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psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - 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. … Currently, residency programs and clinical departments can determine which combination of assessment methods … These methods may include but are not limited to a question bank, a quality assurance process, direct
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psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement
March 10, 2021 - the available process measures to assess more advanced nuances of an organization’s PFE policies and procedures … 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
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psnet.ahrq.gov/perspective/conversation-susan-smith-md
August 01, 2019 - The concern with that method was that it would incentivize longer and more complex notes, which was not … 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
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psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
November 16, 2022 - middle-aged man was admitted to the surgical intensive care unit (SICU) following a complex surgical procedure … CRRT is a high-risk procedure that is handled differently by different hospitals. … how to restructure the orientation and training programs to ensure that staff performing high-risk procedures … , the new nurse in ICU might be presented with a simulation of the use of CCRT, which are high-risk procedures … handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods
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psnet.ahrq.gov/node/33635/psn-pdf
July 01, 2006 - is the methodology for making changes, which
includes reliable design, the rapid cycle improvement methods … from the IHI, and the other methods such as
Six Sigma and Toyota Lean. … process from a physician writing an order to the delivering of a
medication to a patient coming in for a procedure
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psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
August 01, 2017 - surgical safety and quality with rigor, blending qualitative observations pioneered by Bosk with new methods … Furthermore, emerging evidence supports the use of video recording and review of surgical procedures, … black box review after aviation crashes and near misses.( 11 )
We should also develop and implement methods … ; they score each other so they get a score sheet with comments and standardized scores about their procedure … We're looking at trying to do this more broadly for many more procedures across the state of Illinois
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psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
September 18, 2024 - 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/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed
June 01, 2017 - As a result, patients cared for on weekends experience an increased door-to-procedure time, which can … Moreover, the patient admitted over the weekend with NSTE-ACS was less likely to undergo a cardiac procedure … We also looked at patients who had their procedures on a weekend. … who had their procedure at the weekend was about 80% higher than patients having their operation on a … It seems that we can start to use either more traditional statistical methods to look at changes in those
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psnet.ahrq.gov/node/73103/psn-pdf
March 31, 2021 - laboratory tests, and imaging tests are unlikely to identify the patient’s underlying
condition, as these procedures … have been altered by an in-person visit, but it is important for clinicians to consider alternative
methods … before the current pandemic) presents the opportunity for using new models of care,
communication methods
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psnet.ahrq.gov/node/50610/psn-pdf
October 30, 2019 - interventions may not be
supported by evidence, may no longer be necessary given progress in noninvasive methods … Invasive procedures in preterm children: brain and cognitive
development at school age.
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psnet.ahrq.gov/node/33559/psn-pdf
September 07, 2019 - Given the considerable amount of time and resources required for medication reconciliation, methods to
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psnet.ahrq.gov/issue/individual-based-framework-study-medical-error
November 11, 2020 - Methods for monitoring and measurement. … View More
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Improving Patient Safety with Human Factors Methods
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psnet.ahrq.gov/issue/adenocarcinoma-situ-uterine-cervix-screening-and-diagnostic-errors-papanicolaou-smears
July 06, 2011 - October 30, 2019
Understanding patient-centred readmission factors: a multi-site, mixed-methods … specialty care than general practice: a population-based cohort analysis of missed stroke using SPADE methods
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psnet.ahrq.gov/node/838221/psn-pdf
September 28, 2022 - Providers have excellent ideas, but the MPH training can drive the Community-Oriented
Quality Improvement methods … understanding usually of population health,
but they may not learn 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/web-mm/which-line-ordering-provider-or-proceduralist
September 16, 2015 - Understand the use of clinical decision support to prevent incorrect ordering of imaging procedures. … associated with improved communication and teamwork in operating room ( 12 ) and interventional radiology procedures … evidence-based information on a variety of uses in medicine, including diagnostic and intervention radiology procedures … require a successive check, with the interventional radiologist reviewing all complex and high-risk procedures … October 6, 2016
Applying Lean methods to improve quality and safety in surgical sterile
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psnet.ahrq.gov/node/33783/psn-pdf
April 01, 2015 - I don't know what the politics is there, other than
changing the method of payment.
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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
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psnet.ahrq.gov/issue/effort-human-factors-performance-and-decision-making
August 31, 2022 - March 8, 2023
Exploring the causes of COPD misdiagnosis in primary care: a mixed methods … Patients' views of adverse events in primary and ambulatory care: a systematic review to assess methods
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psnet.ahrq.gov/issue/promoting-patient-safety-one-companys-example
April 05, 2017 - October 23, 2019
We Want to Know-a mixed methods evaluation of a comprehensive program … March 6, 2005
Seniors managing multiple medications: using mixed methods to view the
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psnet.ahrq.gov/issue/reflecting-change
December 02, 2009 - July 12, 2023
What methods are used to apply positive deviance within healthcare organisations … February 3, 2016
Pediatric prehospital medication dosing errors: a mixed-methods study