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Total Results: 593 records

Showing results for "larger".

21. 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.,

22. 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

23. Strategies and Approaches for Investigating Patient Safety Events | PSNet
    psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
    March 15, 2025 - 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

24. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37880/psn-pdf
    January 15, 2009 - factors-associated-system-level-activities-patient-safety-and-infection-control In this Japanese study, larger

25. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837023/psn-pdf
    May 04, 2022 - As part of a larger quality improvement and patient safety initiative to reduce severe maternal morbidity

26. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60991/psn-pdf
    October 07, 2020 - between March 1 to June 30, 2020 compared to March 1 to June 30, 2019, and that Black patients made up a larger

27. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73133/psn-pdf
    April 14, 2021 - Further studies with larger same size and stronger study designs are warranted.

28. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/40089/psn-pdf
    July 27, 2011 - patient-safety-serious-reportable-events-healthcare This project--now complete--examined the presence and tracking of never events as part of a larger

29. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73484/psn-pdf
    July 14, 2021 - Results indicate that hospitals with closed visitations experienced larger performance deficits across

30. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/48163/psn-pdf
    July 31, 2019 - The authors suggest larger studies to elucidate the potential to address medication safety using deprescribing

31. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/40537/psn-pdf
    June 15, 2011 - rural-nurses-safeguarding-work-reembodying-patient-safety Rural hospitals face similar patient safety issues as larger

32. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/34082/psn-pdf
    July 21, 2009 - information exchange and operational efficiency within these settings, and between these settings and the larger

33. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38937/psn-pdf
    September 23, 2009 - hospitalized-older-adults This paper discusses the role of nursing care in preventing missteps that may trigger larger

34. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866248/psn-pdf
    July 10, 2024 - likely to have made structural changes than GP-only, which the authors suggest may be due, in part, to larger

35. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33714/psn-pdf
    July 01, 2011 - and understand what other people are doing, share lessons learned, and essentially participate in a larger … way and defined electronically in an interoperable way so that information can be aggregated at a larger … trying to aggregate information and learn more rapidly from pattern analysis of aggregate data on a larger … In some ways, what PSOs will allow us to do is look at quality issues and safety hazards on a much larger … What gives you enthusiasm that this new organizational framework, that's much larger and in many ways

36. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44296/psn-pdf
    April 08, 2018 - care clinic visits did not significantly reduce diagnostic errors compared to usual care, though a larger

37. 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?

38. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/847537/psn-pdf
    April 12, 2023 - , but were largely consistent with expectations, suggesting the SCES framework could be applied to larger

39. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/838634/psn-pdf
    October 19, 2022 - Using data from two cross-sectional surveys, this study found the COVID-19 pandemic had a larger impact

40. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/860381/psn-pdf
    January 10, 2024 - with and without explanations improved diagnostic accuracy, but systematically biased models had a larger