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Showing results for "examples".

181. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34660/psn-pdf
     December 24, 2008 - Using examples from different industries and companies, including Xerox and GE, the author states that

182. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46976/psn-pdf
     June 25, 2018 - The authors judged these examples of overuse to have significant potential for harming patients.

183. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35966/psn-pdf
     January 02, 2017 - The authors discuss their multifaceted approach, present examples of the changes that resulted, and

184. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860015/psn-pdf
     September 01, 2024 - Examples include ingested batteries, dentures, safety pins, screws and other sharp objects, inserted … The table below provides detailed examples from each group. … Examples include, but are not limited to clamps, needle holders, multi-component retractors, malleable … Examples include a piece of a drill bit, a broken tip or part of an instrument, a broken part of a catheter

185. Strategies and Approaches for Investigating Patient Safety Events | PSNet
     psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
     March 15, 2025 - Examples of incident reporting systems used as part of larger efforts to improve patient safety have … Examples where RCA have been used to improve patient safety as part of larger organizational efforts … Examples of use of FMEA to improve patient safety have included transformations in medication delivery

186. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34951/psn-pdf
     February 28, 2011 - Examples from health care settings are included as well as discussion of case studies previously published

187. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42627/psn-pdf
     October 02, 2013 - how-much-diagnostic-safety-can-we-afford-and-how-should-we-decide-health- economics This commentary uses case examples

188. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44479/psn-pdf
     September 09, 2015 - health-literacy-and-patient-safety-help-patients-understand-manual-clinicians-2nd-ed https://psnet.ahrq.gov/issue/health-literacy-practices-primary-care-settings-examples-field

189. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39521/psn-pdf
     May 12, 2010 - discusses several cases of errors and near misses due to incorrect dosing of epinephrine and gives examples

190. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43186/psn-pdf
     May 19, 2014 - The authors include examples of how checklists can improve adoption of best practices and discuss the

191. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46564/psn-pdf
     December 06, 2017 - /can-aviation-industry-be-useful-teaching-oncology-about-safety Aviation safety provides goals and examples

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44858/psn-pdf
     February 10, 2016 - This study includes detailed examples and analyses of these errors, providing useful insights into lapses

193. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43997/psn-pdf
     August 02, 2015 - The authors use ophthalmologic examples to illustrate the elements of a systematic approach to root cause

194. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34661/psn-pdf
     March 07, 2005 - Using examples from the business consulting world, Argyris describes the tendency for highly successful

195. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34100/psn-pdf
     February 09, 2011 - Examples of the reported differences in care quality included absence of accurately recorded vital signs

196. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47126/psn-pdf
     May 16, 2018 - This commentary provides two examples of adverse results that stem from problems with clinical decision

197. Right Patient, Wrong Sample | PSNet
     psnet.ahrq.gov/web-mm/right-patient-wrong-sample
     June 01, 2004 - Examples of ongoing Q tracks programs include monitoring errors in patient wristbands, blood culture … Some de-identified examples of laboratory errors associated with patient harm are described in Table … Interventions Table 3 provides specific examples to illustrate “intermediate” and “strong” interventions … Examples of Patient Harm Associated with Laboratory Errors Error identifying an organism … A List of Intermediate and Strong Interventions with Specific Examples Related to Clinical Laboratory

198. Learning Health Systems | PSNet
     psnet.ahrq.gov/issue/learning-health-systems
     December 24, 2008 - This website shares projects, articles, and implementation examples to enhance adoption of the organizational

199. Improving the safety of telephone or verbal orders. | PSNet
     psnet.ahrq.gov/issue/improving-safety-telephone-or-verbal-orders
     March 18, 2010 - This article shares several examples of errors made while verbally communicating medication orders and

200. After a medical error, patients could become hospital insiders. | PSNet
     psnet.ahrq.gov/issue/after-medical-error-patients-could-become-hospital-insiders
     October 01, 2014 - Highlighting examples of patients who have experienced errors partnering in safety efforts, this news