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psnet.ahrq.gov/node/60220/psn-pdf
April 29, 2020 - For example, the SBAR method?(Situation,
Background, Assessment, Recommendation)? … interprofessional teams of healthcare providers, and using standardized
communication tools like the SBAR methods
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psnet.ahrq.gov/node/33777/psn-pdf
January 01, 2015 - Virginia Mason has
aligned the concepts, methods, and elements of innovation with their counterparts … As a
consequence, they often get inadequate pain control in the hours prior to their surgical procedure … A continuous femoral nerve block is a well-known, well-validated
technical procedure that we're all … stabilized in the emergency department, and then continue that block
through whenever they get their procedure
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psnet.ahrq.gov/primer/patient-safety-101
January 16, 2025 - each hospital likely has several preventable deaths per year, and a 2016 Annual Perspective explores methods … matured, investigators have gained a better understanding of the underlying causes of adverse events and methods
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psnet.ahrq.gov/web-mm/recurrent-appendicitis
January 15, 2020 - It is also important to note that the 20 procedures are performed over a 5-year residency, and it may … supervises the operation as an impartial observer but does not actively participate in the operative procedure … One approach to decreasing technical errors for emergency general surgery procedures in the era of increased … Surgeons must take the lead in developing new methods to measure and improve competency. … January 23, 2017
Safety considerations in learning new procedures: a survey of surgeons
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psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - attacks following
elective surgery.5 Adverse events associated with failure to rescue following surgical procedures … Results
The RIC innovation was evaluated using a mixed methods design to analyze 20 conferences that … When the innovation is fully realized, it may become a standard operating procedure in the hospital.
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psnet.ahrq.gov/node/33761/psn-pdf
February 01, 2014 - errors often occurred during
documentation, medication administration, or patient care assessments or procedures … residents in a simulated environment, Feuerbacher and colleagues (11) found that in 8 of
18 simulated procedures … , when there were no operating room distractions or interruptions, only 1 of 18 simulated surgical
procedures … Methods Inf Med. 2011;50:447-453. [go to PubMed]
2. Relihan E, O'Brien V, O'Hara S, Silke B.
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psnet.ahrq.gov/node/49723/psn-pdf
January 01, 2015 - There are methods that can be
used to improve the detectability of critical signals and minimize vigilance … displays, and (iii) limiting the
duration of watchkeeping shifts.(11,22) Unfortunately, none of these methods … These methods have been
applied in other high-risk domains (e.g., aviation, processing plant operations
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psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
March 27, 2024 - Practicing the downtime procedures for each department is important even for executives. … Do you have procedures in place? If you have plans in place, look for the adequacy of plans. … Do they truly cover your downtime procedures in clinic? … patient-safety event occurs, reporting it (whether on paper or in a short email or through another manual method … Guidelines for developing EHR downtime procedures. Accessed February 11, 2024.
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psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
March 27, 2024 - patient-safety event occurs, reporting it (whether on paper or in a short email or through another manual method … Guidelines for developing EHR downtime procedures. Accessed February 11, 2024. … Practicing the downtime procedures for each department is important even for executives. … Do you have procedures in place? If you have plans in place, look for the adequacy of plans. … Do they truly cover your downtime procedures in clinic?
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psnet.ahrq.gov/node/49792/psn-pdf
May 01, 2017 - however, malpractice studies have
found that 47% of ED claims are due to diagnostic errors.(3,11) Other methods … Tools, workflows, and methods to encourage
deliberate (type 2) reasoning prior to making critical decisions … Approaches to reduce diagnostic error could include methods to encourage deliberate reasoning and
differential
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psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
June 15, 2022 - base is comprised of studies that are small, of low to intermediate quality, and with heterogeneous methods … focused efforts to teach trainees and practicing clinicians about the diagnostic thinking process and methods … Diagnosis in Medicine has compiled key online resources , and experts in the field have proposed optimal methods
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psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
October 02, 2019 - boards, along with medical societies and others, can facilitate improvement by providing assessment methods … certification boards, and medical societies can assist by creating and providing good assessment tools and methods … July 3, 2016
Clinical reasoning assessment methods: a scoping review and practical guidance
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psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md
February 26, 2025 - That might be a method of getting it out there quickly and disseminating it faster than other clinical
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psnet.ahrq.gov/issue/standing-safety
March 01, 2023 - November 13, 2024
Improving Patient Safety with Human Factors Methods.
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psnet.ahrq.gov/innovation/pharmacist-led-mobile-health-intervention-and-transplant-medication-safety-randomized
April 07, 2021 - incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods
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psnet.ahrq.gov/issue/do-junior-doctors-make-more-prescribing-errors-experienced-doctors-when-prescribing
February 22, 2023 - perceptions of a patient-specific indication-based prescribing tool with current practice: a mixed methods
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psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety
June 01, 2010 - resources needed for newly admitted patients and lack of familiarity of ED nurses with inpatient nursing procedures … During high-risk procedures, providers must be allowed to focus on the procedure without interruptions … (iv) ED systems for teamwork and handoffs as well as guidelines for procedures and checklists should … Risks of complications by attending physicians after performing nighttime procedures. … That's in contrast to a slower analytical, deductive method that's much more precise and often yields
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psnet.ahrq.gov/issue/hospital-board-and-management-practices-are-strongly-related-hospital-performance-clinical
October 27, 2021 - Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience
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psnet.ahrq.gov/issue/hqi-and-hospital-council-annual-conference
October 25, 2006 - May 17, 2006
Improving Patient Safety with Human Factors Methods. … September 27, 2023
- September 27, 2023
Improving Patient Safety with Human Factors Methods
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psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
July 08, 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