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Total Results: 811 records

Showing results for "phase".

41. Pathologic Mistake | PSNet
    psnet.ahrq.gov/web-mm/pathologic-mistake
    February 15, 2010 - Preanalytic phase: clinician test selection, test ordering, specimen procurement, patient and specimen … Analytic phase: specimen processing, preparation, and assessment by the pathologist with immediate reporting … Postanalytic phase: receipt of the test results by the clinician followed by clinician interpretation … anatomic pathology, which have shown overall error rates of about 5% have estimated these rates by phase … : preanalytic phase (2.0%), analytic phase (0.2%), and postanalytic phase (2.2%).

42. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/852746/psn-pdf
    August 23, 2023 - Using multiple investigative methods supports more targeted interventions in each phase of diagnosis

43. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50949/psn-pdf
    February 26, 2020 - In contrast, during the analytic phase, error rates are far lower. … Examples of errors encountered during the analytic phase typically resides with improper instrument … Sources of testing error occur during the post-analytic phase include transcription errors, delayed … Medical testing error occurs most frequently during the pre-analytic phase. … Risk management in the preanalytical phase of laboratory testing.

44. Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. | PSNet
    psnet.ahrq.gov/issue/perceptions-impact-large-scale-collaborative-improvement-programme-experience-uk-safer
    February 01, 2011 - This mixed methods study evaluates the first phase of the project by soliciting the perceptions of project … Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase

45. A multicenter, phased, cluster-randomized controlled trial to reduce central line–associated bloodstream infections in intensive care units. | PSNet
    psnet.ahrq.gov/issue/multicenter-phased-cluster-randomized-controlled-trial-reduce-central-line-associated
    January 02, 2017 - Study A multicenter, phased, cluster-randomized controlled trial to reduce central line–associated bloodstream infections in intensive care units. Citation Text: Marsteller JA, Sexton B, Hsu Y-J, et al. A multicenter, phased, cluster-randomized controlled trial to reduce central line-a…

46. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/61083/psn-pdf
    October 28, 2020 - We are in the eighth year now, and the second phase of the work. … In the first phase, we worked with 16 nursing facilities in Missouri with high https://psnet.ahrq.gov … The second phase of the initiative introduces a billing component. … LP: We're actually writing an article right now for the results of the second phase of the Initiative … We have something like 3000 root cause analysis tools in Phase 1 and 3500 in Phase 2.

47. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33594/psn-pdf
    November 18, 2021 - Description or reactions: The reaction phase includes clearing the air, reviewing the facts, and identifying … Analysis: In this phase, the experience is further explored to enhance learning and new understanding … The goals of this phase are to explore participants’ rationale for observed behaviors, identify and … Application or Summary: This phase of debriefing is designed to identify and summarize the main learning … During the analysis phase, JA co-develops priorities with the group.

48. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42653/psn-pdf
    January 07, 2015 - Exploring the sociotechnical intersection of patient safety and electronic health record implementation. January 7, 2015 Meeks DW, Takian A, Sittig DF, et al. Exploring the sociotechnical intersection of patient safety and electronic health record implementation. J Am Med Inform Assoc. 2014;21(e1):e28-e34. doi:10.…

49. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/34639/psn-pdf
    March 02, 2011 - The final phase called for developing a screening tool to identify patients at admission who were at

50. Debriefing for Clinical Learning | PSNet
    psnet.ahrq.gov/primer/debriefing-clinical-learning
    September 15, 2024 - During this phase, the facilitator needs to elicit perspectives from team members about how events unfolded … Analysis: In this phase, the experience is further explored to enhance learning and new understanding … The goals of this phase are to explore participants’ rationale for observed behaviors, identify and close … Application or Summary: This phase of debriefing is designed to identify and summarize the main learning … During the analysis phase, JA co-develops priorities with the group.

51. Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals. | PSNet
    psnet.ahrq.gov/issue/common-contributing-factors-diagnostic-error-retrospective-analysis-109-serious-adverse-event
    September 14, 2022 - Using multiple investigative methods supports more targeted interventions in each phase of diagnosis.

52. The effectiveness of integrated health information technologies across the phases of medication management: a systematic review of randomized controlled trials. | PSNet
    psnet.ahrq.gov/issue/effectiveness-integrated-health-information-technologies-across-phases-medication-management
    October 19, 2022 - Review The effectiveness of integrated health information technologies across the phases of medication management: a systematic review of randomized controlled trials. Citation Text: McKibbon A, Lokker C, Handler S, et al. The effectiveness of integrated health information technologies a…

53. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33630/psn-pdf
    March 01, 2006 - skills.(3) When used as described above, class-based training offers three advantages in this teaching phase … to train our staff of more than 200 people would have been more than $85,000 for just the teaching phase … The post-teaching implementation phase consists of several steps. … This reinforces the KSAs learned during the teaching phase and helps to translate them into clinical … compensated for their time spent on the unit, but these funds can be taken from monies saved on the teaching phase

54. Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. | PSNet
    psnet.ahrq.gov/issue/using-four-phased-unit-based-patient-safety-walkrounds-uncover-correctable-system-flaws
    October 05, 2022 - Study Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. Citation Text: Taylor AM, Chuo J, Figueroa-Altmann A, et al. Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. Jt Comm J Qual Patient Saf. 2013;39…

55. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49421/psn-pdf
    October 01, 2003 - A literature review found that laboratory errors in the pre-analytic phase ranged from 32%-75% of all … Problems detected in the pre-analytic phase were most common (55.6%) and specimen handling and collection … fail-safe mechanisms for ensuring proper specimen identification and handling during the pre-analytic phase

56. Duplicate Insulin Order | PSNet
    psnet.ahrq.gov/web-mm/duplicate-insulin-order
    May 04, 2012 - errors, with an error rate of 78 per 100,000 visits.( 5 ) Errors often occurred in the administration phase … In the case described, several factors contributed to the error at each phase of the medication-use process … In this case, the main contributors to the error during the pharmacist verification and dispensing phase … The main contributors to the error during the administration phase included the lack of a barcode medication … The administration phase is an important area to target for improved drug administration safety.

57. Preventable deaths: who, how often, and why? | PSNet
    psnet.ahrq.gov/issue/preventable-deaths-who-how-often-and-why
    February 22, 2011 - The final phase called for developing a screening tool to identify patients at admission who were at

58. The association between sepsis and potential medical injury among hospitalized patients. | PSNet
    psnet.ahrq.gov/issue/association-between-sepsis-and-potential-medical-injury-among-hospitalized-patients
    July 15, 2014 - September 25, 2011 Response of practicing chiropractors during the early phase of the … Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase

59. Pre-analytical pitfalls: Missing and mislabeled specimens | PSNet
    psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
    April 18, 2018 - and (c) post-analytical 2-4 Up to 75% of all medical testing errors occur during the pre-analytical phase … In contrast, during the analytic phase, error rates are far lower. … Examples of errors encountered during the analytic phase typically resides with improper instrument operation … Medical testing error occurs most frequently during the pre-analytic phase. … Risk management in the preanalytical phase of laboratory testing.

60. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/861285/psn-pdf
    January 24, 2024 - error was reduced after the intervention and, while the risk increased slightly during the sustainment phase