-
psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
May 01, 2006 - A recently published report showed that medication identification services can be effectively provided … note documented in an electronic medical record that is viewed across all patient encounters may have provided … These cases may be justified to avoid any delay or problem with therapy—provided that all of the safeguards
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psnet.ahrq.gov/web-mm/after-visit-confusion
August 21, 2007 - The physician explained that this was likely herpetic gingivostomatitis and provided related information … The patient was then discharged from the urgent care clinic and provided an after-visit summary that … The summaries are either printed out for patients or provided electronically.
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psnet.ahrq.gov/perspective/acgmes-2017-revision-common-program-requirements
January 31, 2018 - Graduate Medical Education (ACGME) is committed to supporting the safety and quality of patient care provided … responded.( 2 ) The ACGME also invited input from the community, and 61 individuals and organizations provided … education and professional development.( 10,14,15 )
To further investigate these issues, the ACGME provided
-
psnet.ahrq.gov/node/33711/psn-pdf
May 01, 2011 - Incredibly, many of the research participants provided meticulously detailed accounts
of their respective … Some were able to cite the exact date of the event while others provided event-
specific details such … Research participants provided many insights into the complex second victim phenomenon.
-
psnet.ahrq.gov/node/49775/psn-pdf
November 01, 2016 - for transitioning the paper orders to CPOE did not realize that the
old paper electrolyte order set provided … 3,11) Clinician involvement could have been helpful in this case to recognize
the decision support provided … Ultimately, the failure to recognize
and maintain decision support that had been provided in the paper
-
psnet.ahrq.gov/node/49688/psn-pdf
August 21, 2013 - surgeon due to the effects of anesthesia (no written instructions on the updated recovery plan were
provided … effects; multiple activities at one time, such as electrocardiogram being done when information
is provided … information about a medical
condition and its management.(11,12) In this case, the surgery team could have provided
-
psnet.ahrq.gov/node/49844/psn-pdf
October 01, 2018 - systems-based approach grounded in a culture of safety to ensure that the
highest value care is reliably provided … hospitalist
services have agreed that the ED physician will be responsible for ensuring appropriate care is provided … volume can lead to delays in safe transitions from the ED to a setting
where definitive therapy can be provided
-
psnet.ahrq.gov/node/33629/psn-pdf
March 01, 2006 - box
https://psnet.ahrq.gov//#ref5
https://psnet.ahrq.gov//#ref6
Generic training on teamwork can be provided … should be built into training
Complex simulation scenarios provide this opportunity; guidance
is provided … strategy
Timely feedback is critical to allow team
members to adjust their knowledge
Feedback is provided
-
psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
March 01, 2015 - Instead, the nurse answering the radio should have acted on the information provided by EMS personnel … to a verbal report from EMS providers, the minimum key information required for patient care must be provided … These changes likely represent a response to treatment provided by EMS, such as rest, oxygen, aspirin
-
psnet.ahrq.gov/web-mm/wet-read
October 01, 2017 - In teaching hospitals, radiology residents have traditionally provided preliminary interpretations during … in the emergency department and on inpatient wards.( 1 ) In most cases, the only off-hours services provided … having full-time coverage by academic radiologists does not currently seem feasible and teleradiology provided … by general radiologists may be inferior to that provided by subspecialty radiologists, perhaps “higher-risk
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.209_slideshow.ppt
December 01, 2009 - dx.doi.org/10.1176/appi.ps.60.4.459
Ethical Standard of Care
Refers to treatment that should be provided … Over time, this has come to mean that “informed consent” determines what should be provided
Informed
-
psnet.ahrq.gov/node/49496/psn-pdf
December 01, 2005 - large, braille, or raised print,
and if audible direction and floor indicators in elevators are not provided … In this case, counseling provided by a nurse and a pharmacist was ineffective because they did not realize
-
psnet.ahrq.gov/issue/team-communication-operating-room
January 28, 2009 - November 18, 2015
Variation in quality of urgent health care provided during commercial
-
psnet.ahrq.gov/issue/whither-challenger-wither-columbia-management-decision-making-and-knowledge-analytic
September 07, 2011 - July 29, 2020
Impact of pharmacist interventions provided in the emergency department
-
psnet.ahrq.gov/issue/color-coding-reduce-errors
June 22, 2009 - July 19, 2017
Pharmacist-led educational interventions provided to healthcare providers
-
psnet.ahrq.gov/issue/building-culture-patient-safety-report-commission-patient-safety-and-quality-assurance
November 10, 2011 - Investigation report into services at University Hospital Galway (UHG) and as reflected in the care provided
-
psnet.ahrq.gov/issue/promise-learn-commitment-act-improving-safety-patients-england
June 17, 2014 - November 27, 2013
Review into the Quality of Care and Treatment Provided by 14 Hospital
-
psnet.ahrq.gov/issue/understanding-root-cause-analysis-process-increase-safety-event-reporting
August 08, 2018 - January 13, 2021
Variation in quality of urgent health care provided during commercial
-
psnet.ahrq.gov/issue/telehealth
January 27, 2019 - Tuckson, MD
September 1, 2016
Variation in quality of urgent health care provided
-
psnet.ahrq.gov/issue/insulin-treatment-tracer-identifying-latent-patient-safety-risks-home-based-diabetes-care
September 28, 2010 - March 15, 2006
Impact of pharmacist interventions provided in the emergency department