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Total Results: 5,932 records

Showing results for "focus".

241. Post-traumatic stress disorder amongst surgical trainees: an unrecognised risk? | PSNet
     psnet.ahrq.gov/issue/post-traumatic-stress-disorder-amongst-surgical-trainees-unrecognised-risk
     August 04, 2021 - April 20, 2016 Robotic-assisted surgery: focus on training and credentialing. … 2011 Nurses' perceptions and experiences of communication in the operating theatre: a focus

242. 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 - Innovation Patient Safety Focus The innovation was developed from an initial quality improvement project … This proactive approach permits clinicians to focus on specific patient risk factors and respond with … The resulting five high-risk clinical scenarios focus on patients with (1) known or suspected difficult … The NAPSI team constructed this innovation by looking to other fields in which safety is also the focus … follows: Establish and continue to emphasize that risk mitigation requires teamwork, and as such, focus

243. Errors with injectable medications: unlabeled syringes are surprisingly common! | PSNet
     psnet.ahrq.gov/issue/errors-injectable-medications-unlabeled-syringes-are-surprisingly-common
     December 27, 2018 - December 27, 2018 Reduce readmissions with pharmacy programs that focus on transitions … June 28, 2023 Death due to pharmacy compounding error reinforces need for safety focus

244. Discharge missteps can send seniors back to hospital. | PSNet
     psnet.ahrq.gov/issue/discharge-missteps-can-send-seniors-back-hospital
     March 28, 2012 - August 7, 2024 Handling polypharmacy--a qualitative study using focus group interviews … June 10, 2018 Reduce readmissions with pharmacy programs that focus on transitions from

245. National Patient Safety Goals. | PSNet
     psnet.ahrq.gov/issue/national-patient-safety-goals
     May 30, 2012 - In order to ensure health care facilities focus on preventing major sources of patient harm, The Joint … Major focus areas include promoting surgical safety, achieving health equity, and preventing hospital-acquired

246. National Patient Safety Goals | PSNet
     psnet.ahrq.gov/primer/national-patient-safety-goals
     January 16, 2025 - Health systems nationally had to focus on mitigating severe shortages in health care staffing, widening … As health systems address these critical issues, a renewed focus on national action plans for patient … improvement framework to enable organizations, especially those accredited by The Joint Commission, to focus … There is substantial overlap of goals between settings, and they focus on a range of areas including

247. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.266_slideshow.ppt
     May 01, 2012 - -132. http://www.ncbi.nlm.nih.gov/pubmed/15051706 * Handoff Curricula (2) Curricula must also focus … information they do Importance of structured written sign-out to complement verbal; yet few curricula focus … ensure that the receiver has acquired a shared mental model of the patient Future curricula need to focus … evaluation Vulnerable to halo effect Can differentiate exceptional and below average learners Should focus … requires corresponding investments to improve clinical documentation of written signouts that not only focus

248. Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety. | PSNet
     psnet.ahrq.gov/issue/enhancing-your-medication-error-reporting-program-improve-global-medication-safety
     June 10, 2018 - June 28, 2023 Death due to pharmacy compounding error reinforces need for safety focus … June 10, 2018 Reduce readmissions with pharmacy programs that focus on transitions from

249. I-PASS checklist: a powerful tool for patient handoffs. | PSNet
     psnet.ahrq.gov/issue/i-pass-checklist-powerful-tool-patient-handoffs
     November 21, 2018 - June 10, 2018 Reduce readmissions with pharmacy programs that focus on transitions from … November 1, 2017 Death due to pharmacy compounding error reinforces need for safety focus

250. The Wrongful Resuscitation | PSNet
     psnet.ahrq.gov/web-mm/wrongful-resuscitation
     October 12, 2012 - fear of older, dying persons having life prolonged against their wishes has in part driven the current focus … Smith, your goal is to focus on your comfort, not interventions that would prolong your life." … For the nursing home resident, typical goals could include treatment to focus on extending life regardless … However, if that is not possible, care should focus on comfort even if it shortens life. … Such a focus on comfort may lead to a decision to forego further hospitalizations.

251. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/858323/psn-pdf
     December 13, 2023 - psnet.ahrq.gov/issue/some-doctors-are-ditching-scale-saying-focusing-weight-drives-misdiagnoses Inordinate focus

252. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33798/psn-pdf
     January 01, 2015 - James Reason's classic Swiss cheese model of organizational accidents spurred an initial focus in the … safety problems, but it was also a pragmatic solution to engage physicians, who otherwise equated a focus … With the growing focus on patient-centered care, the concept of emotional harm is likely to garner more … 2016, including the American College of Healthcare Executives Congress on Healthcare Leadership, will focus

253. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49409/psn-pdf
     July 01, 2003 - The nurse’s focus appears to be on the means of providing care, the PCA pump, and ensuring that the … If that focus were on the patient—with the PCA pump considered merely as a means to an end—she would … That tends to minimize the vital focus on listening to the patient and following up on her complaints … Factors identified as contributing to error are the focus for such actions. … Keynote address to: The conference on Minimizing the risk of medical errors: focus on the system; November

254. Effectiveness of random and focused review in detecting surgical pathology error. | PSNet
     psnet.ahrq.gov/issue/effectiveness-random-and-focused-review-detecting-surgical-pathology-error
     August 04, 2021 - Study Effectiveness of random and focused review in detecting surgical pathology error. Citation Text: Raab SS, Grzybicki DM, Mahood LK, et al. Effectiveness of random and focused review in detecting surgical pathology error. Am J Clin Pathol. 2008;130(6):905-12. doi:10.1309/AJCPPIA5…

255. Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare. | PSNet
     psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients
     August 05, 2020 - Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review: focus … Perceptions of providing safe care for frail older people at home: a qualitative study based on focus

256. Patient perceptions of misdiagnosis of endometriosis: results from an online national survey. | PSNet
     psnet.ahrq.gov/issue/patient-perceptions-misdiagnosis-endometriosis-results-online-national-survey
     February 05, 2020 - Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus … Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus

257. Feeling No Pain | PSNet
     psnet.ahrq.gov/web-mm/feeling-no-pain
     August 30, 2023 - The nurse’s focus appears to be on the means of providing care, the PCA pump, and ensuring that the patient … If that focus were on the patient—with the PCA pump considered merely as a means to an end—she would … That tends to minimize the vital focus on listening to the patient and following up on her complaints … Factors identified as contributing to error are the focus for such actions. … Keynote address to: The conference on Minimizing the risk of medical errors: focus on the system; November

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35423/psn-pdf
     June 16, 2019 - The primary focus of this segment is safety issues associated with the diabetic therapy Symlin.

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33644/psn-pdf
     December 01, 2006 - to discard our goal of achieving some idealized vision of a health care safety culture, and instead focus … , as opposed to radical change that either fails to take hold or flickers out as the institutional focus … present hypothetical scenarios about what could go wrong for a particular clinical situation, and focus … I think health organizations should focus less on trying to achieve an idealized and all-encompassing … Instead, let's focus on using the everyday behaviors people are comfortable with, strategically aiming

260. Errors originating in hospital and health-system outpatient pharmacies. | PSNet
     psnet.ahrq.gov/issue/errors-originating-hospital-and-health-system-outpatient-pharmacies
     December 19, 2016 - October 17, 2018 Reduce readmissions with pharmacy programs that focus on transitions … May 7, 2018 Death due to pharmacy compounding error reinforces need for safety focus.