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Total Results: 108 records

Showing results for "never sometimes usually always".

21. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please | PSNet
    psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
    September 01, 2011 - were some other hopes, but the most plausible one is that you would get a handle on system problems usually … reports—it's mostly nurses and sometimes pharmacists. … It's very easy to always come up with another protocol, or have the nurses go to another educational … You can always look like you're doing something. … The initial spike is usually a good thing and shows more engagement and more attention to it.

22. In Conversation With…Kaveh G. Shojania, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
    September 01, 2011 - were some other hopes, but the most plausible one is that you would get a handle on system problems usually … reports—it's mostly nurses and sometimes pharmacists. … It's very easy to always come up with another protocol, or have the nurses go to another educational … You can always look like you're doing something. … The initial spike is usually a good thing and shows more engagement and more attention to it.

23. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/841305/psn-pdf
    January 27, 2023 - Both small things and large things are always shifting and evolving. … conceptual overview of work and understand processes at a high, representational level, work-as-imagined never … Sometimes I think of these concepts as different lenses of a multifaceted gem, where you turn the gem … Sometimes people are using resilient practices in clinical care settings, but they are not necessarily … in taking care of a simulated patient in their real clinical settings with real equipment, there is usually

24. Can Research Help Us Improve the Medical Liability System? | PSNet
    psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
    March 01, 2012 - and the concept behind the American judicial system is that, with vigorous advocates on both sides, usually … RB : Actually, the cost savings were never a doubt in my mind. … Do we always get it right? … People won't report if they believe it will always be disciplinary. … So it's a complex and not always easy thing to do.

25. In Conversation With… Abraham Verghese, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-abraham-verghese-md
    November 01, 2012 - I always thought the physical exam was quite fascinating. … The folks who are now teaching never saw it valued, perhaps never had occasion to use it greatly. … I'd never go back. … We're there somewhat reluctantly, imprisoned usually in a room with seven other people also staring at … Sometimes that is who we are and sometimes it's completely different from what we, as physicians, perceive

26. In Conversation With… David Blumenthal, MD, MPP | PSNet
    psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp-0
    March 27, 2024 - We're waiting for the always receding horizon where the crunch actually happens and people are forced … Markets sometimes produce dominant vendors because of the success of those vendors. … If you analogize to the way that natural resources get exploited, it's usually private organizations … My fantasy always was that, once these records became part of the infrastructure and the fabric of life … Then sometimes it might say this patient does not need the imaging part of the study.

27. Spotlight
    psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
    January 01, 2024 - When a patient returns with infection of a traumatic wound, retained foreign material should always be … risk of delayed wound infection.2 Wounds due to sliding into dirt or gravel (as in this case) almost always … be considered because damage to important structures (e.g., arteries, nerves, tendons) may occur.10 Sometimes … Undoubtedly, some foreign bodies (especially small ones made of inert material) are simply never detected … Delayed (tertiary) closure or healing by secondary intention is acceptable and sometimes preferable in

28. The Evidence-Based Physical Examination as a Patient Safety Practice | PSNet
    psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
    November 01, 2012 - I always thought the physical exam was quite fascinating. … The folks who are now teaching never saw it valued, perhaps never had occasion to use it greatly. … I'd never go back. … We're there somewhat reluctantly, imprisoned usually in a room with seven other people also staring at … Sometimes that is who we are and sometimes it's completely different from what we, as physicians, perceive

29. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33881/psn-pdf
    August 01, 2019 - But they don't have time to really reflect on what they should do, so sometimes they do things that … With IT—when the developer promises the earth and never delivers, it just makes it even more complicated … Patient Safety Committee and we hear about cases, it strikes me that to change anything now almost always … In fact, sometimes there are contradictory regulations. … called efficiency–thoroughness trade-off or ETTO, which means that people in everyday work situations usually

30. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60268/psn-pdf
    April 29, 2020 - Usually, a perfusionist is expected to be at bedside to monitor all aspects of the ECMO system as soon … The patient’s blood is then drained from a large central vein (usually the inferior vena cava), passing … members would typically include physicians, surgeons, specialist nurses, respiratory therapists, and sometimes … Rescue equipment should always accompany the patient during transport. … There is always risk of hypothermia, even indoors. 4. Tubing      i.

