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Showing results for "follow up".

3261. Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia | PSNet
      psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
      August 29, 2021 - Studies report medication error rates between 5 to 11 percent of all medication administrations, with up … have advocated for several additions to the classic five rights, with some organizations suggesting up … Lack of documentation and failure to follow appropriate procedure when it comes to wasting medications

3262. Advancing Patient Safety Through State Reporting Systems | PSNet
      psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
      June 01, 2007 - When appropriate, the plan follows up with a contracted facility to determine if corrective action plans … Examples of follow-up may include requesting policies and procedures, reviewing training content and

3263. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49861/psn-pdf
      May 01, 2019 - help manage patients throughout their hospital stay, intervene when needed, and coordinate long-term follow-up … Pulmonary Embolism.(20)   Definition Mortality Massive PE Sustained hypotension (systolic blood pressure Up

3264. In Conversation With… Edward Kelley, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-edward-kelley-phd
      December 01, 2014 - Every single country came up with almost the same figures: about 1 in 10 hospitalized patients would … So those are the two real main approaches that we take to try to adapt and scale up in a wide variety … So we should be able to come up with something that makes surgeries safer all over the world. … We came up with this simple checklist that has obviously been modified many, many times for many settings … Being able to come up with a Global Challenge relevant all over the world and to put it in place and

3265. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836840/psn-pdf
      April 22, 2021 - https://psnet.ahrq.gov//#5 Assembling a multidisciplinary team Obtaining leadership buy-in Setting up … assessing VTE risk and creating treatment plans Incentives for improved provider performance A bottom-up

3266. In response to “Getting to the Root of the Matter” (June 2005) | PSNet
      psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005
      June 01, 2005 - This task is accomplished during the "wrap up" meeting.

3267. Battle Buddy Pocket Card - Final (1) (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-09/Battle%20Buddy%20Pocket%20Card%20-%20final%20(1).pdf
      January 01, 2021 - Battle Buddies (BBs) are usually chosen by a third party but in some instances pair up spontaneously

3268. In Conversation With… Enrico Coiera, MB, BS, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
      February 01, 2014 - The call has occupied your attention and because you are distracted, you follow an initially similar, … you're interrupted with no control, you don't have that short moment to remind yourself what you're up … You can just put your hand up or shake your head, "I'm on the phone," that sort of thing. … So it brings up this issue of smartphones and the ubiquity of technology. … It's up to us to configure them in the right way.

3269. The Deadly Duo | PSNet
      psnet.ahrq.gov/web-mm/deadly-duo
      April 28, 2021 - Mental health disorders are incredibly common: up to 26% of Americans have psychiatric disorders in a … In general, it takes 10 to 14 days to notice any effect from antidepressant medications, and up to 6 … Cases Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up … October 27, 2021 Speaking up about patient safety in psychiatric hospitals - a cross-sectional

3270. Patient Safety in the United Kingdom: Evolution and Progress | PSNet
      psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
      May 01, 2007 - For instance, to examine maternal morbidity and mortality, in 1928 the British Ministry of Health set up … produced regular reports on all maternal deaths.( 3 ) "Confidential Enquiries" have since been set up … Other reporting systems have also been set up to improve patient safety, such as the reporting system … The national reporting system is now up and running with all NHS organizations connected. … The gestation period is over; the delivery is being speeded up.

3271. In Conversation with...Sir Liam Donaldson, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
      May 01, 2007 - Rather, they concerned incompetent or poorly performing doctors, whose colleagues were covering up for … Until we're tracking it on a regular basis, it's always going to be a scary subject when it pops up, … Other reporting systems have also been set up to improve patient safety, such as the reporting system … The national reporting system is now up and running with all NHS organizations connected. … The gestation period is over; the delivery is being speeded up.

3272. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33821/psn-pdf
      December 01, 2016 - /2014 of the European Parliament and of the Council of 3 April 2014 on the reporting, analysis and follow-up

3273. Caution, Interrupted | PSNet
      psnet.ahrq.gov/web-mm/caution-interrupted
      October 01, 2016 - doctors in emergency departments and found that for both groups, about 80% of their time was taken up … workers are stressful and sometimes exceed the capacity of "merely extraordinary" human beings to keep up … positioned to solve the problem.( 11 ) The nurse in this situation did not feel that she could speak up … Intimidation: practitioners speak up about this unresolved problem (part I).

3274. Polypharmacy | PSNet
      psnet.ahrq.gov/web-mm/polypharmacy
      March 01, 2007 - Joint Commission and other agencies in an effort to ensure that patients have accurate, actionable, and up-to-date

3275. In Conversation with... Charles Ornstein | PSNet
      psnet.ahrq.gov/perspective/conversation-charles-ornstein
      October 01, 2009 - RW: When you show up at a hospital door or you call the CEO or the PR Department and you've heard of … 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.

3276. Primers | PSNet
      psnet.ahrq.gov/primers-0
      March 15, 2025 - However clinicians can also be deeply affected by errors and adverse events and may need structured follow-up

3277. Slippery Slide Into Life | PSNet
      psnet.ahrq.gov/web-mm/slippery-slide-life
      January 21, 2017 - organizational culture (hierarchy and intimidation, failure to function as a team, and failure to follow … route to establishing and sustaining a robust simulation program is to enlist both top-down and bottom-up

3278. Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions | PSNet
      psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
      November 16, 2022 - prescription. 12 Other PSLLs have used HFE to analyze failure to rescue and address radiology ordering and follow-up … 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

3279. Safety In Dentistry | PSNet
      psnet.ahrq.gov/perspective/safety-dentistry
      August 01, 2016 - The high-speed dental handpiece (drill) is often used with a diamond-coated bur (bit) that rotates at up … 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?

3280. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49754/psn-pdf
      February 01, 2016 - Picking Up the Cause of the Stroke February 1, 2016 Chopra V. Picking Up the Cause of the Stroke.