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Showing results for "person".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47279/psn-pdf
    July 23, 2018 - document outlines five guiding principles to enhance safety of home care, which include a focus on person
  2. psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
    October 01, 2007 - If a person makes an error , he/she knew the right thing to do, intended to do the right thing, and … In contrast, in our just culture model, if a person is reckless, whether they caused harm or not, the … If a patient has been harmed, we're looking for the person last to touch the patient. … We're going to go after that person. … If a person caused no harm, there may be a tendency to turn a blind eye.
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47376/psn-pdf
    November 02, 2018 - Most potential errors were related to person-related factors, such as inadequate communication between
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46347/psn-pdf
    December 22, 2018 - suggest wider implementation of evidence-based strategies like barcoding, prefilled syringes, and two-person
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44104/psn-pdf
    July 16, 2015 - wrong-site-wrong-procedure-and-wrong-patient-surgery https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46894/psn-pdf
    June 20, 2018 - ashp-iv-adult-continuous-infusions https://psnet.ahrq.gov/issue/infusion-medication-error-reduction-two-person-verification-quality-improvement-initiative
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49422/psn-pdf
    November 01, 2003 - complexity increased, something not seen with written orders.(5) Sending Messages Through a Third Person … Multitasking" Another possible contributing factor here was the transmission of the order via a third person … Communicating through a third person while "multitasking" not only increases the risk of miscommunication … safety procedures such as warnings, limiting medication amounts, special labeling and packaging, second person
  8. psnet.ahrq.gov/web-mm/40-k
    January 12, 2011 - complexity increased, something not seen with written orders.( 5 ) Sending Messages Through a Third Person … Multitasking" Another possible contributing factor here was the transmission of the order via a third person … Communicating through a third person while "multitasking" not only increases the risk of miscommunication … safety procedures such as warnings, limiting medication amounts, special labeling and packaging, second person
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34065/psn-pdf
    February 09, 2011 - Incidence and preventability of adverse drug events among older persons in the ambulatory setting. … Incidence and Preventability of Adverse Drug Events Among Older Persons in the Ambulatory Setting. … https://psnet.ahrq.gov/issue/incidence-and-preventability-adverse-drug-events-among-older-persons- ambulatory-setting … The overall rate of adverse drug events approached 50 per 1000 person-years with the most serious events … https://psnet.ahrq.gov/issue/incidence-and-preventability-adverse-drug-events-among-older-persons-ambulatory-setting
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35540/psn-pdf
    August 05, 2009 - The authors define handoffs as "any transfer of role and responsibility from one person to another."
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36632/psn-pdf
    July 28, 2010 - incidence-patterns-and-prevention-wrong-site-surgery https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36833/psn-pdf
    March 03, 2011 - incidence-patterns-and-prevention-wrong-site-surgery https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
  13. psnet.ahrq.gov/issue/no-place-home-advancing-safety-care-home
    January 09, 2019 - document outlines five guiding principles to enhance safety of home care, which include a focus on person-centered
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49541/psn-pdf
    August 21, 2007 - incorporation of the Joint Commission's "Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person … A "time-out" should be conducted to confirm the above using the two-person rule. … procedure to verify patient, tooth, and procedure with the assistant at the time of extraction (two-person
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43363/psn-pdf
    September 12, 2016 - Similar to studies of handoffs, direct conversation—either in person or via mobile phone—was deemed
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43393/psn-pdf
    July 30, 2014 - effectiveness-surgical-safety-checklist-correcting-errors-literature-review-applying-reasons https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
  17. psnet.ahrq.gov/issue/measuring-hospital-wide-activity-volume-patient-safety-and-infection-control-multi-centre
    January 15, 2009 - framework for measurement of time spent on patient safety–related activities, expressed in terms of person-hours
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40020/psn-pdf
    September 20, 2011 - language-proficiency-and-adverse-events-us-hospitals-pilot-study https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38949/psn-pdf
    January 28, 2010 - timeouts https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
  20. psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
    February 01, 2006 - What do you do if the person becomes hysterical or enraged? … We can all recognize this person, and while I am told they are still around, I rarely meet one. … It is not that this person wants to seem distant or uncaring, or rude or arrogant. … This is a person who has forgotten how to listen, who is used to dominating conversations, who interrupts … At lunch, I said to this person, who I thought was a physician, "I have a hunch I didn't convince you

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