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Total Results: 102 records

Showing results for "multiple body sites of residents".

81. Glossary | PSNet
    psnet.ahrq.gov/glossary-0
    January 01, 2003 - Onion The onion model illustrates the multiple levels or layers of protection (as in the layers … body of research has identified and characterized factors that influence safety in office practice, … However, little attention was paid to the patient safety effects of fatigue among residents until March … 1984, when Libby Zion died due to a medication-prescribing error while under the care of residents in … refer to events that are not at all expected or acceptable—e.g., an operation on the wrong patient or body

82. Medication Handling and Compounding Errors in the Operating Room. | PSNet
    psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
    May 16, 2022 - Additional issues with preparing medications in the operating room include the frequent need to remove multiple … Some potential contributing factors included the presence of multiple medication syringes within the … of D50 during preparation of ICG, improper labeling of medications that had been removed from manufacturer … This process bypasses the safety check that results from having multiple healthcare providers assess … each of its 50 surgeons’ preference cards and had multiple in-depth conversations with the surgeons

83. Overdose on Oxygen? | PSNet
    psnet.ahrq.gov/web-mm/overdose-oxygen
    August 02, 2023 - Medication Safety March 31, 2022 WebM&M Cases Multiple … Program in 11 centers across multiple economic strata: effect on care process measures. … April 5, 2017 Readiness of US general surgery residents for independent practice. … interns and residents. … 2015 'Speaking up' about patient safety concerns and unprofessional behaviour among residents

84. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/846126/psn-pdf
    March 09, 2023 - Additional issues with preparing medications in the operating room include the frequent need to remove multiple … Some potential contributing factors included the presence of multiple medication syringes within the … of D50 during preparation of ICG, improper labeling of medications that had been removed from manufacturer … This process bypasses the safety check that results from having multiple healthcare providers assess … each of its 50 surgeons’ preference cards and had multiple in-depth conversations with the surgeons

85. What Have We Learned About Safe Inpatient Handovers? | PSNet
    psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
    March 01, 2011 - A large body of research documents that handovers often lack important elements, and that poor quality … Residents' and attending physicians' handoffs: a systematic review of the literature. … ; it's sort of like flying multiple planes at once all going to different destinations, and you can't … residents spend a lot of time creating and updating their sign-out, and reviewing that sign-out with … expect to see from well-rested residents is because of the tradeoff.

86. How Does Health Care Simulation Affect Patient Care? | PSNet
    psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
    August 01, 2018 - Human patient simulators (mannequins) are whole-body human simulators designed to provide an accurate … Task trainers are partial body simulators that are used for training in specific tasks and/or procedural … Mastery learning of advanced cardiac life support skills by internal medicine residents using simulation … MW : Most sites use macros for actions that you anticipate. … scenario multiple times.

87. Health Care–Acquired Urinary Tract Infection: The Problem and Solutions | PSNet
    psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
    November 01, 2008 - As the use of a catheter and the duration of catheter use are the most important determinants of cUTI … Often I found that the residents said, "Well, does the patient even have a catheter?" … Interns and residents were unaware about 30% of the time, and attending physicians—who are medically … the others—leaving a foreign body in place and vascular catheter-related infection—in the amount of … errors and accuracy in multiple patient care areas.

88. Errors and Near Misses: What Health Care Could Learn From Aviation | PSNet
    psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
    September 01, 2006 - The most serious air accidents are rigorously investigated by an independent investigation body to understand … On the other hand, most health care systems struggle to conduct integrated investigations that span multiple … Regulation (EU) No 376/2014 of the European Parliament and of the Council of 3 April 2014 on the reporting … There had to be a guarantee of some privilege of confidentiality for some of these investigations because … We see some cases where we have large numbers, and maybe the sites are reporting almost everything that

89. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression | PSNet
    psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
    May 26, 2021 - A retrospective study of general surgery patients who died as a result of opioid-induced respiratory … score calculated from questions related to snoring, daytime fatigue, waking up at night, hypertension, body … at risk for opioid-induced respiratory depression. 24 In the case described, the patient had multiple … A growing body of evidence and expert consensus support the use of capnography (ETCO 2 ) as well as pulse … , RN, PharmD) under any of the following circumstances: Evidence of desaturation, bradypnea, or

90. Workplace Safety in Health Care | PSNet
    psnet.ahrq.gov/perspective/workplace-safety-health-care
    January 01, 2017 - an OR are numerous, including trip and concussion injuries due to electrical cords on the floors and multiple … Costs of management of occupational exposures to blood and body fluids. … In a 2-month period, they had 68 cases of the caregivers getting splashed by blood and body fluids. … at risk when you're dealing with the situation that could produce a blood or a body fluid splash. … in the name of taking care of our patients.

