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Total Results: 108 records

Showing results for "never sometimes usually always".

81. Playing Well with Others: "Translocational Research" in Patient Safety | PSNet
    psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
    September 01, 2005 - A series of studies, sometimes observational and sometimes interventional, are undertaken. … practice proves to be successful in fixing a safety-related problem, the change may be widely adopted, sometimes … safety.( 14 ) When translocating practices from other disciplines to health care, one should nearly always … like John Eisenberg [the late AHRQ Director, who also died at a young age in March 2002] in that he always … but, at his memorial service, it was really, really wonderful to see hundreds of people whom I had never

82. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866370/psn-pdf
    July 31, 2024 - Memory of this type of event after the operation is uncommon because patients usually start moving in … The clinical signs of depth of anesthesia should therefore always be assessed, and processed EEG monitors … Patients usually resent their care team if nobody believes them and if staff belittle the suffering they … Sometimes a confused patient receives a spinal anesthetic during surgery for a hip fracture. … Production pressure in the operating room should never lead clinicians to deliver suboptimal care to

83. In Conversation With... Michael L. Millenson | PSNet
    psnet.ahrq.gov/perspective/conversation-michael-l-millenson
    April 27, 2022 - cover medical news in 30- to 60-second sound bites (except in the midst of a pandemic), and the content usually … Sometimes people believe that they're the victim of an error when they weren't, and sometimes, they believe … So you can't always just go by the testimony of an individual. … Professionalism alone won't do it, and has never done it, as physician leaders in this field have openly … The media: an essential, if sometimes arbitrary, promoter of patient safety.

84. In Conversation with…Carolyn Clancy, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
    September 01, 2005 - like John Eisenberg [the late AHRQ Director, who also died at a young age in March 2002] in that he always … but, at his memorial service, it was really, really wonderful to see hundreds of people whom I had never … A series of studies, sometimes observational and sometimes interventional, are undertaken. … practice proves to be successful in fixing a safety-related problem, the change may be widely adopted, sometimes … safety.( 14 ) When translocating practices from other disciplines to health care, one should nearly always

85. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33760/psn-pdf
    February 01, 2014 - know that it is a really bad thing to have an alert window pop up and interrupt you on the computer, sometimes … say "I'm a good multitasker," presuming that they're somehow better than others, but the evidence is usually … quickly notice the extent and toll of interruptions, multitasking, and all manner of things that had never … Or do you think it will always be that this exchange of verbal data is too hard to encapsulate in an … We will always want to have discussions about those things. They're not going to go away.

86. The Media’s Role in Patient Safety | PSNet
    psnet.ahrq.gov/perspective/medias-role-patient-safety
    April 27, 2022 - cover medical news in 30- to 60-second sound bites (except in the midst of a pandemic), and the content usually … Sometimes people believe that they're the victim of an error when they weren't, and sometimes, they believe … So you can't always just go by the testimony of an individual. … Professionalism alone won't do it, and has never done it, as physician leaders in this field have openly … The media: an essential, if sometimes arbitrary, promoter of patient safety.

87. In Conversation With... Chris Cebollero, BS, CCEMT-P | PSNet
    psnet.ahrq.gov/perspective/conversation-chris-cebollero-bs-ccemt-p
    May 26, 2021 - CC: I think a lot of the organizations, especially the ones that I've worked [with], always set up the … Sometimes it's an entry-level job when we see EMTs [emergency medical technicians] and paramedics in … Your first call is always your field supervisor. … KH: Do you have the equivalent of “never events” in the hospital that automatically trigger more scrutiny … CC: Usually the trauma registries are really just to determine the amount of trauma and what's being

88. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49495/psn-pdf
    December 01, 2005 - Sometimes, you’ll wonder whether a given practice is in error or is putting the patient at risk. … to be strong, while only 10% of anesthesia residents, at the bottom, felt the same way (proving, as always … , that one should virtually never ask the leader to assess the quality of teamwork).

89. Safety Culture in EMS | PSNet
    psnet.ahrq.gov/perspective/safety-culture-ems
    May 26, 2021 - Sometimes it's an entry-level job when we see EMTs [emergency medical technicians] and paramedics in … Your first call is always your field supervisor. … Usually the supervisor will take it to the next level of the organization, whether it's the operations … KH: Do you have the equivalent of “never events” in the hospital that automatically trigger more scrutiny … CC: Usually the trauma registries are really just to determine the amount of trauma and what's being

90. In Conversation With... Jack Westfall, MD, MPH | PSNet
    psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
    September 28, 2022 - Some people sometimes will spell quality with a “C” because we care a lot about quality. … Sometimes, those are good times, like during pregnancy, prenatal care, and deliveries. … JW: Patient safety is always forefront in primary care practices. … We are always thinking about how to ensure that anything we do for patients may help them and decrease … There’s other times when a patient gets a test, and whether it’s normal or abnormal, the results never

