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Showing results for "example".

61. In Conversation With... Francoise Marvel, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-francoise-marvel-md
    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.

62. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50858/psn-pdf
    January 31, 2020 - For example, AI can review patient records to ensure that an imaging diagnosis is correlated with the … For example, with improvements in image analysis, systems may be used to autonomously triage patients … One example notes the potential for error resulting from discrepancies between the data used to train … Another example includes an insensitivity to potential impact.

63. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60168/psn-pdf
    March 25, 2020 - number was “drastically underreported”.1 Charting on Wrong Patient in EHR (COWPIE) is prevalent; for example … Foundation survey had found an error in their electronic health record documentation.4 In an extreme example … For example, documentation of an EKG showing atrial fibrillation in the wrong patient chart could result … For example, if a normal EKG is documented on a patient intended to receive an EKG for chest pain, it … For example, Levin et al. concluded that misidentified order entry was associated with the clinical

64. Incorrect surgical procedures within and outside of the operating room. | PSNet
    psnet.ahrq.gov/issue/incorrect-surgical-procedures-within-and-outside-operating-room
    November 21, 2011 - 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

65. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33760/psn-pdf
    February 01, 2014 - For example, you might have administered a medication to a patient and then been interrupted, but because … My classic example is driving to the shops on a Saturday morning, when the cellphone goes off. … Another variable is the interruption modality—is the interrupting task visual or auditory for example … An easy example is using a cash machine: you put your card in the machine and then pull the cash out … RW: How does teaching from that world inform the issue of alerts and notices; for example, that we're

66. In Conversation With... John G. Reiling, PhD | PSNet
    psnet.ahrq.gov/perspective/conversation-john-g-reiling-phd
    June 01, 2014 - 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.

67. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44882/psn-pdf
    July 18, 2016 - For example, in cases where shortages lead to the inability to provide the standard of care for some … national-survey-effect-oncology-drug-shortages-cancer-care https://psnet.ahrq.gov/issue/impact-drug-shortages-children-cancer-example-mechlorethamine

68. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37910/psn-pdf
    February 28, 2011 - 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

69. Situational Awareness | PSNet
    psnet.ahrq.gov/taxonomy/term/3440
    April 10, 2025 - a particular task (a difficult central line insertion or a particular medication to administer, for example

70. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49639/psn-pdf
    November 01, 2011 - For example, the Pennsylvania Patient Safety Reporting System collects more than 200,000 reports per … An example would be if a nurse were to pick up the wrong syringe and inject the patient with atropine … An example of this is the look-alike packaging of atropine and LMWH syringes. … For example, the nurse discharging the patient from the ED might have asked the patient to show her/ … One example is the charting of vital signs by anesthesiologists in the operating room.

71. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33643/psn-pdf
    December 01, 2006 - Let me give you an example. … Let me give you an example. I think executive walkrounds are a fantastic idea. … BS: As an aside, I would give the example of my wife's yoga instructor, who begins yoga sessions by … Let me give you another example along those lines. … Let's take bloodstream infections as an example.

72. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33625/psn-pdf
    January 01, 2006 - However, the health care system is more complex than aviation.(3) For example, more professionals are … Aviation reporting systems have been heralded as examples for health care.(4) For example, the Aviation … For example, investigators in our University of Texas Center for Patient Safety have collaborated with … For example, some providers see near misses as signs of system breakdowns, but others see near misses … For example, in aviation an important aspect of teamwork is giving junior team members the authority

73. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49599/psn-pdf
    February 23, 2010 - A powerful example of negative defensive medicine can be found in the field of neurosurgery where many … While prevalence varies in the literature, it is clear that defensive medicine is commonplace.(6) For example … For example, a study of defensive medicine published by the Massachusetts Medical Society in 2008 demonstrated … For example, one study demonstrated that obstetricians who practice in areas with high malpractice claim … For example, more than 48% of Massachusetts physicians surveyed in 2007 reported that they currently

74. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33848/psn-pdf
    December 01, 2017 - His root cause analysis (though the term was not used in health care at that time) is an example of … First, he is as hard on himself as on others, a nice example of personal accountability. … For example, take the question of when residents should be able to operate independently. … The resulting FIRST trial, discussed by Bilimoria in another recent PSNet interview, is a wonderful example … psnet.ahrq.gov//#ref9 https://psnet.ahrq.gov/primer/diagnostic-errors inappropriate operation is still an example

75. In Conversation with...J. Bryan Sexton, PhD, MA | PSNet
    psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
    December 01, 2006 - Let me give you an example. … Let me give you an example. I think executive walkrounds are a fantastic idea. … BS: As an aside, I would give the example of my wife's yoga instructor, who begins yoga sessions by … Let me give you another example along those lines. … Let's take bloodstream infections as an example.

76. Establishing a Safety Culture: Thinking Small | PSNet
    psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
    December 01, 2006 - For example, I believe that one cannot think about establishing a safety culture without understanding … Let me give you an example. … Let me give you an example. I think executive walkrounds are a fantastic idea. … Let me give you another example along those lines. … Let's take bloodstream infections as an example.

77. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33651/psn-pdf
    June 01, 2007 - 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 https://psnet.ahrq.gov/perspective/ … 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

78. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33816/psn-pdf
    October 01, 2016 - An example is the recent change in the Center for Disease Control and Prevention's surveillance definitions … Epics and Cerners of the world, are the relationships sufficiently well developed to move from an example … For example, we were completely misled by a false signal of an influenza outbreak that resulted from … time as people move from one IT system to another—if they aren't in a VA or in Kaiser Permanente for example … RW: As the patient safety field emerged, we looked to infection control as maybe the only example within

79. Near Miss with Bedside Medications | PSNet
    psnet.ahrq.gov/web-mm/near-miss-bedside-medications
    February 01, 2006 - For example, the Pennsylvania Patient Safety Reporting System collects more than 200,000 reports per … An example would be if a nurse were to pick up the wrong syringe and inject the patient with atropine … An example of this is the look-alike packaging of atropine and LMWH syringes. … For example, the nurse discharging the patient from the ED might have asked the patient to show her/him … One example is the charting of vital signs by anesthesiologists in the operating room.

80. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33669/psn-pdf
    May 01, 2018 - For example, physicians received an alert regarding a low potassium when prescribing a thiazide diuretic … For example, the most developed computerized physician order entry (CPOE) and electronic prescribing … For example, in preparing a medication CDSS for a large roll-out, one might undertake the following steps … As an example of suboptimal CDSS development, consider the history of drug–drug interaction alerts,