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Showing results for "maternity care".

1221. Preventable Rash | PSNet
      psnet.ahrq.gov/web-mm/preventable-rash
      October 01, 2012 - The outpatient clinic was unable to see him immediately, and recommended he go to the urgent care clinic … The urgent care provider reviewed his lab results and discovered that his tests for rapid plasma reagin … The patient was treated with penicillin in the urgent care clinic. … HIV prevention in primary care: impact of a clinical intervention. … AIDS Patient Care STDS. 2001;15:243-53. [ go to PubMed ] 4. 

1222. A "Reflexive" Diagnosis in Primary Care | PSNet
      psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
      April 01, 2008 - A "Reflexive" Diagnosis in Primary Care. PSNet [internet]. … A "Reflexive" Diagnosis in Primary Care. PSNet [internet]. … Appreciate the value of a high-yield screening neurologic exam in primary care. … Types and origins of diagnostic errors in primary care settings. … A "Reflexive" Diagnosis in Primary Care. PSNet [internet].

1223. Central Line Clot | PSNet
      psnet.ahrq.gov/web-mm/central-line-clot
      August 04, 2021 - Intensive Care Med. 2002;28:1-17.[ go to PubMed ]   2. Faust SN, Levin M, Harrison OB, et al. … Am J Respir Crit Care Med. 2000;161:1010-5.[ go to PubMed ] 7. … Intensive Care Med. 2000;26:967-72.[ go to PubMed ] 12. … May 22, 2024 Seroprevalence of SARS-CoV-2 among frontline health care personnel in a … Units Children's Hospitals Health Care Providers Critical Care Pulmonology View

1224. Where Does Risk-Adjusted Mortality Fit Into a Safety Measurement Program? | PSNet
      psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
      March 01, 2015 - , while ratios less than 1 (or 100) are seen to suggest safe care. … Qual Saf Health Care. 2010;19:9-13. [go to PubMed] 2. … Med Care. 2008;46:112-119. … Independent inquiry into care provided by Mid Staffordshire NHS Foundation Trust. … problems with young men having organ failure in a drug trial, and they'd had some excess deaths in maternity

1225. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73153/psn-pdf
      April 28, 2021 - balance, independence and objectivity in all its CME activities to promote improvements in health care … defines a commercial interest as “any entity producing, marketing, re-selling, or distributing health care … Design a set of “best practices” in the operating room and postoperative care units to minimize the … Improving communication at handover and transfer reduces retained swabs in maternity services.  … Scand J Prim Health Care. 2019;37(2):264-270. doi:10.1080/02813432.2019.1619829. 14.

1226. Check the Wristband | PSNet
      psnet.ahrq.gov/web-mm/check-wristband
      August 03, 2009 - I had to take the patient off the OR table and return her to the surgical day care unit.” … Recognizing and overcoming inadequate health literacy, a barrier to care. … Qual Saf Health Care. 2002;11:40-4.[ go to PubMed ] 17. Wald H and Shojania KG. … Making health care safer: a critical analysis of patient safety practices. … Providers Non-Health Care Professionals Surgery View More

1227. In Conversation With… Susan Haas, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
      March 01, 2019 - It took a while to understand why you would do the same care in such a different way. … We should back-transfer people to the appropriate levels of care. … As hospital-based health care in the United States has consolidated, large health care systems have … The role for leaders of health care organizations in patient safety. … Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision.

1228. Teamwork Training | PSNet
      psnet.ahrq.gov/primer/teamwork-training
      September 15, 2024 - Background Providing safe health care depends on highly trained individuals with disparate roles and …  and  primary care . … The evidence supporting the benefits of such programs in health care is growing. … However, teamwork training is not required for other health care facilities. … program for veterans with two planned care transitions (hospital to skilled care and skilled care to

1229. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? | PSNet
      psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
      March 01, 2004 - Though she responded to resuscitative measures and remained in the intensive care unit the following … should we infer from her unfortunate and unexpected death: chance misfortune or a problem with her care … Incidence and types of adverse events and negligent care in Utah and Colorado. … Med Care. 2000;38:261-271. [go to PubMed] 7. … A methodology for targeting hospital cases for quality of care record reviews.

