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Showing results for "involves".

6361. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.140_slideshow.ppt
      December 01, 2006 - Note for speaker: Warfarin induced skin necrosis: A proposed mechanism for the condition involves worsening

6362. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49815/psn-pdf
      December 01, 2017 - The ideal approach to medication reconciliation in the preoperative period involves the collaboration

6363. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49851/psn-pdf
      January 01, 2019 - Full bronchoalveolar lavage (BAL) (Figure 2) usually involves larger volumes (typically > 100 mL).

6364. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33684/psn-pdf
      May 01, 2009 - are vital, perhaps the most important thing that those of us in practice can do to improve safety involves

6365. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49502/psn-pdf
      February 01, 2006 - The admission process involves juggling many pieces of information, and it is easy for the physician

6366. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49739/psn-pdf
      August 21, 2015 - procedures to define and standardize tracheostomy care.(11,12) Care and maintenance of a tracheostomy involves

6367. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49533/psn-pdf
      March 01, 2007 - One system involves Therapeutic Antibiotic Monitoring (TAM) alerts in which coordinated pharmacy and

6368. Building a Safety Program Using Principles of Resilience Engineering | PSNet
      psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
      October 23, 2013 - This requires a framework that involves learning from the workforce about how they deal with everyday

6369. Dangerous Dapsone | PSNet
      psnet.ahrq.gov/web-mm/dangerous-dapsone
      January 10, 2011 - It involves labor and hierarchical divisions that often serve as barriers to complete communication.

6370. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49434/psn-pdf
      February 01, 2004 - Optimizing outcomes from cervical neoplasia involves multiple steps: the patient's ability and willingness

6371. To Resuscitate or Not? | PSNet
      psnet.ahrq.gov/web-mm/resuscitate-or-not
      November 01, 2011 - One helpful way to structure these discussions involves four steps: discuss prognosis with the patient

6372. Hospital Admission Due to High-Dose Methotrexate Drug Interaction | PSNet
      psnet.ahrq.gov/web-mm/hospital-admission-due-high-dose-methotrexate-drug-interaction
      October 01, 2003 - As with most ADEs, this case involves numerous contributing factors, including several transitions of

6373. Errors and Near Misses: What Health Care Could Learn From Aviation | PSNet
      psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
      September 01, 2006 - One involves drawing on the collective intelligence of staff to notice and report problems, such as via … The other involves ubiquitous monitoring technologies that can automatically identify unusual events

6374. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49603/psn-pdf
      June 01, 2010 - Fatal Error in Neonate: Does "Just Culture" Provide an Answer? June 1, 2010 Dekker SWA. Fatal Error in Neonate: Does "Just Culture" Provide an Answer? PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer Case Objectives Describe the just culture approach to in…

6375. Medication Reconciliation Pitfalls | PSNet
      psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
      May 01, 2006 - The Commentary This error involves a system failure in the proper identification, documentation, and

6376. Rethinking Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
      August 21, 2016 - implementation of the corrective actions is often incomplete; and, at the end of the RCA process (which often involves

6377. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35598/psn-pdf
      July 10, 2008 - Residents report on adverse events and their causes. July 10, 2008 Jagsi R, Kitch BT, Weinstein DF, et al. Residents report on adverse events and their causes. Arch Intern Med. 2005;165(22):2607-13. https://psnet.ahrq.gov/issue/residents-report-adverse-events-and-their-causes This survey demonstrated that more tha…

6378. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43832/psn-pdf
      January 14, 2015 - What about doctors? The impact of medical errors. January 14, 2015 Abd Elwahab S, Doherty E. What about doctors? The impact of medical errors. The Surgeon. 2014;12(6). doi:10.1016/j.surge.2014.06.004. https://psnet.ahrq.gov/issue/what-about-doctors-impact-medical-errors-0 Medical errors affect not only the patient…

6379. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44787/psn-pdf
      January 20, 2016 - Medication errors involving overrides of healthcare technology. January 20, 2016 Grissinger M. PA-PSRS Patient Saf Advis. December 2015;12:141-148. https://psnet.ahrq.gov/issue/medication-errors-involving-overrides-healthcare-technology Users often bypass alerts meant to enhance safety of medication ordering and d…

6380. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45009/psn-pdf
      March 30, 2016 - Fatal mistakes. March 30, 2016 Kliff S. Vox Media. March 15, 2016. https://psnet.ahrq.gov/issue/fatal-mistakes Health professionals involved in medical errors experience psychological stress, which can have serious consequences if they are unable to cope with their mistake. Reporting on the second victim phenomeno…