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Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative. | PSNet

psnet.ahrq.gov/issue/self-reported-adherence-high-reliability-practices-among-participants-childrens-hospitals

October 20, 2021 - Achieving high reliability in health care remains an ongoing challenge. … the survey, about 80% were determined to be approaching high reliability using the High Reliability Health … A past PSNet interview discussed high reliability as it relates to health care. … February 12, 2020 Developing the Safer Dx Checklist of Ten Safety Recommendations for Health … 28, 2010 View More See More About The Topic Children's Hospitals Health

Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments. | PSNet

psnet.ahrq.gov/issue/delayed-diagnosis-serious-paediatric-conditions-13-regional-emergency-departments

July 05, 2023 - Topic Emergency Departments Children's Hospitals Pediatric Emergency Medicine Public Health

Impact of hospital-acquired conditions on financial liabilities for Medicare patients. | PSNet

psnet.ahrq.gov/issue/impact-hospital-acquired-conditions-financial-liabilities-medicare-patients

November 26, 2014 - associated with emergency admissions during weekends and public holidays: an analysis of electronic health … December 6, 2006 View More See More About The Topic Hospitals Health

Healthcare-associated Infections | PSNet

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December 15, 2024 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … sentinel event (not primarily related to the natural course of the patient's illness or underlying condition … Department of Health and Human Services. … Department of Health and Human Services.

Harm From Alarm Fatigue | PSNet

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February 14, 2018 - Many steps can be taken to combat alarm fatigue and ensure that alarms that truly indicate a change in condition … Alarms should never be completely silenced; rather, clinical staff should problem-solve why an alarm condition … ECRI Institute Announces Top 10 Health Technology Hazards for 2015. … Department of Health and Human Services. … Department of Health and Human Services.

Suicide Prevention | PSNet

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March 24, 2025 - risk, suicidal ideation and behaviors can occur in people who do not have a psychiatric condition or … within the health system. … Often, when we make a discharge plan with a patient in the facility, they are not in a good condition … condition. … It is a stigmatized condition, and people often feel rejected.

Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis | PSNet

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October 28, 2020 - ionotropic support to maintain cardiac output and was transferred to the coronary care unit in critical condition … States and may contribute to up to half of all inpatient deaths.( 1-3 ) It is also the most expensive condition … Department of Health and Human Services. … Department of Health and Human Services. … October 21, 2020 Communication with health care workers regarding health care-associated

Community validation of an approach to detect delayed diagnosis of appendicitis in big databases. | PSNet

psnet.ahrq.gov/issue/community-validation-approach-detect-delayed-diagnosis-appendicitis-big-databases

October 26, 2022 - This study found that trigger tools using electronic health record-based data can accurately identify

Adverse events among emergency department patients with cardiovascular conditions: a multicenter study. | PSNet

psnet.ahrq.gov/issue/adverse-events-among-emergency-department-patients-cardiovascular-conditions-multicenter

December 01, 2021 - August 10, 2022 Seroprevalence of SARS-CoV-2 among frontline health care personnel in

Failure to Latch | PSNet

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November 27, 2012 - Ankyloglossia (tongue-tie) is a condition in which the bottom of the tongue is tethered to the floor … The condition is frequently familial and may result in feeding, speech, and swallowing problems. … Department of Health and Human Services, Maternal and Child Health Bureau; 2005. … Geneva, Switzerland: World Health Organization, Division of Child Health and Development; 1998. … Department of Health and Human Services.

The relationship between high-reliability practice and hospital-acquired conditions among the Solutions for Patient Safety Collaborative. | PSNet

psnet.ahrq.gov/issue/relationship-between-high-reliability-practice-and-hospital-acquired-conditions-among

March 20, 2019 - Achieving high reliability is an ongoing goal for health care. … March 20, 2017 A high-reliability organization framework for health care: a multiyear

Failure to Report | PSNet

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July 01, 2008 - Trusting that "the process will not fail" or "a problem will not happen to me" is a latent condition … discussions also foster a team awareness of failures, which can help reduce complacency—a probable latent condition … The conspiracy of silence in health care quality. J Epidemiol Community Health. 2006;60:913. 9. … Department of Health and Human Services. … Department of Health and Human Services.

Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. | PSNet

psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing

April 27, 2022 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Presumably the patient’s condition improved temporarily with volume expansion but given the need for … when it became clear that the surgical team was not being sufficiently responsive, and the patient’s condition … Department of Health and Human Services. … Department of Health and Human Services.

Management of Cardiac Arrest in Unconventional Locations. | PSNet

psnet.ahrq.gov/web-mm/management-cardiac-arrest-unconventional-locations

June 14, 2023 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Despite intensive care, the patient’s condition remained unstable, and he expired several days later. … Addressing the patient’s urgent condition relied on ACLS execution by providers available at the scene … Department of Health and Human Services. … Department of Health and Human Services.

Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions. | PSNet

psnet.ahrq.gov/issue/do-nurse-and-patient-injuries-share-common-antecedents-analysis-associations-safety-climate

February 29, 2012 - February 29, 2012 Reducing health care hazards: lessons from the Commercial Aviation … April 8, 2011 Creating a high-reliability health care system: improving performance on

Renal Failure Due to Benign Prostatic Hyperplasia | PSNet

psnet.ahrq.gov/web-mm/renal-failure-due-benign-prostatic-hyperplasia

February 01, 2004 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … while retrograde ejaculation is common, and it is even possible the patient misunderstood the actual condition … As is true for most medical problems, steps in the diagnosis and management of the condition should be … Department of Health and Human Services. … Department of Health and Human Services.

Psychosocial working conditions as determinants of concerns to have made important medical errors and possible intermediate factors of this association among medical assistants - a cohort study. | PSNet

psnet.ahrq.gov/issue/psychosocial-working-conditions-determinants-concerns-have-made-important-medical-errors-and

July 13, 2022 - BMC Health Serv Res. 2022;22(1):1501. doi:10.1186/s12913-022-08895-2. … BMC Health Serv Res . 2022; 22 (1) :1501 . View more articles from the same authors. … BMC Health Serv Res. 2022;22(1):1501. doi:10.1186/s12913-022-08895-2. … View More See More About The Topic Quality and Safety Professionals Allied Health

Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To? | PSNet

psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong

March 31, 2021 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … and no surgeon should consider it appropriate to abandon a patient who potentially has such an urgent condition … without ensuring an alternate plan for the management of that condition. … Department of Health and Human Services. … Department of Health and Human Services.

Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism | PSNet

psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism

December 31, 2024 - However, the patient’s condition worsened that evening; she became hemodynamically unstable with hypotension … Pulmonary embolism (PE) is serious condition that also causes dyspnea. … hemodynamic instability, and right heart strain was identified on POCUS, was the severity of the patient’s condition … Department of Health and Human Services. … Department of Health and Human Services.

Resilience and resilience engineering in health care. | PSNet

psnet.ahrq.gov/issue/resilience-and-resilience-engineering-health-care

September 19, 2013 - Commentary Resilience and resilience engineering in health care. … Resilience and resilience engineering in health care. … of resilient organizations and provides examples of resilience engineering techniques applied in health … Resilience and resilience engineering in health care. … February 18, 2017 Health care huddles: managing complexity to achieve high reliability

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