Results

Total Results: 2,881 records

Showing results for "examples".

261. Building a case for medication reconciliation. | PSNet
     psnet.ahrq.gov/issue/building-case-medication-reconciliation
     June 10, 2018 - This article presents examples of medication errors caused by failed communication, briefly reviews the

262. Paralyzed by mistakes: preventing errors with neuromuscular blocking agents. | PSNet
     psnet.ahrq.gov/issue/paralyzed-mistakes-preventing-errors-neuromuscular-blocking-agents
     June 10, 2018 - This article provides examples of incidents involving neuromuscular blocking agents and lists recommendations

263. Oral syringes: a crucial and economical risk-reduction strategy that has not been fully utilized. | PSNet
     psnet.ahrq.gov/issue/oral-syringes-crucial-and-economical-risk-reduction-strategy-has-not-been-fully-utilized
     June 10, 2018 - This article describes examples of mistaken administration of oral/enteral liquids through parenteral

264. Operating at the sharp end: the complexity of human error. | PSNet
     psnet.ahrq.gov/issue/operating-sharp-end-complexity-human-error
     March 27, 2005 - Many of the examples are from anesthesiology, but the conclusions can be applied broadly throughout health

265. DTaP–Tdap mix-ups now affecting hundreds of patients. | PSNet
     psnet.ahrq.gov/issue/dtap-tdap-mix-ups-now-affecting-hundreds-patients
     June 10, 2018 - This piece reports on examples of confusion between adult and pediatric immunizations and states that

266. Achieving Safe and Reliable Healthcare: Strategies and Solutions. | PSNet
     psnet.ahrq.gov/issue/achieving-safe-and-reliable-healthcare-strategies-and-solutions
     February 25, 2013 - The authors provide examples of tools and methods used to achieve a culture of safety in health care

267. Patient safety laboratories: states pave the way for a national effort. | PSNet
     psnet.ahrq.gov/issue/patient-safety-laboratories-states-pave-way-national-effort
     April 03, 2005 - Stories of their successful efforts provide effective examples for national initiatives.

268. Patient-Centered Care: What Does It Take? | PSNet
     psnet.ahrq.gov/issue/patient-centered-care-what-does-it-take
     March 16, 2016 - The author provides case examples that illustrate successful implementation of these elements.

269. Structural racism and health inequities in the USA: evidence and interventions. | PSNet
     psnet.ahrq.gov/issue/structural-racism-and-health-inequities-usa-evidence-and-interventions
     December 17, 2020 - segregation, healthcare quality and access, discriminatory incarceration) and provides intersectoral examples

270. Anti-black racism as a chronic condition. | PSNet
     psnet.ahrq.gov/issue/anti-black-racism-chronic-condition
     December 17, 2020 - commentary discusses the relationship between medical ethics and racism in healthcare institutions, using examples

271. Making the business case for quality and safety. | PSNet
     psnet.ahrq.gov/issue/making-business-case-quality-and-safety
     January 19, 2022 - to establishing the business case for safety through the use of telehealth case-based vignettes as examples

272. 2017 update on pediatric medical overuse: a review. | PSNet
     psnet.ahrq.gov/issue/2017-update-pediatric-medical-overuse-review
     March 04, 2020 - The authors judged these examples of overuse to have significant potential for harming patients.

273. Diagnostic challenges in primary care: identifying and avoiding cognitive bias. | PSNet
     psnet.ahrq.gov/issue/diagnostic-challenges-primary-care-identifying-and-avoiding-cognitive-bias
     November 03, 2021 - The authors apply these common types of errors and biases in four case examples and discuss how to mitigate

274. The practice of medicine: understanding diagnostic error. | PSNet
     psnet.ahrq.gov/issue/practice-medicine-understanding-diagnostic-error
     July 22, 2020 - The authors present several clinical examples of diagnostic error and discuss strategies to avoid future

275. Scandal as a sentinel event—recognizing hidden cost–quality trade-offs. | PSNet
     psnet.ahrq.gov/issue/scandal-sentinel-event-recognizing-hidden-cost-quality-trade-offs
     November 04, 2020 - Staffordshire NHS Foundation Trust inquiry and the Veterans Affairs health system investigation as examples

276. Methods to increase reliability in quality improvement projects. | PSNet
     psnet.ahrq.gov/issue/methods-increase-reliability-quality-improvement-projects
     October 20, 2021 - Case examples from children's hospitals are used to illustrate the levels.

277. Restorative just culture: an exploration of the enabling conditions for successful implementation. | PSNet
     psnet.ahrq.gov/issue/restorative-just-culture-exploration-enabling-conditions-successful-implementation
     February 08, 2023 - Through healthcare and non-healthcare examples, this study aims to identify conditions that influence

278. How much diagnostic safety can we afford, and how should we decide? A health economics perspective. | PSNet
     psnet.ahrq.gov/issue/how-much-diagnostic-safety-can-we-afford-and-how-should-we-decide-health-economics
     March 24, 2021 - This commentary uses case examples to demonstrate how economic analysis may help inform efforts to

279. Checklists to reduce diagnostic errors. | PSNet
     psnet.ahrq.gov/issue/checklists-reduce-diagnostic-errors
     September 18, 2024 - Specific examples of checklists are provided with a discussion of future directions to study their adoption

280. Handoffs and Handovers | PSNet
     psnet.ahrq.gov/glossary/handoffs-and-handovers
     September 13, 2021 - Typical examples involve a physician who has been on call overnight telling an incoming physician about