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psnet.ahrq.gov/node/33611/psn-pdf
July 01, 2005 - Instead, anything detected by direct observation or by our other study methods was presented to
two
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psnet.ahrq.gov/perspective/patient-safety-home-dialysis
April 28, 2021 - ., peritoneal vs. hemodialysis) may also have different risks associated with the complexity of the procedure … their care partner may feel apprehensive about assuming the responsibility for performing the dialysis procedure … Typically, home dialysis programs have in place appropriate safeguard procedures to prevent, mitigate … Is there any real-time monitoring during the dialysis procedure? … August 21, 2024
The Safe Home Care Intervention Study: implementation methods and effectiveness
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psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
February 01, 2010 - Participating EIP programs have developed methods to conduct individual practice assessment in ambulatory … duty hour restrictions may not have changed all that much, other than the natural evolution of the procedures … There, the issue is more continuity of experience in the acute illness phase rather than an issue of procedure … requirements based on empiric observation as opposed to professional opinion, which is our current method
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psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
February 01, 2010 - duty hour restrictions may not have changed all that much, other than the natural evolution of the procedures … There, the issue is more continuity of experience in the acute illness phase rather than an issue of procedure … requirements based on empiric observation as opposed to professional opinion, which is our current method … Participating EIP programs have developed methods to conduct individual practice assessment in ambulatory
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psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned
December 01, 2014 - will need to be further refined to ensure a clear blending of improvement science and sociological methods … We've looked at quality and quality information methods, focusing on safety, and then talking about value
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psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - you set a goal that is specific, you can actually measure it, and it's actionable, meaning there is a method … While the causes of preventable harms and methods to prevent them continue to be identified and reported
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psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
June 01, 2016 - How does that change the thinking about the content and the methods of both training and certification … One method that I utilize is storytelling, and I find it to be quite effective.
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psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - transitions or reporting and follow-up of laboratory and other diagnostic tests; unnecessary tests or procedures … Primary care practices can consider using systems engineering methods or lean workflow redesigns to improve … toxic cascades” of unnecessary tests, reducing exposure to unnecessary risk of harm from unnecessary procedures … Providers have excellent ideas, but the MPH training can drive the Community-Oriented Quality Improvement methods … Community-Oriented Quality Improvement to medical students and residents, so that they get those skills and methods
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psnet.ahrq.gov/node/33720/psn-pdf
November 01, 2011 - has not done anything to support the new skills, and of course with time, people revert back to
old methods … What are your procedures? What types of signals is top leadership sending? … What are the policies and the procedures, etc.?" And that's
where they say, "Oh, we didn't know.
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psnet.ahrq.gov/node/49537/psn-pdf
June 01, 2007 - decision to undergo major surgery requires a careful assessment of the risks and benefits of the
proposed procedure … complications,
and to a lesser extent, pulmonary problems (back surgery is an intrinsically low-risk procedure … prophylaxis are standardized according to a particular surgical specialty and the nature of the specific
procedure … physician used an electronic medical record (EMR) that was
part of the hospital's network] or other methods … anesthesiologists developed a preoperative assessment clinic for patients undergoing vascular surgery, a
procedure
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psnet.ahrq.gov/perspective/conversation-cheryl-jones-about-addressing-workplace-violence-and-creating-safer
October 31, 2023 - Sarah Mossburg: What reporting methods or strategies would you recommend that organizations use to better … Jones: Certainly, if they’re trained on organizational procedures and policies to address workplace … However, the trainings are ineffective as standalone methods to reduce workplace violence without additional … as enhanced security and better exit routes, as well as changes to work practices or administrative procedures … By establishing policies and procedures to prevent and address workplace violence incidents on multiple
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psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
October 31, 2023 - However, the trainings are ineffective as standalone methods to reduce workplace violence without additional … as enhanced security and better exit routes, as well as changes to work practices or administrative procedures … By establishing policies and procedures to prevent and address workplace violence incidents on multiple … Sarah Mossburg: What reporting methods or strategies would you recommend that organizations use to better … Jones: Certainly, if they’re trained on organizational procedures and policies to address workplace
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psnet.ahrq.gov/node/33779/psn-pdf
March 01, 2015 - Handoffs and Transitions
January 22, 2014
Sehgal NL. Handoffs and Transitions. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/handoffs-and-transitions
Annual Perspective 2014
Despite recent efforts to promote clinical integration, the United States health care system remains highly
fragmented. From it…
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psnet.ahrq.gov/web-mm/beeline-spine
March 01, 2014 - decision to undergo major surgery requires a careful assessment of the risks and benefits of the proposed procedure … complications, and to a lesser extent, pulmonary problems (back surgery is an intrinsically low-risk procedure … prophylaxis are standardized according to a particular surgical specialty and the nature of the specific procedure … physician used an electronic medical record (EMR) that was part of the hospital's network] or other methods … anesthesiologists developed a preoperative assessment clinic for patients undergoing vascular surgery, a procedure
-
psnet.ahrq.gov/web-mm/duplicate-insulin-order
May 04, 2012 - associated with the wrong dose (18%), and many were attributed to poor communication, not following procedure … contributor to patient harm and a longstanding problem in health care.( 13 ) Several standardized handoff methods
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.323_slideshow.ppt
May 01, 2014 - Prescribing errors on admission to hospital and their potential impact: a mixed-methods study.
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psnet.ahrq.gov/web-mm/obstructed-view
August 07, 2019 - Thresholds in Gastrointestinal Bleeding
September 1, 2017
Accuracies of diagnostic methods
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psnet.ahrq.gov/web-mm/forgotten-med
July 01, 2006 - January 19, 2016
Comparison of military and civilian methods for determining potentially
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psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
November 21, 2021 - Handoffs and transitions in critical care (HATRICC): protocol for a mixed methods study of operating
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psnet.ahrq.gov/web-mm/amphotericin-toxicity
April 01, 2014 - November 1, 2016
Perspective
Aviation Safety Methods