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Total Results: 841 records

Showing results for "phase".

  1. Towards a new paradigm in laboratory medicine: the five rights. | PSNet

    psnet.ahrq.gov/issue/towards-new-paradigm-laboratory-medicine-five-rights
    November 18, 2016 - This commentary discusses the need to integrate key elements that enhance quality in each phase of the

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37556/psn-pdf
    November 21, 2016 - Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care. November 21, 2016 Taylor D, Hassan MA, Luterman A, et al. Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care. Arch Surg. 2008;143(1):87-92. doi:10.1001/archsurg.2007.27. https:/…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73416/psn-pdf
    June 23, 2021 - An observational study of postoperative handoff standardization failures. June 23, 2021 Abraham J, Meng A, Sona C, et al. An observational study of postoperative handoff standardization failures. Int J Med Inform. 2021;151:104458. doi:10.1016/j.ijmedinf.2021.104458. https://psnet.ahrq.gov/issue/observational-study…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46160/psn-pdf
    June 07, 2017 - ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults. June 7, 2017 Horsham, PA: Institute for Safe Medication Practices; May 2017. https://psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-subcutaneous-insulin-use-adults Insulin is a widely used medication that can contribute to serious patien…

  5. Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. | PSNet

    psnet.ahrq.gov/issue/health-system-redesign-cardiac-monitoring-oversight-optimize-alarm-management-safety-and
    February 15, 2023 - Through a four-phase quality improvement project, three hospitals were able to decrease alarms by 74-

  6. Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process. | PSNet

    psnet.ahrq.gov/issue/using-failure-mode-effect-and-criticality-analysis-improve-safety-cancer-treatment
    October 21, 2020 - Each phase of the cancer treatment process had at least one critical step identified, and actions were

  7. COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought. | PSNet

    psnet.ahrq.gov/issue/covid-19-crisis-safe-reopening-simulation-centres-and-new-normal-food-thought
    September 30, 2020 - recommendations for safely reopening simulation facilities for clinical training in the post-lockdown phase

  8. The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident report analysis. | PSNet

    psnet.ahrq.gov/issue/nature-causes-and-clinical-impact-errors-clinical-laboratory-testing-process-leading
    May 18, 2022 - Netherlands and found that diagnostic testing errors most commonly occurred during the pre-analytic phase

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33615/psn-pdf
    June 01, 2005 - The first phase is engagement and a genuine search for the answer to the question: How is this making … The next phase is execution, which begins by being very clear about the plan.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837058/psn-pdf
    May 11, 2022 - Establishing psychological safety in clinical supervision: multi-professional perspectives. May 11, 2022 Lee EH, Pitts S, Pignataro S, et al. Establishing psychological safety in clinical supervision: multi? professional perspectives. Clin Teach. 2022;19(2):71-78. doi:10.1111/tct.13451. https://psnet.ahrq.gov/issu…

  11. John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. | PSNet

    psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-concord-hospital
    October 19, 2022 - October 19, 2022 Response of practicing chiropractors during the early phase of the COVID

  12. The optimal use of telehealth to deliver safe patient care. | PSNet

    psnet.ahrq.gov/issue/optimal-use-telehealth-deliver-safe-patient-care
    October 10, 2018 - July 22, 2020 Response of practicing chiropractors during the early phase of the COVID

  13. Learning from errors with the new COVID-19 vaccines. | PSNet

    psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines
    August 11, 2021 - December 2, 2020 Response of practicing chiropractors during the early phase of the COVID

  14. Decision Making in Emergency Medicine: Biases, Errors and Solutions. | PSNet

    psnet.ahrq.gov/issue/decision-making-emergency-medicine-biases-errors-and-solutions
    January 20, 2021 - Building a simulation-based crisis resource management course for emergency medicine, phase

  15. Medication assessment: one determinant of falls risk. | PSNet

    psnet.ahrq.gov/issue/medication-assessment-one-determinant-falls-risk
    July 24, 2013 - Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase

  16. Medication error reduction and the use of PDA technology. | PSNet

    psnet.ahrq.gov/issue/medication-error-reduction-and-use-pda-technology
    August 28, 2024 - 2011 Characteristics of medication errors made by students during the administration phase

  17. Medical errors education: a prospective study of a new educational tool. | PSNet

    psnet.ahrq.gov/issue/medical-errors-education-prospective-study-new-educational-tool
    March 20, 2024 - 2011 Characteristics of medication errors made by students during the administration phase

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858169/psn-pdf
    December 13, 2023 - Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. December 13, 2023 Dave N, Sjöholm D, Hedberg P, et al. Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. JAMA Netw Open. 2023;6(11):e2341936. doi:10.1001/jamanetworkopen.2023.41936. https://ps…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47486/psn-pdf
    January 27, 2019 - Direct oral anticoagulants: a review of common medication errors. January 27, 2019 Barr D, Epps QJ. Direct oral anticoagulants: a review of common medication errors. J Thromb Thrombolysis. 2019;47(1):146-154. doi:10.1007/s11239-018-1752-9. https://psnet.ahrq.gov/issue/direct-oral-anticoagulants-review-common-medic…

  20. In Conversation With… Edward Kelley, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-edward-kelley-phd
    December 01, 2014 - Phase 1: Co-development and program design (2009–2011) Unlike other patient safety initiatives to date … This phase involved co-development of a first batch of tools and resources and early components of a … 2: Managed partnership expansion (2011–2013) The lessons from phase 1 of APPS were then applied to … During this phase, France also began to support APPS hospital partnerships involving five additional … development across African countries, thus moving toward implementation-informed policymaking.( 16 ) Phase
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