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Total Results: 2,105 records

Showing results for "include".

81. Why do acute healthcare staff behave unprofessionally towards each other and how can these behaviours be reduced? A realist review. | PSNet
    psnet.ahrq.gov/issue/why-do-acute-healthcare-staff-behave-unprofessionally-towards-each-other-and-how-can-these
    July 24, 2024 - Factors contributing to unprofessional behavior include workplace disempowerment, organizational uncertainty

82. The role of AI in detecting and mitigating human errors in safety-critical industries: a review. | PSNet
    psnet.ahrq.gov/issue/role-ai-detecting-and-mitigating-human-errors-safety-critical-industries-review
    January 15, 2025 - Examples from health care include using AI to detect diagnostic errors and combining AI with clinician

83. Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: User Database Report. | PSNet
    psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-hospital-survey-20-user-database-report
    December 18, 2024 - The highest “percent positive” composite measure scores include both effective teamwork and supervisor

84. Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in California. | PSNet
    psnet.ahrq.gov/issue/inadequate-outpatient-mental-health-triage-and-care-patient-chico-community-based-outpatient
    November 29, 2023 - Recommendations for improvement include same-day access to appropriate specialty care, medication management

85. Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center, Florida. | PSNet
    psnet.ahrq.gov/issue/patient-suicide-locked-mental-health-unit-west-palm-beach-va-medical-center-florida
    January 24, 2024 - Recommendations for improvement include staff education, standardization of rounding, and robust oversight

86. Severe hypertension in pregnancy: progress made and future directions for patient safety, quality improvement, and implementation of a patient safety bundle. | PSNet
    psnet.ahrq.gov/issue/severe-hypertension-pregnancy-progress-made-and-future-directions-patient-safety-quality
    October 23, 2024 - Updates include a broader focus on educating pregnant patients to recognize and respond to hypertensive

87. Unfinished nursing care, missed care, and implicitly rationed care: state of the science review. | PSNet
    psnet.ahrq.gov/issue/unfinished-nursing-care-missed-care-and-implicitly-rationed-care-state-science-review
    May 08, 2024 - Predictors of missed nursing care include poor safety culture and increased nursing workload.

88. Long-Term Trends of Psychotropic Drug Use in Nursing Homes. | PSNet
    psnet.ahrq.gov/issue/long-term-trends-psychotropic-drug-use-nursing-homes
    May 25, 2022 - Department of Health and Human Services Office of the Inspector General include heightened evaluation

89. Adversarial attacks on medical machine learning. | PSNet
    psnet.ahrq.gov/issue/adversarial-attacks-medical-machine-learning
    March 19, 2019 - The authors suggest that regulatory review of devices that employ machine learning include an assessment

90. Occupational Health and Organizational Culture within a Healthcare Setting: Challenges, Complexities, and Dynamics. | PSNet
    psnet.ahrq.gov/issue/occupational-health-and-organizational-culture-within-healthcare-setting-challenges
    December 08, 2021 - Topics covered include the importance of safety investigation and safety culture assessment .

91. Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance. | PSNet
    psnet.ahrq.gov/issue/optimizing-business-case-safe-health-care-integrated-approach-safety-and-finance
    January 23, 2019 - Materials include assessments and templates for financial documents and presentation materials.

92. Endometriosis affects 1 out of 10 women like me. Yet it often takes a decade to get diagnosed. | PSNet
    psnet.ahrq.gov/issue/endometriosis-affects-1-out-10-women-me-yet-it-often-takes-decade-get-diagnosed
    May 05, 2021 - This news story discusses a patient’s experience with common contributors to delay that include Insufficient

93. Racial disparities in maternal mortality. | PSNet
    psnet.ahrq.gov/issue/racial-disparities-maternal-mortality
    June 17, 2020 - The author reviews weaknesses of this approach which include a lack of emphasis on state-level analysis

94. Temporarily holding medication orders safely in order to prevent patient harm. | PSNet
    psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm
    March 14, 2023 - Recommendations for improvement include examining electronic health record alerts, assigning one prescriber

95. ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology. | PSNet
    psnet.ahrq.gov/issue/acog-committee-opinion-590-preparing-clinical-emergencies-obstetrics-and-gynecology
    May 22, 2019 - Recommendations include incident debriefings , early warning systems, rapid response systems , and

96. FDA Advise-ERR: reported medication errors with Veklury (remdesivir) emergency use authorization. | PSNet
    psnet.ahrq.gov/issue/fda-advise-err-reported-medication-errors-veklury-remdesivir-emergency-use-authorization
    July 01, 2020 - Recommendations to guide safe practice include use of standard order sets and dosing clarifications

97. Partnering with families and patient advocates: another line of defense in adverse event surveillance. | PSNet
    psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event-surveillance
    September 11, 2019 - Recommendations to ensure success of this approach include communicating with advocates, encouraging

98. Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. | PSNet
    psnet.ahrq.gov/issue/overdiagnosis-and-overtreatment-quality-problem-insights-healthcare-improvement-research
    May 25, 2022 - Tactics discussed include clear articulation of the problem and contributing factors, use of theory-driven

99. Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome | PSNet
    psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
    April 27, 2022 - Stage II progresses to include stabbing or shooting radicular pain, nuchal rigidity/neck stiffness, and … Additional symptoms may include fever, chills, numbness, weakness, or bladder or bowel dysfunction. … At minimum, this should include complete vital signs, direct visualization of the skin, palpation of … Advanced neurologic deficits may include paraparesis and quadriparesis, but these are late-stage findings … : Failure to include SEA in the differential diagnosis at each visit, which may exemplify availability

100. Misplaced Nasogastric Tube Resulting in Aspiration | PSNet
     psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
     August 01, 2009 - procedure across all acute and chronic care settings. 1 Indications for nasogastric tube placement include … neurologically impaired, and delivery of enteral nutrition. 1 Contraindications to NG tube placement include … The American College of Radiology’s practice parameters (formerly guidelines) include contacting ordering … Tools to improve timely and accurate exchange of information include closed loop communication (CLC), … Tools that may be utilized include closed loop communication, I-PASS handoff template, automated methods