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psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
January 01, 2016 - We get it right more than 90% of the time, and that's really amazing given the complexity of the task … The radiologists know so much more about a film than they put in their report, and you used to get that … You get so much more information from watching how a clinician analyzes a case than you do from how they … reimbursement for diagnostic thinking, reformed medical malpractice standards, technologies that support rather … than hinder patient care, and a research funding climate conducive to accelerating our understanding
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psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
January 01, 2014 - It's about more than just a research area, it's about a person, and she took interest in both. … physicians, but correct diagnosis resonates more with physicians than other health care professionals … Naturally, one might expect clinicians to preferentially attribute diagnostic errors to system problems rather … than individual cognitive errors. … In the case of duty hour restrictions—now more than a decade old—empirical studies testing whether the
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psnet.ahrq.gov/perspective/conversation-susan-smith-md
August 01, 2019 - SS : It's that translation from a conversation to a note, which is quite different than taking dictation … We were talking about what happens if and when AI takes this over, and it is a digital scribe rather … than a person. … There are some physicians who are easier to work with than others for the scribe, and vice versa. … But the documentation burden is so different than it was before the EHR became ubiquitous.
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psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md
January 01, 2008 - It incorporated a lot of things other than safety. … So rather than a dry policy and procedure, it was more like, "Here's a little vignette of what happens … Seven of these hospitals have fewer than 100 beds, twelve have between 100 and 250 beds, and four have … more than 250 beds; the total number of beds in the system is 6156. … Compared to a Thomson Healthcare (Solucient) national database of more than 20 million discharges, AHS
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psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
January 01, 2008 - Seven of these hospitals have fewer than 100 beds, twelve have between 100 and 250 beds, and four have … more than 250 beds; the total number of beds in the system is 6156. … Compared to a Thomson Healthcare (Solucient) national database of more than 20 million discharges, AHS … It incorporated a lot of things other than safety. … So rather than a dry policy and procedure, it was more like, "Here's a little vignette of what happens
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psnet.ahrq.gov/node/49587/psn-pdf
May 01, 2009 - Rather
acutely, the patient became pulseless, and CPR was initiated as the patient's cardiac rhythm … More than 1 million physicians worldwide have taken an ATLS course. … wounds are lower, and for the rare patient with blunt trauma–induced cardiac rupture,
even lower (less than … the epidemiology, prevention, and amelioration of trauma: the
transition to approaches etiologically rather … than descriptively based. 1968.
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psnet.ahrq.gov/perspective/conversation-georgia-galanou-luchen-pharm-d
October 24, 2021 - in their own care is really important because ultimately, the patient can give you more information than … The important thing to recognize is that community pharmacists do so much more than dispense medication … The modern concept of medication safety is much broader in scope than the “five rights” and the focus … technologies, policies and procedures, and other systems factors support the outcomes of the various rights, rather … than focusing solely on completion of an oversimplified checklist.
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psnet.ahrq.gov/node/845472/psn-pdf
March 15, 2023 - expectation that while
these data are going to come to us right away, a clinician will react to a trend rather … than each data point. … They may report
values that are better or worse than what they actually were. … These data
tend to fall in a different category than the data we collect in the clinical setting, like … There is a chance that someone can
misuse the medical device, or for example someone other than the
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psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - Sarah Mossburg : Rather than that overarching Big Hairy Audacious Goal, it's better to have marginal … University of Texas men's swim team since 1979, and his teams have won 15 national championships, more than … Eric Thomas: Yes, there is a lot more to improving safety than just goal setting. … performance on benchmarks, which can shift. 4 Arguably, benchmarks that focus on performing better than … with “Safety II,” risk reduction can motivate improvements in patient safety by focusing on risks more than
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psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
July 01, 2012 - The left calf circumference was 4 cm greater than the right calf, but there were no dilated superficial
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psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - • Imaging demonstrated that the left femoral head was smaller than the right
with premature ossification … Pediatric patients are more likely to experience respiratory depression and life-
threatening hypoxia than … conceptualized as a continuum ranging from normal level of alertness to
complete unconsciousness, rather … than as distinct categories with clearly defined
boundaries and transitions … Commonly used procedural sedation agents (3)
• The coadministration of ketamine and propofol in lower than
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psnet.ahrq.gov/web-mm/lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
October 27, 2022 - analgesics daily are often presumed to be opioid tolerant, and therefore at lower risk of overdose, than … decision support should suggest alternatives that do not involve cutting tablets into portions other than … (MME), this approach is not designed to be used to convert patients from one opioid to another, but rather … Methadone's peak respiratory depressant effects typically occur later, and persist longer, than its peak … The patch is not recommended for patients on more than 80 OME per day.
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psnet.ahrq.gov/node/49734/psn-pdf
May 01, 2015 - Upon arrival in the emergency
department (ED), his pH was less than 6.8, carbon dioxide 37 mm Hg, oxygen … so, his matrix helped us realize that
seatbelts and airbags are, in aggregate, far more beneficial than … those expressed by end-users (the
proceduralists themselves) in qualitative studies and provide us a rather … the epidemiology, prevention, and amelioration of trauma: the
transition to approaches etiologically rather … than descriptively based. 1968.
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psnet.ahrq.gov/node/60173/psn-pdf
March 30, 2020 - BS: It’s also interesting to think about some things that may go away because they do work rather than
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psnet.ahrq.gov/web-mm/real-heartache
October 01, 2018 - confirmation bias , where one has a tendency to focus on evidence that supports a working diagnosis rather … than consider evidence that tends to refute it.( 12 ) Once the ED physician settled on a working diagnosis
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psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
February 10, 2010 - 5,6 ) Such discharge scoring tools tend to emphasize recovery elements following general anesthesia rather … than local/regional anesthesia, leaving individual facilities to establish their own policies and procedures
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psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
June 01, 2016 - providers early in their training.( 15 ) Fourth, the year-end handoff is a permanent provider change rather … than the more customary cross-coverage handoff.
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psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
September 30, 2020 - reported that non-Hispanic Black women were 2.6 times more likely to have a pregnancy-related death than … obstetric hemorrhage, non-Hispanic Black and Hispanic women are 4.7 and 3.7 times more likely to die than … respectively, in one large American state. 18 These staggering disparities cannot be explained by race, but rather
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psnet.ahrq.gov/node/865884/psn-pdf
May 29, 2024 - education: we often consider a patient’s presentation as a problem to be solved
at one point in time, rather … than a recurring and evolving problem that is influenced by ongoing changes in
a patient’s health. … effect: the patient lost a significant amount of weight, although the rate of weight loss was more than
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psnet.ahrq.gov/web-mm/electronic-err
April 01, 2014 - The nurse informed him that the patient had developed a junctional rhythm with a heart rate less than … been given 100 mg of metoprolol XL and 180 mg of diltiazem CR by the hospital admitting physician, rather … than the 50 mg of metoprolol XL and no diltiazem intended by her outpatient cardiologist. … flag to medication and problem lists indicating that the patient has been seen in clinic more recently than … of clinical information, it is important not to abandon the safety practices used in the past, but rather