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Showing results for "large".

341. How will it work? A qualitative study of strategic stakeholders' accounts of a patient safety initiative. | PSNet
     psnet.ahrq.gov/issue/how-will-it-work-qualitative-study-strategic-stakeholders-accounts-patient-safety-initiative
     September 02, 2009 - A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. … January 19, 2022 Large scale organisational intervention to improve patient safety in … October 19, 2011 Large scale organisational intervention to improve patient safety in

342. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39422/psn-pdf
     March 23, 2011 - organisational-readiness-exploring-preconditions-success-organisation-wide- patient-safety Implementation of large-scale … psnet.ahrq.gov/issue/building-learning-organization https://psnet.ahrq.gov/issue/perceptions-impact-large-scale-collaborative-improvement-programme-experience-uk-safer

343. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39699/psn-pdf
     November 02, 2010 - medical-engagement-organisation-wide-safety-and-quality-improvement- programmes-experience-uk Despite the success of large-scale … safer-patients-network https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/issue/perceptions-impact-large-scale-collaborative-improvement-programme-experience-uk-safer

344. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42473/psn-pdf
     August 13, 2013 - This systematic review found that equipment problems account for a large proportion of operating room … psnet.ahrq.gov/issue/surfacing-safety-hazards-using-standardized-operating-room-briefings-and-debriefings-large

345. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33784/psn-pdf
     April 01, 2015 - very strong evidence that going through a checklist before a surgical procedure could create very large … Yet a checklist that confirms the use of these various maneuvers by itself seemed to show a very large … Our findings are inconsistent with benefits as large as those suggested by earlier studies. … It's not as easy to get a large number of subjects and independent pieces of information with which … But I think surgical checklists are incredibly useful at improving the dynamics of a very large and

346. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61037/psn-pdf
     January 01, 2021 - reporting-patient-safety-events https://psnet.ahrq.gov/issue/frequency-diagnostic-errors-outpatient-care-estimations-three-large-observational-studies … https://psnet.ahrq.gov/issue/frequency-diagnostic-errors-outpatient-care-estimations-three-large-observational-studies

347. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844801/psn-pdf
     January 01, 2021 - This mixed-methods study of a large-scale improvement program in the United Kingdom provides important … Measurement was a challenge for all sites, attributed in large part to frontline staff's lack of experience

348. Diagnostic Error | PSNet
     psnet.ahrq.gov/curated-library/diagnostic-error
     August 10, 2025 - Large malpractice claims databases are increasingly used as a proxy to assess the frequency and severity … Large malpractice claims databases are increasingly used as a proxy to assess the frequency and severity … This study utilized a large national database of closed malpractice claims to estimate the frequency … Consistent with other studies, a small proportion (9%) of physicians accounted for a large proportion … representative of all error types, it is clear from this study that diagnostic errors account for a large

349. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73998/psn-pdf
     October 27, 2021 - Major surgical procedures, including craniotomy, require large-bore venous access in case of rapid and … Complex surgeries usually require at least two large-bore intravenous catheters, with 22-gauge catheters … infusion of fluids is anticipated.2 Common sites for large-bore catheters in infants include the saphenous … clear securement devices as well as frequent intravenous catheter assessments prior to and during large … an intravenous catheter is inversely proportional to the length of the tubing; therefore, a short large-bore

350. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46542/psn-pdf
     June 19, 2018 - Pharmacist and technician reconciliation led to similarly large decreases in minor and life-threatening … national-patient-safety-goals https://psnet.ahrq.gov/issue/implementing-online-medication-reconciliation-large-academic-medical-center

351. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47102/psn-pdf
     June 26, 2018 - electronic health record and pediatric medication safety: lessons learned in pediatrics within a large … new electronic health record and pediatric medication safety: lessons learned in pediatrics within a large

352. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45555/psn-pdf
     June 15, 2017 - delayed diagnoses of cancer are a major source of diagnostic error in primary care and account for a large … diagnostic-errors https://psnet.ahrq.gov/issue/frequency-diagnostic-errors-outpatient-care-estimations-three-large-observational-studies

353. How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals. | PSNet
     psnet.ahrq.gov/issue/how-not-waste-crisis-qualitative-study-problem-definition-and-its-consequences-three
     April 21, 2015 - Culture and behaviour in the English National Health Service: overview of lessons from a large … March 5, 2014 Multimethod study of a large-scale programme to improve patient safety … August 28, 2024 Quality and reporting of large-scale improvement programmes: a review

354. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2022-05/final_cme_reviewed_-_spotlight_missing_a_large_vessel_occlusion_stroke_04.14.2022_-_copy.pdf
     January 01, 2022 - Spotlight Spotlight Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures … access to subspecialty services for patients in rural and underserved communities. 3 MISSING A LARGE … for intravenous thrombolysis in acute ischemic stroke and, more recently, endovascular therapy for large … cerebral artery (MCA) strokes (i.e., LVOs), in which specialized catheters are deployed within the large … CT perfusion demonstrates a large area of right middle cerebral artery territory brain tissue at

355. In Conversation With… David Urbach, MD, MSc | PSNet
     psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
     June 12, 2019 - be very strong evidence that going through a checklist before a surgical procedure could create very large … Yet a checklist that confirms the use of these various maneuvers by itself seemed to show a very large … Our findings are inconsistent with benefits as large as those suggested by earlier studies. … It's not as easy to get a large number of subjects and independent pieces of information with which to … They're great additions to what we do, but I am skeptical that they result in these strikingly large

356. In Conversation With… Paul McGann, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
     July 10, 2024 - Writ large, we were answering the question: What could we do at national scale to make hospitals safer … Now the big proviso is that I've had experience in large-scale quality improvement collaborations in … It's obvious from the enrollment numbers that we achieved large enrollment. … We were going for large-scale and quick results, and we allowed flexibility. … We're starting to run on the idea that large national collaboratives like this can actually serve as

357. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/865864
     January 01, 2024 - Large malpractice claims databases are increasingly used as a proxy to assess the frequency and severity … This study utilized a large national database of closed malpractice claims to... … Large malpractice claims databases are increasingly used as a proxy to assess the frequency and severity … This study utilized a large national database of closed malpractice claims to...

358. The Hidden Danger of Unseen Intravenous Catheters | PSNet
     psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
     October 04, 2023 - Major surgical procedures, including craniotomy, require large-bore venous access in case of rapid and … Complex surgeries usually require at least two large-bore intravenous catheters, with 22-gauge catheters … Shorter catheters provide less resistance to flow than longer ones and thus are preferred when rapid large-volume … infusion of fluids is anticipated. 2 Common sites for large-bore catheters in infants include the saphenous … using clear securement devices as well as frequent intravenous catheter assessments prior to and during large

359. Impacts of operational failures on primary care physicians' work: a critical interpretive synthesis of the literature. | PSNet
     psnet.ahrq.gov/issue/impacts-operational-failures-primary-care-physicians-work-critical-interpretive-synthesis
     May 22, 2024 - A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. … May 8, 2024 Quality and reporting of large-scale improvement programmes: a review of

360. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33817/psn-pdf
     October 01, 2016 - Although the log of all EHR activity is dumped into large databases daily, the process of piecing together … of health information technology (IT) professionals has direct access to stores of data packed in large … The core skills would be domain expertise in clinical systems, ability to extract data from large electronic … stores, and thorough understanding of how to rigorously analyze large datasets. … The benefits of a clinician data scientist extend far beyond simply accessing large, accurate datasets