Results

Total Results: 2,105 records

Showing results for "include".

141. Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes | PSNet
     psnet.ahrq.gov/innovation/enhancing-support-patients-social-needs-reduce-hospital-readmissions-and-improve-health
     February 26, 2025 - team report that to lead and implement the initiative organizations need multidisciplinary teams that include … Important strategies include identifying early the social determinants of health risk factors, identifying … team report that to lead and implement the initiative organizations need multidisciplinary teams that include … Important strategies include identifying early the social determinants of health risk factors, identifying

142. Rescue Improvement Conference Innovation Summary | PSNet
     psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
     September 23, 2024 - The resulting strengths of RIC go beyond a more traditional M&M model and include improvements to communication … Planning and Development Process Key steps in planning and implementing the innovation include: Identifying … Some recommendations include the vice chair of surgical quality, or any surgeon, anesthesiologist, or … At the innovating organization, all M&M reviews include the core principles of the RIC—namely, review

143. Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia | PSNet
     psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
     August 29, 2021 - with up to one-third of these errors leading to observed patient harm. 2,3 The most common errors include … with a way to examine their medication safety practices, and The Joint Commission (TJC) continues to include … Common strategies to differentiate between products (i.e. look-alike sound-alike medications) include … Solutions may vary but can include documenting waste via automated dispensing cabinets or directly in … Challenges include but are not limited to 16 Decreased access to clinical decision support tools

144. E-cigarette Explosion in a Patient Room | PSNet
     psnet.ahrq.gov/web-mm/e-cigarette-explosion-patient-room
     March 15, 2023 - quitting or replacing smoking with a less harmful nicotine delivery system.( 3,4 ) The potential risks include … the US, the use of e-cigarettes is prohibited wherever smoking tobacco is not allowed, which would include … Public Health England recommendations include the use of e-cigarettes to support tobacco control policies … Most hospitals in the United States include e-cigarettes in smoke-free policies that were developed for … Where smoke-free policies include banning the use of e-cigarettes, all cigarette smokers and e-cigarette

145. Dangerous Dialysis | PSNet
     psnet.ahrq.gov/web-mm/dangerous-dialysis
     June 12, 2024 - Instrumentation (AMMI), the same body setting the standards for dialysis unit water.( 8 ) Reuse standards include … The quality indicators include identification of medical injuries and medical errors. … Increasingly, the dialysis unit medical director's responsibilities include leading the center's quality … In addition, the commentary does not include information regarding investigational or off-label use of … Centers for Medicare & Medicaid Services (CMS) Conditions of coverage include specific quality indicators

146. Patient safety of virtual primary care: a qualitative study examining risks and mitigation strategies. | PSNet
     psnet.ahrq.gov/issue/patient-safety-virtual-primary-care-qualitative-study-examining-risks-and-mitigation
     September 27, 2023 - Mitigation strategies include improving triage, providing technical support before and during the appointment

147. Advancing diagnostic safety research: results of a systematic research priority setting exercise. | PSNet
     psnet.ahrq.gov/issue/advancing-diagnostic-safety-research-results-systematic-research-priority-setting-exercise
     April 05, 2023 - High-priority areas include strengthening teamwork factors (such as the role of nurses in diagnosis

148. Patient safety in nursing homes from an ecological perspective: an integrated review. | PSNet
     psnet.ahrq.gov/issue/patient-safety-nursing-homes-ecological-perspective-integrated-review
     December 07, 2022 - The categories include personal factors (e.g., medical needs, specialized care needs), institutional

149. What causes delays in diagnosing blood cancers? A rapid review of the evidence. | PSNet
     psnet.ahrq.gov/issue/what-causes-delays-diagnosing-blood-cancers-rapid-review-evidence
     August 14, 2019 - After seeking care, factors contributing to delayed diagnosis include seeing a locum general practitioner

150. Guilty, afraid, and alone — struggling with medical error. | PSNet
     psnet.ahrq.gov/issue/guilty-afraid-and-alone-struggling-medical-error
     July 01, 2020 - These include feelings of concern by patients about the potential for further harm to occur, feelings

151. Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses and inpatient units. | PSNet
     psnet.ahrq.gov/issue/retrospective-analysis-reported-suicide-deaths-and-attempts-veterans-health-administration
     November 17, 2021 - Recommendations include avoidance of environmental hazards , medication monitoring, control of firearms

152. Exploration of ward-based nurses' perspectives on their preparedness to recognize clinical deterioration: a scoping review. | PSNet
     psnet.ahrq.gov/issue/exploration-ward-based-nurses-perspectives-their-preparedness-recognize-clinical
     December 14, 2022 - Themes include knowledge of criteria to activate the RRS and deference to organizational hierarchy

153. Using Safety-II and resilient healthcare principles to learn from Never Events. | PSNet
     psnet.ahrq.gov/issue/using-safety-ii-and-resilient-healthcare-principles-learn-never-events
     February 20, 2019 - effectiveness, and that despite identifying systems challenges and weaknesses, many reports did not include

154. Outpatient insulin-related adverse events due to mix-up errors: findings from two national surveillance systems, United States, 2012-2017. | PSNet
     psnet.ahrq.gov/issue/outpatient-insulin-related-adverse-events-due-mix-errors-findings-two-national-surveillance
     March 10, 2021 - Recommended prevention strategies include increased patient education and human factors engineering

155. Transition planning for the senior surgeon: guidance and recommendations from the Society of Surgical Chairs. | PSNet
     psnet.ahrq.gov/issue/transition-planning-senior-surgeon-guidance-and-recommendations-society-surgical-chairs
     August 14, 2019 - Recommendations include mandatory cognitive and psychomotor testing for surgeons age 65 and older,

156. Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. | PSNet
     psnet.ahrq.gov/issue/unexpected-increased-mortality-after-implementation-commercially-sold-computerized-physician
     September 23, 2020 - Additional findings include the workflow challenges and increased time required to enter orders compared

157. Disaster ergonomics: human factors in COVID-19 pandemic emergency management. | PSNet
     psnet.ahrq.gov/issue/disaster-ergonomics-human-factors-covid-19-pandemic-emergency-management
     September 30, 2020 - Key points highlighted include the use of systems approaches, improving system-wide communication and

158. Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices. | PSNet
     psnet.ahrq.gov/issue/just-culture-medication-error-prevention-and-second-victim-support-better-prescription
     February 02, 2022 - Curriculum weaknesses discussed include punitive orientation to nursing student medication errors,

159. Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes. | PSNet
     psnet.ahrq.gov/issue/safer-paediatric-surgical-teams-5-year-evaluation-crew-resource-management-implementation-and
     February 03, 2021 - Although this study design cannot control for secular trends, few crew resource management analyses include

160. Clinicians' insights on emergency department boarding: an explanatory mixed methods study evaluating patient care and clinician well-being. | PSNet
     psnet.ahrq.gov/issue/clinicians-insights-emergency-department-boarding-explanatory-mixed-methods-study-evaluating
     October 23, 2019 - Key themes include clinician dissatisfaction and burnout, and high rates of verbal and physical abuse