-
psnet.ahrq.gov/node/73624/psn-pdf
August 25, 2021 - Of the six category codes, (person,
task, tools and technology, physical environment, organization, … and external environment) most safety
threats and supports were in the person category.
-
psnet.ahrq.gov/node/50804/psn-pdf
January 15, 2020 - -
anesthesia
The Universal Protocol was intended to prevent wrong site, wrong procedure and wrong person … use-patient-digital-facial-images-confirm-patient-identity-childrens-hospitals-anesthesia
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
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psnet.ahrq.gov/node/60329/psn-pdf
May 14, 2020 - I was the initial
person at the facility trained to use telemedicine and that was only a couple weeks … The hands-on person becomes the telepresenter as well as the treating clinician. … If you’re bad at that in person, you are going to
be worse with telemedicine. … It could be that the person needs to go to the ED. … There is a protocol around how you
use the patient or the family caregiver to get that person to the
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psnet.ahrq.gov/node/45310/psn-pdf
January 03, 2017 - information in the electronic medical record and decide whether
further testing, treatment, or an in-person … records of patients who had been referred
to a gastroenterology clinic and were not scheduled for in-person … electronic referrals remained unresolved (when investigators could find no decision
regarding need for in-person
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psnet.ahrq.gov/issue/patient-safety-executive-hospital-management-wards-qualitative-study-identifying-factors
March 08, 2023 - March 8, 2023
Nurses' harm prevention practices during admission of an older person to … 9, 2021
Engaging patients and informal caregivers to improve safety and facilitate person … 2020
Exploring mediating effects between nursing leadership and patient safety from a person-centred
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psnet.ahrq.gov/issue/system-factors-affecting-patient-safety-or-analysis-safety-threats-and-resiliency
August 31, 2022 - Of the six category codes, (person, task, tools and technology, physical environment, organization, and … external environment) most safety threats and supports were in the person category.
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psnet.ahrq.gov/perspective/conversation-edwin-loftin-dnp-mba-rn-nea-bc-fache
August 31, 2020 - You are engaging the community by bringing in persons you've cared for, family members, and community … The discussion lands on the fact that Cindy is a ‘person.’ … We have to recognize and honor that it is a person in the bed we are caring for. … The paradigm shift about the value of who that person is in the bed is key. … When you improve the health of one person and that person goes home, maybe that improves the health of
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psnet.ahrq.gov/perspective/safety-across-board
August 31, 2020 - You are engaging the community by bringing in persons you've cared for, family members, and community … The discussion lands on the fact that Cindy is a ‘person.’ … We have to recognize and honor that it is a person in the bed we are caring for. … The paradigm shift about the value of who that person is in the bed is key. … When you improve the health of one person and that person goes home, maybe that improves the health of
-
psnet.ahrq.gov/node/73905/psn-pdf
October 06, 2021 - health-equity-and-maternal-health
Redefining Maternal Safety
Maternal safety refers to the safety of a person … However, when assessing maternal safety, it is also essential to also take a whole-person view. … whereas the second approach
establishes a foundation for learning mechanisms by which to achieve whole-person … Example of Whole-Person Maternal-Infant Care—Reengineering Postnatal Unit Care and the
Transition to … Home
This integrated approach to whole-person maternal care is underway in work led by Drs.
-
psnet.ahrq.gov/node/40201/psn-pdf
February 09, 2011 - as an alternative to the
Universal Protocol for Preventing Wrong Site, Wrong
Procedure and Wrong Person … form as an alternative to the Universal Protocol for
Preventing Wrong Site, Wrong Procedure and Wrong Person
-
psnet.ahrq.gov/node/49780/psn-pdf
January 01, 2017 - However, a few years after filmless
operation began, we documented an 82% reduction in the in-person … to review the films in a timely manner, clinicians often
had to visit the radiology department in person … , where they engaged in an in-person consultation with the
radiologist, including review of the film … However, since in-person or telephone conversations are not
always feasible between busy clinicians, … The decrease in in-person communication has been a source of medical errors associated with
radiologists
-
psnet.ahrq.gov/node/46828/psn-pdf
August 08, 2018 - implementation-colour-coded-universal-protocol-safety-initiative-guatemala
The Universal Protocol is designed to prevent wrong site, wrong procedure, and wrong person … implementation-colour-coded-universal-protocol-safety-initiative-guatemala
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
-
psnet.ahrq.gov/node/865658/psn-pdf
April 24, 2024 - the hospital determines that this patient needs a
higher level of care in the bathroom (i.e., two-person … Those that serve persons 60 years of age and older are known as Residential
Care Facilities for the … hospital determined that
this patient needed a higher level of care during toileting, requiring two-person … is determined that the staff member ignored
the plan and performed the transfer that required two-person … in this case, the physical
therapist was the first one to determine that the resident requires two-person
-
psnet.ahrq.gov/node/73103/psn-pdf
March 31, 2021 - However, the patient’s worsening condition probably justified a follow-up video or in-
person visit … Significant cutaneous problems are still often
overlooked, during both in-person care and virtual care … In this context, protocols or
guidelines for when video visits are upgraded to in-person visits may … While there are certainly limits to telephone and online
solutions compared to in-person experiences … Such inspections can be performed during both in-person
care and virtual care.
-
psnet.ahrq.gov/node/45805/psn-pdf
April 12, 2017 - Components of the revised standards are expanded to include two-person verification, vinca
alkaloid … medication-errors-home-multisite-study-children-cancer
https://psnet.ahrq.gov/issue/infusion-medication-error-reduction-two-person-verification-quality-improvement-initiative
-
psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
January 01, 2009 - However, a few years after filmless operation began, we documented an 82% reduction in the in-person … , where they engaged in an in-person consultation with the radiologist, including review of the film … However, since in-person or telephone conversations are not always feasible between busy clinicians, … The decrease in in-person communication has been a source of medical errors associated with radiologists … Strategies to encourage in-person review and even to embed radiologists physically in subspecialty areas
-
psnet.ahrq.gov/issue/doing-right-things-correct-wrong-site-surgery
October 21, 2020 - January 17, 2019
Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person … form as an alternative to the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person
-
psnet.ahrq.gov/node/44248/psn-pdf
May 26, 2016 - never-events
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery … https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
-
psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
February 26, 2025 - and the injured person doesn't have to prove fault. … This all taps into this idea of trying to address the needs of the injured or harmed person. … You're the first person who has listened to how this injury has impacted me. … They wanted the person who they felt was their main provider to be in the room. … Whoever the person or people they perceived were directly involved in their care.
-
psnet.ahrq.gov/node/33878/psn-pdf
April 01, 2019 - and the injured person
https://psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd … This all taps into this idea of trying to address the needs of the injured or harmed
person. … You're the first person
who has listened to how this injury has impacted me. … They wanted the person who they felt was their main provider to be in the
room. … Whoever the person or
people they perceived were directly involved in their care.