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Total Results: 2,002 records

Showing results for "finally".

41. Psn-Pdf (pdf file)
    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

42. Incidence, duration and risk factors associated with delayed and missed diagnostic opportunities related to tuberculosis: a population-based longitudinal study. | PSNet
    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

43. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33800/psn-pdf
    January 01, 2015 - Finally, evidence from a multicenter outpatient study did not find a change in the rate of preventable … Finally, the authors noted the failure to systematically identify, track, and learn from CPOE errors

44. Physician engagement in malpractice risk reduction: a UPHS case study. | PSNet
    psnet.ahrq.gov/issue/physician-engagement-malpractice-risk-reduction-uphs-case-study
    June 02, 2019 - August 3, 2022 Defensive medicine: it is time to finally slow down an epidemic.

45. Unexpected hypoglycemia in a critically ill patient. | PSNet
    psnet.ahrq.gov/issue/unexpected-hypoglycemia-critically-ill-patient
    July 25, 2018 - Finally, a comment about the institution's response to the event is presented to illustrate the importance

46. Strengthening the core. Middle managers play a vital role in improving safety. | PSNet
    psnet.ahrq.gov/issue/strengthening-core-middle-managers-play-vital-role-improving-safety
    April 25, 2016 - May 18, 2012 Are we finally getting serious about medical errors?

47. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49499/psn-pdf
    December 02, 2020 - seven different physicians evaluated a patient over the course of a month before the last provider finally … Finally, clinics should consider developing measurements of resident performance in clinic.

48. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73650/psn-pdf
    August 25, 2021 - population, it is not unusual for women to be misdiagnosed for many years as having asthma prior to finally … rate of recurrence, a pneumothorax in a patient with LAM needs to be managed with pleurodesis, as finally … Finally, clinicians should understand the principles of diagnostic uncertainty as they apply to patients

49. Is the "Surgical Personality" a Threat to Patient Safety? | PSNet
    psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
    February 24, 2021 - 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

50. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49863/psn-pdf
    May 01, 2019 - Finally, through her use of the CUS expression and clear articulation of her concerns, she obtained … Finally, a systems-based approach to prevent the adverse event in this case would focus on the technology … Finally, they can adopt effective practices such as using preoperative checklists to help identify potential

51. Amphotericin Toxicity | PSNet
    psnet.ahrq.gov/web-mm/amphotericin-toxicity
    April 01, 2014 - 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 … , dose, and duration have demonstrated a significant reduction in inappropriate prescribing.( 7 ) Finally

52. It's All in the Syringe | PSNet
    psnet.ahrq.gov/web-mm/its-all-syringe
    February 01, 2013 - 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

53. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49719/psn-pdf
    September 01, 2014 - for preventable incidents (8), and combined with other human error may result in patient harm.(9) Finally … Finally, if there was no simple indication by the patient monitor that the NIBP cuff wasn't cycled for … Finally, a decision support alert from the electronic anesthesia record would likely have prevented

54. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867845/psn-pdf
    February 26, 2025 - tabulated counts of patient safety reports that fell into each step to quantify where most issues arose.2 Finally … proactive risk assessments were analyzed together, there were a total of 32 unique failure modes.2 Finally

55. Ethical issues in patient safety. | PSNet
    psnet.ahrq.gov/issue/ethical-issues-patient-safety
    November 02, 2014 - View More Related Resources Defensive medicine: it is time to finally

56. Long-term solution to malpractice crises: reduce harm to patients. | PSNet
    psnet.ahrq.gov/issue/long-term-solution-malpractice-crises-reduce-harm-patients
    September 12, 2018 - April 24, 2019 Defensive medicine: it is time to finally slow down an epidemic.

57. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49522/psn-pdf
    November 01, 2006 - Finally, direct harm can occur when caregivers are faced with diagnostic or therapeutic uncertainty, … Finally, patients and payers may misinterpret quality performance information and make poor choices … Finally, where appropriate, payers should consider incorporating predictable unintended events into … Finally, regulatory agencies must be willing to modify problematic measures.

58. Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality | PSNet
    psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
    October 01, 2004 - Finally, direct harm can occur when caregivers are faced with diagnostic or therapeutic uncertainty, … Finally, patients and payers may misinterpret quality performance information and make poor choices about … Finally, where appropriate, payers should consider incorporating predictable unintended events into the … Finally, regulatory agencies must be willing to modify problematic measures.

59. Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. | PSNet
    psnet.ahrq.gov/issue/comparing-safety-climate-naval-aviation-and-hospitals-implications-improving-patient-safety
    October 14, 2009 - September 10, 2013 Are we finally getting serious about medical errors?

60. The Team Checkup Tool: evaluating QI team activities and giving feedback to senior leaders. | PSNet
    psnet.ahrq.gov/issue/team-checkup-tool-evaluating-qi-team-activities-and-giving-feedback-senior-leaders
    November 27, 2012 - January 23, 2013 Are we finally getting serious about medical errors?