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Total Results: 3,868 records

Showing results for "follow up".

3201. One Toxic Drug Is Not Like Another | PSNet
      psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
      October 02, 2019 - physicians, who may be overly confident in their knowledge base.( 7-8 ) This particular case is a set-up … a certification acquired 5–10 years previously potentially misleading if the physician has not kept up … The follow-up data nicely, but soberly, highlight this physician's numerous gaps in competency in treating … Colleagues must speak up when they see a peer providing potentially dangerous care, especially if that

3202. In Conversation with... Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
      November 27, 2023 - Sarah Mossburg: Thank you for bringing up QSEN. … We saw in the literature that there’s some indication that students are afraid to speak up. … It is their responsibility to speak up when they see something. … Many healthcare professionals are afraid to speak up about errors for similar reasons. … Speaking up about patient safety concerns: view of nursing students.

3203. The Role of Undergraduate Nursing Education in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
      November 27, 2023 - Many healthcare professionals are afraid to speak up about errors for similar reasons. … Speaking up about patient safety concerns: view of nursing students. … Sarah Mossburg: Thank you for bringing up QSEN. … We saw in the literature that there’s some indication that students are afraid to speak up. … It is their responsibility to speak up when they see something.

3204. Complications of ECMO During Transport | PSNet
      psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
      January 27, 2021 - Up to 21% of adult patients who undergo ECMO suffer intracranial hemorrhage with a mortality of >80%, … Any transport should be preceded by a time-out and follow a checklist.

3205. In Conversation with...Geri Amori, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
      December 01, 2010 - I think we have a whole group of physicians who grew up with that belief system and who trained the next … Now with the younger physicians growing up in an environment where it's okay to admit that we're human—that … Those billable hours and the drive to contingency add up. … When we don't live up to our own expectations for ourselves as professionals, it is painful. … I follow [health care reporter] Larry Tye's recommendation: know who your local media are and let them

3206. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33608/psn-pdf
      February 01, 2024 - practice change package and safety bundles and emphasizes the use of checklists and timely postpartum follow-up … Health care engagement and follow-up after perceived discrimination in maternity care.

3207. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia | PSNet
      psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
      January 29, 2021 - The syringe used for spinal injection is usually not labelled because medications are drawn up on the … In anesthesia, an error as simple as forgetting to flick a switch or to open a valve can end up being … shift the previous day, they should be allowed to go home early the next day so that they can catch up … check the label on all ampules The anesthesiologist is usually wearing sterile gloves when drawing up … WebM&M Cases Unintentional Ketamine Overdose in the Operating Room – Mixing Up

3208. In Conversation with…David W. Bates, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc
      May 01, 2018 - I think there may have been a naïve vision in the old days that you put up a bunch of pop-up alerts and … to users that the warning that you're showing is an important one, and whether or not you use a pop-up … But the approach that we've taken as a country to moving toward interoperability has been to set up RHIOs—the … Basically, a large part of what VISICU [an electronic ICU vendor] does is set something up so that someone … ensure that 100% of abnormal biopsies or 100% of abnormal Pap smears , for example, get followed up

3209. Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work? | PSNet
      psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
      May 01, 2008 - I think there may have been a naïve vision in the old days that you put up a bunch of pop-up alerts and … to users that the warning that you're showing is an important one, and whether or not you use a pop-up … But the approach that we've taken as a country to moving toward interoperability has been to set up RHIOs—the … Basically, a large part of what VISICU [an electronic ICU vendor] does is set something up so that someone … ensure that 100% of abnormal biopsies or 100% of abnormal Pap smears , for example, get followed up

3210. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841468/psn-pdf
      December 14, 2022 - The patient was discharged the next day, with follow-up arranged by both the neurosurgery team and the

3211. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49590/psn-pdf
      January 01, 2010 - the patient's usual dosage, but the physician stated that he needed to get the patient's blood level up … levels were not in the toxic range at admission.(5) In this case, the admitting physician failed to follow

3212. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866841/psn-pdf
      September 23, 2024 - However, she has yet to follow up with any of these organizations to see if they have done so.

3213. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33658/psn-pdf
      October 01, 2007 - Now, the issue with that is they have to follow up. … big event where the press and parts of society are clamoring to, as James Reason says, put a carcass up

3214. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73202/psn-pdf
      April 28, 2021 - A follow-up test conducted on a remnant sample from the in-house assay, one week later, confirmed that … Recognizing the potential for this error, CDC recommends avoiding follow-up testing for patients with

3215. University of California, Davis, Health CME/CEU Information | PSNet
      psnet.ahrq.gov/basic-page/ucd-cmeceu-trainee-certification
      November 01, 2019 - activity, which includes participation in the evaluation component, enables the participant to earn up

3216. In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
      August 01, 2016 - A system with latent defects generates risks that sooner or later end up causing damage. … This makes it difficult to become aware of adverse events and to follow them up properly? … The high-speed dental handpiece (drill) is often used with a diamond-coated bur (bit) that rotates at up

3217. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867653/psn-pdf
      February 26, 2025 - If you pull up to a gas station with diesel and gasoline pumps, you cannot put the diesel nozzle into … patient safety tools and processes that support that open culture, that culture of being able to speak up … 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.

3218. PSNet Curated Library (pdf file)
      psnet.ahrq.gov/print/pdf/node/73848
      July 01, 2022 - This campaign encourages women, families, and health providers to identify and speak up with concerns … This campaign encourages women, families, and health providers to identify and speak up with concerns

3219. Compare and Contrast | PSNet
      psnet.ahrq.gov/web-mm/compare-and-contrast
      July 16, 2019 - nephropathy (CN) List risk factors for CN Implement pharmacologic strategies for CN prophylaxis Follow … Cases Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up

3220. New Patient Mistakenly Checked in as Another | PSNet
      psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another
      October 01, 2013 - He called the office and told them that there seemed to be a mix-up with his test results. … consider implementing the ONC SAFER Guides to conduct self-assessments of their EHR systems and workflows, follow … Users are warned when they attempt to create a new record for a patient (or look up a patient) whose