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Total Results: 454 records

Showing results for "form".

21. Black or 'other'? Doctors may be relying on race to make decisions about your health. | PSNet
    psnet.ahrq.gov/issue/black-or-other-doctors-may-be-relying-race-make-decisions-about-your-health
    September 15, 2021 - This article examines race correction as a form of bias in health care and discusses efforts to reduce

22. What Every Health Care Organization Should Know about Sentinel Events. | PSNet
    psnet.ahrq.gov/issue/what-every-health-care-organization-should-know-about-sentinel-events
    November 27, 2018 - The text includes a sample sentinel event root cause analysis form and a glossary.

23. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73528/psn-pdf
    July 28, 2021 - Safety implications of different forms of understaffing among nurses during the COVID-19 pandemic. … Safety implications of different forms of understaffing among nurses during the COVID?19 pandemic. … https://psnet.ahrq.gov/issue/safety-implications-different-forms-understaffing-among-nurses-during-covid … Hospital leaders should recognize both forms of understaffing when making staffing decisions, particularly … https://psnet.ahrq.gov/issue/safety-implications-different-forms-understaffing-among-nurses-during-covid

24. Hospitals win safety award for simple changes.  | PSNet
    psnet.ahrq.gov/issue/hospitals-win-safety-award-simple-changes
    September 06, 2006 - medication safety initiatives: use of color-coded storage bins and a venothromboembolism risk assessment form

25. Medication administration in aged care facilities: a mixed-methods systematic review. | PSNet
    psnet.ahrq.gov/issue/medication-administration-aged-care-facilities-mixed-methods-systematic-review
    March 05, 2025 - high concern requiring additional research: classifying omissions as administration errors and dose form

26. How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. | PSNet
    psnet.ahrq.gov/issue/how-discrimination-health-care-affects-older-americans-and-what-health-systems-and-providers
    February 28, 2024 - Bias in any form degrades the safety and effectiveness of communication and care.

27. Coaching the debriefer: peer coaching to improve debriefing quality in simulation programs. | PSNet
    psnet.ahrq.gov/issue/coaching-debriefer-peer-coaching-improve-debriefing-quality-simulation-programs
    July 31, 2019 - A core element of the program involves a peer feedback form that explores 10 elements of debriefing

28. A Mid-Summer Fog | PSNet
    psnet.ahrq.gov/web-mm/mid-summer-fog
    September 29, 2017 - working on his first call night in July at a new hospital, thumbed through the different insulin order forms … This particular hospital used different insulin order forms depending on whether the patient was insulin-dependent … The confused intern chose the wrong form, causing the patient to receive insulin in doses that failed … patient responded quickly to treatment with D50 and had a full recovery once the error in insulin order forms … this critical error in judgment by the new intern, by recognizing the disconnect between the insulin form

29. Medication administration in aged care facilities: a mixed-methods systematic review. | PSNet
    psnet.ahrq.gov/issue/medication-administration-aged-care-facilities-mixed-methods-systematic-review-0
    July 31, 2024 - Dose form modification, such as crushing tablets and adding them to food, was a common approach to ensure

30. The Case of Mistaken Intubation | PSNet
    psnet.ahrq.gov/web-mm/case-mistaken-intubation
    July 01, 2016 - The resident stated the patient had completed a POLST form (Physician Orders for Life-Sustaining Therapy … errors were identified, including: During the first admission the patient had completed the POLST form … They simply put the form in the paper chart. … The POLST form that had been completed was not included with the paperwork sent with the patient to the … A previous WebM&M commentary explores POLST forms in more detail.

31. Vital signs: maternity care experiences — United States, April 2023. | PSNet
    psnet.ahrq.gov/issue/vital-signs-maternity-care-experiences-united-states-april-2023
    July 19, 2023 - Nearly 29% of respondents reported experiencing at least one form of discrimination during their maternity

32. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867689/psn-pdf
    March 05, 2025 - Dose form modification, such as crushing tablets and adding them to food, was a common approach to ensure

33. The problem with making Safety-II work in healthcare. | PSNet
    psnet.ahrq.gov/issue/problem-making-safety-ii-work-healthcare
    April 28, 2021 - The Safety-II framework uses a proactive approach to improving patient safety by learning form what

34. Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? | PSNet
    psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful-improvements
    January 26, 2022 - annual tracking of reports allowed for prompt interventions such as implementation of a standardized form

35. Investigation of interventions to reduce nurses' medication errors in adult intensive care units: a systematic review. | PSNet
    psnet.ahrq.gov/issue/investigation-interventions-reduce-nurses-medication-errors-adult-intensive-care-units
    September 29, 2021 - showed improvement (prefilled syringe, nurses’ education program, and the protocolized program logic form

36. Effect of barcode technology on medication preparation safety: a quasi-experimental study. | PSNet
    psnet.ahrq.gov/issue/effect-barcode-technology-medication-preparation-safety-quasi-experimental-study
    December 01, 2021 - Use of BCMA decreased wrong medication and wrong dosage errors, and wrong patient, wrong form, and

37. The lost art of the history and physical. | PSNet
    psnet.ahrq.gov/issue/lost-art-history-and-physical
    May 08, 2013 - Highlighting concerns about over-reliance on laboratory tests to form diagnoses, this commentary discusses

38. The Wrongful Resuscitation | PSNet
    psnet.ahrq.gov/web-mm/wrongful-resuscitation
    October 12, 2012 - After his recovery, he completed a DNR (do not resuscitate) form signifying his desire to avoid such … Although his DNR form was with him, neither the ED staff nor the consulting surgeon looked at it. … Postoperatively, an internist came upon the DNR form in the patient's chart and discussed resuscitation … older nursing home resident is transferred to an acute care setting, not only should an interagency form

39. Workplace violence pervasiveness in the perioperative environment: a multiprofessional survey. | PSNet
    psnet.ahrq.gov/issue/workplace-violence-pervasiveness-perioperative-environment-multiprofessional-survey
    November 11, 2020 - More than three-quarters of participants reported having experienced or witnessed some form of workplace

40. Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine readmissions: a retrospective cohort study. | PSNet
    psnet.ahrq.gov/issue/prevalence-and-characterisation-diagnostic-error-among-7-day-all-cause-hospital-medicine
    April 12, 2023 - The majority of the diagnostic errors resulted in some form of clinical impact, including short-term