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Showing results for "follow up".

3081. The impact of health care strikes on patient mortality: a systematic review and meta-analysis of observational studies. | PSNet
      psnet.ahrq.gov/issue/impact-health-care-strikes-patient-mortality-systematic-review-and-meta-analysis
      April 27, 2022 - and the impact of patient safety huddles on teamwork and safety culture: an evaluation of the Huddle Up

3082. Association of note quality and quality of care: a cross-sectional study. | PSNet
      psnet.ahrq.gov/issue/association-note-quality-and-quality-care-cross-sectional-study
      June 05, 2018 - Patient Safety in the Ambulatory Care Setting August 5, 2022 Speaking up

3083. Patient mortality during unannounced accreditation surveys at US hospitals. | PSNet
      psnet.ahrq.gov/issue/patient-mortality-during-unannounced-accreditation-surveys-us-hospitals
      August 03, 2022 - 1984 hospitals surveyed by The Joint Commission between 2008 and 2012 from 3 weeks prior to a survey up

3084. Relationship between occurrence of surgical complications and hospital finances. | PSNet
      psnet.ahrq.gov/issue/relationship-between-occurrence-surgical-complications-and-hospital-finances
      April 21, 2015 - relies on the assumption that adverse events are financially harmful to hospitals over the long term, so up-front

3085. Evaluation of symptom checkers for self diagnosis and triage: audit study. | PSNet
      psnet.ahrq.gov/issue/evaluation-symptom-checkers-self-diagnosis-and-triage-audit-study
      December 08, 2021 - emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage

3086. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33646/psn-pdf
      February 01, 2007 - For example, in North America, "fever and rash" should bring up Rocky Mountain spotted fever, toxic … In the UK, meningococcal disease would be much higher up on the differential diagnosis list and, in … decision-making has been the sacrosanct, protected area of a physician, and if we can help physicians come up … We grew up with books on our shelves. … signs and symptoms and lab abnormalities and it actually knows what diagnosis they ultimately ended up

3087. Removing Insult from Injury—Disclosing Adverse Events | PSNet
      psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
      February 01, 2006 - information about what happened.( 5 ) The patient who later learns about what happened and suspects a "cover-up … Institutions have adopted policies to follow suit. … along, two things happen: first, the natural self-protectiveness that any of us feel when we've screwed up … to patients after an error, and some risk managers, who have traditionally said, you're just opening up

3088. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846975/psn-pdf
      March 28, 2023 - Some patients may not be able to follow up with another provider. … can measure screening usually, but often we cannot measure whether a referral was actually followed up … Sarah Mossburg: As we wrap up this conversation, could tell us what you see as the next steps for this

3089. In Conversation with…John Banja, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withjohn-banja-phd
      February 01, 2006 - along, two things happen: first, the natural self-protectiveness that any of us feel when we've screwed up … to patients after an error, and some risk managers, who have traditionally said, you're just opening up … information about what happened.( 5 ) The patient who later learns about what happened and suspects a "cover-up … Institutions have adopted policies to follow suit.

3090. Air on the Side of Caution | PSNet
      psnet.ahrq.gov/web-mm/air-side-caution
      April 21, 2015 - This pause also encourages all individuals present to speak up about potential patient safety threats … Explicit, step-by-step instructions presented in an easy-to-follow manner provide the best chance for … Catheters October 27, 2021 WebM&M Cases Picking Up

3091. Miscommunication in the OR Leads to Anticoagulation Mishap | PSNet
      psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
      May 08, 2019 - The surgeon did not share critical information, the newly hired anesthesiologist did not speak up about … Cases Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up

3092. Turn the Other Cheek | PSNet
      psnet.ahrq.gov/web-mm/turn-other-cheek
      October 26, 2010 - surgical margins are evaluated, and it has the highest success rate of all treatments for skin cancer—up … A follow-up review of wrong site surgery. Sentinel Event Alert. December 5, 2001.

3093. In Conversation With... Elsabeth Kalenderian, DDS, MPH, PhD and Muhammad F. Walji, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd
      December 22, 2020 - But there are also things like wrong tooth extraction, which people mentioned but don’t seem to come up … for which we would expect to do more of a root cause analysis, but we didn’t frequently pick those up … We have to work with the faculty and get them up to speed on these concepts too.   … I have trouble getting some traction, but I'm not giving up because the dental center/school is getting … Pain was the least cited AE in interviews despite pain being the most common AE to follow dental procedures

3094. Adverse Events in Dentistry | PSNet
      psnet.ahrq.gov/perspective/adverse-events-dentistry
      December 22, 2020 - Pain was the least cited AE in interviews despite pain being the most common AE to follow dental procedures … But there are also things like wrong tooth extraction, which people mentioned but don’t seem to come up … for which we would expect to do more of a root cause analysis, but we didn’t frequently pick those up … We have to work with the faculty and get them up to speed on these concepts too.   … I have trouble getting some traction, but I'm not giving up because the dental center/school is getting

3095. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73303/psn-pdf
      May 26, 2021 - closely aligned with emergency medical services (EMS) care principles: the duty to act, the duty to follow … Preventing medical errors: the bottom-up approach to Just Culture. EMS World. July 16, 2019.

3096. Never Events | PSNet
      psnet.ahrq.gov/primer/never-events
      June 15, 2024 - loss of an irreplaceable biological specimen Patient death or serious injury resulting from failure to follow … up or communicate laboratory, pathology, or radiology test results Environmental events Patient or staff

3097. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49817/psn-pdf
      January 01, 2018 - slow-down-right-drug-wrong-formulation The Case A 65-year-old man presented to his primary care clinic for follow-up … the safety of health information technology requires shared responsibility: it is time we all step up

3098. Implementing a Patient Safety Program at a Large National Health System | PSNet
      psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
      January 01, 2008 - What are the elements of a dashboard that you might follow centrally? … When I left, they were building up the modules for MRSA [methicillin-resistant Staphylococcus aureus … At Tenet, the resistance was often from people who hadn't kept up as much with the latest. … We're willing to make experiments of change and follow what happens and make sure we don't have any unintended … We have to come up with other systems or toolkits to help them achieve standardization of systems that

3099. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33717/psn-pdf
      September 01, 2011 - would equate with substantially greater expenditures of staff time spent on reviewing and following-up … Closing the loop: follow-up and feedback in a patient safety program.

3100. Moving Pains | PSNet
      psnet.ahrq.gov/web-mm/moving-pains
      August 17, 2017 - that has become trickier since the patient safety movement has begun encouraging patients to "speak up … Speak Up: Help Prevent Errors in Your Care—Brochures and Poster. … Available at: http://www.jointcommission.org/GeneralPublic/Speak+Up/gp_speakup_bro.htm . … Bottom Up June 1, 2012 Perspective The Comprehensivist