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psnet.ahrq.gov/node/49825/psn-pdf
April 01, 2018 - Patient satisfaction with different interpreting methods: a randomized
controlled trial.
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psnet.ahrq.gov/node/72517/psn-pdf
November 25, 2020 - absence of fever, absence of cutaneous
manifestations, attributing severe pain to a recent injury or procedure … had her first surgical intervention within 24 hours of presenting symptoms and underwent a
second procedure
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psnet.ahrq.gov/node/33765/psn-pdf
April 01, 2014 - One of them they started with, "My mother
understands that you need computerized methods for managing
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psnet.ahrq.gov/node/74021/psn-pdf
October 25, 2021 - Each institution
has their own methods for ensuring that the staff is well-trained and comfortable performing
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psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
November 30, 2021 - absence of fever, absence of cutaneous manifestations, attributing severe pain to a recent injury or procedure … patient had her first surgical intervention within 24 hours of presenting symptoms and underwent a second procedure
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psnet.ahrq.gov/glossary
January 01, 2003 - Competency
Having the necessary knowledge or technical skill to perform a given procedure within the … concept of evidence-based treatments has particular relevance to patient safety, because many recommended methods … Overuse can also apply to diagnostic tests and surgical procedures. … , or had a procedure intended for another patient. … These "wrong-site, wrong-procedure, wrong-patient errors" (WSPEs) are rightly termed never events.
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psnet.ahrq.gov/glossary-0
January 01, 2003 - concept of evidence-based treatments has particular relevance to patient safety, because many recommended methods … , the purpose of the procedure, the risks and benefits of the proposed treatments, the probability of … Overuse can also apply to diagnostic tests and surgical procedures. … Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery
See Primer . … , or had a procedure intended for another patient.
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psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
March 01, 2018 - nurses report missing more necessary care due to lack of time, mortality following common surgical procedures … Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience
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psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
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
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psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
August 31, 2020 - in-person care and preserved resources by transitioning to telemedicine 2 and postponing many elective procedures … Providers and patients are navigating the use of distancing procedures and other prevention strategies … institutions are faced with the difficult task of achieving a balance between the need for elective procedures … As hospitals reopen their elective procedures and services, they need to communicate and demonstrate … chart for individuals without experience with root cause analysis to help them apply these powerful methods
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psnet.ahrq.gov/perspective/conversation-abraham-verghese-md
November 01, 2012 - I would be the first to say that the routine annual physical, for example, is a low-yield procedure. … coming in with a very specific symptom and being hospitalized, the physical exam is a fairly high-yield procedure … But, it's clearly not a one-way street where we are showing them only old-fashioned methods. … Prompt, accurate diagnosis reduces the number of procedures and invasive tests, decreases the number
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psnet.ahrq.gov/perspective/emergence-application-based-healthcare
August 05, 2022 - Challenges in assessing mobile health app quality: a systematic review of prevalent and innovative methods … Challenges in assessing mobile health app quality: a systematic review of prevalent and innovative methods
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psnet.ahrq.gov/perspective/conversation-francoise-marvel-md
August 05, 2022 - Challenges in assessing mobile health app quality: a systematic review of prevalent and innovative methods … Challenges in assessing mobile health app quality: a systematic review of prevalent and innovative methods
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psnet.ahrq.gov/node/33849/psn-pdf
January 01, 2018 - In Conversation With… Robert Hirschtick, MD
January 1, 2018
In Conversation With… Robert Hirschtick, MD. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
Editor's note: Dr. Hirschtick is Associate Professor of Medicine at Northwestern Medicine, and the author
of a numbe…
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psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
February 01, 2014 - The closest setting to the cockpit in health care is when we execute procedures like surgery or insert … 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 … contrast, 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/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
March 09, 2022 - activity which have been mitigated through UC Davis Health, Office of Continuing Medical Education procedures … Non-Conservative Approach Epidural Blood Patch Epidural blood patch (EBP) is a procedure in which the … Early ambulation versus prolonged bed rest for incidental durotomies in spine procedures: a systematic … A retrospective study of a series of 195 patients (214 procedures)]. … 30, 2019
Barriers to self-reporting patient safety incidents by paramedics: a mixed methods
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psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
November 01, 2012 - Prompt, accurate diagnosis reduces the number of procedures and invasive tests, decreases the number … I would be the first to say that the routine annual physical, for example, is a low-yield procedure. … coming in with a very specific symptom and being hospitalized, the physical exam is a fairly high-yield procedure … But, it's clearly not a one-way street where we are showing them only old-fashioned methods.
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psnet.ahrq.gov/web-mm/lost-start-date-unknown-risk-e-prescribing
December 02, 2020 - All of these "Swiss Cheese" holes predispose to errors, suggesting the need for different methods to
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psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
April 03, 2024 - Prescribing errors on admission to hospital and their potential impact: a mixed-methods study.
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psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
October 01, 2007 - Another best practice is counseling patients specifically on lethal means, methods for suicide with