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Showing results for "method".

7221. Operationalizing Patient Safety at Academic Medical Centers | PSNet
      psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
      August 01, 2010 - Building a high reliability organization through a multi-method approach to monitoring the practice environment … How many times does the procedure have to be interrupted because the proceduralist doesn't have what … What is different in academic medicine is the opportunity to engage workers in process-improvement methods … and learn about them in a new way, how did you think through the benefits and downsides of different methods

7222. In Conversation With... Libby Hoy and Stephen Hoy | PSNet
      psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
      March 10, 2021 - Sometimes that’s a council, and sometimes that’s another method of engagement. … of our clinicians and our administrators starting as far upstream in the development of policies and procedures … Maybe they’ve seen an issue in their infection control procedures. … with us as a strategy, but we're going to have to think really differently and creatively about the methods … the available process measures to assess more advanced nuances of an organization’s PFE policies and procedures

7223. In Conversation With… Andrew Gettinger, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
      September 01, 2017 - We used both quantitative and qualitative methods, including multiple rapid assessment techniques such … fixing technical issues such as hardware or software issues but also clinical workflow, policies, and procedures … Users The responsibility for designing, developing, paying for, and carrying out these policies, procedures … Rapid assessment of clinical information systems in the healthcare setting: an efficient method for time-pressed … Methods Inf Med. 2011;50:299-307. [go to PubMed] 5. Singh H, Thomas EJ, Sittig DF, et al.

7224. Getting Into Patient Safety: A Personal Story | PSNet
      psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
      August 01, 2006 - minor events that are harbingers of bigger problems); others through the thoughtful adoption of new procedures … (for instance, checkout of equipment before procedures, protocols for handoffs during relief of one … outcomes attributable to clearly preventable anesthesia causes in healthy patients undergoing elective procedures … March 29, 2023 Insurance claims for wrong-side, wrong-organ, wrong-procedure, or … June 15, 2011 Using a multi-method, user centred, prospective hazard analysis to assess

7225. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.311_slideshow.ppt
      December 01, 2013 - Measuring the anticoagulant effects of target specific oral anticoagulants—reasons, methods and current … dose of rivaroxaban). 12 Case: New Oral Anticoagulants (4) Later when writing his note about the procedure … did not have any apparent bleeding and was discharged in good condition. 13 TSOACs and Invasive Procedures … There is especially little information about optimal management of TSOACs around the time of invasive procedures

7226. Triaging Interhospital Transfers | PSNet
      psnet.ahrq.gov/web-mm/triaging-interhospital-transfers
      April 12, 2023 - Additionally, although patients are often transferred to receive specific specialty care, such as a particular procedure … further understand which patients benefit most (and least) from transfer and why, and to understand best methods … Interhospital transfer and receipt of specialty procedures. J Hosp Med. 2018;13:383-387. … Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods

7227. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836794/psn-pdf
      March 31, 2022 - This procedure ensures that all aspects of the patient are considered: biological, psychological, and … In a national survey of physicians from specialties “for which evidence- based mind-body methods could … issues."7 Even more concerning, approximately 1 in 3 physicians believed that integration of these methods … Useful teaching methods include some that raise awareness and change attitudes (asking, promoting reflection

7228. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
      January 01, 2022 - This procedure ensures that all aspects of the patient are considered: biological, psychological, and … – In a national survey of physicians from specialties “for which evidence- based mind-body methods … – Even more concerning, approximately 1 in 3 physicians believed that integration of these methods … • Useful teaching methods include some that raise awareness and change attitudes (asking, promoting

7229. The Cleveland Clinic Pairs Advanced Practice Registered Nurses and Paramedics To Provide Home Visits to Recently Discharged Patients at Highest Risk for Hospital Readmission | PSNet
      psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
      October 30, 2024 - program coordinator, communication channels for coordination between providers, standardized reporting procedures … , measures of progress, and methods for data collection A protocol for scheduling home visits. … program coordinator, communication channels for coordination between providers, standardized reporting procedures … , measures of progress, and methods for data collection A protocol for scheduling home visits.

