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psnet.ahrq.gov/issue/five-strategies-clinicians-advance-diagnostic-excellence
June 22, 2022 - June 22, 2022
The path to diagnostic excellence includes feedback to calibrate how clinicians
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psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
May 11, 2019 - finding or any finding that may change management for the patient. 5 “ Closed loop ” communication includes … designing and implementing multiple communication safeguards for improving patient safety. 10 This model includes … The radiologist should provide a well written, comprehensive report that includes a succinct impression
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psnet.ahrq.gov/curated-library/maternal-safety
January 31, 2024 - It includes screening, evaluation and monitoring, and antibiotic use recommendations for maternal... … It includes screening, evaluation and monitoring, and antibiotic use recommendations for maternal sepsis … The site, maintained by the American College of Obstetricians and Gynecologists, includes collections
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psnet.ahrq.gov/node/33582/psn-pdf
September 15, 2024 - The former includes trigger tools and methods of screening administrative datasets, while the
latter … includes root cause analysis (RCA), mortality reviews, and related methods of in-depth investigation
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psnet.ahrq.gov/periodic-issue/periodic-issue-472
February 26, 2025 - This scoping review includes 63 studies that collectively reported on 47 instruments or scales used to … This scoping review includes 63 studies that collectively reported on 47 instruments or scales used to
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psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
July 01, 2006 - By 2000, Partners HealthCare (which includes Brigham and Women's Hospital and Massachusetts General Hospital … understanding of accountability principles and the underlying concepts for a fair and just culture, which includes … Underneath that is the methodology for making changes, which includes reliable design, the rapid cycle
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psnet.ahrq.gov/web-mm/pill-organizing-plight
June 19, 2018 - medications that should be avoided in the geriatric population.( 11,12 ) The updated 2015 Beers Criteria includes … and levels of care—to avoid errors.( 17 ) The first step in the process of medication reconciliation includes … This includes prescription and nonprescription medications as well as supplements. … Providing patients with a medication calendar that includes the times of day to take medications can
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psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
August 21, 2024 - This includes having a hemorrhage cart full of the equipment needed, rapid access to key medications, … Recognition/prevention includes assessing every patient for their risk of hemorrhage to better prepare … The first step to implement such a program is to create a team that includes key obstetricians, nurses
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psnet.ahrq.gov/primer/debriefing-clinical-learning
September 15, 2024 - learner self-assessment, guided discussion, and feedback/teaching 9 3D Model : a framework that includes … Description or reactions: The reaction phase includes clearing the air, reviewing the facts, and identifying … The second column is labeled “Plus” and includes descriptions of the positive or effective characteristics
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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - learner self-assessment, guided discussion, and
feedback/teaching9
3D Model: a framework that includes … Description or reactions: The reaction phase includes clearing the air, reviewing the facts, and identifying … The second column is labeled “Plus” and includes descriptions of the positive or
effective characteristics
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psnet.ahrq.gov/issue/adding-automation-and-independent-dual-verification-reduce-wrong-blood-tube-wbit-events
October 21, 2020 - 2020
Patient Safety Innovations
Verification Screen That Includes
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psnet.ahrq.gov/perspective/health-equity-and-maternal-health
October 06, 2021 - not want to experience an adverse event, but for those giving birth and their companions, safety also includes … KT: Outcomes also include agency; it includes institutional trust and how much you see healthcare as … Safe care also includes respectful care, having an appropriate pace of conversation, educating throughout
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psnet.ahrq.gov/primer/detection-safety-hazards
March 30, 2022 - The former includes trigger tools and methods of screening administrative datasets, while the latter … includes root cause analysis (RCA), mortality reviews, and related methods of in-depth investigation
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psnet.ahrq.gov/innovation/demonstrating-value-standardized-cognitive-assessment-tool-through-use-interprofessional
December 02, 2020 - The Cognitive Pyramid includes six levels of varying cognitive function and environmental considerations
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psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
April 01, 2005 - the review process is completed, the data from the review tool are analyzed by the eA/eB team, which includes … earlier and more intensive screening. 5
Planning and Development Process
The development process includes … It is an electronic spreadsheet which includes guidelines and other evidence-based criteria.
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psnet.ahrq.gov/Information/Panel
January 01, 2012 - Her experience also includes serving as Program Director for Brigham and Women’s Hospital’s Center for … Lyndon’s work on diversifying the nursing science and healthcare workforce includes mentoring and sponsorship … Yu’s experience includes serving as a member on the National Advisory Council of the Agency for Healthcare
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psnet.ahrq.gov/primer/maternal-safety
January 10, 2024 - Statistics standards of reliability. 1 Maternal mortality rates are deaths per 100,000 live births. 2 Includes … annual maternal deaths worldwide. 27 The AIM toolkit for Severe Hypertension in Pregnancy similarly includes … though 23% of maternal deaths were sepsis related. 29 The AIM Sepsis in Obstetrical Care toolkit includes
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psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create-customized-prevention
July 23, 2024 - The scale includes the six most common reasons patients in hospitals fall: the patient fall history, … The audit component of the program includes assessing the patient’s knowledge of their risk factors and
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psnet.ahrq.gov/web-mm/neurological-red-flags-missed-stroke-after-intermittent-episodes-dizziness-and-headache
February 08, 2023 - present in approximately 25% of the population. 14 Hence, a stroke evaluation in young patients often includes … The HINTS exam, first described in 2009, includes three bedside oculomotor tests: head impulse test ( … elements of the HINTS evaluation (spontaneous nystagmus testing and the head impulse test) but also includes … bedside testing for BPPV. 29 Furthermore, the STANDING algorithm formally includes testing the patient … concern about missing a stroke in patients with dizziness can lead to overtesting, which almost always includes
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psnet.ahrq.gov/curated-library/opioid-stewardship
December 15, 2024 - Opioid stewardship includes: protocol or care bundle interventions, clinician education or academic detailing