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psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
February 26, 2020 - At 2235H, the ED physician was contacted by the hospital’s on-call radiologist who reported seeing extensive … A surgical consultant deemed the patient to be inoperable and non-recoverable due to extensive bowel … Many patients who come to the ED do not need extensive workups and use few resources. … The case description concludes with the patient rapidly deteriorating after radiographic detection of extensive … If the surgeon were to encounter extensive necrosis or irreversible ischemia of the intestines, they
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psnet.ahrq.gov/issue/accountability-measures-using-measurement-promote-quality-improvement
January 23, 2012 - This tension between the need to improve care and knowing how to do it has generated extensive debate
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psnet.ahrq.gov/issue/excess-dosing-antiplatelet-and-antithrombin-agents-treatment-non-st-segment-elevation-acute
November 10, 2015 - Treatment of acute coronary syndromes (ACS) benefits from extensive research outlining evidence-based
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psnet.ahrq.gov/issue/speaking-extension-socio-cultural-dynamics-hospital-settings-study-staff-experiences-speaking
May 19, 2021 - Study
Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences of speaking up across seven hospitals.
Citation Text:
Pavithra A, Mannion R, Sunderland N, et al. Speaking up as an extension of socio-cultural dynamics in hospital settings: a…
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psnet.ahrq.gov/issue/unintended-effects-computerized-physician-order-entry-nearly-hard-stop-alert-prevent-drug
February 18, 2011 - However, extensive research has shown that clinicians ignore many warnings, especially those perceived
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psnet.ahrq.gov/issue/how-not-waste-crisis-qualitative-study-problem-definition-and-its-consequences-three
April 21, 2015 - This qualitative study included interviews, extensive ethnographic observation, and review of documents
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psnet.ahrq.gov/issue/routine-failures-process-blood-testing-and-communication-results-patients-primary-care-uk
November 20, 2015 - This underscores the persistence of test results management as a safety vulnerability despite extensive
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psnet.ahrq.gov/innovation/virtual-hospitalist-program-address-hospitals-challenges-start-covid-19-pandemic
October 30, 2024 - Resources Used and Skills Needed
The initiative requires teamwork and extensive coordination of care … Unfortunately, given the need to quickly implement solutions, the team did not collect extensive data … Resources Used and Skills Needed
The initiative requires teamwork and extensive coordination of care
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psnet.ahrq.gov/issue/using-video-assess-and-improve-patient-safety-during-simulated-and-actual-neonatal
July 29, 2020 - December 12, 2012
Mistaken identity of skin cleansing solution leading to extensive chemical
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psnet.ahrq.gov/issue/improved-safety-culture-and-teamwork-climate-are-associated-decreases-patient-harm-and
January 15, 2014 - patient safety and high reliability program that included numerous quality improvement activities and extensive
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psnet.ahrq.gov/issue/high-profile-investigations-hospital-safety-problems-england-did-not-prompt-patients-switch
July 11, 2012 - basis, most organizations fear high-profile cases that land on front pages of newspapers or lead to extensive
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psnet.ahrq.gov/issue/escalation-care-surgery-systematic-risk-assessment-prevent-avoidable-harm-hospitalized
December 17, 2014 - An extensive list of recommendations to improve these processes is included.
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psnet.ahrq.gov/issue/doctors-handovers-hospitals-literature-review
February 29, 2012 - 2012
The published literature on handoffs in hospitals: deficiencies identified in an extensive
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psnet.ahrq.gov/issue/implementation-evaluation-and-recommendations-extension-ahrq-common-formats-capture-patient
June 13, 2018 - Study
Implementation, evaluation, and recommendations for extension of AHRQ Common Formats to capture patient- and carepartner-generated safety data.
Citation Text:
Collins S, Couture B, Dykes PC, et al. Implementation, evaluation, and recommendations for extension of AHRQ Common Formats…
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psnet.ahrq.gov/node/38100/psn-pdf
July 02, 2009 - Surgical team behaviors and patient outcomes.
July 2, 2009
Mazzocco K, Petitti DB, Fong KT, et al. Surgical team behaviors and patient outcomes. Am J Surg.
2009;197(5):678-85. doi:10.1016/j.amjsurg.2008.03.002.
https://psnet.ahrq.gov/issue/surgical-team-behaviors-and-patient-outcomes
Direct observation of teamwork…
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psnet.ahrq.gov/node/36348/psn-pdf
March 09, 2009 - Reducing medical error in the Military Health System: how
can team training help?
March 9, 2009
Alonso A, Baker DP, Holtzman A, et al. Reducing medical error in the Military Health System: How can
team training help? Human Resource Management Review. 2006;16(3). doi:10.1016/j.hrmr.2006.05.006.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/36696/psn-pdf
July 10, 2008 - The impact of video games on training surgeons in the
21st century.
July 10, 2008
Rosser JC, Lynch PJ, Cuddihy L, et al. The impact of video games on training surgeons in the 21st century.
Arch Surg. 2007;142(2):181-6; discusssion 186.
https://psnet.ahrq.gov/issue/impact-video-games-training-surgeons-21st-centur…
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psnet.ahrq.gov/issue/effects-introduction-who-surgical-safety-checklist-hospital-mortality-cohort-study
April 24, 2018 - Despite the extensive publicity that checklists have received as a result of their central role in
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psnet.ahrq.gov/node/49664/psn-pdf
January 01, 2013 - The published literature on handoffs in hospitals: deficiencies identified in an
extensive review. … Defining a clear
leader and a
precise moment
for transfer of
responsibility
Extensive meetings at … into the
discussions
Threat & Error
Management
Reliability
established in safe
cultures through
extensive
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psnet.ahrq.gov/issue/compliance-technical-guidelines-radiotherapy-treatment-relation-patient-safety
December 10, 2014 - An extensive evaluation of safety culture in a radiotherapy institute.