Results

Total Results: 3,868 records

Showing results for "follow up".

3181. Point-of-care Mixup: 1 Shot Turns Into 3 | PSNet
      psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3
      February 14, 2024 - the more than 25 separate injections associated with the required vaccination schedule for children up … The schedules, exceptions, and catch-up strategies are sufficiently complex so as to require systematic

3182. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33823/psn-pdf
      January 01, 2017 - If a surgeon requires one or more of the other three kits, they will be brought up to the OR from Central … stools placed in designated corner of room between cases Move equipment in/out of room for set- up

3183. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33623/psn-pdf
      December 01, 2005 - In Florida, $1 million coverage will cost in liability premiums up to $250,000 per year for neurosurgeons … multiple factors contribute to increased premium rates, losses on medical malpractice claims—which make up … malpractice.(4) Unique 2004 legislation created the Florida Patient Safety Corporation, which set up

3184. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49493/psn-pdf
      November 01, 2005 - accommodate increased staffing requirements, hospitals use a combination of scheduling strategies to “flex” up … the course of the RCA, determination of how a nurse without proper orientation or supervision ended up

3185. Misread Label | PSNet
      psnet.ahrq.gov/web-mm/misread-label
      August 28, 2024 - indicated that the baby was being treated for opiate toxicity, the nurse might have hesitated to draw up … These findings back up those of other studies ( 12 ) from the viewpoints of both doctors and patients

3186. The Impact of Communication on Medication Errors | PSNet
      psnet.ahrq.gov/web-mm/impact-communication-medication-errors
      August 01, 2009 - their medication regimens confusing or complicated, especially if not given clear instructions about follow-up … reconciliation on admission and discharge, ensuring access to care after discharge, and post-discharge follow-up

3187. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33756/psn-pdf
      October 01, 2013 - When people scan a plastic dummy, you set a protocol that you follow very closely. … The doses crept up and no one really noticed it. … So as the doses went up, we were thinking about this problem less, and when attention came to this issue … We're developing strategies that we hope can be scaled up rapidly to allow us all to get on the same … practice radiologist at the end—during a very exciting question and answer and comment period—got up

3188. The Comprehensivist Model of Care: A Hospitalist's View | PSNet
      psnet.ahrq.gov/perspective/comprehensivist-model-care-hospitalists-view
      November 01, 2018 - DM : When I originally came up with the idea, I wasn't thinking about that per se. … And stuff comes up in doctors' lives, they have to move and things happen. … All you're doing is using up a spot that could be used by someone who would benefit more, and as long … Every week she would get up and repeat back the comments, which named the individual doctors by name. … I would try to build this up at a sustainable practice scale, then evaluate and see how it did.

3189. The Media’s Role in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/medias-role-patient-safety
      April 27, 2022 - sources. 7 Even when there is a human-interest component, patient safety issues might only be picked up … Save a life: how student leadership is shaking up health care and driving a revolution in patient safety … since “typically holiday issues are the least read and covered.” 5  However, the article was picked up … Remember that the public expects hospitals to follow protocols and provide good care. … Suppose on World Patient Safety Day you had women who had lost a child to a medical error show up at

3190. In Conversation With... Michael L. Millenson | PSNet
      psnet.ahrq.gov/perspective/conversation-michael-l-millenson
      April 27, 2022 - The book that ended up being Demanding Medical Excellence: Doctors and Accountability in the Information … young reporter named Betsy Lehman who experienced a fatal medical error 3  could instantly be “picked up … since “typically holiday issues are the least read and covered.” 5  However, the article was picked up … Remember that the public expects hospitals to follow protocols and provide good care. … Suppose on World Patient Safety Day you had women who had lost a child to a medical error show up at

3191. In Conversation With… Beverley H. Johnson | PSNet
      psnet.ahrq.gov/perspective/conversation-beverley-h-johnson
      February 01, 2013 - It's not easy to speak up for yourself. … Then it's not quite as challenging to speak up about a safety concern. … They were looking for people who felt comfortable speaking up in a group. … check their identification or asking a physician to wash his hands before an exam, particularly hard to follow … Speak Up Initiatives. Oakbrook Terrace, IL: The Joint Commission. [Available at] 9.

3192. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
      February 26, 2025 - If you pull up to a gas station with diesel and gasoline pumps, you cannot put the diesel nozzle into … are evolving the process and thinking about what works best for their organization, such as setting up … around human factors, so they have been able to  integrate human factors into the  actions they come up … The last action piece also includes follow-up. … For example, “this staff member did not follow protocol” is an individual-level factor.

3193. The Evolution of Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/evolution-root-cause-analysis
      February 26, 2025 - For example, “this staff member did not follow protocol” is an individual-level factor. … If you pull up to a gas station with diesel and gasoline pumps, you cannot put the diesel nozzle into … are evolving the process and thinking about what works best for their organization, such as setting up … around human factors, so they have been able to  integrate human factors into the  actions they come up … The last action piece also includes follow-up.

3194. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.95_slideshow.ppt
      May 01, 2005 - myocardial infarction, acute coronary syndrome (ACS), pulmonary embolus, and aortic dissection (AD) Work up

3195. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851869/psn-pdf
      July 31, 2023 - are missed lessons when organizations cannot share qualitative information on what occurred to lead up

3196. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33777/psn-pdf
      January 01, 2015 - These patients come to the emergency department, get admitted to the floor, and then get worked up by

3197. In Conversation With... Pascale Carayon, PhD and Nicole Werner, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
      November 16, 2022 - so we implemented an intervention that improved the way physicians enter instructions that then show up … And then, we supported the nurse when they do their follow-up call about 24 hours later. … We ended up focusing on a specific type of transition where older adults come to the emergency department … prescription. 12 Other PSLLs have used HFE to analyze failure to rescue and address radiology ordering and follow-up

3198. ECHO-Care Transitions Successfully Reduces Patient Readmissions from Skilled Nursing Facilities, Reduces Length of Stay | PSNet
      psnet.ahrq.gov/innovation/echo-care-transitions-successfully-reduces-patient-readmissions-skilled-nursing
      October 30, 2024 - that week, and conversations focus on medication reconciliation, critical labs and imaging, discharge follow-up

3199. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49667/psn-pdf
      October 01, 2012 - instance, for a medication that requires a dose calculation, each clinician needs to independently follow … day, well-intentioned clinicians carry out their medication activities in environments that are set up

3200. Slow Down: Right Drug, Wrong Formulation | PSNet
      psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
      October 13, 2018 - The Case A 65-year-old man presented to his primary care clinic for follow-up after a recent hospitalization … the safety of health information technology requires shared responsibility: it is time we all step up