1230. Pregnant With Danger | PSNet
      psnet.ahrq.gov/web-mm/pregnant-danger
      January 12, 2011 - to labor and delivery (L&D) transfer Pregnant Patient with Flow of Responsibility of Care … Evaluate in ED with gynecology consult Page GYN resident as necessary Courtesy call to OB care … From the Same Author(s) Effects of teamwork training on adverse outcomes and process of care … June 22, 2009 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … WebM&M Cases Lack of Sepsis Recognition Leads to Delay in Care

1231. Culture of Safety | PSNet
      psnet.ahrq.gov/primer/culture-safety
      September 15, 2024 - The concept of safety culture originated outside health care, in studies of  high reliability organizations … is an essential component of preventing or reducing errors and improving overall health care quality … The underlying reasons for the underdeveloped health care safety culture are complex, with  poor teamwork … The culture of individual blame is still a pervasive problem in health care and undoubtedly impairs … 15, 2024 Patient Safety Primers Missed Nursing Care

1232. 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 - Errors and Near Misses: What Health Care Could Learn From Aviation. PSNet [internet]. … Errors and Near Misses: What Health Care Could Learn From Aviation. PSNet [internet]. … One of the most striking differences between health care and aviation is a bias in health care toward … How to make health care resilient. In: Resilient Health Care. … December 21, 2018 Delivering high reliability in maternity care: in situ simulation as

1233. Never Events | PSNet
      psnet.ahrq.gov/primer/never-events
      June 15, 2024 - setting Patient death or serious injury associated with the use or function of a device in patient care … suicide, or self-harm that results in serious injury, while being cared for in a healthcare setting Care … death or serious injury associated with a burn incurred from any source in the course of a patient care … with introduction of a metallic object into the MRI area Potential criminal events Any instance of care … Because Never Events are devastating and preventable, health care organizations are under increasing

1234. High Reliability | PSNet
      psnet.ahrq.gov/primer/high-reliability
      January 29, 2020 - The concept of high reliability is attractive for health care, due to the complexity of operations and … Sometimes people interpret high reliability as meaning effective standardization of health care processes … AHRQ has outlined practical strategies for health care organizations aiming to become highly reliable … High-reliability health care: getting there from here. … 15, 2024 Patient Safety Primers Missed Nursing Care

1235. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72517/psn-pdf
      November 25, 2020 - Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. … Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. … Urgent consultations were obtained from Maternal-Fetal Medicine and Acute Care Surgery. … Measuring diagnostic errors in primary care: the first step on a path forward. … Comment on "Types and origins of diagnostic errors in primary care settings".

1236. Making Just Culture a Reality: One Organization's Approach | PSNet
      psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
      October 01, 2007 - The patient notes that all care providers and transport personnel follow the procedure. … Robert Wachter, Editor, AHRQ WebM&M: Is "just culture" a concept that you brought into health care, … Health care has always recognized the tension between holding the system accountable and holding the … While recklessness in health care is rare, it does occur. … June 10, 2020 Health-care professionals' views about safety in maternity services: a

1237. Remote Patient Monitoring | PSNet
      psnet.ahrq.gov/perspective/remote-patient-monitoring
      March 15, 2023 - How has the technology changed as part of managing patient care? … We have done projects with patients who have memory care issues. … Colton Hood : Correctional care could also benefit from RPM. … Medical care can be challenging in that situation. … Providers Health Care Executives and Administrators View More

1238. Measuring Patient Safety | PSNet
      psnet.ahrq.gov/perspective/measuring-patient-safety
      December 14, 2022 - While patient safety has traditionally focused on hospital-based care, measuring ambulatory care safety … We are going to see care from their perspective. … I think it will change our perception of what is quality and safe care overall and what is quality care … we can understand care from their perspective. … Health Care Providers View More

1239. Miscommunication During the Interhospital Transport of a Critically Ill Child | PSNet
      psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
      March 27, 2024 - hospital for definitive care, given the unavoidable regionalization of pediatric specialty care. … for Patient- and Family-Centered Care. … care. … Family-centered care: current applications and future directions in pediatric health care. … Factors influencing implementation of family-centered care in a neonatal intensive care unit.

1240. Strategies and Approaches for Tracking Improvements in Patient Safety | PSNet
      psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
      June 15, 2024 - Histograms can also help users identify potential improvements in processes of care. 1 , 2 As an example … As the histogram shows, several discharge summaries took more than a week to be sent to primary care … Teach-back is a strategy that involves the health care provider asking patients or family members to … explain health care instructions in their own words to confirm that they clearly understood these … July 7, 2021 Patient safety in women's health care: a framework for progress.