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Total Results: 746 records

Showing results for "hold".

  1. National and local medication error reporting systems—a survey of practices in 16 countries. | PSNet

    psnet.ahrq.gov/issue/national-and-local-medication-error-reporting-systems-survey-practices-16-countries
    September 09, 2015 - May 22, 2019 Healthcare scandals and the failings of doctors: do official inquiries hold

  2. Hospital board oversight of quality and safety: a stakeholder analysis exploring the role of trust and intelligence. | PSNet

    psnet.ahrq.gov/issue/hospital-board-oversight-quality-and-safety-stakeholder-analysis-exploring-role-trust-and
    April 21, 2015 - November 13, 2019 Healthcare scandals and the failings of doctors: do official inquiries hold

  3. Are temporary staff associated with more severe emergency department medication errors? | PSNet

    psnet.ahrq.gov/issue/are-temporary-staff-associated-more-severe-emergency-department-medication-errors
    June 29, 2011 - August 4, 2010 Do not put medication safety "on hold" with boarded patients.

  4. Building a simulation-based crisis resource management course for emergency medicine, phase 1: results from an interdisciplinary needs assessment survey. | PSNet

    psnet.ahrq.gov/issue/building-simulation-based-crisis-resource-management-course-emergency-medicine-phase-1
    September 26, 2016 - June 23, 2009 WebM&M Cases Hold the tPA April 1,

  5. On O.R. Off? | PSNet

    psnet.ahrq.gov/web-mm/or
    August 22, 2013 - The care process here favors "action" despite clear and compelling reasons to hold-off.

  6. Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence. | PSNet

    psnet.ahrq.gov/issue/prevalence-and-nature-medication-administration-errors-health-care-settings-systematic-review
    April 01, 2015 - November 13, 2019 Healthcare scandals and the failings of doctors: do official inquiries hold

  7. Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. | PSNet

    psnet.ahrq.gov/issue/less-more-project-reduce-number-pims-potentially-inappropriate-medications-elderly-care-ward
    September 27, 2017 - February 1, 2012 WebM&M Cases Hold the tPA April

  8. The PeaceHealth Governance Journey in Support of Quality and Safety | PSNet

    psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
    August 01, 2007 - In addition, they often do not hold management accountable for clinical outcomes. … If quality and safety performance is to be improved at a satisfactory pace, boards must hold executive … executive and clinical leaders will make substantive progress in advancing quality and safety, and hold

  9. In Conversation with...James L. Reinertsen, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
    August 01, 2007 - In addition, they often do not hold management accountable for clinical outcomes. … If quality and safety performance is to be improved at a satisfactory pace, boards must hold executive … executive and clinical leaders will make substantive progress in advancing quality and safety, and hold

  10. Sentinel Event Alert 69: Environmental disasters: preparing to safely evacuate or shelter in place. | PSNet

    psnet.ahrq.gov/issue/sentinel-event-alert-69-environmental-disasters-preparing-safely-evacuate-or-shelter-place
    April 10, 2024 - Sentinel Event Alerts Sentinel Event Alert 69: Environmental disasters: preparing to safely evacuate or shelter in place. Citation Text: Sentinel Event Alert 69: Environmental disasters: preparing to safely evacuate or shelter in place. Jt Comm J Qual Patient Saf. 2024. doi:10.1016/j.jcj…

  11. Systems Approach | PSNet

    psnet.ahrq.gov/primer/systems-approach
    June 15, 2024 - Systems Approach Citation Text: Systems Approach. 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 PubMedId RIS Downl…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857260/psn-pdf
    November 30, 2023 - He was told only to hold it on the day of the procedure, and to resume all medications after discharge … information systems to “push” reminders (or cautions) to patients regarding appropriate times to stop or hold

  13. Patient Safety, Risk and Quality. | PSNet

    psnet.ahrq.gov/issue/patient-safety-risk-and-quality
    March 10, 2021 - Multi-use Website Patient Safety, Risk and Quality. Citation Text: Patient Safety, Risk and Quality. ECRI Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL Se…

  14. ECRI Guidelines Trust. | PSNet

    psnet.ahrq.gov/issue/ecri-guidelines-trust
    March 10, 2021 - Database/Directory ECRI Guidelines Trust. Citation Text: ECRI Guidelines Trust. ECRI Institute. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL November 28,…

  15. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-01/final_spotlight_near_miss_transfusion_01082020_tocme.pdf
    January 01, 2020 - Spotlight Spotlight “This is the wrong patient’s blood!”: Evaluating a Near-Miss Wrong Transfusion Event Source and Credits • This presentation is based on the January 2020 AHRQ WebM&M Spotlight Case • Commentary by: Sarah Barnhard MD o Medical Director of Transfusion Services at UC-Davis Health o Editors in …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49603/psn-pdf
    June 01, 2010 - go wrong, health care culture often zeroes in on people at the "sharp end" who, for once, failed to hold

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49812/psn-pdf
    November 01, 2017 - The resident called pathology and, luckily, the laboratory had placed the specimen on hold instead of … Moreover, many laboratories hold their trash for 24–72 hours in case specimens are accidentally discarded

  18. Awareness of human factors in the operating theatres during the COVID-19 pandemic | PSNet

    psnet.ahrq.gov/innovation/awareness-human-factors-operating-theatres-during-covid-19-pandemic
    January 13, 2021 - At the start of the COVID-19 pandemic, all non-cancer elective surgery was put on hold and the ONSeT 

  19. Saying Sorry. | PSNet

    psnet.ahrq.gov/issue/saying-sorry
    October 20, 2021 - Fact Sheet/FAQs Saying Sorry. Citation Text: Saying Sorry. London, England: NHS Resolution; 2018. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL June 12, 2…

  20. When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)! | PSNet

    psnet.ahrq.gov/web-mm/when-taking-sglt2-inhibitor-remember-sstop-stop-sglt2-inhibitor-three-days-bef-o-re
    February 01, 2023 - He was told only to hold it on the day of the procedure, and to resume all medications after discharge … information systems to “push” reminders (or cautions) to patients regarding appropriate times to stop or hold
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