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Showing results for "follow up".

3241. In Conversation With… David Meltzer, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-david-meltzer-md-phd
      November 01, 2018 - then found some strong empirical support for by looking at which primary care doctors decided to give up … 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 … I would try to build this up at a sustainable practice scale, then evaluate and see how it did.

3242. Milliliters vs. Milligrams | PSNet
      psnet.ahrq.gov/web-mm/milliliters-vs-milligrams
      September 01, 2004 - preparing medications for patients ranging in weights from 400 g to 120 kg, resulting in the potential of up … Risk August 1, 2006 WebM&M Cases Citrate Mix-Up

3243. Routine Goes Awry | PSNet
      psnet.ahrq.gov/web-mm/routine-goes-awry
      September 23, 2020 - The most commonly cited preoperative risk is bleeding, which occurs in up to 3% of patients. … Line Insertion Leads to Cardiac Arrest January 26, 2022 Outcomes from Wake Up

3244. Retained Surgical Items: Definition and Epidemiology. | PSNet
      psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
      September 15, 2024 - American Hospital Association Coding Clinic, and thus the Centers for Medicare & Medicaid Services (CMS) follow … healthcare facilities use the NQF definition while others use the TJC definition for reporting, but all follow … February 26, 2025 WebM&M Cases Medication Mix-Up

3245. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33828/psn-pdf
      March 01, 2017 - people behave, the norms that guide them, the values that seem to inform their practice, how that shows up … in organizational routines, how it shows up in how people behave toward each other. … People often say what we, as social scientists, do is hold up a mirror. … You could say that it's up to systems to detect and deal with these. … I completely agree—systems and culture both end up being dustbin terms that don't take us very far.

3246. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49575/psn-pdf
      November 01, 2008 - The Commentary This case brings up several issues related to medication safety in women who are, or … Examples of SALAD associated with medication errors in women include the mix-up of Sarafem (fluoxetine … Improved provider-to-provider communication and up-to-date software could have prevented the information

3247. Listen to the Family | PSNet
      psnet.ahrq.gov/web-mm/listen-family
      April 15, 2015 - "( 6 ) The policy is good, but the ramp up period is difficult. … Patient mix-up. AHRQ WebM&M [serial online]. February 2003.

3248. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853772/psn-pdf
      September 27, 2023 - Neither the patient nor the parents had received education on how to draw up and administer insulin … Insulin vials require the patient (or caregiver) to draw up insulin via a syringe. … for a sicker patient, they might have directed her family to drive to the outside pharmacy to pick up

3249. Wrong Route for Nutrients | PSNet
      psnet.ahrq.gov/web-mm/wrong-route-nutrients
      September 04, 2010 - The LPN on the night shift mistakenly hooked up the total nutrient fluid prepared for the central line … of the therapy as a part of standard procedure, even if the facility or state allowed LPNs to hook up … aspect of the case is the culture of safety as it pertains to communication and expressing concerns up

3250. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49389/psn-pdf
      February 01, 2003 - For example, during insertion of the insufflation needle, it is important for the assistant to “tent up

3251. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49812/psn-pdf
      November 01, 2017 - The following day, the resident attempted to look up the results of the biopsy but found none.

3252. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49791/psn-pdf
      April 01, 2017 - Incorrect surgical procedures within and outside of the operating room: a follow-up report.

3253. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73643/psn-pdf
      August 01, 2022 - that week, and conversations focus on medication reconciliation, critical labs and imaging, discharge follow-up

3254. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49587/psn-pdf
      May 01, 2009 - care are two: A complete physical examination remains a key and fundamental component of the work-up

3255. Patient Safety and Opioid Medications | PSNet
      psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
      January 01, 2015 - Revelation March 1, 2004 WebM&M Cases Patient Mix-Up

3256. A Little Shuteye | PSNet
      psnet.ahrq.gov/web-mm/little-shuteye
      December 22, 2018 - Apply ophthalmic ointment to the eye and affected lashes, patch the eye closed, and arrange for follow-up

3257. Patient Engagement and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
      February 01, 2013 - 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. … 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.

3258. The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety | PSNet
      psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
      October 01, 2009 - In fact, many of them show up on various "top hospitals" lists, which may be why celebrities frequent … up in their face. … There is nothing to be gained by trying to cover things up. Ultimately, the truth comes out. … It may be more than a 1-day story, but at least you won't be accused of not being up-front. … But without question, waits are up, ambulance wait times are up.

3259. Hypoxic Gas Supply from Cross-Connected Pipelines | PSNet
      psnet.ahrq.gov/web-mm/hypoxic-gas-supply-cross-connected-pipelines
      February 05, 2020 - When gas flow is linked, anesthesia clinicians cannot accidentally dial up a hypoxic gas mixture because … Cold pre-mixed cylinders therefore should be warmed up in the upright position for 24 hours before use … The clinicians dial up the oxygen concentration they would like to deliver, and the machine adjusts the … This situation is easily recognized because the low oxygen alarm will sound if the system has been set up

3260. Risk Management and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/risk-management-and-patient-safety
      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