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Total Results: 354 records

Showing results for "instances".

61. A quality initiative: a system-wide reduction in serious medication events through targeted simulation training. | PSNet
    psnet.ahrq.gov/issue/quality-initiative-system-wide-reduction-serious-medication-events-through-targeted
    August 02, 2019 - Adherence to best practices improved from 51% of medication administration instances to 84%, and the

62. TQIP Mortality Reporting System Case Reports. | PSNet
    psnet.ahrq.gov/issue/tqip-mortality-reporting-system-case-reports
    March 23, 2022 - Anonymous case reporting provides opportunities to examine unexpected patient harm instances to pinpoint

63. 'Even now it makes me angry': health care students' professionalism dilemma narratives. | PSNet
    psnet.ahrq.gov/issue/even-now-it-makes-me-angry-health-care-students-professionalism-dilemma-narratives
    June 12, 2019 - Health professional students recounted many instances of being exposed to disruptive and unprofessional

64. Greater Focus on Credentialing Needed to Prevent Disqualified Providers From Delivering Patient Care. | PSNet
    psnet.ahrq.gov/issue/greater-focus-credentialing-needed-prevent-disqualified-providers-delivering-patient-care
    September 25, 2019 - Bank records and found variation in how organizations responded to that information including some instances

65. Clinical progress note: situation awareness for clinical deterioration in hospitalized children. | PSNet
    psnet.ahrq.gov/issue/clinical-progress-note-situation-awareness-clinical-deterioration-hospitalized-children
    January 19, 2022 - highlights the role of situation awareness in watching the condition of pediatric inpatients to reduce instances

66. Misleading Complaint | PSNet
    psnet.ahrq.gov/web-mm/misleading-complaint
    December 01, 2009 - Misleading Complaint Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Krishan Soni, MD, MBA, and Gurpreet Dhaliwal, MD | July 1, 2012 View more articles from the same authors. The Case A 54-year-old homeless man with a…

67. Microsoft PowerPoint - FINAL June-Spotlight Case Slides_06.12.2020.pptx (pdf file)
    psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
    January 01, 2020 - Improvement Approach (3) • State Nurse Practice Act and Code of Regulations requires nurses document all instances

68. Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval. | PSNet
    psnet.ahrq.gov/issue/natural-history-retained-surgical-items-supports-need-team-training-early-recognition-and
    October 31, 2012 - In this retrospective analysis, most instances of unintentionally retained foreign objects were due

69. DNR in the OR and Afterwards | PSNet
    psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
    July 01, 2003 - DNR in the OR and Afterwards Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Bernard Lo, MD | September 1, 2006 View more articles from the same authors. The Case An 85-year-old woman with dementia took a mechanical f…

70. PowerPoint Presentation (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.359_slideshow.ppt
    October 01, 2015 - made (although are often quite expensive to build and maintain) 23 23 Current Experience In many instances

71. In Conversation with...Patrick Tighe about Artificial Intelligence | PSNet
    psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
    March 27, 2024 - In Conversation with...Patrick Tighe about Artificial Intelligence Patrick Tighe, MD, MS | March 27, 2024  Also Read the Essay View more articles from the same authors. Save Save to your library Print Share Facebook Twitter …

72. Improving patient safety in the ED waiting room. | PSNet
    psnet.ahrq.gov/issue/improving-patient-safety-ed-waiting-room
    December 13, 2006 - The program aimed to improve triage for patients whose status had changed and to reduce instances of

73. Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety. | PSNet
    psnet.ahrq.gov/issue/nurse-physician-communication-long-term-care-setting-perceived-barriers-and-impact-patient
    February 23, 2011 - Many nurses noted instances of unprofessional or disruptive behavior by physicians.

74. Recognizing the importance of whistleblowers in healthcare. | PSNet
    psnet.ahrq.gov/issue/recognizing-importance-whistleblowers-healthcare
    January 25, 2012 - The author highlights instances of peer and organizational retaliation against whistleblowers .

75. Resident hesitation in the operating room: does uncertainty equal incompetence? | PSNet
    psnet.ahrq.gov/issue/resident-hesitation-operating-room-does-uncertainty-equal-incompetence
    October 03, 2012 - This observation and interview study examined instances of surgical trainees hesitating in the operating

76. Multiple patient safety events within a single hospitalization: a national profile in US hospitals. | PSNet
    psnet.ahrq.gov/issue/multiple-patient-safety-events-within-single-hospitalization-national-profile-us-hospitals
    September 09, 2009 - Although these instances were rare, patients with multiple adverse events had prolonged hospitalizations

77. Medicare letters to curb overprescribing of controlled substances had no detectable effect on providers. | PSNet
    psnet.ahrq.gov/issue/medicare-letters-curb-overprescribing-controlled-substances-had-no-detectable-effect
    May 25, 2016 - Providing peer comparisons has been shown to reduce other instances of medical care overuse , such as

78. Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, cluster controlled, non-randomised trial. | PSNet
    psnet.ahrq.gov/issue/translating-staff-experience-organisational-improvement-heads-stepped-wedge-cluster
    April 26, 2017 - prospective trial with concurrent controls examined whether frontline team safety surveillance reduced the instances

79. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable? | PSNet
    psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-procedure-and-wrong-patient-adverse-events-are-they-preventable
    December 05, 2007 - Although instances of wrong-site, wrong-procedure, and wrong-patient adverse events (WSPEs) have been

80. The extent and importance of unintended consequences related to computerized provider order entry. | PSNet
    psnet.ahrq.gov/issue/extent-and-importance-unintended-consequences-related-computerized-provider-order-entry
    December 10, 2008 - Failure to anticipate these issues may have played a role in widely publicized instances of problems