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Showing results for "mentioned".

41. 20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research on patient safety. | PSNet
    psnet.ahrq.gov/issue/20-years-after-err-human-bibliometric-analysis-iom-reports-impact-research-patient-safety
    July 15, 2020 - This bibliometric analysis found that the report has been mentioned in over 20,000 scientific publications

42. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867428/psn-pdf
    December 18, 2024 - Sarah Mossburg: You mentioned that falling can increase an individual’s fear of falling again. … approach before trying to improve upon the existing evidence or create a new program Sarah Mossburg: You mentioned … Mossburg: In terms of the patient and family engagement and how you measure those process outcomes, you mentioned … Sarah Mossburg: You mentioned the importance of champions within units. … Sarah Mossburg: You mentioned the Fall TIPS Toolkit.

43. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74021/psn-pdf
    October 25, 2021 - in establishing medication handling and dispensing, it's not always simple to ensure because, as we mentioned … We mentioned those Five Rights, verifying that the interpretation of the prescription you're getting … But going back to the issues that we mentioned, interoperability is a huge component of being able to … Lastly, we mentioned some barriers with the time available for dispensing and clinical services, such

44. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837660/psn-pdf
    July 08, 2022 - The patient had never mentioned this history, nor was an alert or allergy documented in the chart, and … https://psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes the patient had mentioned … On later review, the patient confirmed that he had mentioned what had happened in his previous bronchoscopy

45. Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. | PSNet
    psnet.ahrq.gov/issue/adequacy-hospital-discharge-summaries-documenting-tests-pending-results-and-outpatient-follow
    September 23, 2020 - nearly 700 discharge summaries from two academic centers and found that only 16% of pending tests were mentioned

46. Surgeon and surgical trainee experiences after adverse patient events. | PSNet
    psnet.ahrq.gov/issue/surgeon-and-surgical-trainee-experiences-after-adverse-patient-events
    January 09, 2019 - reported talking to a peer or mentor was helpful in managing the negative effects, and no faculty mentioned

47. Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. | PSNet
    psnet.ahrq.gov/issue/role-communicating-diagnostic-uncertainty-safety-netting-process-insights-vignette-study
    February 20, 2019 - was common, but the specific content and recommended actions varied, and few physicians explicitly mentioned

48. Nursing staff's perceptions of patient safety in psychiatric inpatient care. | PSNet
    psnet.ahrq.gov/issue/nursing-staffs-perceptions-patient-safety-psychiatric-inpatient-care
    September 27, 2017 - For example, none of the interviewed nurses mentioned the importance of preventing inpatient suicide

49. Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. | PSNet
    psnet.ahrq.gov/issue/front-line-staff-perspectives-opportunities-improving-safety-and-efficiency-hospital-work
    February 04, 2009 - facility design problems as major contributors to errors, with staffing and communication issues also mentioned

50. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/840256/psn-pdf
    November 16, 2022 - psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd Sarah Mossburg: You both mentioned … Pascale Carayon: I mentioned technology, usability of health IT, of the EHR, of computerized provider … Werner, I think you mentioned skilled nursing facility transitions as the other transition that you … You both mentioned challenges related to implementation of the projects. Dr.

51. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867986/psn-pdf
    March 24, 2025 - As I mentioned earlier, you could screen everyone who is capable of being screened when they come in … You mentioned screening tools multiple times at this point, and I am curious what factors someone should … The primary is what I mentioned earlier, the three questions that are asked of every person screened … Sarah Mossburg: Earlier you mentioned the challenge of how busy clinicians are in their day-to-day work … Sarah Mossburg: You mentioned earlier the challenge with transitions.

52. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/857060/psn-pdf
    November 27, 2023 - Because of this expansive role, they wield a large influence on patient outcomes and safety, as mentioned … Some of the main facilitators mentioned by students are (1) experiencing a wide range of clinical learning

53. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866848/psn-pdf
    September 25, 2024 - As you have mentioned, it is often espoused in healthcare systems as a value. … A colleague recently mentioned to me that they had zero harm pins. … factors could help them avoid some of the negative unintended consequences of zero harm goals that I mentioned

54. An Incomplete Anesthesia History Leads to Adverse Outcomes | PSNet
    psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
    January 29, 2021 - The patient had never mentioned this history, nor was an alert or allergy documented in the chart, and … At this point, one of the technicians who had transported the patient disclosed that the patient had mentioned … On later review, the patient confirmed that he had mentioned what had happened in his previous bronchoscopy

55. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867805/psn-pdf
    February 26, 2025 - Sarah Mossburg: You mentioned that assessing preventability is more challenging because it depends upon … You just mentioned that we are on the cusp of being able to access information much more readily via … I mentioned detecting wetness in beds. … Sarah Mossburg: You mentioned a change package. Could you talk briefly about what that is?

56. Hospital nurse staffing and patient mortality, emotional exhaustion, and job dissatisfaction. | PSNet
    psnet.ahrq.gov/issue/hospital-nurse-staffing-and-patient-mortality-emotional-exhaustion-and-job-dissatisfaction
    February 09, 2011 - While their findings differ from the seminal study mentioned, several explanations and limitations are

57. Using patient safety indicators to estimate the impact of potential adverse events on outcomes. | PSNet
    psnet.ahrq.gov/issue/using-patient-safety-indicators-estimate-impact-potential-adverse-events-outcomes
    July 14, 2009 - Both studies mentioned above followed data published from individual institutions ( Classen et al  and

58. Trust, temporality and systems: how do patients understand patient safety in primary care? A qualitative study. | PSNet
    psnet.ahrq.gov/issue/trust-temporality-and-systems-how-do-patients-understand-patient-safety-primary-care
    February 09, 2016 - The authors note that none of the patients interviewed in this study mentioned unnecessary care as

59. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49469/psn-pdf
    December 01, 2004 - The obstetrician mentioned incidentally that her husband tested positive as a carrier of Canavan's disease … Hence, the overall risks mentioned above of 1 in 3600 and 1 in 6400, respectively.

60. In Conversation with... Cheryl Jones about Addressing Workplace Violence and Creating a Safer Workplace | PSNet
    psnet.ahrq.gov/perspective/conversation-cheryl-jones-about-addressing-workplace-violence-and-creating-safer
    October 31, 2023 - Jones: Violence can take any of the forms you mentioned. … Sarah Mossburg: You mentioned increased reports of violence during the pandemic. … Sarah Mossburg: You mentioned de-escalation techniques earlier. … Sarah Mossburg: You just mentioned access to security. … I mentioned management and leadership support earlier.