-
psnet.ahrq.gov/issue/characterising-nature-primary-care-patient-safety-incident-reports-england-and-wales-national
December 16, 2015 - Delivery of Surgical Services: a Programme of Controlled Before-and-after Intervention Studies with Pre-planned
-
psnet.ahrq.gov/web-mm/dangerous-shift
July 24, 2013 - This case highlights a common scenario: a planned patient transfer that gets delayed until after a shift … Directly transferring patients to planned specialties (e.g., skip the emergency department of a second … Relation of real-time events to planned milestones.
-
psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
August 20, 2018 - with appropriate explanation) to the covering resident, and the absence of clear documentation of the planned … events, including wrong site and wrong patient procedures. 9 Proper Time-Out Procedure Time-outs are planned … a mean duration of 36 seconds. 10 A time-out should consist of confirming the correct procedure is planned
-
psnet.ahrq.gov/node/33576/psn-pdf
December 15, 2024 - The concept of the surgical timeout—a planned pause before beginning the procedure in order to
review
-
psnet.ahrq.gov/node/49791/psn-pdf
April 01, 2017 - causes include lack of adherence to protocols, deficiency in
education, lack of experience in the planned … patient consent includes a discussion and documentation of benefits, risks, and alternatives
to the planned
-
psnet.ahrq.gov/issue/high-prevalence-medication-discrepancies-between-home-health-referrals-and-centers-medicare
December 23, 2011 - 23, 2020
A clinical pharmacist-led transitions of care program for veterans with two planned
-
psnet.ahrq.gov/innovation/virtual-hospitalist-program-address-hospitals-challenges-start-covid-19-pandemic
October 30, 2024 - The innovation included planned redundancies to improve safety, according to the innovation team. … and Development Process
Given the urgency of the crisis, the innovation team rapidly developed and planned
-
psnet.ahrq.gov/node/836939/psn-pdf
April 27, 2022 - The innovation included planned redundancies to improve
safety, according to the innovation team. … and Development Process
Given the urgency of the crisis, the innovation team rapidly developed and planned
-
psnet.ahrq.gov/node/49802/psn-pdf
August 01, 2017 - The
gastroenterologist planned to perform an esophagogastroduodenoscopy (EGD) with biopsy the following … patient is made,
and the timing for cessation and recommencement of antithromboembolic precautions are planned
-
psnet.ahrq.gov/node/49805/psn-pdf
September 01, 2017 - Second, she neglected to
complete a planned consultation with radiology in the course of a busy call … In this case, the Code Blue event took priority,
preventing the intern from consulting radiology as planned
-
psnet.ahrq.gov/node/865413/psn-pdf
March 27, 2024 - They need to consider a cyber incident a
regional hazard that needs to be planned for on a regional … Sarah Mossburg: How should health systems implement planned procedures, such as an emergency
action … Planning is only as good as those who sat around the table and planned it,
but practice is the key.
-
psnet.ahrq.gov/basic-page/ucd-cmeceu-trainee-certification
November 01, 2019 - Accreditation
This activity has been planned and implemented in accordance with the accreditation requirements
-
psnet.ahrq.gov/node/49537/psn-pdf
June 01, 2007 - doctor was community based, and not part of
hospital-based practice at the site where his surgery was planned … of a
markedly elevated result in this patient would require further evaluation, independent of the planned … for surgery, he or she failed to
undertake an appropriate evaluation independent of the patient's planned
-
psnet.ahrq.gov/node/851971/psn-pdf
July 31, 2023 - , emergent upper gastrointestinal (GI) endoscopy
within 2 to 6 hours, with anesthesia support, was planned … case did not communicate directly via a face-to-face interaction with the nurse that an
endoscopy was planned … is prudent for the physician to confirm
that the new team member is also aware that a procedure is planned
-
psnet.ahrq.gov/node/49869/psn-pdf
July 02, 2019 - as per guidelines.(5) It is not clear when the patient's last hemoglobin was checked prior to her
planned … risk factors (previous transfusions, continued bleeding, and
suspected PAS disorder) as well as her planned
-
psnet.ahrq.gov/node/846770/psn-pdf
March 29, 2023 - literature, from 0.03% to 17%
depending on risk factors inherent to the patient and the procedure planned … complications2,3 and increased mortality in the event of esophageal
perforation.8
Both the operator and the planned
-
psnet.ahrq.gov/node/842923/psn-pdf
February 01, 2023 - sepsis rates.10-12The safety of procedures performed in the ICU has been demonstrated particularly for
planned … Planned cardiac reexploration in the intensive care unit is a
safe procedure.
-
psnet.ahrq.gov/web-mm/forgotten-radiographic-read
June 07, 2016 - Second, she neglected to complete a planned consultation with radiology in the course of a busy call … In this case, the Code Blue event took priority, preventing the intern from consulting radiology as planned
-
psnet.ahrq.gov/web-mm/beeline-spine
March 01, 2014 - doctor was community based, and not part of hospital-based practice at the site where his surgery was planned … of a markedly elevated result in this patient would require further evaluation, independent of the planned … risk for surgery, he or she failed to undertake an appropriate evaluation independent of the patient's planned
-
psnet.ahrq.gov/primer/teamwork-training
September 15, 2024 - Resources
A clinical pharmacist-led transitions of care program for veterans with two planned