Results

Total Results: over 10,000 records

Showing results for "identify".

9981. Measuring and Responding to Deaths From Medical Errors | PSNet
      psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors
      April 01, 2008 - How should hospitals and health care organizations seek to identify these patients, determine what factors … Some hospitals conduct standardized reviews of deaths in order to identify individual clinician issues … These may be performed as part of trigger tool-based reviews to identify broader safety issues or as … It is important to recognize that no single detection method is able to identify all preventable deaths … Structured reviews of inpatient deaths are an important part of this process, but they tend to identify

9982. The Missing Suction Tip | PSNet
      psnet.ahrq.gov/web-mm/missing-suction-tip
      January 01, 2006 - Case Objectives Identify the risk factors for retained foreign bodies. … Understand methods used to prevent and identify retained foreign bodies. … other industries.( 8 ) When investigating and analyzing this event, the goal should be not only to identify … Root cause analyses are often used to identify such "system errors" in hospitals. … Other complementary methods elicit participants’ understanding of an event and also help identify factors

9983. Should patients get direct access to their laboratory test results?: An answer with many questions. | PSNet
      psnet.ahrq.gov/issue/should-patients-get-direct-access-their-laboratory-test-results-answer-many-questions
      November 13, 2024 - December 16, 2020 Safety huddles to proactively identify and address electronic health … March 25, 2015 Root cause analysis reports help identify common factors in delayed diagnosis

9984. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43928/psn-pdf
      April 08, 2018 - In this study, researchers sought to identify missed diagnosis of acute myocardial infarction (AMI) … missed-diagnoses-acute-myocardial-infarction-emergency-department-variation-patient-and https://psnet.ahrq.gov/primer/diagnostic-errors https://psnet.ahrq.gov/issue/implications-failure-identify-high-risk-electrocardiogram-findings-quality-care-patients

9985. Communicating findings of delayed diagnostic evaluation to primary care providers. | PSNet
      psnet.ahrq.gov/issue/communicating-findings-delayed-diagnostic-evaluation-primary-care-providers
      June 21, 2016 - October 13, 2015 Electronic triggers to identify delays in follow-up of mammography: … March 19, 2018 Application of electronic trigger tools to identify targets for improving … March 12, 2014 Root cause analysis reports help identify common factors in delayed diagnosis

9986. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-337
      April 27, 2022 - Multidisciplinary teams (e.g. leadership, providers, EHR developers) can now use the refined SEWA framework to identify … refers to widespread dissemination of process improvement tools to support staff skill development and identify … refers to widespread dissemination of process improvement tools to support staff skill development and identify … Study Inviting patients to identify diagnostic concerns through structured evaluation … Clinical decision support systems (CDSS) can help identify potential drug-drug interactions (DDI), but

9987. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72616/psn-pdf
      December 22, 2020 - will need to be incrementally overcome as patient safety professionals and researchers seek to better identify … A review of published dental cases was conducted to identify the types of errors and harm that occurred … review of nearly 1000 charts from academic institutions sought to classify dentistry adverse events, identify … continue to place an emphasis on improving data collection in dentistry to not only more comprehensively identify

9988. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43959/psn-pdf
      September 01, 2016 - Trigger tools have been widely used in retrospective studies to identify and characterize adverse events … by a multidisciplinary team involving clinicians and information technologists and were tailored to identify

9989. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60548/psn-pdf
      May 28, 2020 - Our system is based on passive surveillance: we rely on people to identify that a problem occurred and … things, and they are certainly not going to pick up on all associated events, so it may take longer to identify … These functions will allow us to identify potentially serious device risks that we did not know of beforehand … In some cases, we have even looked at devices in our laboratory to try and identify the root cause of … Finally, there are the changes we’re making in national capabilities to identify safety issues.

9990. Improving patient safety in radiation oncology. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-radiation-oncology
      September 23, 2020 - February 14, 2017 A practical framework for patient care teams to prospectively identify … June 27, 2011 The use of human factors methods to identify and mitigate safety issues

9991. Enhancing physicians' use of clinical guidelines. | PSNet
      psnet.ahrq.gov/issue/enhancing-physicians-use-clinical-guidelines
      July 01, 2017 - March 13, 2013 A practical framework for patient care teams to prospectively identify … September 20, 2011 Need to systematically identify and mitigate risks upon hospitalisation

9992. Learning accountability for patient outcomes. | PSNet
      psnet.ahrq.gov/issue/learning-accountability-patient-outcomes
      July 01, 2017 - March 13, 2013 A practical framework for patient care teams to prospectively identify … September 20, 2011 Need to systematically identify and mitigate risks upon hospitalisation

9993. We need leaders: the 48th Annual Rovenstine Lecture. | PSNet
      psnet.ahrq.gov/issue/we-need-leaders-48th-annual-rovenstine-lecture
      July 01, 2017 - March 13, 2013 A practical framework for patient care teams to prospectively identify … September 20, 2011 Need to systematically identify and mitigate risks upon hospitalisation

9994. An interview with Peter Pronovost | PSNet
      psnet.ahrq.gov/issue/interview-peter-pronovost
      July 01, 2017 - March 13, 2013 A practical framework for patient care teams to prospectively identify … September 20, 2011 Need to systematically identify and mitigate risks upon hospitalisation

9995. Safe medication prescribing and monitoring in the outpatient setting. | PSNet
      psnet.ahrq.gov/issue/safe-medication-prescribing-and-monitoring-outpatient-setting
      January 06, 2018 - 2018 Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify … 17, 2011 Use of an interactive, telephone-based self-management support program to identify

9996. Health IT Safety Center Roadmap. | PSNet
      psnet.ahrq.gov/issue/health-it-safety-center-roadmap
      June 29, 2016 - July 23, 2014 How to Identify and Address Unsafe Conditions Associated With Health IT … March 19, 2014 How to Identify and Address Unsafe Conditions Associated With Health IT

9997. Managing disruptive behaviors in the health care setting: focus on obstetrics services. | PSNet
      psnet.ahrq.gov/issue/managing-disruptive-behaviors-health-care-setting-focus-obstetrics-services
      February 03, 2010 - August 27, 2012 Perspective How to Identify and Manage … September 1, 2010 Perspective How to Identify and Manage

9998. Hospital mortality: when failure is not a good measure of success. | PSNet
      psnet.ahrq.gov/issue/hospital-mortality-when-failure-not-good-measure-success
      December 22, 2010 - October 4, 2011 Using prospective clinical surveillance to identify adverse events in … 2022 Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify

9999. On the trail of quality and safety in health care. | PSNet
      psnet.ahrq.gov/issue/trail-quality-and-safety-health-care
      December 17, 2009 - April 14, 2011 Mix of methods is needed to identify adverse events in general practice … November 18, 2020 Using event reports in real-time to identify and mitigate patient safety

10000. Cognitive versus technical debriefing after simulation training. | PSNet
       psnet.ahrq.gov/issue/cognitive-versus-technical-debriefing-after-simulation-training
       September 12, 2011 - February 27, 2019 Using simulation to identify sources of medical diagnostic error in … training improves emergency medicine trainees' perceived ability to manage emergencies and ability to identify