Results

Total Results: 3,868 records

Showing results for "follow up".

3401. Simulation Training | PSNet
      psnet.ahrq.gov/primer/simulation-training
      September 15, 2024 - room may not emulate an operating room or emergency room, part- and full-scale simulators can be set up … simulation study, demonstrating that high-quality simulations could be used to successfully replace up … March 25, 2021 Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement

3402. Paroxysmal Supraventricular Tachycardia Masquerading as Panic Attacks | PSNet
      psnet.ahrq.gov/web-mm/paroxysmal-supraventricular-tachycardia-masquerading-panic-attacks
      September 01, 2017 - her 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

3403. Getting Into Patient Safety: A Personal Story | PSNet
      psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
      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 … A year later, I came up for air and realized that we in health care could use this. … me to see how many really good people, such as yourself and Don Berwick and others, have taken this up … That is, getting beyond blame, punishment, and training and going on to saying, how can we set it up

3404. In Conversation with…Troyen A. Brennan, MD, JD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-withtroyen-brennan-md-jd-mph
      December 21, 2022 - Well, they were in the middle of a tort crisis in California, and coming up with numbers that suggested … So we were just as interested in following up on legal claims as we were in reviewing the medical records … search for a different approach that accurately identifies when these incidents are occurring and sets up

3405. The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department. | PSNet
      psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-emergency-department
      September 27, 2023 - was awake with discoloration to her face (purple) and neck (red), but she was breathing and able to follow … Cases Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up

3406. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49737/psn-pdf
      June 01, 2015 - We have also developed benchmarks for nurses to follow and to measure competency. … The catheter may curl or kink in the urethra, butt up against one of the urethral curves, bend at the … All personnel must follow evidence-based guidelines on urinary catheterizations and receive periodic

3407. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.72_slideshow.ppt
      September 01, 2004 - tolerate diagnostic procedure If patient likely to tolerate procedure, then may benefit from work up

3408. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49574/psn-pdf
      November 01, 2008 - Iatrogenic hypoglycemia remains a common yet preventable event in hospitals in the United States, with up

3409. Missing Trauma | PSNet
      psnet.ahrq.gov/web-mm/missing-trauma
      March 03, 2011 - care are two: A complete physical examination remains a key and fundamental component of the work-up

3410. Right Place, Right Drug, Wrong Strength | PSNet
      psnet.ahrq.gov/web-mm/right-place-right-drug-wrong-strength
      March 26, 2015 - , 2024 The delivery of safe and effective test result communication, management and follow-up

3411. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49583/psn-pdf
      April 01, 2009 - Also, the hierarchal nature of medical practice frequently inhibits team members from speaking up.

3412. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49696/psn-pdf
      December 01, 2013 - TSOACs) have become available for the treatment and prevention of thromboembolism and currently make up

3413. Hiding in Plain Sight | PSNet
      psnet.ahrq.gov/web-mm/hiding-plain-sight
      April 24, 2019 - reported as unremarkable, and basic laboratory tests and an abdominal computed tomography (CT) study came up

3414. Misdiagnosis of a Pelvic Mass versus Pregnancy | PSNet
      psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy
      November 25, 2020 - active labor in this case; and as the diagnostic errors aligned, holes in layers of defense also lined up

3415. In Conversation with... Regina Hoffman about Building Capacity for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
      July 31, 2023 - Staff wants to know that the care for the next patient is safer because they spoke up and said something … While the intent is good, unfortunately they sometimes create conflicts that end up restricting the sharing … are missed lessons when organizations cannot share qualitative information on what occurred to lead up

3416. Building Capacity for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/building-capacity-patient-safety
      July 31, 2023 - are missed lessons when organizations cannot share qualitative information on what occurred to lead up … Staff wants to know that the care for the next patient is safer because they spoke up and said something … While the intent is good, unfortunately they sometimes create conflicts that end up restricting the sharing

3417. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866261/psn-pdf
      July 10, 2024 - clinicians fail to make the diagnosis of compartment syndrome in a timely manner, the patient ends up … Every team member should be encouraged to speak up and voice any concerns about the patient’s position

3418. Syringe Swap During Regional Block: A Case of Medication Error and Recovery | PSNet
      psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
      July 22, 2020 - 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

3419. In Conversation with…Jack Barker, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withjack-barker-phd
      January 01, 2006 - JB: That question—of "fixed" versus "formed" teams—comes up in both aviation and health care. … Whereas, in the formed crews, those that are just put together for the mission, they tend to follow the … You have the pilot, co-pilot, and flight engineer—all of them are professional people relatively high up … had another incident where one team member present during a surgery felt empowered to actually speak up … The individual who spoke up never would have said anything prior to the training.

3420. In Conversation With… Rebecca Smith-Bindman, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
      October 01, 2013 - When people scan a plastic dummy, you set a protocol that you follow very closely. … The doses crept up and no one really noticed it. … So as the doses went up, we were thinking about this problem less, and when attention came to this issue … We're developing strategies that we hope can be scaled up rapidly to allow us all to get on the same … the collective dose to the population and fluoroscopy and conventional radiograph examinations making up