91. Post-Acute Transitional Services: Safety in Home-Based Care Programs | PSNet
    psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
    April 24, 2024 - has been a driver of the resurgence of home-based care. … delivering comprehensive primary care services to Medicare beneficiaries with multiple chronic conditions … Over the years, the program has had multiple extensions, the latest of which was in December of 2020, … The program has been implemented at numerous sites around the U.S. by Veterans Administration (VA) hospitals … The use of advanced medical technologies at home: a systematic review of the literature. 

92. Risk Management and Patient Safety | PSNet
    psnet.ahrq.gov/perspective/risk-management-and-patient-safety
    December 01, 2010 - of clear lines of communication and responsibility; lack of a robust process to prevent wrong site surgery … of 13 triggers that should lead to communication between residents and attendings were constructed and … Fear of litigation is a huge piece of it. … Certainly it happened to me multiple times as a risk manager. … in 11 centers across multiple economic strata: effect on care process measures.

93. In Conversation with...James P. Bagian, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
    September 01, 2006 - We see some cases where we have large numbers, and maybe the sites are reporting almost everything that … —Finally, VA rolled out a comprehensive electronic health record (EHR) across all VA sites. … the system is still integrated, allows for data sharing across VA sites, and is widely accepted by end … The most serious air accidents are rigorously investigated by an independent investigation body to understand … On the other hand, most health care systems struggle to conduct integrated investigations that span multiple

94. In Conversation With… Beverley H. Johnson | PSNet
    psnet.ahrq.gov/perspective/conversation-beverley-h-johnson
    February 01, 2013 - This is an opportunity for the students and residents on your team to learn how to communicate information … not there just to answer questions—we also want to learn from patients' observations about how their body … I've seen examples of interactive Web sites and ways of educating the patient that are offline from the … available so that patients and family members can read about it on a smart phone, links to key Web sites … As we embrace the role of patients and their caregivers at multiple levels of the health care system,

95. In Conversation With... Freya Spielberg, MD, MPH | PSNet
    psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
    September 28, 2022 - What it comes down to is that people that have challenges and multiple social determinants of health … residency programs to introduce training in Community-Oriented Quality Improvement to medical students and residents … A strong body of evidence demonstrates that primary care can improve a patient’s overall health status … This duplication is purposefully intended by the authors, because multiple factors that influence quality … https://www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr.pdf 17.

96. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/838220/psn-pdf
    September 27, 2019 - A strong body of evidence demonstrates that primary care can improve a patient’s overall health status … This duplication is purposefully intended by the authors, because multiple factors that influence quality … https://www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/primary-care-based-efforts.pdf https … https://www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr.pdf 17. … 2017-006917 https://psnet.ahrq.gov//#_ednref15 https://psnet.ahrq.gov//#_ednref16 https://www.ahrq.gov/sites

97. Patient Engagement and Patient Safety | PSNet
    psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
    February 01, 2013 - As we embrace the role of patients and their caregivers at multiple levels of the health care system, … This is an opportunity for the students and residents on your team to learn how to communicate information … not there just to answer questions—we also want to learn from patients' observations about how their body … I've seen examples of interactive Web sites and ways of educating the patient that are offline from the … available so that patients and family members can read about it on a smart phone, links to key Web sites

98. In Conversation with...Geri Amori, PhD | PSNet
    psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
    December 01, 2010 - She is past president of the American Society of Healthcare Risk Management, and former director of risk … Fear of litigation is a huge piece of it. … Certainly it happened to me multiple times as a risk manager. … of clear lines of communication and responsibility; lack of a robust process to prevent wrong site surgery … of 13 triggers that should lead to communication between residents and attendings were constructed and

99. In Conversation With... James Augustine, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-james-augustine-md
    July 28, 2021 - James Augustine: I have multiple roles, like many emergency physicians. … Many EMS systems have multiple elements that need to arrive to deliver care to patients. … JA: First of all, technology is one piece of it. … We've talked about residents and fellows, but what about that training across EMS providers? … through vehicle design (plywood versus steel used for the ambulance body) and inconsistent use of restraint

100. EMS Patient Safety in the Field | PSNet
     psnet.ahrq.gov/perspective/ems-patient-safety-field
     July 28, 2021 - through vehicle design (plywood versus steel used for the ambulance body) and inconsistent use of restraint … James Augustine: I have multiple roles, like many emergency physicians. … Many EMS systems have multiple elements that need to arrive to deliver care to patients. … JA: First of all, technology is one piece of it. … We've talked about residents and fellows, but what about that training across EMS providers?