Results

Total Results: 3,295 records

Showing results for "gaps".

3021. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854848/psn-pdf
      October 31, 2023 - guidelines would have been particularly helpful in this case, as they would have bridged communication gaps

3022. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843151/psn-pdf
      February 01, 2023 - There continues to be progress in provider education and increasing awareness of healthcare gaps facing

3023. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836841/psn-pdf
      June 01, 2020 - Additional issues emerging from the data included gaps in patient knowledge after discharge, patient

3024. Innovations | PSNet
      psnet.ahrq.gov/innovations
      February 26, 2025 - Misdiagnosis (1) Radiograph Interpretation Error (1) Discontinuities, Gaps

3025. Check Twice, Transport Once | PSNet
      psnet.ahrq.gov/web-mm/check-twice-transport-once
      March 15, 2023 - August 31, 2022 Medication dosing safety for pediatric patients: recognizing gaps

3026. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49573/psn-pdf
      January 01, 2009 - the patient and avoid an additional handoff update, which can potentially introduce inaccuracies and gaps

3027. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49501/psn-pdf
      February 03, 2006 - A brief look at gaps in the continuity of care and how practitioners compensate for them.

3028. COVID-19: Team and Human Factors to Improve Safety | PSNet
      psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
      September 15, 2024 - Checklists: New team members should be empowered to follow processes and challenge any gaps observed

3029. Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement | PSNet
      psnet.ahrq.gov/web-mm/navigating-complications-unintended-journey-guidewire-during-dialysis-catheter-placement
      February 23, 2022 - This training along with required refresher courses and recertification can avoid long gaps between procedure

3030. The Danger of 10% Intravenous Calcium Chloride Extravasation. | PSNet
      psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation
      April 24, 2024 - Annual Perspective: Topics in Medication Safety March 31, 2022 Filling the gaps

3031. Discharge Fumbles | PSNet
      psnet.ahrq.gov/web-mm/discharge-fumbles
      September 09, 2009 - May 18, 2016 Quality gaps identified through mortality review.

3032. Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care Value and Quality of Care | PSNet
      psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
      July 23, 2024 - Use existing data to assess current practice variance and to identify gaps that can help guide the intervention

3033. The Inside of a Time Out | PSNet
      psnet.ahrq.gov/web-mm/inside-time-out
      March 01, 2004 - More About The Topic Operating Room Health Care Providers Surgery Discontinuities, Gaps

3034. Wrong Catheter in the Right Patient | PSNet
      psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
      May 16, 2022 - Commentary By Catherine Chia, MD and Mithu Molla, MD, MBA  There are two broad areas in which quality gaps

3035. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867655/psn-pdf
      February 26, 2025 - Learning Health Systems for Patient Safety February 26, 2025 Savitz LA, Sousane Z, Mossburg SE. Learning Health Systems for Patient Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/learning-health-systems-patient-safety Despite an observable decrease in adverse events in health care over time, rat…

3036. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837785/psn-pdf
      August 05, 2022 - Emergence of Application-based Healthcare August 5, 2022 Marvel FA, Dowell P, Mossburg SE. Emergence of Application-based Healthcare. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/emergence-application-based-healthcare Introduction The demand for digital healthcare, including both telemedicine and hea…

3037. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49532/psn-pdf
      March 15, 2007 - Back to Basics March 1, 2007 Hellman R. Back to Basics. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/back-basics The Case A 48-year-old woman with insulin-dependent diabetes mellitus presents to the emergency department with right upper quadrant pain, fever, and leukocytosis, prompting admission for pres…

3038. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49617/psn-pdf
      January 01, 2011 - Failure to Reevaluate December 1, 2010 Wong-Beringer A. Failure to Reevaluate. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/failure-reevaluate The Case A 61-year-old woman receiving palliative chemotherapy for non–small-cell lung cancer at a community hospital developed methicillin-resistant staphylococc…

3039. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49626/psn-pdf
      May 01, 2011 - Outbreak May 1, 2011 Rothman R, Stapleton S. Outbreak. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/outbreak The Case A 36-year-old healthy man developed an acute febrile illness associated with a vesicular rash. He presented to an urgent care clinic where he was diagnosed with varicella infection ("chic…

3040. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37147/psn-pdf
      October 04, 2011 - Design and implementation of a point-of-care computerized system for drug therapy in Stockholm metropolitan health region--bridging the gap between knowledge and practice. October 4, 2011 SJOBORG B, BACKSTROM T, ARVIDSSON L, et al. Design and implementation of a point-of-care computerized system for drug therapy …