7230. In Conversation With… Gordon Schiff, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
      February 26, 2025 - Maybe you would only hear about it from a malpractice lawsuit—not the best method for learning. … I was trying to rely on my memory or yellow post-its, but those are unreliable methods.

7231. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33861/psn-pdf
      July 01, 2018 - Maybe you would only hear about it from a malpractice lawsuit—not the best method for learning. … I was trying to rely on my memory or yellow post-its, but those are unreliable methods.

7232. Identifying Adverse Events Not Present on Admission: Can We Do It? | PSNet
      psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
      October 01, 2008 - conditions from blood use within expected norms and incidental lysis of adhesions (both relatively trivial procedures … among physician-referred versus self-referred or primary care patients.( 6 ) Current risk adjustment methods … HCUP Methods Series Report No. 2006-01. … of the 1000 physicians or 5000 nurses to each do the right thing every time is probably the weakest method … 2011 A comparison of hospital adverse events identified by three widely used detection methods

7233. Liver Biopsy: Proceed With Caution | PSNet
      psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
      March 07, 2012 - The delay in recognizing the post-procedure intraperitoneal hemorrhage led to a detailed review by the … managing patients following a liver biopsy were noted to be clearer in the outpatient setting where most procedures … widespread and easy-to-use imaging equipment, it has largely been replaced by one of the image-guided procedures … February 7, 2024 Application of human factors methods to understand missed follow-up … Hospitals Health Care Providers Quality and Safety Professionals Internal Medicine Bedside Procedures

7234. Changes in medication safety indicators in England throughout the covid-19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients using federated analytics. | PSNet
      psnet.ahrq.gov/issue/changes-medication-safety-indicators-england-throughout-covid-19-pandemic-using-opensafely
      October 19, 2022 - patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods

7235. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. | PSNet
      psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
      March 15, 2023 - CME activity which has been mitigated through UC Davis Health, Office of Continuing Medical Education procedures … To describe alternate methods of assessing patients for post-procedural pneumothorax without routine … 4,5 Provider experience has not been shown to correlate with risk of pneumothorax from bronchoscopic procedures … Stress, fatigue, and the complexity of various procedures can adversely affect our memories, and multi-tasking … Take-Home Points   Bronchoscopy is a safe, common procedure but, as with all procedures, complications

7236. A Tale of Two Falls | PSNet
      psnet.ahrq.gov/web-mm/tale-two-falls
      March 27, 2024 - thoracentesis, the clinician lowered the right side-rail, but the side-rail was not raised after the procedure … during high-stakes clinical decision making: development and validation of a new behavioral observation method

7237. Patient safety: engaging medical staff toward a common goal. | PSNet
      psnet.ahrq.gov/issue/patient-safety-engaging-medical-staff-toward-common-goal
      September 08, 2021 - March 23, 2011 The Ethics of Using QI Methods to Improve Health Care Quality and Safety … June 9, 2010 Washington man's face catches fire during routine surgical procedure. … June 26, 2019 Wrong body part, wrong patient surgeries continue despite new procedures

7238. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49834/psn-pdf
      July 01, 2018 - on cardiac POCUS.(17) In general, errors and pitfalls can occur with any acquired skill, with any procedure … He tolerated the procedure well, felt better, and requested to go home. … He survived the procedure but had an extended course in the intensive care unit. … psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references can determine which combination of assessment methods … These methods may include but are not limited to a question bank, a quality assurance process, direct

7239. Biases in detection of apparent "weekend effect" on outcome with administrative coding data: population based study of stroke. | PSNet
      psnet.ahrq.gov/issue/biases-detection-apparent-weekend-effect-outcome-administrative-coding-data-population-based
      September 23, 2020 - August 1, 2016 Harms from discharge to primary care: mixed methods analysis of incident

7240. Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit. | PSNet
      psnet.ahrq.gov/issue/clinical-characteristics-and-short-term-outcomes-acute-kidney-injury-missed-diagnosis-older
      April 20, 2022 - 2021 Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods