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Showing results for "features".
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241. DEEP SCOPE: a framework for safe healthcare design. | PSNet
     psnet.ahrq.gov/issue/deep-scope-framework-safe-healthcare-design
     August 18, 2021 - Informed  environmental features , such as the built environment , can improve safety outcomes.

242. COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare workforce and system in Canada. | PSNet
     psnet.ahrq.gov/issue/covid-19-pandemic-preparation-using-simulation-systems-based-learning-prepare-largest
     August 19, 2020 - The authors discuss the unique features and advantages of a centralized simulation response and key themes

243. Quality measures for patients at risk of adverse outcomes in the Veterans Health Administration: expert panel recommendations. | PSNet
     psnet.ahrq.gov/issue/quality-measures-patients-risk-adverse-outcomes-veterans-health-administration-expert-panel
     June 22, 2022 - The expert panel proposed three categories (assessment, management, features of healthcare), 15 domains

244. Workarounds in electronic health record systems and the revised Sociotechnical Electronic Health Record Workaround Analysis Framework: scoping review. | PSNet
     psnet.ahrq.gov/issue/workarounds-electronic-health-record-systems-and-revised-sociotechnical-electronic-health
     October 05, 2022 - Electronic health record (EHR) workarounds arise when users bypass safety features to increase efficiency

245. Exploring the causes of COPD misdiagnosis in primary care: a mixed methods study. | PSNet
     psnet.ahrq.gov/issue/exploring-causes-copd-misdiagnosis-primary-care-mixed-methods-study
     September 23, 2020 - This mixed methods study examined the prevalence and features of patients misdiagnosed with chronic obstructive

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38778/psn-pdf
     March 04, 2011 - However, the authors caution that the specific design features that likely contributed to making a given

247. Analysis of paediatric long-term ventilation incidents in the community | PSNet
     psnet.ahrq.gov/issue/analysis-paediatric-long-term-ventilation-incidents-community
     November 06, 2024 - involved the patients, staff performance, family caregivers, equipment, organizational, and environmental features

248. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33778/psn-pdf
     March 01, 2015 - One study in 2014 looked at the effect on diagnostic performance of distracting salient clinical features—findings … Significantly more diagnostic errors occurred with salient distracting features, especially for complex … https://psnet.ahrq.gov/issue/why-do-doctors-make-mistakes-study-role-salient-distracting-clinical-features

249. Maximizing smart pump technology to enhance patient safety. | PSNet
     psnet.ahrq.gov/issue/maximizing-smart-pump-technology-enhance-patient-safety
     April 25, 2018 - However, users may engage in workarounds that bypass the safety features of the equipment.

250. Latest Results From the "FIRST" Trial. | PSNet
     psnet.ahrq.gov/issue/latest-results-first-trial
     October 29, 2017 - This special issue features studies exploring effects of the initial trial including perceptions on the

251. Rapid response teams: what's the latest? | PSNet
     psnet.ahrq.gov/issue/rapid-response-teams-whats-latest
     December 12, 2012 - This commentary discusses key features of a rapid response team, nurse responsibilities as team members

252. The Submit a Case Process | PSNet
     psnet.ahrq.gov/submit-case
     November 03, 2025 - The Submit a Case Process PSNet’s Submit a Case feature allows health care professionals to submit de-identified cases that feature patient safety and health care quality issues to PSNet’s WebM&M educational journal. Watch the video below to learn more about the Submit a Case process. Submit Your Case   …

253. A Seasonal Care Transition Failure | PSNet
     psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
     June 01, 2016 - year-end handoffs resemble other types of handoffs in many regards, there are important distinguishing features … Given these features, the academic year-end transfer poses significant patient safety risks as well as … Studies have drawn on the existing handoff literature to propose features of a safe year-end transfer … The academic year-end transfer of outpatients has a number of unique features compared with traditional

254. Departure From Central Line Ritual | PSNet
     psnet.ahrq.gov/web-mm/departure-central-line-ritual
     October 13, 2018 - a never event.( 9 ) The literature also recommends stocking and using a single CVC kit with safety features … accompany emergency department CVC insertion: a checklist and/or an order set with assistive documentation features … Promote added safety features into CVC designs that both offer visual prompts (colored guidewires) or … Pre-Event Training Experience ED workload Standardized CVC Kit Safety features

255. Pathologic Mistake | PSNet
     psnet.ahrq.gov/web-mm/pathologic-mistake
     February 15, 2010 - The review reported reactive lymph nodes with hyalinization but no other features of Castleman, and normal … Castleman's disease—hyaline vascular type—clinical, cytological and histological features with review … Hodgkin's disease with coexistent Castleman-like histologic features. A report of three cases. … B-cell lymphoma with hyaline vascular Castleman disease-like features: a clinicopathologic study.

256. Implementation of a health information technology safety classification system in the Veterans Health Administration's Informatics Patient Safety Office. | PSNet
     psnet.ahrq.gov/issue/implementation-health-information-technology-safety-classification-system-veterans-health
     August 04, 2021 - into one of five types: HIT failures, unmet user needs, external system interactions, absence of HIT features

257. A multidisciplinary approach to reduce central line-associated bloodstream infections. | PSNet
     psnet.ahrq.gov/issue/multidisciplinary-approach-reduce-central-line-associated-bloodstream-infections
     November 16, 2022 - Stakeholder buy-in and culture change are specifically highlighted as important features.

258. ACR Recommendations for the use of Chest Radiography and Computed Tomography (CT) for Suspected COVID-19 Infection. | PSNet
     psnet.ahrq.gov/issue/acr-recommendations-use-chest-radiography-and-computed-tomography-ct-suspected-covid-19
     August 14, 2019 - shown that the sensitivity of chest CT is only 67-93% among patients with viral pneumonia and imaging features

259. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.200_slideshow.ppt
     May 01, 2009 - Confusion Assessment Method Diagnosis of delirium requires features 1 and 2, and either 3 or 4 See

260. Quality, Value, and Patient Safety in Orthopedic Surgery. | PSNet
     psnet.ahrq.gov/issue/quality-value-and-patient-safety-orthopedic-surgery
     April 21, 2021 - intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features