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psnet.ahrq.gov/node/38639/psn-pdf
May 20, 2009 - This study provides an example of how traditional morbidity and mortality teaching conferences
may be
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psnet.ahrq.gov/node/41141/psn-pdf
February 15, 2013 - This thematic review uses the example of patients undergoing surgery to establish a framework for the
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psnet.ahrq.gov/web-mm/volume-too-low-and-out
July 01, 2017 - overarching domains: physical characteristics, developmental issues, and minor legal status issues.( 2 ) For example … A simple example can best illustrate this risk. … For example, standard fluid requirements for children are 4 mL/kg body weight/hour for the first 10 kg … considered younger than 1 year of age, oliguria (abnormally low urine output) is defined as 7) In our case example … The Figure shows an example of a pediatric early warning score card; a child is felt to be at risk if
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psnet.ahrq.gov/web-mm/thin-air
March 01, 2006 - arrangement that precludes doing the wrong thing, like the gas-specific non-interchangeable connector, is an example … For example, I recently asked for an E-cylinder of oxygen to transport a critically ill patient, and … For example, the anesthesia machine itself has flowmeters to control the flow of oxygen, nitrous oxide … For example, in another case I asked for an oxygen cylinder, and was brought a CO2 cylinder with a CO2 … The requirement for a two-person check of blood products before administration to the patient is an example
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psnet.ahrq.gov/node/33702/psn-pdf
November 01, 2010 - This led us, for example, to the pioneering work of Lisa Iezzoni and
colleagues, who developed a system … and found that when you look at the association of these indicators
with other hospital outcomes—for example … the data to go to
hospitals and say look, we saw that you reported five retained foreign bodies, for example … It's surprising sometimes how institutions can perform very well, for example, at
cardiac care, but … But we have to rethink the quality indicators to prepare for that world,
because for example, it will
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psnet.ahrq.gov/node/49684/psn-pdf
May 01, 2013 - Many versions of hybrid
systems can result, for example, in some hospitals all medication orders except … The Figure is an example
of an Ishikawa Diagram that identifies major categories that contributed to … For example, a synoptic chemotherapy treatment
plan has been advocated by the ASCO as a structured communication … For example, a hierarchical organizational structure that discourages
an employee from communicating … Example of an Ishikawa Diagram that identifies major categories that contributed to the failure in
this
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psnet.ahrq.gov/perspective/conversation-withpatrick-s-romano-md-mph
July 10, 2024 - This led us, for example, to the pioneering work of Lisa Iezzoni and colleagues, who developed a system … and found that when you look at the association of these indicators with other hospital outcomes—for example … the data to go to hospitals and say look, we saw that you reported five retained foreign bodies, for example … It's surprising sometimes how institutions can perform very well, for example, at cardiac care, but not … But we have to rethink the quality indicators to prepare for that world, because for example, it will
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psnet.ahrq.gov/node/866265/psn-pdf
July 31, 2024 - Example of Emergency Medication Kit
https://psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patient … Example Preparation Reference (Standard)
Figure 3. … Example Preparation Reference (Improved)
The Commentary
By Paul MacDowell, PharmD, BCPS, and Eloh McGee
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psnet.ahrq.gov/node/866841/psn-pdf
September 23, 2024 - For example, the coaches enroll
the community health workers in the clinic champion’s preference list … Smaller organizations, for example, may not need to hire
coaches for staff education if the standardized … For
example, to avoid overburdening providers and to sustain the innovation, UNC Health only required
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
January 31, 2024 - For example, research in pediatric settings has indicated that the contribution of individual clinician … For example, an individual-level factor such as being rushed or taking shortcuts in making a diagnosis … An example of the interplay between factors was evident in research showing patients with limited English-language … One example is a CDS tool for pulmonary embolism that was created by incorporating a human factors
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psnet.ahrq.gov/perspective/patient-safety-primary-care
January 31, 2020 - Another example is increasing the use of shared decision-making and increased patient engagement with … For example, one AHRQ toolkit is designed specifically to standardize primary care laboratory testing … For example, careful manual clinician follow-up and monitoring of specialist referrals to ensure they
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psnet.ahrq.gov/node/50927/psn-pdf
February 21, 2020 - Another example is increasing the use of shared decision-making and increased patient engagement with … For example,
one AHRQ toolkit is designed specifically to standardize primary care laboratory testing … For example, careful manual clinician follow-up and monitoring of specialist
referrals to ensure they
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psnet.ahrq.gov/node/33826/psn-pdf
February 01, 2017 - In
new product development, for example, you need an engineering perspective, a marketing perspective … Perhaps this is a bad example, but think about
Starbucks. … Most people recognize that everything they
do—online for example—is essentially living online forever … Are you seeing example of teams interacting in new
ways?
AE: Yes. … So this was an example of a small intervention that made a substantial
difference.
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psnet.ahrq.gov/node/33867/psn-pdf
October 01, 2018 - MC: I think computer processing can help, because with refills, for example, you don't have to look through … For example, the Journal of the American
Pharmacists Association has an ISMP column. … For example, we had a surge in mix-ups between lamotrigine and labetalol. … For example, safety culture. Remember the Eric Cropp case? … For example, if your patient has diabetes it
gives you a list of drugs that would be appropriate for
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psnet.ahrq.gov/node/49439/psn-pdf
March 01, 2004 - encounter, particularly across the technical and decision-making
dimensions of communication.(6) For example … For example,
phrasing the request as—"Can you show me how you're going to do this when you get home? … For example, a growing body of evidence suggests that visual forms of communication
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/43782/psn-pdf
September 28, 2016 - For example, smartphones are
associated with decreased transmission time compared to pagers, but they
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psnet.ahrq.gov/node/45238/psn-pdf
September 29, 2017 - Although many studies show that trainees commit professionalism
violations fairly regularly—for example
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psnet.ahrq.gov/node/42299/psn-pdf
November 09, 2015 - For
example, nurses generally had a lower perception of safety climate than physicians.
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psnet.ahrq.gov/node/43378/psn-pdf
August 14, 2014 - For example, only 1% of studies were
conducted at community hospitals, and only 11% were in ambulatory
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psnet.ahrq.gov/node/45277/psn-pdf
July 01, 2017 - cultural-transformation-after-implementation-crew-resource-management-it-
really-possible
Crew resource management (CRM), a type of team training, is a prime example