Results

Total Results: 2,002 records

Showing results for "finally".

61. Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax | PSNet
    psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
    December 14, 2022 - population, it is not unusual for women to be misdiagnosed for many years as having asthma prior to finally … high 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

62. Production Pressures | PSNet
    psnet.ahrq.gov/web-mm/production-pressures
    November 16, 2022 - cover unexpected absences and rarely cancelled a case, scrambled to try to cover the ECT procedure, finally … But finally, to avoid delays in the ECT administration, he reluctantly agreed to come to the day surgery … this elderly patient with bipolar disorder who has received the ECT procedure many times before—he finally

63. Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary | PSNet
    psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
    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

64. Medication errors associated with code situations in U.S. hospitals: direct and collateral damage. | PSNet
    psnet.ahrq.gov/issue/medication-errors-associated-code-situations-us-hospitals-direct-and-collateral-damage
    June 29, 2011 - Finally, a series of preventive strategies are offered to reduce code-related medication errors, including

65. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/857060/psn-pdf
    November 27, 2023 - Finally, it is worth mentioning that some, but not many, studies describe the characteristics of the … Finally, nursing education is and must remain a dynamic discipline, perpetually adapting to the evolving

66. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49418/psn-pdf
    October 01, 2003 - Finally, they apparently were unaware of the other tests they could have used to check placement.(2,3 … Finally, practitioners may not become sensitized to complications that occur at a low frequency in their

67. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49689/psn-pdf
    August 21, 2013 - 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

68. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49535/psn-pdf
    May 01, 2007 - cover unexpected absences and rarely cancelled a case, scrambled to try to cover the ECT procedure, finally … But finally, to avoid delays in the ECT administration, he reluctantly agreed to come to the day surgery … this elderly patient with bipolar disorder who has received the ECT procedure many times before—he finally

69. No BP During NIBP | PSNet
    psnet.ahrq.gov/web-mm/no-bp-during-nibp
    March 01, 2011 - 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 this

70. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49630/psn-pdf
    July 01, 2011 - treated the patient with antibiotics (ceftriaxone and doxycycline) that may increase INR levels.(9) And finally … coordinating care if the inpatient and outpatient electronic medical records are not fully integrated.(5) Finally … Finally, dabigatran is renally cleared and therefore not recommended for people with severe renal insufficiency

71. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49789/psn-pdf
    April 01, 2017 - psnet.ahrq.gov//#references terminal illness, and increased family ratings of anxiety and depression.(3,4) Finally … Finally, in this multi-institutional study, 15% of these older hospitalized patients did not have any … Finally, at a health care system level, quality indicators for end-of- life communication and decision

72. Development and evaluation of the Institute for Healthcare Improvement global trigger tool. | PSNet
    psnet.ahrq.gov/issue/development-and-evaluation-institute-healthcare-improvement-global-trigger-tool
    February 10, 2015 - August 14, 2014 Are we finally getting serious about medical errors?

73. Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level. | PSNet
    psnet.ahrq.gov/issue/measuring-patient-safety-culture-assessment-clustering-responses-unit-level-and-hospital
    February 20, 2013 - June 16, 2011 Are we finally getting serious about medical errors?

74. Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety. | PSNet
    psnet.ahrq.gov/issue/revealing-and-resolving-patient-safety-defects-impact-leadership-walkrounds-frontline
    June 16, 2011 - August 10, 2011 Are we finally getting serious about medical errors?

75. Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. | PSNet
    psnet.ahrq.gov/issue/structured-interdisciplinary-rounds-medical-teaching-unit-improving-patient-safety
    November 26, 2014 - August 10, 2011 Are we finally getting serious about medical errors?

76. Engaging Seriously Ill Older Patients in Advance Care Planning | PSNet
    psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
    December 22, 2018 - family during the terminal illness, and increased family ratings of anxiety and depression.( 3,4 ) Finally … Finally, in this multi-institutional study, 15% of these older hospitalized patients did not have any … Finally, at a health care system level, quality indicators for end-of-life communication and decision

77. Computerized Provider Order Entry and Patient Safety | PSNet
    psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
    January 01, 2014 - 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

78. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49410/psn-pdf
    July 01, 2003 - 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

79. An Outpatient 'Zebra' | PSNet
    psnet.ahrq.gov/web-mm/outpatient-zebra
    January 23, 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.

80. Good Catch in the Operating Room | PSNet
    psnet.ahrq.gov/web-mm/good-catch-operating-room
    August 27, 2017 - Finally, through her use of the CUS expression and clear articulation of her concerns, she obtained agreement … 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