Results

Total Results: 7,536 records

Showing results for "method".

7141. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49531/psn-pdf
      March 01, 2007 - answer, although the mistake would most likely be attributed to an unexplainable lapse in following procedures … To prevent unintentional unsafe acts—slips, lapses, mistakes, or procedure violations—the contributory … Make it easy to report and provide several different reporting methods.

7142. Point-of-care Mixup: 1 Shot Turns Into 3 | PSNet
      psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3
      February 14, 2024 - in reducing immunization pain in infancy ( 1,9 ) and later in childhood.( 10 ) Among the effective methods … a systematic review and meta-analysis of pain memory-reframing interventions for children's needle procedures

7143. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33782/psn-pdf
      March 01, 2015 - Even within a hospital whose R-AHMR seems reasonable, individual diagnoses and procedures may demonstrate … every in-hospital death and using continuously monitored risk-adjusted statistical process control methods

7144. Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality | PSNet
      psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
      October 01, 2004 - Failure Mode Effects Analysis (FMEA) is a systematic, proactive method for evaluating a process to identify

7145. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865884/psn-pdf
      May 29, 2024 - activity which has been mitigated through UC Davis Health, Office of Continuing Medical Education procedures … A physician performed an outpatient dilation procedure for a suspected postoperative stricture. … Two days after this procedure, the patient was treated for dehydration in an outpatient clinic. … In the case presented, the patient underwent a procedure (gastric bypass surgery), aimed at treating … input from all members of the diagnostic team, and it is imperative that health care systems identify methods

7146. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73128/psn-pdf
      July 01, 2022 - Emergency access: Hospital at Home programs provide a method of emergency response that can be used … recordkeeping: Recordkeeping requirements can be complex and will be dictated by the policies and procedures

7147. 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

7148. Relationships Between Physician Professional Satisfaction and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/relationships-between-physician-professional-satisfaction-and-patient-safety
      September 29, 2017 - study carried out by RAND and the American Medical Association, our team undertook a detailed mixed-methods

7149. 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

7150. 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

7151. 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

7152. 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

7153. 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

7154. 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

7155. 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

7156. 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

7157. 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

7158. 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.

7159. 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.

7160. 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