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Total Results: 400 records

Showing results for "larger".

1. Paramedic intubation errors: isolated events or symptoms of larger problems? | PSNet
   psnet.ahrq.gov/issue/paramedic-intubation-errors-isolated-events-or-symptoms-larger-problems
   February 18, 2009 - Study Paramedic intubation errors: isolated events or symptoms of larger problems … Paramedic intubation errors: isolated events or symptoms of larger problems? … They question whether this finding illustrates a larger problem concerning the safety and quality of … Paramedic intubation errors: isolated events or symptoms of larger problems?

2. Active Error (or Active Failure) | PSNet
   psnet.ahrq.gov/glossary/active-error-or-active-failure
   September 13, 2021 - Active errors occur at the point of contact between a human and some aspect of a larger system (e.g.,

3. Active Error (or Active Failure) | PSNet
   psnet.ahrq.gov/taxonomy/term/3451
   Active errors occur at the point of contact between a human and some aspect of a larger system (e.g.,

4. Error | PSNet
   psnet.ahrq.gov/taxonomy/term/3475
   Errors of omission are more difficult to recognize than errors of commission but likely represent a larger

5. Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx (pdf file)
   psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
   January 01, 2023 - sleep apnea, peripheral vascular disease, history of stroke, abnormal chest anatomy, and exposure to larger … – A larger adult patient requiring mechanical ventilation should usually have a size 8 or 9 tracheostomy … – Ventilator settings with high flow rates and driving pressures require larger tubes. – Furthermore … an air leak is noted after initial placement of a tracheostomy tube, immediate replacement with a larger … noted to have high BMI and ventilator settings.11 • For both these reasons, tracheostomy tubes with larger

6. Becoming a Patient Safety Organization | PSNet
   psnet.ahrq.gov/perspective/becoming-patient-safety-organization
   July 01, 2011 - Some PSOs are components of a larger business enterprise, such as an incident reporting system vendor … But the larger question remained: What do we do with this capability? … A PSO that is part of a larger entity or is owned, managed, or controlled by another entity must establish … and understand what other people are doing, share lessons learned, and essentially participate in a larger … What gives you enthusiasm that this new organizational framework, that's much larger and in many ways

7. In Conversation with…William B. Munier, MD, MBA | PSNet
   psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
   July 01, 2011 - and understand what other people are doing, share lessons learned, and essentially participate in a larger … trying to aggregate information and learn more rapidly from pattern analysis of aggregate data on a larger … What gives you enthusiasm that this new organizational framework, that's much larger and in many ways … Some PSOs are components of a larger business enterprise, such as an incident reporting system vendor … But the larger question remained: What do we do with this capability?

8. Strategies and Approaches for Investigating Patient Safety Events | PSNet
   psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
   September 07, 2019 - Examples of incident reporting systems used as part of larger efforts to improve patient safety have … Examples where RCA have been used to improve patient safety as part of larger organizational efforts … themselves result in sustainable improvements in patient safety unless they are used in conjunction with larger

9. Spotlight Case [MONTH] 2003 (ppt file)
   psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.85_slideshow.ppt
   March 01, 2005 - stretchers, operating room tables, hospital beds Must provide special commodes, mechanical lifts, and larger … resistance increased airway resistance abnormal diaphragmatic positioning Increased aspiration risk Larger … of distribution is correlated with drug lipophilicity—drugs with higher affinity for adipose have a larger

10. Spotlight Case [MONTH] 2003 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.88_slideshow.ppt
    March 01, 2005 - stretchers, operating room tables, hospital beds Must provide special commodes, mechanical lifts, and larger … resistance increased airway resistance abnormal diaphragmatic positioning Increased aspiration risk Larger … of distribution is correlated with drug lipophilicity—drugs with higher affinity for adipose have a larger

11. Spotlight Case [MONTH] 2003 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.161_slideshow.ppt
    October 01, 2007 - practice Systems-based Practice: Residents must demonstrate an awareness of and responsiveness to the larger … professional practices affect other health care professionals, the health care organization, and the larger … with the physician-patient relationship and destroy medical professionalism These concerns ignore the larger

12. Team-Developed Care Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result in Better Outcomes and Reduced Acute Care Utilization in Low-Income Seniors and other High-Risk Populations | PSNet
    psnet.ahrq.gov/innovation/team-developed-care-plan-and-ongoing-care-management-social-workers-and-nurse
    May 08, 2024 - Summary Social worker/nurse practitioner teams collaborate with a larger interdisciplinary team and … Consultation with larger interdisciplinary team to develop protocol-based care plan: After the assessment … , the support team meets with a larger interdisciplinary team to develop an individualized care plan. … team repeats the comprehensive assessment, which, in turn, triggers another collaboration with the larger … In the cost analysis based on the original RCT with a larger sample, average (mean) total costs were

13. In Conversation with...Diane Rydrych, MA | PSNet
    psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
    April 30, 2024 - But the report gets coverage in our larger Minneapolis and St. … We have had a couple of facilities, in fact, each year that have reported a larger number of events. … shouldn't ever use it to make comparisons, but that it's more valuable to take it in the context of larger

14. Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture. | PSNet
    psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
    March 15, 2023 - sleep apnea, peripheral vascular disease, history of stroke, abnormal chest anatomy, and exposure to larger … A larger adult patient requiring mechanical ventilation should usually have a size 8 or 9 tracheostomy … Ventilator settings requiring high flow rates and driving pressures require larger tracheostomy tubes … if an air leak is noted after initial placement of a tracheostomy tube, immediate replacement with a larger … noted to have high BMI and ventilator settings. 11 For both these reasons, tracheostomy tubes with larger

15. COVID-19 Pandemic Impact on Healthcare Associated Conditions | PSNet
    psnet.ahrq.gov/curated-library/covid-19-pandemic-impact-healthcare-associated-conditions
    September 08, 2022 - Results indicate that hospitals with closed visitations experienced larger performance deficits across

16. COVID-19 Pandemic Impact on Healthcare Associated Conditions'NGtrtd
    psnet.ahrq.gov/curated-library/covid-19-pandemic-impact-healthcare-associated-conditionsngtrtd
    August 22, 2022 - Results indicate that hospitals with closed visitations experienced larger performance deficits across

17. Spotlight Case July 2008 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.281_slideshow.ppt
    October 01, 2012 - Two days later, the bump was larger with a small amount of pus at the center. … After several days, the lesion had grown larger and was now red, raised, and warm, and he notified his … His mother noted the lesion was larger and his whole buttock was red and swollen with red streaks.

18. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure | PSNet
    psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
    March 01, 2005 - Two days later, he noticed the bump was larger with a small amount of pus at the center. … After several days, the lesion had grown larger and was now red, raised, and warm, and he notified his … His mother noted the lesion was larger and his whole buttock was red and swollen with red streaks. … otherwise healthy young man presented initially with a pustule on his left buttock, which progressed to a larger

19. Maternal Safety | PSNet
    psnet.ahrq.gov/curated-library/maternal-safety
    January 31, 2024 - As part of a larger quality improvement and... … As part of a larger quality improvement and patient safety initiative to reduce severe maternal morbidity … Participants reported that this mentored approach functioned better than the larger quality improvement

20. Spotlight Case July 2008 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.287_slideshow.ppt
    December 01, 2012 - fat density, or a central, diffuse, or popcorn pattern of calcification Associated with malignancy Larger … follow-up in the range of 3 to 5 years * * Take-Home Points (2) A systematic approach to evaluating larger