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8621. The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance | PSNet
      psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
      April 01, 2010 - The current NQF portfolio includes more than 600 measures, and there will be more coming forward.

8622. Becoming a Certified Professional in Patient Safety—A Pharmacist's Perspective | PSNet
      psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
      June 01, 2016 - Meyer is Chief Clinical Officer of Partners Healthcare System, the large Boston-based system that includes

8623. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853081/psn-pdf
      August 30, 2023 - licensed practical nurses (LPNs) and nurse’s aides who are specially trained to be part of the team that includes

8624. Critical care resource nurse team: a patient safety and quality outcomes model. | PSNet
      psnet.ahrq.gov/innovation/critical-care-resource-nurse-team-patient-safety-and-quality-outcomes-model
      July 23, 2024 - with the American Association of Critical Care Nursing (AACN) Synergy Model for Patient Care, which includes

8625. Personal Health Literacy | PSNet
      psnet.ahrq.gov/primer/personal-health-literacy
      October 31, 2023 - But health literacy also includes other skills, such as being able to understand spoken information, … However, health literacy involves more than reading—it also includes the ability to write; fill out forms … For example, effective self-management support includes teaching the patient and their family or caregiver … and is a foundational principle and overarching goal of the Healthy People 2030 action plan that includes

8626. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33599/psn-pdf
      August 30, 2023 - But health literacy also includes other skills, such as being able to understand spoken information, … However, health literacy involves more than reading—it also includes the ability to write; fill out … For example, effective self-management support includes teaching the patient and their family or caregiver … priority and is a foundational principle and overarching goal of the Healthy People 2030 action plan that includes

8627. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60543/psn-pdf
      May 27, 2020 - Relevant documentation includes the case history, physical examination, signed consent form, and pre-anesthesia … unlike verification for medication or imaging orders, the standard protocol for verifying procedures includes … established in the 1980s, IR has been transitioning to a more clinically focused care delivery model that includes … Global Consensus Statement Defining Interventional Radiology, the clinical scope and practice of IR includes

8628. Disclosure of Errors | PSNet
      psnet.ahrq.gov/primer/disclosure-errors
      September 15, 2024 - This model includes full disclosure of adverse events, appropriate investigations, implementation of … Safe Practice 7: Disclosure includes standards for practitioners regarding the key components of disclosure

8629. The University of Michigan Emergency Critical Care Center (EC3) Provides Timely Intensive Care to Critically Ill Patients in the Emergency Department | PSNet
      psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-intensive-care
      October 30, 2024 - and skills needed for the intervention, according to EC3 leaders, include: A steering committee that includes … Staffing of the EC3 includes one EM attending physician and one or two residents, fellows, or physician … The attending physician supervises a team that includes critical care fellows, a special cohort of ED … problem that they are trying to solve and collecting baseline data Establishing a steering committee that includes … and skills needed for the intervention, according to EC3 leaders, include: A steering committee that includes

8630. Improving Diagnostic Safety and Quality | PSNet
      psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
      January 31, 2024 - This perspective includes the contribution of Dr. … Graber’s pioneering work on diagnostic error in 2005, which includes an identification of systemic problems … Clinical decision making is a complex process that includes a variety of factors. … Clinician-centered misdiagnosis is only a part of overall diagnostic safety; the NASEM definition also includes … guidance that scales to particular needs at the level of individual practitioner whose scope of work includes

8631. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60548/psn-pdf
      May 28, 2020 - ’ve expanded the scope of what we view as “critical” for assuring the safety of products, and that includes … This includes our Breakthrough Devices Program, which covers devices intended to treat or diagnose life … This includes our work establishing medical device registries, our increasing work with industry, and

8632. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47328/psn-pdf
      January 01, 2020 - The program measures HAC rates by a composite Patient Safety Indicator (PSI90), which includes 10 specific

8633. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60174/psn-pdf
      March 30, 2020 - Most notably, this third edition includes a chapter on cross-cutting topics that are not related to … , diagnostic errors, delirium, adverse drug events, and others.[5] This edition of the report also includes

8634. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848107/psn-pdf
      April 26, 2023 - This perspective includes the contribution of Dr. … Graber’s pioneering work on diagnostic error in 2005, which includes an identification of systemic problems … Clinical decision making is a complex process that includes a variety of factors. … Clinician-centered misdiagnosis is only a part of overall diagnostic safety; the NASEM definition also includes … guidance that scales to particular needs at the level of individual practitioner whose scope of work includes

8635. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863641/psn-pdf
      February 28, 2024 - It includes a welcome guide specific to the patients and family caregiver audience. … The website also includes new simulation-based training modules, which can be used as tools to help … The core TeamSTEPPS materials on the website begin with an Introduction, which includes an overview

8636. Wrong Catheter in the Right Patient | PSNet
      psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
      May 16, 2022 - Relevant documentation includes the case history, physical examination, signed consent form, and pre-anesthesia … unlike verification for medication or imaging orders, the standard protocol for verifying procedures includes … established in the 1980s, IR has been transitioning to a more clinically focused care delivery model that includes … Global Consensus Statement Defining Interventional Radiology, the clinical scope and practice of IR includes

8637. Missed Patient Assignment: Is Anyone There? | PSNet
      psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
      September 01, 2017 - adequate data for further improvement—for instance, a daily monitoring report to the charge nurse that includes … Joint Commission recommends that each organization's: "process for effective hand off communication includes … Clinical content Includes everything on the data-information-knowledge continuum stored in the … Human–computer interface Enables unrelated entities to interact with the system and includes aspects

8638. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33707/psn-pdf
      February 01, 2011 - Research and QI projects Course content includes (but not limited to): systems failure and medical … interventions in CQI framework and designing additional or new interventions Duration: 6 days Course includes … Duration: 20 days Course includes lectures from national experts and completion and reporting of … science, support to attend meetings, and bonuses for good performance Duration: 8 hours Program includes

8639. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49732/psn-pdf
      May 01, 2015 - , sepsis always involves activation of the host inflammatory response and, in more serious states, includes … updated in 2013 by the Surviving Sepsis Campaign (SSC) and endorsed by multiple medical societies, includes … timely manner.(4) Based on an initial protocol performed by Rivers and colleagues (5), the bundle includes … UCSF Bundle Compliance and Mortality (Includes All Adult Inpatients and the Emergency Department).

8640. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.347_slideshow.ppt
      May 01, 2015 - initiated by an infection Sepsis always involves activation of the host inflammatory response and often includes … treatment with the "resuscitation bundle" The bundle, updated in the Surviving Sepsis Campaign in 2013, includes … www.ncbi.nlm.nih.gov/pubmed/23353941 12 Resuscitation Bundle Based on a NEJM study published in 2001, the bundle includes