-
psnet.ahrq.gov/node/34112/psn-pdf
February 09, 2011 - For example, infection due to medical care resulted in more than 9.5 extra hospital days, nearly $40,000
-
psnet.ahrq.gov/node/37530/psn-pdf
December 15, 2008 - do-medical-inpatients-who-report-poor-service-quality-experience-more-
adverse-events-and
Prior research has demonstrated that problems with service quality—for example
-
psnet.ahrq.gov/node/37687/psn-pdf
February 22, 2011 - involves patients engaging in self-management activities outside of
discrete clinical encounters—for example
-
psnet.ahrq.gov/node/39122/psn-pdf
January 03, 2017 - For
example, one focus was on minimizing interruptions during medication administration, as frequent
-
psnet.ahrq.gov/node/38673/psn-pdf
April 30, 2014 - systems thinking in analyzing and improving safety and cites the seminal Keystone ICU study as an
example
-
psnet.ahrq.gov/node/41325/psn-pdf
October 06, 2016 - For example,
essential operating room equipment was unavailable in up to 37% of cases at one hospital
-
psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
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
-
psnet.ahrq.gov/node/42230/psn-pdf
October 06, 2016 - The study
provides a useful example of how quality improvement techniques originally developed in other
-
psnet.ahrq.gov/node/43533/psn-pdf
August 28, 2017 - While the technology
itself necessitated workarounds at times (for example, if the drug to be infused
-
psnet.ahrq.gov/node/37345/psn-pdf
May 26, 2011 - This study
represents a good example of such evaluation, as the authors point out necessary system modifications
-
psnet.ahrq.gov/node/45731/psn-pdf
September 29, 2017 - For example, in the case of
breast cancer, screening may detect lesions that are not clinically significant
-
psnet.ahrq.gov/node/42154/psn-pdf
January 07, 2015 - For example, several instances of copying and pasting clinical
information from note to note were observed
-
psnet.ahrq.gov/node/43064/psn-pdf
January 01, 2015 - that
improvement initiatives themselves may not be sufficient to prevent adverse safety outcomes; for example
-
psnet.ahrq.gov/node/41816/psn-pdf
September 26, 2016 - This study
provides an excellent example of how human factors principles can be used to improve the
-
psnet.ahrq.gov/node/40852/psn-pdf
January 19, 2012 - The study provides an excellent example of the role of context in
implementation and ongoing oversight
-
psnet.ahrq.gov/node/43697/psn-pdf
March 26, 2015 - For example,
many institutions have still not followed best practices for the administration of vincristine
-
psnet.ahrq.gov/node/848107/psn-pdf
April 26, 2023 - 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 … One example is a CDS tool for pulmonary embolism that was created
by incorporating a human factors approach
-
psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement
March 10, 2021 - For example, the Agency for Healthcare Research and Quality (AHRQ) has developed resources to support … For example, the different iterations of the AHRQ Consumer Assessment of Healthcare Providers and Systems … For example, in an authentic relationship patient partners would be engaged in planning the design of … A good example is readmissions. … New telehealth systems are a perfect example of where those open-ended conversations are so helpful.
-
psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon-0
October 24, 2021 - MC : I think computer processing can help, because with refills, for example, you don't have to look … 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
-
psnet.ahrq.gov/node/73906/psn-pdf
October 06, 2021 - But
that's an example of where the system is clearly not designed to provide equitable care. … For
example, systematically examining the process of care from the patient’s entry point into the hospital … AS: I have a great example of this from the NICU. … Another example is from work that
Kristin led, around looking at the design of the bassinets that are … Like with that example and pain control or
the language piece, it's really fixing that core issue around