Results

Total Results: 3,868 records

Showing results for "follow up".

3361. Timely diagnosis of esophageal perforation | PSNet
      psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
      September 27, 2023 - recent interest has focused on improving communication and teamwork, clinical decision support, and follow-up

3362. A "Weak" Response | PSNet
      psnet.ahrq.gov/web-mm/weak-response
      February 24, 2011 - After advising the patient to stop the hydrochlorothiazide and to follow blood pressure measurements … Moments later, I had a high-quality image of what looked like a squamous cell carcinoma and set up a

3363. Refused Medication Error | PSNet
      psnet.ahrq.gov/web-mm/refused-medication-error
      November 01, 2005 - Resources WebM&M Cases Critical Echocardiogram Result Lost to Follow-up

3364. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867849/psn-pdf
      February 26, 2025 - studies have shown that direct CEO-level accountability is associated with gains in safety.7 In a follow-up

3365. Outbreak | PSNet
      psnet.ahrq.gov/web-mm/outbreak
      January 29, 2015 - Centers for Disease Control and Prevention (CDC) created a series of universal precautions for HCWs to follow … smallpox virus, variola major, is highly contagious, readily transmitted person-to-person, and fatal in up

3366. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49815/psn-pdf
      December 01, 2017 - Trends in alternative medicine use in the United States, 1990–1997: results of a follow-up survey.

3367. Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic | PSNet
      psnet.ahrq.gov/innovation/battle-buddies-rapid-deployment-psychological-resilience-intervention-health-care
      September 09, 2020 - Implement Clinical Protocols During a Time of Crisis March 15, 2023 Speaking up

3368. What Makes a Good Checklist | PSNet
      psnet.ahrq.gov/perspective/what-makes-good-checklist
      October 01, 2010 - activities surrounding the insertion of central venous catheters that reduced bloodstream infections up … to allocate tasks to individuals.( 13 ) This prevents diffusion of responsibility (i.e., no one ends up … In our work, the hardest part was trying to get the nurses comfortable speaking up and get the doctors … see them not doing something that they should be doing for patient safety, then they have to speak up … I think regulations are too slow and too blunt to keep up with the science of medicine.

3369. In Conversation with...Peter J. Pronovost, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
      October 01, 2010 - What we found is that without measuring infection rates and empowering nurses to speak up—the rates won't … In our work, the hardest part was trying to get the nurses comfortable speaking up and get the doctors … see them not doing something that they should be doing for patient safety, then they have to speak up … Now we get to a point that if everybody agrees with the items on the checklist and the nurse speaks up … I think regulations are too slow and too blunt to keep up with the science of medicine.

3370. In Conversation with… Edward Tenner, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
      June 01, 2011 - ET : I like the idea of checklists up to a point. … me uneasy about the checklists is the assumption that there is a body of best practices and you just follow … Everybody else in an organization will tend to follow the lead of the CEO.

3371. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837784/psn-pdf
      August 05, 2022 - I wonder though, if maybe we back up for just a second, and start with a really basic question for some … a clinical reference, for example, Epocrates4 or other apps on your phone that can be used to look up … how that would be really challenging to keep it updated and current, even if the app content were up … This particular app came up as a concern because they were using a very nontraditional technique of … SM: I would imagine that would really help you stay up to date in terms of changes in practice.

3372. Patient Advocacy in Patient Safety: Have Things Changed? | PSNet
      psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
      June 01, 2014 - , and finds him or herself now being ignored by other clinicians, and useful information that comes up … As a result, we end up with unnecessary morbidity and mortality. … I love the idea of a browser plug-in where you could mouse over a word and have something pop up and … That it sets up clinicians and patients as potential adversaries? DdB : One word: oy. … To me, that is a set up for disaster when things go wrong.

3373. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? | PSNet
      psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
      March 01, 2004 - like death in a low-mortality DRG as a screening test, that, when positive, leads an institution to follow … up using a more accurate test, namely a thorough investigation of the case that occurs very soon after … Revelation March 1, 2004 WebM&M Cases Patient Mix-Up

3374. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49708/psn-pdf
      May 01, 2014 - of "commission"—medications that patients have discontinued and are inappropriately restarted.(6) Up … interventions to improve care transitions at discharge, such as individualized counseling, coordination of follow-up

3375. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33638/psn-pdf
      August 01, 2006 - guide, sharing his deep insights into how people do their work and why it's so easy for them to screw up … Carving a pumpkin at a Halloween party, I struck up a conversation with someone who invited me to speak

3376. Urine a Tough Position | PSNet
      psnet.ahrq.gov/web-mm/urine-tough-position
      January 01, 2009 - The other urine sample belonged to a diabetic patient; the technologist suspected a mix-up after a urine … This is a potential set-up for patient identification errors or specimen mishandling errors.

3377. Check the Bags | PSNet
      psnet.ahrq.gov/web-mm/check-bags
      January 03, 2017 - Believing the patient required a rapid saline infusion, she opened the IV up, and the solution infused … Second, IV pumps used to control the rate of administration can fail to operate properly or can be set up

3378. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33689/psn-pdf
      October 01, 2009 - In fact, many of them show up on various "top hospitals" lists, which may be why celebrities frequent … agree with the health care journalist Michael Millenson, who observed (11): It was the mirror held up

3379. Shake Well | PSNet
      psnet.ahrq.gov/web-mm/shake-well
      September 01, 2006 - Drug administration techniques, such as shaking an oral suspension, are becoming difficult to keep up … September 1, 2006 WebM&M Cases Citrate Mix-Up

3380. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.179_slideshow.ppt
      July 01, 2008 - control use Dedicating a large amount of time to procure opioids or recover from their effects Giving up … Scope of the Problem More than 3 million Americans have used heroin in their lifetime In 2000, up