91. The Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety | PSNet
    psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
    May 01, 2012 - One of the reasons may be that we focused on a lot of errors that never impact a patient. … Some never impact a patient and some can dramatically impact a patient. … that occurred in the Medicare study—more than a quarter of the patients had them and minor events were sometimes … So we'll always have a human review to assess and validate its accuracy. … DC : The feedback loop is usually that air traffic controller having access to the patient information

92. In Conversation With…David C. Classen, MD, MS | PSNet
    psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
    May 01, 2012 - One of the reasons may be that we focused on a lot of errors that never impact a patient. … Some never impact a patient and some can dramatically impact a patient. … that occurred in the Medicare study—more than a quarter of the patients had them and minor events were sometimes … So we'll always have a human review to assess and validate its accuracy. … DC : The feedback loop is usually that air traffic controller having access to the patient information

93. Disclosure of Medical Error | PSNet
    psnet.ahrq.gov/perspective/disclosure-medical-error
    January 01, 2009 - Thomas Gallagher : I've always been interested in difficult conversations between doctors and patients … Lots of clinicians really struggle with the concern that sometimes disclosure may not be beneficial to … The vast majority of patients who are injured by their care never sue. … But that follow-up conversation usually is an opportunity to again explain what happened. … March 1, 2012 Quality and patient safety improvement is never finished.

94. Interruptions and Distractions in Health Care: Improved Safety With Mindfulness | PSNet
    psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
    February 01, 2014 - know that it is a really bad thing to have an alert window pop up and interrupt you on the computer, sometimes … say "I'm a good multitasker," presuming that they're somehow better than others, but the evidence is usually … quickly notice the extent and toll of interruptions, multitasking, and all manner of things that had never … We will always want to have discussions about those things. They're not going to go away. … Sometimes the evidence supports that, and sometimes it doesn't. How do you navigate those waters?

95. In Conversation With… Sharon K. Inouye, MD, MPH | PSNet
    psnet.ahrq.gov/perspective/conversation-sharon-k-inouye-md-mph
    December 01, 2012 - Then I just never stopped. … It's usually multifactorial. … The answer is always yes, and then I ask, okay, what? And they tell me. … It would create this perverse incentive never to recognize it. … been shown to markedly reduce the duration of delirium when compared with benzodiazepines.( 12,13 ) Sometimes

96. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/861738/psn-pdf
    January 31, 2024 - While complete tendon disruptions are usually clinically obvious, the anatomic location, physical structure … Flexor tendons lie deep and are more difficult—and sometimes impossible—to visualize. … Referred patients should ideally be seen within 5 days, though this is not always possible. … cognitive aids such as algorithms, checklists, and visual aids.16 While a checklist or visual aid is never

97. Spotlight (pdf file)
    psnet.ahrq.gov/sites/default/files/2024-01/spotlight_case_laceration_needed_exam_not_x-ray_final.pdf
    January 01, 2024 - inadequacies-physical-examination-cause-medical-errors-and-adverse-events-collection Approach to Improving Patient Safety (2) • While complete tendon disruptions are usually … are relatively easy to identify and inspect. • Flexor tendons lie deep and are more difficult—and sometimes … – Referred patients should ideally be seen within 5 days, though this is not always possible. – In … algorithms, checklists, and visual aids.16 31 Human Error (5) While a checklist or visual aid is never

98. In Conversation With... Freya Spielberg, MD, MPH | PSNet
    psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
    September 28, 2022 - Sometimes it might just take one training session to get someone up to speed, but the other people who … Or when someone has diabetes that’s out of control with an elevated hemoglobin A1c, or when someone never … In my work in community clinic settings, we always had a behavioral health person integrated into the … Similarly, some people get plugged into primary care settings but would never go to a mental healthcare … Providers that get MPHs as part of their education have a good understanding usually of population health

99. A Laceration that Needed a Proper Exam, Not an X-Ray | PSNet
    psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
    November 25, 2020 - While complete tendon disruptions are usually clinically obvious, the anatomic location, physical structure … Flexor tendons lie deep and are more difficult—and sometimes impossible—to visualize. … Referred patients should ideally be seen within 5 days, though this is not always possible. … cognitive aids such as algorithms, checklists, and visual aids. 16 While a checklist or visual aid is never

100. Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit | PSNet
     psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
     December 01, 2012 - been shown to markedly reduce the duration of delirium when compared with benzodiazepines.( 12,13 ) Sometimes … Then I just never stopped. … It's usually multifactorial. … The answer is always yes, and then I ask, okay, what? And they tell me. … It would create this perverse incentive never to recognize it.