31. Haste Makes Care Unsafe | PSNet
    psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
    January 07, 2015 - One important tenet of PA catheter use has always been strict avoidance of permanent wedging, usually … Major accidents virtually always involve two or more variations from normal, coincident in time. … These often occur in a manner creating a situation never seen before by the involved personnel, thus … Cognitive aids in the past have sometimes been in the form of mnemonics (e.g. iSoBAR ( 5 ), a handover … tempting to look at a case like this and focus only on understaffing or production pressures, there will always

32. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866839/psn-pdf
    September 25, 2024 - When a patient returns with infection of a traumatic wound, retained foreign material should always … delayed wound infection.2 Wounds due to a patient sliding into dirt or gravel (as in this case) almost always … be considered because damage to important structures (e.g., arteries, nerves, tendons) may occur.10 Sometimes … Undoubtedly, some foreign bodies (especially small ones made of inert material) are simply never detected … Delayed (tertiary) closure or healing by secondary intention is acceptable and sometimes preferable

33. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33688/psn-pdf
    October 01, 2009 - If you're a hospital leader, sometimes you have to face up to the harsh reality that a mistake was made … Sometimes bad systems allow for bad people to do bad things. … the right thing is, you can make sure that they have the skills, but the bottom line is you cannot always … I always held out hope that they would be able to improve while they remained open. … We never got a chance to do that.

34. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33645/psn-pdf
    February 01, 2007 - before: The checks and balances provided by autopsies have almost vanished, and a diagnostic error may never … heuristics known to affect subconscious processing, such as advice to offset the availability heuristic by always … appropriate cognitive review, and this persists because physicians are highly confident in their diagnoses, sometimes … The patient is usually right. I bet her ulcer is back! She should have stayed on that omeprazole. … The patient is usually right. I bet her ulcer is back! She should have stayed on that omeprazole.

35. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33867/psn-pdf
    October 01, 2018 - Because the patient usually would have something in their hand, in most cases at least they could read … We don't always give the patient a printout. … MC: They've gotten busier, and the staffing hasn't always kept up with the increase in the number of … are involved in an error or even if they have a concern about something that might lead to an error, usually … So, patients would go home, see their name on the outside of their bag, never look at the label itself

36. In Conversation With… Michael Cohen, RPh, MS, ScD (hon) | PSNet
    psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon-0
    October 24, 2021 - Because the patient usually would have something in their hand, in most cases at least they could read … We don't always give the patient a printout. … MC : They've gotten busier, and the staffing hasn't always kept up with the increase in the number of … are involved in an error or even if they have a concern about something that might lead to an error, usually … So, patients would go home, see their name on the outside of their bag, never look at the label itself

37. In Conversation With… Richard C. Boothman, JD | PSNet
    psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
    March 01, 2012 - and the concept behind the American judicial system is that, with vigorous advocates on both sides, usually … RB : Actually, the cost savings were never a doubt in my mind. … Do we always get it right? … People won't report if they believe it will always be disciplinary. … So it's a complex and not always easy thing to do.

38. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations | PSNet
    psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations
    September 27, 2023 - When a patient returns with infection of a traumatic wound, retained foreign material should always be … delayed wound infection. 2 Wounds due to a patient sliding into dirt or gravel (as in this case) almost always … considered because damage to important structures (e.g., arteries, nerves, tendons) may occur. 10 Sometimes … Undoubtedly, some foreign bodies (especially small ones made of inert material) are simply never detected … Delayed (tertiary) closure or healing by secondary intention is acceptable and sometimes preferable in

39. Complications of ECMO During Transport | PSNet
    psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
    January 27, 2021 - Usually, a perfusionist is expected to be at bedside to monitor all aspects of the ECMO system as soon … The patient’s blood is then drained from a large central vein (usually the inferior vena cava), passing … members would typically include physicians, surgeons, specialist nurses, respiratory therapists, and sometimes … Rescue equipment should always accompany the patient during transport. … One nursing staff pulls the carriage with emergency equipment and blood products that never separates

40. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867986/psn-pdf
    March 24, 2025 - A person can have thoughts of killing themselves but say that they never intended to act on them. … There is always a decisional balance there. … That takes time and effort, so you would never want to do that unless you really had to. … Sometimes they will use something that they brought with them or a visitor brought in with them. … It is often because they never really retained the information to begin with.