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Showing results for "follow up".

3381. Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience | PSNet
      psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
      December 23, 2020 - In the same spirit, we decided that patient safety issues and problems would be reported directly up … This wake-up call got the organization's collective attention but might not have been sufficient to sustain

3382. Can Research Help Us Improve the Medical Liability System? | PSNet
      psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
      March 01, 2012 - also very expensive to administer, with only about 45 cents of every insurance premium dollar ending up … psychological effects of the litigation process, and the claims-related reporting requirements that follow … Our liability system does not appear to be up to this task and generates unwanted expenses in the process … I had no doubt that, even in the cases we had to settle by stepping up early and settling, I'd get a … Let me back up a little bit upstream and say that there's one other thing that I think we need to pay

3383. In Conversation With… Richard C. Boothman, JD | PSNet
      psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
      March 01, 2012 - To be able to hold your hand up and say to somebody who's angry with you, "This is what I have insurance … In other words, caregivers can do all the right and reasonable things and still end up with unanticipated … I had no doubt that, even in the cases we had to settle by stepping up early and settling, I'd get a … Let me back up a little bit upstream and say that there's one other thing that I think we need to pay … psychological effects of the litigation process, and the claims-related reporting requirements that follow

3384. In Conversation with...Bradley T. Rosen, MD, MBA | PSNet
      psnet.ahrq.gov/perspective/conversation-withbradley-t-rosen-md-mba
      March 01, 2008 - You end up providing better patient care and having lower complication rates. … On the front end, the nurse helps to obtain consent and do any other necessary paperwork, helps set up … The nurse also helps to clean up afterward, helps collect the data, and helps to move the cart and the … It's important for anyone considering starting up a procedure service to keep in mind that a procedure … right, how to adapt, and what other maneuvers or adjustments you can do so that the procedure ends up

3385. Creation of a Medical Procedure Service to Improve Patient Safety | PSNet
      psnet.ahrq.gov/perspective/creation-medical-procedure-service-improve-patient-safety
      March 01, 2008 - You end up providing better patient care and having lower complication rates. … On the front end, the nurse helps to obtain consent and do any other necessary paperwork, helps set up … The nurse also helps to clean up afterward, helps collect the data, and helps to move the cart and the … It's important for anyone considering starting up a procedure service to keep in mind that a procedure … right, how to adapt, and what other maneuvers or adjustments you can do so that the procedure ends up

3386. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33833/psn-pdf
      May 01, 2017 - But as time has gone on, as tolerance develops, and as doses have crept up, that pendulum can swing. … So you can end up with a patient who is being harmed more than helped by their therapy and not even … Going up to 80 or 100 or 200 is the wrong thing to do, although we did it quite a lot. … That's why it's good to have an exit plan up front. … RW: Do you think the health care system is set up to manage this problem?

3387. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72613/psn-pdf
      December 22, 2020 - But there are also things like wrong tooth extraction, which people mentioned but don’t seem to come up … for which we would expect to do more of a root cause analysis, but we didn’t frequently pick those up … We have to work with the faculty and get them up to speed on these concepts too.   … I have trouble getting some traction, but I'm not giving up because the dental center/school is getting … They need to get up to speed really, really quickly, procedurally, cognitively, and you know all of these

3388. The Weekend Effect in Cardiology: Is It Real? If So, Can It Be Fixed? | PSNet
      psnet.ahrq.gov/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed
      June 01, 2017 - One of the rapid responses that came up on the BMJ suggested that if it's a postoperative effect, if … But the politics has made it more difficult, I think, to stick your head up above the parapet and talk … It also has emotions and politics and all sorts of things wrapped up in it. … It opens up a whole new potential. … linked to hospital data to learn more about the patient journey from the first primary care consultation up

3389. Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle | PSNet
      psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
      July 23, 2024 - They did this by making the process steps clear and easy to follow. … After they determined a simple plan for providers to follow in highly complex procedures, they knew their … When people speak up, the organization must respond by either making adjustments or by explaining the

3390. Medication Reconciliation: Whose Job Is It? | PSNet
      psnet.ahrq.gov/web-mm/medication-reconciliation-whose-job-it
      May 01, 2018 - Patients and families should be encouraged to keep an up-to-date list of medications. … March 11, 2019 Communication factors in the follow-up of abnormal mammograms.

3391. Doctor, Don't Treat Thyself | PSNet
      psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself
      August 21, 2024 - In the United Kingdom, where the entire population is required to have a personal physician, up to 99%

3392. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49865/psn-pdf
      June 01, 2019 - increased incidence of methicillin-resistant Staphylococcus aureus colonization or infection over a mean follow-up

3393. The Perils of Contrast Media | PSNet
      psnet.ahrq.gov/web-mm/perils-contrast-media
      March 01, 2007 - leukocytosis (29,100 μL), lactic acidosis (9.9 mmol/L), and new acute kidney injury (creatinine 1.8 mg/dL, up

3394. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49654/psn-pdf
      June 01, 2012 - In fact, non-emergent transfers may be more common than those of critically ill patients, as up to 90%

3395. Buprenorphine and the Medically Ill Patient | PSNet
      psnet.ahrq.gov/web-mm/buprenorphine-and-medically-ill-patient
      August 20, 2018 - prior and was given a prescription for oral antibiotics and other medications, which he never picked up

3396. Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality | PSNet
      psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
      October 01, 2004 - In the course of her work-up, it was noted that she was subtherapeutic on her anticoagulation with warfarin

3397. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865419/psn-pdf
      March 27, 2024 - Diagnostic errors are common, estimated at around 5.7% in ED settings, with some estimates ranging up

3398. Do Not Miss Sepsis Needles in Viral Haystacks! | PSNet
      psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
      March 27, 2024 - Diagnostic errors are common, estimated at around 5.7% in ED settings , with some estimates ranging up

3399. Antibiotics for URI/Sinusitis—A Simple Decision Gone Bad | PSNet
      psnet.ahrq.gov/web-mm/antibiotics-urisinusitis-simple-decision-gone-bad
      January 01, 2014 - Her work up revealed profound anemia due to brisk autoimmune hemolysis. … adverse effects, ranging from common problems like antibiotic-associated diarrhea (which can occur in up … Clinicians should follow evidence-based treatment guidelines for sinusitis.

3400. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49870/psn-pdf
      August 10, 2019 - important step institutions and their clinicians can take to avoid this error is to establish and follow … For instance, suspected GI bleeds should be worked up carefully regardless of the results of a previous … Working up rectal bleeding in adult primary care practices. J Eval Clin Pract. 2017;23:279-287.