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psnet.ahrq.gov/issue/hemolyzed-physical-examination-situational-challenges-accurate-bedside-diagnosis
May 31, 2023 - December 21, 2018
Defensive medicine: it is time to finally slow down an epidemic.
-
psnet.ahrq.gov/node/34775/psn-pdf
February 07, 2019 - Finally, Berwick proposes three
design elements in creating a radically different and much improved
-
psnet.ahrq.gov/node/49578/psn-pdf
January 01, 2009 - And finally, an EMR is not always the complete solution, since
alerts can be voluntarily overridden … Finally, and most importantly, prior to her next cycle of methotrexate in
the ambulatory oncology clinic … Finally, pharmacist review of all medication orders should be required for
potential interactions and
-
psnet.ahrq.gov/node/37462/psn-pdf
January 06, 2017 - Finally, a series of
preventive strategies are offered to reduce code-related medication errors, including
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psnet.ahrq.gov/issue/patient-safety-achieving-new-standard-care
January 04, 2009 - Finally, the committee recommends the development of a common system for reporting adverse events.
-
psnet.ahrq.gov/issue/hospitalization-hell-patients-perspective-quality
July 19, 2023 - checking in at the hospital, to waiting in recovery for a floor bed, to being cared for on the floor, and, finally
-
psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events
November 19, 2014 - Finally, the comprehensive report offers several appendices that include recommendations and a case study
-
psnet.ahrq.gov/node/49745/psn-pdf
October 01, 2015 - Finally, the nurse administering the infusion
(given during shift change) did not recognize that the … Finally, nursing could have caught the error prior to
administration if smart pumps with dose-related … selection, dose, and duration have demonstrated a significant reduction in inappropriate
prescribing.(7)
Finally
-
psnet.ahrq.gov/node/33687/psn-pdf
August 01, 2009 - Finally, some individuals develop workarounds that
are superior to existing procedures. … excessively large doses of medications
rather than contacting the pharmacist or the physician.(13) Finally … (9) Finally, successful organizations
harness latent problem-solving power at the bottom of the organizational
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psnet.ahrq.gov/node/836939/psn-pdf
April 27, 2022 - Finally, the virtual hospitalists provided training and support to new hospitalists and redeployed non … Finally, they said that it is crucial to begin to explain the initiative and its purpose to other
providers … Finally, obtaining leadership buy-in is crucial.
-
psnet.ahrq.gov/issue/patient-safety-front-and-center
November 20, 2024 - October 12, 2011
Are we finally getting serious about medical errors?
-
psnet.ahrq.gov/web-mm/hospital-admission-due-high-dose-methotrexate-drug-interaction
October 01, 2003 - And finally, an EMR is not always the complete solution, since alerts can be voluntarily overridden by … Finally, and most importantly, prior to her next cycle of methotrexate in the ambulatory oncology clinic … Finally, pharmacist review of all medication orders should be required for potential interactions and
-
psnet.ahrq.gov/node/49518/psn-pdf
August 01, 2006 - Finally, we may offer urgent
treatments with triptans for acute migraine, albuterol for asthma, epinephrine … Dispensing then requires multiple checks before the drugs are finally delivered to the unit. … Finally, the practice probably lacked
policies for the use of high-hazard drugs such as insulin, such
-
psnet.ahrq.gov/node/49507/psn-pdf
April 01, 2006 - Once pericardiocentesis was finally
performed, the child immediately improved and more than 200 cc of … Finally, the lessons of experience are communicated through a dense oral
culture—inexperienced workers … Finally, there needs to be intolerance from organizational leaders
of the behaviors that characterizes
-
psnet.ahrq.gov/issue/incidence-duration-and-risk-factors-associated-delayed-and-missed-diagnostic-opportunities
May 19, 2021 - of patients experienced at least one missed opportunity for a diagnosis in the year before they were finally
-
psnet.ahrq.gov/issue/studying-patient-safety-health-care-organizations-accentuate-qualitative
January 18, 2011 - Finally, a series of action steps are given for organizations to implement qualitative methods into their
-
psnet.ahrq.gov/issue/promoting-health-care-safety-through-training-high-reliability-teams
January 06, 2018 - Finally, the authors provide mechanisms by which health care teams can achieve high-reliability status
-
psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations
January 30, 2019 - Finally, large-scale systems need to maintain strong safety cultures and norms that reinforce common
-
psnet.ahrq.gov/issue/escape-fire-lessons-future-health-care
July 05, 2008 - Finally, Berwick proposes three design elements in creating a radically different and much improved health
-
psnet.ahrq.gov/issue/computer-physician-order-entry-benefits-costs-and-issues
May 27, 2011 - Finally, the authors recommend considering a series of issues, which they enumerate, before organizations