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Showing results for "identified".

4141. In Conversation with…Gerald B. Hickson, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
      December 01, 2009 - We and other investigators identified that these high-risk physicians do not treat sicker or more suit-prone … We find that many such individuals who are identified and receive peer-delivered interventions are stunned … And once a physician is identified, walk us through what happens in your system. … Unfortunately, we now have many circumstances in which we've identified individuals at one institution … We believe that whenever variation is identified by whatever surveillance system, you apply the same

4142. Mark My Tooth | PSNet
      psnet.ahrq.gov/web-mm/mark-my-tooth
      June 01, 2014 - Whatever its cause, once the error is identified, the surgeon should disclose the error and arrange for … The company identified internal communication problems in the surgeon's office and with the referring … Unfortunately, no clear trends were identified that would help reduce the number of wrong-site surgeries … Final Thoughts If a wrong tooth is extracted, regardless of whether the error was identified immediately

4143. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42089/psn-pdf
      March 06, 2013 - A recent systematic review identified promising strategies for improving continuity of care at discharge

4144. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41782/psn-pdf
      October 31, 2012 - nature of quality improvement and patient safety activities within academic departments of medicine and identified

4145. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38702/psn-pdf
      June 10, 2009 - https://psnet.ahrq.gov/issue/exploratory-study-measuring-verbal-order-content-and-context This study identified

4146. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43415/psn-pdf
      September 10, 2014 - a large-scale quality improvement effort to reduce readmissions and adverse events after discharge identified

4147. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37312/psn-pdf
      January 05, 2012 - better assess the risks facing community-based patients and discovered that the most frequent risks identified

4148. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36676/psn-pdf
      March 04, 2011 - outcomes-surgical The investigators surveyed patients regarding the coordination of their postdischarge care and identified

4149. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38226/psn-pdf
      February 18, 2011 - This critical incident study identified themes that contributed to residents' professional development

4150. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35282/psn-pdf
      May 27, 2011 - The authors identified problems related to screen results, usability, training, and others.

4151. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38656/psn-pdf
      May 27, 2009 - The authors discuss methods, such as checklists, that could be used to address the safety issues identified

4152. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41396/psn-pdf
      May 23, 2012 - This analysis of paper-based signouts used by nurses and physicians in a cardiac intensive care unit identified

4153. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46241/psn-pdf
      January 30, 2018 - review of quality and safety practices for oral chemotherapy found that telephone calls from nurses identified

4154. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38641/psn-pdf
      September 02, 2009 - assessing-value-electronic-prescribing-ambulatory-care-focus-group-study Focus groups with primary care physicians identified

4155. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39440/psn-pdf
      September 19, 2016 - and failure to prevent patient harm (such as suicide attempts) were among the common types of errors identified

4156. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42506/psn-pdf
      August 28, 2013 - foundations-teaching-surgeons-address-contributions-systems-operating- room-team-conflict This study identified

4157. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39934/psn-pdf
      October 30, 2010 - identifying-causes-adverse-events-detected-automated-trigger-tool-through- depth-analysis In this study, investigators identified

4158. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43887/psn-pdf
      April 08, 2018 - most common sources of error were clinician knowledge gaps, which accounted for nearly half of all identified

4159. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44139/psn-pdf
      June 10, 2015 - arrest scenarios, conducted in actual clinical settings without advance notification of participants, identified

4160. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37822/psn-pdf
      June 18, 2008 - morbidity-and-mortality-conference-based-classification-system-adverse- events-surgical Surgical adverse events were identified