-
psnet.ahrq.gov/node/837607/psn-pdf
June 29, 2022 - This website provides access to tools supporting use of the Common
Formats that include forms and a
-
psnet.ahrq.gov/node/837744/psn-pdf
July 27, 2022 - Recommendations to mitigate the potential for similar errors include risk assessment, hard stop use,
-
psnet.ahrq.gov/node/60020/psn-pdf
March 04, 2020 - Next steps for platform development and implementation
include creating capability for personalized
-
psnet.ahrq.gov/node/50785/psn-pdf
January 08, 2020 - The
recommendations include engaging patients as stakeholders, adopting an integrated view of the health
-
psnet.ahrq.gov/node/836999/psn-pdf
April 27, 2022 - Sections of the kit include items such an action plan
template, implementation playbook, and team interaction
-
psnet.ahrq.gov/node/72711/psn-pdf
February 03, 2021 - Recommendations include revision of the NHS never events list,
identification of strong and systemic
-
psnet.ahrq.gov/node/72559/psn-pdf
December 09, 2020 - The 12 recommendations stemming from the investigation include
improvements in disclosure support, clinician
-
psnet.ahrq.gov/node/61054/psn-pdf
October 21, 2020 - These actions include proactive determination of metrics and a process for tracking
activities, use
-
psnet.ahrq.gov/node/849613/psn-pdf
May 31, 2023 - Recommendations to minimize
similar occurrences include removing the involved device from service and
-
psnet.ahrq.gov/node/48055/psn-pdf
June 26, 2019 - Strategies
include disposal recommendations, tapering, and coprescribing of naloxone.
-
psnet.ahrq.gov/node/50709/psn-pdf
December 04, 2019 - Strategies include automated
cognition, team performance sensor-based measurement systems and computer
-
psnet.ahrq.gov/node/73147/psn-pdf
April 14, 2021 - This
news story discusses a patient’s experience with common contributors to delay that include Insufficient
-
psnet.ahrq.gov/node/37197/psn-pdf
October 03, 2017 - medical-culture-about-errors-may-be-changing
This article describes how the culture around medical errors is evolving to include
-
psnet.ahrq.gov/node/34574/psn-pdf
March 07, 2005 - Topics
include assessing occupational exposure risks, engineering controls, work practice controls,
-
psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
June 28, 2023 - Contraindications to blind NGT insertion include facial or skull base fractures; head, neck, or esophageal … insertion, and may experience worsening confusion. 8 Complications associated with blind NGT insertion include … NGTs should be routinely assessed every 2 to 4 hours for appropriate placement. 14,15 Assessments include … ability to observe patients, which may cause safety issues. 20 Methods to mitigate these problems include … evidence of SBO on imaging, an NGT is probably no longer needed. 2 Other reasons for discontinuation include
-
psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
October 31, 2023 - In addition, there are several diagnoses that require urgent evaluation and imaging; these include cauda … These include new urinary retention, fecal incontinence, saddle anesthesia, history of intravenous drug … Pain management includes analgesia but must also include a thorough diagnostic workup to ensure underlying … technological or organizational barriers
Cognitive errors, which include inadequate knowledge, poor … Tactics to prevent pain management from becoming adversarial include early and frequent communication
-
psnet.ahrq.gov/node/848110/psn-pdf
April 26, 2023 - These include
internal individual patient factors and external factors, such as the physical environment … and culture of care
in the community.4-6 Internal functional factors include gait changes, and loss … Additional internal factors include mental health issues such as
fear of falling, cognitive impairment … External factors
include the culture of safety—described as the positive and negative ways safety is … incorporate input from all members of the interdisciplinary team.11,12 These
approaches generally include
-
psnet.ahrq.gov/node/850167/psn-pdf
June 07, 2023 - Through a series of cases
that include all, some, or none of the safety attributes, the authors illustrate
-
psnet.ahrq.gov/node/48075/psn-pdf
June 19, 2019 - Improvement strategies include the development and
adoption of a national identification program and
-
psnet.ahrq.gov/node/60929/psn-pdf
September 16, 2020 - Its areas of focus include culture, leadership, and governance,
patient and family engagement, workforce