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Showing results for "incident".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49565/psn-pdf
    July 01, 2008 - Further, the incident highlighted potential risks for all staff and identified the need for training

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49510/psn-pdf
    May 01, 2006 - , the student could have been rewarded for making a “good catch,” instead of having to complete an incident

  3. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.266_slideshow.ppt
    May 01, 2012 - Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33797/psn-pdf
    January 01, 2016 - To bolster measurement (9), patient safety teams can tap into a treasure trove of data from incident

  5. Ensuring Patient and Workforce Safety Culture in Healthcare | PSNet

    psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
    March 27, 2024 - The concern may be raised preemptively before an incident occurs, or after, and it may involve either … Many nurses yearned for empathy from their peers, opportunities to debrief about the incident, and follow-up

  6. Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery | PSNet

    psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
    January 29, 2021 - Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery Citation Text: Bohringer C, Chavez G. Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qual…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865454/psn-pdf
    March 27, 2024 - The concern may be raised preemptively before an incident occurs, or after, and it may involve either … Many nurses yearned for empathy from their peers, opportunities to debrief about the incident, and follow-up

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73553/psn-pdf
    July 28, 2021 - You participate in regional efforts to do disaster and major incident preparedness. … For example, in the case of an incident that resulted in a trauma patient, the EMS system should facilitate

  9. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk | PSNet

    psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
    January 31, 2024 - Encouraging patients to ask questions and engage in open dialogue to ensure their understanding of the incident … August 16, 2023 Patient and family involvement in serious incident investigations from

  10. Falling Through the Crack (in the Bedrails) | PSNet

    psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
    February 19, 2020 - In a review of the incident, it became evident that, after the procedure, the wrist restraint was not … The institution wondered what steps could be taken to prevent a similar incident in the future, as well

  11. In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles | PSNet

    psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
    August 28, 2024 - For example, instead of incident, we’ll say event. … Learning teams may or may not be triggered by a safety incident; the goal is to examine processes from

  12. Application of Safety-II Principles | PSNet

    psnet.ahrq.gov/perspective/application-safety-ii-principles
    August 28, 2024 - Learning teams may or may not be triggered by a safety incident; the goal is to examine processes from … For example, instead of incident, we’ll say event.

  13. Selection bias and the perils of benchmarking. | PSNet

    psnet.ahrq.gov/issue/selection-bias-and-perils-benchmarking
    July 31, 2023 - Commentary Selection bias and the perils of benchmarking. Citation Text: Denrell J. Selection bias and the perils of benchmarking. Harv Bus Rev. 2005;83(4):114-9, 134. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

  14. Preventable adverse drug events among inpatients: a systematic review. | PSNet

    psnet.ahrq.gov/issue/preventable-adverse-drug-events-among-inpatients-systematic-review
    February 22, 2019 - Review Emerging Classic Preventable adverse drug events among inpatients: a systematic review. Citation Text: Gates PJ, Meyerson SA, Baysari M, et al. Preventable Adverse Drug Events Among Inpatients: A Systematic Review. Pediatrics. 2018;142(3):e20180805. doi:1…

  15. Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward. | PSNet

    psnet.ahrq.gov/issue/application-trigger-tool-near-real-time-inform-quality-improvement-activities-prospective
    September 26, 2012 - Study Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward. Citation Text: Wong BM, Dyal S, Etchells E, et al. Application of a trigger tool in near real time to inform quality improvement activities: a p…

  16. Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample. | PSNet

    psnet.ahrq.gov/issue/missed-diagnosis-stroke-emergency-department-cross-sectional-analysis-large-population-based
    April 08, 2018 - Study Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample. Citation Text: Newman-Toker DE, Moy E, Valente E, et al. Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-b…

  17. Deficiencies in Emergency Preparedness for Veterans Health Administration Telemental Health Care at VA Clinic Locations Prior to the Pandemic. | PSNet

    psnet.ahrq.gov/issue/deficiencies-emergency-preparedness-veterans-health-administration-telemental-health-care-va
    August 02, 2023 - Book/Report Deficiencies in Emergency Preparedness for Veterans Health Administration Telemental Health Care at VA Clinic Locations Prior to the Pandemic. Citation Text: Deficiencies in Emergency Preparedness for Veterans Health Administration Telemental Health Care at VA Clinic Location…

  18. Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida nursing homes. | PSNet

    psnet.ahrq.gov/issue/role-nursing-home-quality-covid-19-cases-and-deaths-evidence-florida-nursing-homes
    August 12, 2020 - Study Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida nursing homes. Citation Text: Wang X, Wilson C, Holmes K. Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida nursing homes. J Gerontol Soc Work. 2021:1-17. doi:10.1080/016…

  19. Medication-related problems in critical care survivors: a systematic review. | PSNet

    psnet.ahrq.gov/issue/medication-related-problems-critical-care-survivors-systematic-review
    August 20, 2018 - Review Medication-related problems in critical care survivors: a systematic review. Citation Text: Short A, McPeake J, Andonovic M, et al. Medication-related problems in critical care survivors: a systematic review. Eur J Hosp Pharm. 2023;30(5):250-256. doi:10.1136/ejhpharm-2023-003715. …

  20. The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England. | PSNet

    psnet.ahrq.gov/issue/effect-providing-staff-training-and-enhanced-support-care-homes-care-processes-safety-climate
    September 15, 2021 - Study The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England. Citation Text: Damery S, Flanagan S, Jones J, et al. The effect of providing staff tr…
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