-
psnet.ahrq.gov/web-mm/getting-root-matter
September 01, 2005 - with the patient (from physician to patient transport personnel), every order, every test, and every response … Related Resources From the Same Author(s)
Letter
In response
-
psnet.ahrq.gov/node/73300/psn-pdf
July 01, 2022 - patient/family caregiver understanding of
treatments, follow-up care required, and warning signs and response … Plan-Do-
Study-Act” (PDSA) cycle to implement one solution at a time and adjust improvement ideas in a
rapid
-
psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
August 01, 2006 - or prescribing; drug preparation; assessing treatment compliance; administration and monitoring; and response … prescribing 4) Drug preparation 5) Assessing treatment compliance 6) Administration and monitoring 7) Response
-
psnet.ahrq.gov/perspective/implementing-fall-prevention-program
November 29, 2023 - Implementing a Fall Prevention Program
Frances Healey, RN, PhD | December 1, 2011
View more articles from the same authors.
Citation Text:
Healey F. Implementing a Fall Prevention Program. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qualit…
-
psnet.ahrq.gov/node/33833/psn-pdf
May 01, 2017 - The other phenomenon that happens is tolerance, which is simply a shift in the dose–response curve so … The natural response, which we're taught to do by thought leaders, is to increase the opioid doses.
-
psnet.ahrq.gov/node/74251/psn-pdf
January 26, 2022 - Delayed Diagnosis and Treatment of an Occult
Hemothorax Following Complicated Central Line Insertion
Leads to Cardiac Arrest
January 26, 2022
Raff G, Goudy B. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated
Central Line Insertion Leads to Cardiac Arrest. PSNet [internet]. 2022.
https…
-
psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
October 26, 2022 - Intuitive processing is a highly efficient, rapid method to cope with the enormous complexity of clinical
-
psnet.ahrq.gov/node/33723/psn-pdf
December 01, 2011 - Implementing a Fall Prevention Program
December 1, 2011
Healey F. Implementing a Fall Prevention Program. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/implementing-fall-prevention-program
Perspective
Throughout the developed world, most hospital beds are occupied by older people, many of whom have
b…
-
psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
May 16, 2022 - Wrong Catheter in the Right Patient
Citation Text:
Chia C, Molla M. Wrong Catheter in the Right Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML En…
-
psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
April 01, 2018 - it post-hospital syndrome, a transient period of generalized vulnerability—and consider it likely a response … We need to find ways for more rapid-cycle learning that can be tried in a group of institutions and then
-
psnet.ahrq.gov/web-mm/supervision-and-entrustment-clinical-training-protecting-patients-protecting-trainees
February 22, 2017 - SPOTLIGHT CASE
Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees
Citation Text:
Cate O ten-. Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…
-
psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
April 01, 2018 - it post-hospital syndrome, a transient period of generalized vulnerability—and consider it likely a response … We need to find ways for more rapid-cycle learning that can be tried in a group of institutions and then
-
psnet.ahrq.gov/node/60542/psn-pdf
May 27, 2020 - In response to this error, improved processes which incorporate end-user input and feedback should be
-
psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc
May 01, 2018 - Implement the CDSS in a test unit, and immediately measure workflow changes and initial provider response … Even with this extensive preparation, we have needed to refine the intervention in response to user reactions … Insights such as these may be missed without adequate evaluation of provider response. … Physician response to computer reminders. JAMA. 1980;244:1579-1581. [go to PubMed] 2.
-
psnet.ahrq.gov/node/33726/psn-pdf
March 01, 2012 - medical mistakes and risk management, one emphasizing an honest
approach to errors, early apology, and rapid … That's part of
the fight or flight response.
-
psnet.ahrq.gov/primer/measurement-patient-safety
September 15, 2024 - Measurement of Patient Safety
Citation Text:
Measurement of Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
-
psnet.ahrq.gov/primer/opioid-safety
December 15, 2024 - Additional research demonstrates potential harms associated with rapid tapering of opioids including
-
psnet.ahrq.gov/sites/default/files/2022-05/final_cme_reviewed_-_spotlight_missing_a_large_vessel_occlusion_stroke_04.14.2022_-_copy.pdf
January 01, 2022 - cause for
delay to perfusion imaging and mechanical thrombectomy, such as observing
for a clinical response … inappropriately
taken the place of stroke alert activation, thereby eliminating the
opportunity for rapid
-
psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
August 31, 2022 - cause for delay to perfusion imaging and mechanical thrombectomy, such as observing for a clinical response … inappropriately taken the place of stroke alert activation, thereby eliminating the opportunity for rapid
-
psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
May 26, 2021 - The new CMS guidelines for evaluation and management codes emphasize documenting the assessment or response