Results

Total Results: 1,919 records

Showing results for "finally".

101. Bad Writing, Wrong Medication | PSNet
     psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
     March 01, 2015 - Finally, community pharmacy computer systems are seldom linked to EMRs and CPOE systems. … Finally, we do not know if the patient was offered counseling for the "new" medication. … Finally, if communication or environmental issues were implicated, these should be addressed.

102. Near Miss with Bedside Medications | PSNet
     psnet.ahrq.gov/web-mm/near-miss-bedside-medications
     February 01, 2006 - Finally, studying close calls makes it possible to identify recovery strategies in situ . … Finally, the pharmacy was tasked with adding a warning label to injectable cardioactive medications. … Finally, at a future point in time, the implementation must be evaluated.

103. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846564/psn-pdf
     March 29, 2023 - Finally, an algorithm to detect patients in need of follow-up after test results was developed and implemented … Finally, one study developed a dashboard to display various risk factors for multiple hospital-acquired … .19 AHRQ is already leading efforts in this field with their CDS Innovation Collaborative project.20 Finally

104. Technology as a Tool for Improving Patient Safety | PSNet
     psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
     April 26, 2023 - Finally, an algorithm to detect patients in need of follow-up after test results was developed and implemented … Finally, one study developed a dashboard to display various risk factors for multiple hospital-acquired … AHRQ is already leading efforts in this field with their CDS Innovation Collaborative project. 20 Finally

105. Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner | PSNet
     psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
     February 26, 2025 - Finally, the NAPA PSO workgroup created a 15-minute training video to teach the Anesthesia Risk Alert … Finally, educate staff on the risk groups and the interventions.

106. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33812/psn-pdf
     August 01, 2016 - Finally, the potential for undertaking education campaigns that reach our dentists is limited due to … Finally, I believe that the only way to achieve these goals is for prestigious institutions to accredit

107. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49577/psn-pdf
     January 01, 2009 - Finally, was the presence of the pump recognized and addressed intraoperatively? … nursing and quality managers, and were subjected to repeated cycles of review and revisions until finally

108. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841566/psn-pdf
     December 14, 2022 - Finally, care and information must be delivered to individuals in a manner that is understandable in … Finally, as noted earlier, we are seeking more safety measures that are patient reported or patient … Finally, there are likely improvements in safety that can be gained from creative technology and scientific … Finally, as I noted earlier, we need to simplify and harmonize measures.

109. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73229/psn-pdf
     May 26, 2021 - Finally, dosing in mcg/min (e.g. 0.5 - 30 mcg/min) mitigates the risk of decimal point errors associated … Reduce Distractions and Utilize Comprehensive Closed-loop Communication Finally, there was a breakdown

110. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50612/psn-pdf
     October 30, 2019 - When the intern asked the nurse to page them, the rapid response team finally arrived. … Finally, there must be structural changes that promote team engagement.

111. In Conversation With… John D. Birkmeyer, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
     January 31, 2024 - Then finally we looked at whether there were aspects of technique that could explain why some surgeons … Finally, surgeons were surprised not that skill mattered but at the magnitude of the association between … Finally, I think that the research community will make strides in figuring out the best, most scalable

112. Anesthesia: A Weighty Issue | PSNet
     psnet.ahrq.gov/web-mm/anesthesia-weighty-issue
     September 01, 2006 - post-anesthesia care unit [PACU]) for 3 hours after last narcotic dose to evaluate for potential sedation, and finally … results in good patient satisfaction and decreased patient-controlled analgesia narcotics use.( 5 ) Finally

113. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33689/psn-pdf
     October 01, 2009 - Millenson, who observed (11): It was the mirror held up to the profession by news media coverage that finally … In the case of medical errors, public scandal and the concomitant fear of public shaming finally broke

114. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49614/psn-pdf
     November 01, 2010 - Defense 4: A New Attitude and Culture With EHRs, we can finally find the information that we are looking … And finally, https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references https://psnet.ahrq.gov

115. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49622/psn-pdf
     March 01, 2011 - Luckily, the error was recognized when the patient finally saw his PCP. … case, the lack of feedback was risky and the evidence is that it was not caught until the patient finally

116. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33630/psn-pdf
     March 01, 2006 - Finally, class-based teaching is easy to schedule as part of the staff orientation process, as it does … Finally, encouragement and feedback, especially from leadership, are essential to the implementation

117. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49572/psn-pdf
     October 01, 2008 - patient grew increasingly uncomfortable with the conversation, the patient in the neighboring bed finally … Finally, awareness of language barriers should alert providers of the need for an increased focus on

118. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49739/psn-pdf
     August 21, 2015 - length of stay (6,7), though this remains controversial and cannot be considered standard of care.(8,9) Finally … Finally, laryngotracheal stenosis occurs in approximately 1.7% of patients following tracheostomy, though

119. DNR in the OR and Afterwards | PSNet
     psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
     July 01, 2003 - Finally, as institutions create policies and procedures to ensure high quality “handoffs,” the patient … Finally, hospitals should consider back-up systems for essential but difficult parts of a critical pathway

120. A Little Shuteye | PSNet
     psnet.ahrq.gov/web-mm/little-shuteye
     December 22, 2018 - product, the indications and contraindications, potential complications and how to deal with them, and finally … Finally, the policy should ensure that a system is in place to monitor these new technologies for adverse