed outside the operating room (for example … attributed in part to poor communication that may not have been addressed by preoperative time-outs; for example

57. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33676/psn-pdf
    November 01, 2008 - For example, would intermittent catheterization, either done by a patient, a nurse, or a nursing aide … Other approaches would be using external-style catheters in men—for example, condom catheters, in which … For example, to prevent vascular catheter-related infections, the standard of care now would be that … An example would be what we found in our national survey: that a small but nontrivial percentage of … surgery, taking the wrong patient to have a procedure performed, and incompatibility of organs, for example

58. Medication Mix-Up Leads to Patient Death | PSNet
    psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
    July 08, 2022 - The metaphorical example of an error occurring in a complex system is the Swiss Cheese Model. … For example, if a unit is poorly organized and important items are not stored in the usual or expected … Recent experience with BCMA failures – an example of availability bias – might have contributed to staff … One example is a hand-off, where one individual hands off a medication to another for administration, … For example, assessing data related to bar code overrides can identify areas of targeted improvement

59. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60173/psn-pdf
    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, with regards to retained foreign bodies and wrong site surgeries, I remember thinking when … 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

60. Emergence of Application-based Healthcare | PSNet
    psnet.ahrq.gov/perspective/emergence-application-based-healthcare
    August 05, 2022 - That’s an example of a patient-facing app, meaning the user is the patient. … Another example is an iPhone, which has a health app already installed. … That’s just another useful example of a patient-facing application. … I’ll give you an example because I think this is a good one. Drs. … This is an example where we reengineered a system using app technology combined with wearables.