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Showing results for "follow up".

3321. African Partnerships for Patient Safety: Lessons Learned | PSNet
      psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned
      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

3322. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73455/psn-pdf
      June 30, 2021 - 30’s, she went through a period of significant emotional and financial stress, having just broken up … 67% of identified patients with PSVT were female; period prevalence increases with age in both sexes up … On the other hand, up to half or more of patients who present with palpitations do not have any identified … criteria for panic disorder and PSVT should be revised in tandem, including recommendations for working up

3323. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49699/psn-pdf
      February 01, 2014 - Up-to-date drug information should be available to all practitioners, and practitioners should know … Unfortunately, the pharmacist and prescriber did not communicate on the intended plan for the patient to clear up … //psnet.ahrq.gov//#references prescribing, dispensing, and administering a medication) can detect up … pregnancy status) • Patient-monitoring information (e.g., laboratory values) Drug information • Up-to-date

3324. The Inside of a Time Out | PSNet
      psnet.ahrq.gov/web-mm/inside-time-out
      March 01, 2004 - He felt that his resident didn't speak up to adequately address the allergy concern, in part because … determinant of the success of time outs; without it, the ability of people lower on the totem pole to speak up … pervasiveness of traditional cultural barriers that prevent some members of the team from speaking up … 2020 “I’m concerned”: a multi-site assessment of emergency medicine resident speaking up

3325. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840256/psn-pdf
      November 16, 2022 - 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

3326. Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment of Laryngospasm. | PSNet
      psnet.ahrq.gov/web-mm/distraction-anesthesiologist-and-lack-resuscitation-drugs-resulting-delayed-treatment
      January 29, 2021 - also precipitate post-obstructive pulmonary edema, 13   which is diagnosed when the patient coughs up … hypoxia and bradycardia, it may be necessary to administer a larger dose of muscle relaxant to speed up … WebM&M Cases Unintentional Ketamine Overdose in the Operating Room – Mixing Up

3327. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49805/psn-pdf
      September 01, 2017 - interpretation, another patient acutely deteriorated (requiring a Code Blue activation), and she forgot to follow … up on the radiograph.

3328. Signout Fallout | PSNet
      psnet.ahrq.gov/web-mm/signout-fallout
      November 16, 2022 - The intern did not ask any follow-up questions about the plan.

3329. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49522/psn-pdf
      November 01, 2006 - In the course of her work-up, it was noted that she was subtherapeutic on her anticoagulation with warfarin

3330. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865373/psn-pdf
      March 27, 2024 - Up to this point, a lot of our models for patient care only focused on one outcome at a time. … Computer algorithms can help pick up tiny signals on a chest x-ray that humans may have difficulty seeing … community resources to address social determinants of health, to better schedule hospital patients for follow-up … Sarah Mossburg: Is there anything that we didn’t discuss today that you’d like to bring up?

3331. Triple Handoff | PSNet
      psnet.ahrq.gov/web-mm/triple-handoff
      March 01, 2004 - In our institution, when one adds up all the provider-to-provider handoffs, 4,000 signouts occur daily … JCAHO's expectations for this goal include interactive communications, up-to-date and accurate information … time, free from distractions and interruptions (such as pagers and telephone calls), with access to up-to-date

3332. In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles | PSNet
      psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
      August 28, 2024 - recognition of an individual’s helpful actions, we promote psychological safety that helps people speak up … Safety-I approach, we heard from team members that there was often not psychological safety to speak up … For example, feedback from team members indicated discomfort with speaking up in traditional post-event … well and how compassionately you facilitate an event review or an RCA, sometimes the walls are still up

3333. Application of Safety-II Principles | PSNet
      psnet.ahrq.gov/perspective/application-safety-ii-principles
      August 28, 2024 - recognition of an individual’s helpful actions, we promote psychological safety that helps people speak up … Safety-I approach, we heard from team members that there was often not psychological safety to speak up … For example, feedback from team members indicated discomfort with speaking up in traditional post-event … well and how compassionately you facilitate an event review or an RCA, sometimes the walls are still up

3334. Looking for Meds in All the Wrong Places | PSNet
      psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
      June 16, 2021 - 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

3335. System Approaches to Social Determinants of Health Screening and Intervention Innovation Summary | PSNet
      psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-intervention-innovation
      July 23, 2024 - However, she has yet to follow up with any of these organizations to see if they have done so.

3336. A Missed Bowel Perforation - the Importance of Diagnostic Reasoning | PSNet
      psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
      January 29, 2021 - cultural and language barriers with patients, communication barriers between doctors, and lack of back-up … WebM&M Cases Critical Echocardiogram Result Lost to Follow-up

3337. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49423/psn-pdf
      November 01, 2003 - the nurse’s suggestion that the tip was in the chest cavity, and thus at the end of the case did not follow … differently); knowledge that did not make it into the team consciousness (due to fear of speaking up

3338. Don’t Bite Your Tongue. | PSNet
      psnet.ahrq.gov/web-mm/dont-bite-your-tongue
      September 18, 2024 - The patient was discharged the next day, with follow-up arranged by both the neurosurgery team and the

3339. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846564/psn-pdf
      March 29, 2023 - Finally, an algorithm to detect patients in need of follow-up after test results was developed and implemented … for fall detection using multiple cameras and convolutional neural networks: a case study using the UP-Fall

3340. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861760/psn-pdf
      January 31, 2024 - While it is common for the primary anesthesia provider to draw up all medications themselves, another … were not checked by either the nurse or the physician, and the first local anesthetic was not drawn up … preventable in the intraoperative period, nursing and anesthesia care providers must check all medications, follow