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Showing results for "example".

461. Psn-Pdf (pdf file)
     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

462. Psn-Pdf (pdf file)
     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

463. Psn-Pdf (pdf file)
     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

464. Driving improvement in patient care: lessons from Toyota. | PSNet
     psnet.ahrq.gov/issue/driving-improvement-patient-care-lessons-toyota
     September 24, 2016 - September 24, 2010 Framing patient safety initiatives: working model and case example

465. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33759/psn-pdf
     October 01, 2012 - scope, and it has been successfully applied without complex technical or electronic resources.(4) For example … The field of diagnostic error and performance is another example of one of these emerging subject areas … One example of this linkage is demonstrated through the research program, "Proactive Risk Assessment … Further implementation of TeamSTEPPS in medical offices is underway and demonstrates another example

466. Crossed Coverage | PSNet
     psnet.ahrq.gov/web-mm/crossed-coverage
     September 01, 2015 - 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

467. Primary Workaround, Secondary Complication | PSNet
     psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
     January 24, 2018 - maintain the patency of a stoma in the absence of a replacement gastrojejunostomy (GJ) tube is one example … For example, the case study described using a Foley catheter to maintain patency of a stoma in the absence … supported by clinical guidelines ( 6 ) if the stoma tract is mature.( 7 ) This temporary measure, an example … For example, the use of a Foley catheter highlighted that a replacement GJ tube should always be available

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33712/psn-pdf
     June 01, 2011 - RW: Can you give us your favorite example or two from outside of health care? … universal law: automobile seat belts actually do reduce deaths and injuries, although the record of, for example … patient safety and health care issues, and it's one that also appears in many other safety contexts, for example … This seems to have been the case, for example, in the federal Minerals Management Service.

469. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33611/psn-pdf
     July 01, 2005 - For example, if an intern wrote a 10-fold overdose of medication, the observer was not generally in a … When they did catch something—for example, once one of the observers noticed an x-ray hanging backwards—they … For example, we noticed that sleep-deprived interns would often fail to do a very thorough history … For example, one patient was admitted with complete heart block, and it was not recognized that he had

470. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49470/psn-pdf
     December 01, 2004 - commonly include reactions typically associated with a medication's known pharmacologic activity; for example … For example, if a hospitalist fails to arrange appropriate follow-up for a patient with a solitary pulmonary … For example, in a recent audit of discharge summaries at our hospital, the median delay between patient … severity could be reduced if corrective measures were instituted earlier and more effectively).(6) An example

471. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps | PSNet
     psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
     April 24, 2018 - For example, if the sentinel lymph node was not correctly identified and instead a distant lymph node … A very well-known example, Atul Gawande’s “Checklist Manifesto” demonstrated a 19-item surgical safety … checklist reduced complications in high-income countries from 9.3% to 6.6%. 8 Another example from … One such example is breast cancer reconstruction, here procedures are completed in sequence not concurrently

472. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33652/psn-pdf
     June 01, 2007 - can be useful in providing facilities with opportunities for improvement.(7) New York, for example, … Pennsylvania, for example, distributes its quarterly Patient Safety Advisories electronically to an … Utah, for example, developed a Web site that enables users to query hospital discharge data for occurrences … Tufts Health Plan in Massachusetts, for example, uses publicly available state data to monitor opportunities

473. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49747/psn-pdf
     December 01, 2015 - For many reasons (as in this case example), hospitalized patients are often monitored using telemetry … For example, the resident and nurse could have checked the patient's full diagnostic standard 12-lead … One example would be to build in prompts for users. … For example, if the hospital default setting for high heart rate is set at 130, but a certain patient

474. Vial Mistakes Involving Heparin | PSNet
     psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
     May 11, 2014 - For example, the surgeon may recommend a dose in units/hr, with the anesthesiologist converting this … For example, orders for heparin are verbal, there is no pharmacist review, the heparin doses are prepared … Applying aviation principles of crew resource management to the OR is one example of an approach that … Example of similar-looking heparin vials.

475. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33851/psn-pdf
     January 01, 2017 - For certain diagnoses (for example, acute coronary syndrome), the risk of death was elevated during … However, patients with other diagnoses (for example, complications of cancer) continued to have elevated … Further studies that examine the weekend effect in specific settings of care—for example, comparing

476. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.84_slideshow.ppt
     December 01, 2004 - For example, if a hospitalist fails to arrange appropriate follow-up for a patient with a solitary pulmonary … corrective measures were instituted earlier and more effectively Note to author: please see below an example … of ameliorable event: An example is a patient who develops c. difficile diarrhea following discharge

477. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33850/psn-pdf
     January 01, 2018 - In a vivid example of copy and paste, once the diagnosis of pulmonary embolism was mistakenly given … For example, Epic's EHR can now identify the source of every character within a note, whether it is … For example, we should explore natural language processing and its potential role in helping providers

478. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49667/psn-pdf
     October 01, 2012 - For example, not being able to focus on the medication activity, being distracted by constant interruptions … high-alert medications are readily available as a reference source for clinicians.(3) IV phenytoin is an example … Although her persistence is laudable, it is probably also an example of anchoring bias.(8) When the

479. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33797/psn-pdf
     January 01, 2016 - For example, diagnoses can be completely missed (cancer missed despite alarming symptoms), wrong (patients … For example, the Department of Veterans Affairs has successfully implemented initiatives where researchers … For example, with further refinement, a single clinician could use the recently developed Safer Dx instrument

480. 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.)