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Showing results for "issues".

  1. Battle Buddy Pocket Card - Final (1) (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-09/Battle%20Buddy%20Pocket%20Card%20-%20final%20(1).pdf
    January 01, 2021 - Daily BB conversations can also help identify specific issues that need to be addressed locally (within … debrief; a zoom meeting to hash something out  Listen, validate, and provide feedback; identify any issues … that need more support or attention  Identify any operational issues that need escalation

  2. The prevalence of wrong level surgery among spine surgeons. | PSNet

    psnet.ahrq.gov/issue/prevalence-wrong-level-surgery-among-spine-surgeons
    March 09, 2022 - March 29, 2012 To err is human: quality and safety issues in spine care. … July 23, 2010 Surgical site signing and "time out": issues of compliance or complacence

  3. FDA requiring color changes to Duragesic (fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death. | PSNet

    psnet.ahrq.gov/issue/fda-requiring-color-changes-duragesic-fentanyl-pain-patches-aid-safety-emphasizing-accidental
    August 05, 2020 - Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a … June 22, 2011 Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine

  4. Registered nurses' judgments of the classification and risk level of patient care errors. | PSNet

    psnet.ahrq.gov/issue/registered-nurses-judgments-classification-and-risk-level-patient-care-errors
    August 24, 2022 - May 5, 2021 Do falls and other safety issues occur more often during handovers when nurses … September 27, 2016 Speaking up: factors and issues in nurses advocating for patients

  5. Artificial intelligence, bias and clinical safety. | PSNet

    psnet.ahrq.gov/issue/artificial-intelligence-bias-and-clinical-safety
    September 23, 2020 - August 8, 2018 Perspective Emerging Safety Issues in Artificial … September 2, 2018 Intravenous smart pumps: usability issues, intravenous medication administration

  6. Patient participation in patient safety and nursing input—a systematic review. | PSNet

    psnet.ahrq.gov/issue/patient-participation-patient-safety-and-nursing-input-systematic-review
    June 10, 2020 - June 10, 2020 Ethical issues in patient safety: implications for nursing management. … 13, 2017 View More Related Resources Do falls and other safety issues

  7. In Conversation with...Allan Frankel, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
    July 01, 2006 - Part of struggling with the issues led me to the Institute for Healthcare Improvement (IHI) where, with … There are numerous management and interface issues between clinicians and IT. … Key Issues in Developing a Successful Hospital Safety Program July 1, 2006 Perspective … It is important that there is opportunity at all medical staff meetings to discuss safety issues. … What other important issues should you consider when starting a safety program?

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33738/psn-pdf
    December 01, 2012 - You have to talk about these issues at the front end to get your processes focused on safety. … I think it's one of the most interesting cultural, process, and cognitive issues because we have such … There are other issues too. … They are starting to have people think about these issues in the design. … JR: If you take emerging technology, culture management issues, idealized process, and payment reform—if

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49693/psn-pdf
    October 01, 2013 - Delineate patient safety issues associated with transgender health. … Transgender health raises a number of patient safety issues: lack of access to health care, increased … vulnerable and underserved part of the community, but they are also at increased risk for a number of issues … Transitioning transgender individuals face a number of patient safety issues. … View AHRQ Disclaimers http://transequality.org/Issues/homelessness.html http://www.ncbi.nlm.nih.gov/

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49432/psn-pdf
    February 09, 2004 - Errors never occur in a vacuum: usually, system-based issues are contributing factors. … All of these issues must be addressed for residents to successfully negotiate training. … If significant systems issues are identified, then that information needs to be communicated to the … Too often, there is a disconnect between residency issues and the institutional quality apparatus. … The format has enabled the identification of many systems issues that have subsequently been improved

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33845/psn-pdf
    November 01, 2017 - Many issues are less technological and more policy and social issues. … It would be good to find ways that technologies could help make it easier for patients to flag issues … There are obviously challenges with important issues not getting triaged appropriately. … WP: It has been particularly useful for different gastrointestinal issues, irritable bowel diseases, … for looking at the microbiome as well, and that has strong connections with these gastrointestinal issues

  12. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
    June 01, 2012 - Non-emergency patient transport – what are the quality and safety issues? A systematic review. … Non-emergency patient transport – what are the quality and safety issues? A systematic review. … Non-emergency patient transport – what are the quality and safety issues? A systematic review. … Non-emergency patient transport – what are the quality and safety issues? A systematic review. … Non-emergency patient transport – what are the quality and safety issues? A systematic review.

  13. A Costly Colonoscopy Leads to a Delay in Diagnosis | PSNet

    psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
    September 01, 2014 - Although patients who lack insurance are at highest risk for these types of issues, merely having insurance … effectively advocate for themselves as they too may lack knowledge that would allow them to handle issues … It does not always have to be the physician who directly handles insurance or cost-related issues for … Improving the system requires educating patients and clinicians to identify cost-related medical issues … care systems should address this problem systematically, just as they do with other patient safety issues

  14. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.317_slideshow.ppt
    March 01, 2014 - In: From Front Office to Front Line: Essential Issues for Health Care Leaders. 2nd ed. … In: From Front Office to Front Line: Essential Issues for Health Care Leaders. 2nd ed. … In: From Front Office to Front Line: Essential Issues for Health Care Leaders. 2nd ed. … Level 3: Disciplinary Intervention Pattern persists No change Vast majority of professionals have no issues … Professional Accountability Pyramid (3) When a pattern of misdiagnoses or related safety or quality issues

  15. Spotlight Case (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.206_slideshow.ppt
    October 01, 2009 - clinical facts Contact chief of relevant service, involved providers Must deal with immediate clinical issues … bad apples” The CNO’s Perspective Disrespectful, disruptive, hostile behavior remain significant issues … in “chain of command” CMO acted promptly to deal with immediate clinical situation and behavioral issues

  16. 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data. | PSNet

    psnet.ahrq.gov/issue/5th-national-audit-project-nap5-accidental-awareness-during-general-anaesthesia-protocol
    November 12, 2014 - awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues … awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues

  17. Fentanyl transdermal system (marketed as Duragesic) information. | PSNet

    psnet.ahrq.gov/issue/safety-warnings-regarding-use-fentanyl-transdermal-skin-patches
    August 12, 2015 - December 16, 2020 Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine … October 28, 2020 Apotex Corp. issues voluntary nationwide recall of Enoxaparin Sodium

  18. What do nursing students learn about patient safety? An integrative literature review. | PSNet

    psnet.ahrq.gov/issue/what-do-nursing-students-learn-about-patient-safety-integrative-literature-review
    October 15, 2016 - September 22, 2021 Ethical issues in patient safety: implications for nursing management … managers' and medical directors' perceptions of collaborating with patients concerning patient safety issues

  19. PHSO Review: Quality of NHS Complaints Investigations. | PSNet

    psnet.ahrq.gov/issue/phso-review-quality-nhs-complaints-investigations
    November 16, 2015 - November 24, 2021 Report of the Independent Inquiry into the Issues Raised by Paterson … December 22, 2010 Adverse Events in Hospitals: Overview of Key Issues.

  20. Compliance to technical guidelines for radiotherapy treatment in relation to patient safety. | PSNet

    psnet.ahrq.gov/issue/compliance-technical-guidelines-radiotherapy-treatment-relation-patient-safety
    December 10, 2014 - awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues … August 10, 2011 The use of human factors methods to identify and mitigate safety issues
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