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Showing results for "method".

7121. Microsoft PowerPoint - Spotlight Case_Gabapentin Overdose_12.21.2022 FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-01/spotlight_overdose_of_gabapentin_and_oxycodone_in_a_patient_with_end-stage_renal_disease.pdf
      January 01, 2023 - development and maintenance.24  33 Approach to Improving Patient Safety (7) • Other potential methods …   • These methods, however, rely the clinician to actively do something on their own without any behavioral

7122. In Conversation with...Richard Ricciardi about Office-Based Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
      January 31, 2024 - served as the director for the Division of Practice Improvement, where most of our work was exploring methods … 10 years ago, the main focus and investments on quality and safety were on developing strategies and methods … Unnecessary tests and procedures can sometimes harm patients. … Many diagnostic procedures are very uncomfortable, but there’s also a psychological trauma of wondering … Safety Hazards in Ambulatory Surgery Centers Additional safety hazards exist for surgeries or procedures

7123. The Role of the FDA in Ensuring Device Safety | PSNet
      psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety
      May 28, 2020 - Not only does the agency have to ensure they are applying efficient and effective methods for evaluating … are always trying ensure that we are keeping up with the science and applying efficient and effective methods

7124. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49436/psn-pdf
      February 26, 2004 - routine transfusion without a prior consistent blood type.(5) In the case under discussion, the routine procedure … Practical methods to improve transfusion safety by using novel blood unit and patient identification

7125. Medical Scribes and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/medical-scribes-and-patient-safety
      August 01, 2019 - navigation and functionality; computerized order entry, clinical decision support, and reminders; and proper methods … Policy and procedure. … Each organization should have a policy/procedure regarding documentation assistance processes, including … log-in procedures; scope of documentation assistance; requirements for provider review of information … The concern with that method was that it would incentivize longer and more complex notes, which was not

7126. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41030/psn-pdf
      March 04, 2015 - quality of the studies was limited by variations in ADE definitions and failure to use gold standard methods … Although they are a promising method for identifying ADEs promptly, the review concludes that electronic

7127. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44462/psn-pdf
      January 22, 2016 - and identifies areas of progress, including curricula development, training techniques, and feedback methods … pilot-testing-model-insurer-driven-large-scale-multicenter-simulation-training-operating-room https://psnet.ahrq.gov/issue/there-no-such-thing-nonjudgmental-debriefing-theory-and-method-debriefing-good-judgment

7128. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38837/psn-pdf
      June 28, 2011 - A comparison of hospital adverse events identified by three widely used detection methods. … A comparison of hospital adverse events identified by three widely used detection methods. … ://psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection- methods … Investigators discovered that each method yielded significantly different results. … https://psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods

7129. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33729/psn-pdf
      May 01, 2012 - "( 17) Several other significant safety studies used similar methods. … However, it has largely been replaced by the more efficient and more sensitive trigger tool method described … 26), have been shown to more efficiently identify adverse events than any other published detection method … Comparison of four most frequently used methods to identify harm. … (Go to table citation in the text) Harm Detection Method Advantages Limitations Incident (occurrence

7130. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49677/psn-pdf
      February 01, 2013 - The Commentary Central venous catheter (CVC) placement is one of the most common medical procedures … The time honored "see one, do one, teach one" method is inadequate in today's environment—in fact, the … Service is another excellent adjunctive training option because it enables the trainee to learn procedures … Real-time ultrasound-guided subclavian vein cannulation versus the landmark method in critical care … Creation of an innovative inpatient medical procedure service and a method to evaluate house staff competency

7131. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39790/psn-pdf
      March 21, 2017 - executive walk rounds, malpractice claims, and risk management databases, and found that while each method … accompanying commentary discusses the strengths and limitations of a broad range of safety monitoring methods … https://psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods

7132. Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board. | PSNet
      psnet.ahrq.gov/issue/incidence-wrong-site-surgery-list-errors-2-year-period-single-national-health-service-board
      March 27, 2019 - Operating room list errors are often cited as leading to wrong-side, wrong-site or wrong-procedure errors … analyzed two years of data from the United Kingdom and found that while no wrong-side, wrong-site or wrong-procedure … Tracking and reducing operating room list errors may help to prevent wrong-side, -site, or -procedure … March 14, 2022 Methods for studying medication safety following electronic health record … January 9, 2018 Implementation of the trigger review method in Scottish general practices

7133. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37940/psn-pdf
      June 16, 2010 - comparing-patient-reported-hospital-adverse-events-medical-record-review-do- patients-know While many methods … detecting inpatient adverse events, ranging from medical record review to incident reporting, no single method

7134. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42628/psn-pdf
      January 07, 2015 - This study, conducted at a Veterans Affairs hospital, evaluated a novel method of accomplishing medication … Other methods of leveraging information technology to engage patients in medication safety efforts have

7135. Situational Awareness and Patient Safety | PSNet
      psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
      May 01, 2012 - Rounding procedures must be restructured to become more patient-centered. … Perception without attention: results of a new method. Cogn Psychol. 1992;24:502-534. … physician remote access of the electronic health record and implications for resident supervision: a mixed methods … understanding of communication with their primary care physicians (PCPs) among hospitalized seniors: a mixed methods … November 1, 2012 Application of human error theory in case analysis of wrong procedures

7136. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37842/psn-pdf
      November 20, 2017 - and developing interventions, study designs, measurement of safety and quality, and the use of mixed methods … tension-between-needing-improve-care-and-knowing-how-do-it https://psnet.ahrq.gov/issue/science-improvement https://psnet.ahrq.gov/issue/mixed-method-study-merits-e-prescribing-drug-alerts-primary-care

7137. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43814/psn-pdf
      June 21, 2015 - project aimed to achieve adherence to hand hygiene practices at eight hospitals using change management methods … This study suggests that local improvement may be a fruitful method to enhance the proven but incompletely

7138. Building a culture of safety through team training and engagement. | PSNet
      psnet.ahrq.gov/issue/building-culture-safety-through-team-training-and-engagement
      September 23, 2017 - From the Same Author(s) Impact of interruptions, distractions, and cognitive load on procedure … contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method … February 26, 2020 Technological methods used to prevent errors aren't infallible.

7139. Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity. | PSNet
      psnet.ahrq.gov/issue/slowing-down-stay-out-trouble-operating-room-remaining-attentive-automaticity
      December 12, 2012 - June 22, 2016 Effectiveness of facilitated introduction of a standard operating procedure … November 18, 2013 A novel method for reproducibly measuring the effects of interventions … July 5, 2013 Application of human error theory in case analysis of wrong procedures.

7140. Patient safety in dentistry: development of a candidate 'never event' list for primary care. | PSNet
      psnet.ahrq.gov/issue/patient-safety-dentistry-development-candidate-never-event-list-primary-care
      April 12, 2017 - Related Resources From the Same Author(s) Implementation of the trigger review method … January 19, 2011 Methods for studying medication safety following electronic health record … February 22, 2019 Assessment of incorrect surgical procedures within and outside the … October 3, 2012 Incidence and root cause analysis of wrong-site pain management procedures