-
psnet.ahrq.gov/node/46448/psn-pdf
September 27, 2017 - Topics covered include the use of
simulation for system improvement, the value of debriefing, and the
-
psnet.ahrq.gov/node/34623/psn-pdf
January 28, 2015 - Five areas have been identified as priorities for the Commission's efforts and
include interventions
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psnet.ahrq.gov/node/36146/psn-pdf
February 05, 2019 - https://psnet.ahrq.gov/issue/guidelines-design-and-construction
These updated guidelines include design
-
psnet.ahrq.gov/node/35408/psn-pdf
August 05, 2009 - These
characteristics include status, experience with error, level of knowledge, receptivity to feedback
-
psnet.ahrq.gov/node/34756/psn-pdf
October 12, 2016 - design-everyday-things
Norman, a cognitive psychologist, outlines the elements of effective user-centered design, which include
-
psnet.ahrq.gov/node/37413/psn-pdf
November 14, 2011 - Along with educational materials, the toolkits include medication guides and checklists, all of which
-
psnet.ahrq.gov/node/45558/psn-pdf
May 10, 2017 - Topics discussed include just culture, disclosure, and bias.
-
psnet.ahrq.gov/node/43145/psn-pdf
June 15, 2014 - The projects include a discharge handoff tool, a surgical briefing and debriefing,
and a statewide campaign
-
psnet.ahrq.gov/node/34844/psn-pdf
February 24, 2011 - The gaps highlighted include physician documentation of a follow-up plan and
patients’ understanding
-
psnet.ahrq.gov/node/46418/psn-pdf
September 20, 2017 - Topics covered include psychological harm following a neonatal intensive care unit stay and
the etiology
-
psnet.ahrq.gov/node/34791/psn-pdf
March 28, 2005 - Additional results presented include the type of adverse effects, admissions resulting from
noncompliance
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
June 01, 2014 - patients to wander while in an acute care hospital
From experience, common reasons patients wander include … beyond their assigned ward or unit without assistance place themselves at risk for complications that include … Publishing; 2002:Sec 27-62.
13
Reducing the Risk
Options for reducing the risk of patient wandering include … physical security measures that reduce the potential for elopement and reduce risk to patients
These might include
-
psnet.ahrq.gov/node/49743/psn-pdf
September 01, 2015 - In most cases with warfarin, patients are provided an identification card, which can
include the anticipated … duration of therapy and might be expanded to include DAPT. … pharmacist receives a new prescription for a medication like
clopidogrel, there is another opportunity to include … Medication reconciliation should be accomplished at each clinic or office visit and should include a
-
psnet.ahrq.gov/node/34136/psn-pdf
January 29, 2018 - Current IHI initiatives include a white paper collection, an
international conference series, and an
-
psnet.ahrq.gov/node/38136/psn-pdf
November 21, 2016 - events
Interviews with patients and family members revealed that the disclosure process often did not include
-
psnet.ahrq.gov/node/33914/psn-pdf
September 29, 2017 - The Inpatient Quality Indicators
include inpatient mortality for certain procedures and medical conditions
-
psnet.ahrq.gov/node/61052/psn-pdf
April 01, 2019 - Safety recommendations include medication safety training, standardized administration
processes, and
-
psnet.ahrq.gov/node/45512/psn-pdf
October 05, 2016 - wrong-site-wrong-procedure-and-wrong-patient-surgery
https://psnet.ahrq.gov/issue/improvement-detection-wrong-patient-errors-when-radiologists-include-patient-photographs
-
psnet.ahrq.gov/node/47649/psn-pdf
January 09, 2019 - Key
recommendations include low-molecular-weight heparin as the preferred agent when medication
prophylaxis
-
psnet.ahrq.gov/node/47244/psn-pdf
August 01, 2018 - Topics covered include patient-centered simulation, adaptive learning, and communities of practice.