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Showing results for "form".

  1. Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner | PSNet

    psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
    February 26, 2025 - 1 A risk mitigation strategy was then designed in response to the five clinical risk scenarios to form

  2. Inpatient Transitions of Care: Challenges and Safety Practices | PSNet

    psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
    June 15, 2024 - details (the best possible medication history ) and should be communicated verbally and in written form

  3. The Role of Undergraduate Nursing Education in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
    November 27, 2023 - quantity of nurses and the environment of care are important, the quality of each nurse’s education forms … This could take a variety of forms. … There is a form that educators can fill out to submit a strategy and have it peer reviewed.

  4. In Conversation with... Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
    November 27, 2023 - This could take a variety of forms. … There is a form that educators can fill out to submit a strategy and have it peer reviewed. … quantity of nurses and the environment of care are important, the quality of each nurse’s education forms

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33595/psn-pdf
    December 15, 2024 - Fatigue, Sleep Deprivation, and Patient Safety December 15, 2024 Fatigue, Sleep Deprivation, and Patient Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/fatigue-sleep-deprivation-and-patient-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that th…

  6. Second Victims: Support for Clinicians Involved in Errors and Adverse Events | PSNet

    psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
    December 15, 2024 - Moving On Clinicians feel internal and external pressure to "move on," and in the study had three forms

  7. Incomplete Orders for Hypertonic Saline to Treat Hyponatremia | PSNet

    psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
    February 23, 2022 - expert panels recommend therapeutic lowering of serum sodium by administering free water (mostly in the form

  8. Situational (Un)Awareness | PSNet

    psnet.ahrq.gov/web-mm/situational-unawareness
    August 01, 2009 - Clinical decision support (CDS) in the form of an alert notifying the pharmacist of the 25-hour delay

  9. Misidentifying the Unidentified – John Doe and the EHR | PSNet

    psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
    September 27, 2017 - Unfortunately, until a different form of identification or national patient identifiers are used, the

  10. Unintended Consequences of CPOE | PSNet

    psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
    September 01, 2004 - systems in commercial aviation in the 1990s increased the cognitive demands on pilots and led to new forms … One important clue can come in the form of Order/Cancel pairs or Order/Cancel/Reorder triples.

  11. Which Line: Ordering Provider or Proceduralist? | PSNet

    psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
    September 16, 2015 - Discuss different forms of mistake-proofing: inspection, self-check, successive check, and check with … In this case, a successive check, in the form of a huddle (physical or virtual) involving all relevant

  12. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis | PSNet

    psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
    March 09, 2022 - When the extravasated CSF forms a fibrous capsule beneath the skin, it is classified as a pseudomeningocele … It is thought that the blood forms a clot over the dural tear, allowing healing of the dura.

  13. Maternal Safety | PSNet

    psnet.ahrq.gov/primer/maternal-safety
    January 10, 2024 - CDC reported 20% of mothers who had given birth within the last 5 years reported experiencing some form … complex, occur on a spectrum of severity and include a wide array of disorders. 26 The most severe forms

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33798/psn-pdf
    January 01, 2015 - Accountability in Patient Safety January 1, 2015 Moriates C, Wachter R. Accountability in Patient Safety. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/accountability-patient-safety Annual Perspective 2015 The tension between the no-blame culture espoused in the early years of the safety movement and …

  15. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery | PSNet

    psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
    September 27, 2023 - educational activity, participants should be able to: Summarize the advantages and disadvantages of various forms … hospital be offered LMWH for thromboprophylaxis. 7 Neuraxial anesthesia is the most common and effective form

  16. Medical Devices in the "Wild" | PSNet

    psnet.ahrq.gov/web-mm/medical-devices-wild
    March 27, 2024 - safety risks in these complex work systems early in the design process and develop solutions in the form

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866395/psn-pdf
    July 23, 2024 - milestones for their patients and an interactive online application to help identify and reduce various forms

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33593/psn-pdf
    June 15, 2024 - Measurement of Patient Safety June 15, 2024 Measurement of Patient Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/measurement-patient-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient …

  19. Fatigue, Sleep Deprivation, and Patient Safety | PSNet

    psnet.ahrq.gov/primer/fatigue-sleep-deprivation-and-patient-safety
    September 15, 2024 - Fatigue, Sleep Deprivation, and Patient Safety Citation Text: Fatigue, Sleep Deprivation, and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 X…

  20. Measurement of Patient Safety | PSNet

    psnet.ahrq.gov/primer/measurement-patient-safety
    September 15, 2024 - Measurement of Patient Safety Citation Text: Measurement of Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
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