-
psnet.ahrq.gov/node/73363/psn-pdf
June 09, 2021 - handover to the bedside and using
a structured approach, such as Situation, Background, Assessment, Recommendation
-
psnet.ahrq.gov/node/73687/psn-pdf
September 08, 2021 - These cases included a diagnostic recommendation from
the HS-ASP team (e.g., recommendations to consider
-
psnet.ahrq.gov/training-catalog/learning-errors-analysis-medication-error
case study approach to analyze medication error events and discuss risk-mitigation strategies per recommendation
-
psnet.ahrq.gov/node/851389/psn-pdf
July 31, 2023 - One gap discovered by the team is how
radiologists report and make recommendations, including what recommendation … CEBI team realized they needed systems to determine
whether radiology reports contained a follow-up recommendation … hl=en&user=obHMjiQAAAAJ&view_op=list_works&sortby=pubdate
recommendation for follow-up imaging when … in radiology reports
A lack of a harmonized radiology report22
Variations in radiologist follow-up recommendation … assessment and support relevant
follow-up.17,23 The design requires radiologists to make an explicit recommendation
-
psnet.ahrq.gov/issue/national-patient-safety-board-act-2022
July 20, 2022 - federal agency to provide support for patient safety data collection, national incident analysis, and recommendation
-
psnet.ahrq.gov/issue/getting-diagnosis-wrong
January 20, 2021 - the complexities around establishing a diagnosis in frontline practice and the recent IOM report recommendation
-
psnet.ahrq.gov/node/851446/psn-pdf
July 19, 2023 - Increased nurse staffing was the top recommendation to reduce burnout with less emphasis on wellness
-
psnet.ahrq.gov/node/848316/psn-pdf
May 03, 2023 - One recommendation to
improve safety is competency-based nursing curriculum and provide floating nurses
-
psnet.ahrq.gov/node/46659/psn-pdf
December 06, 2017 - impact-electronic-alert-notification-system-embedded-radiologists-workflow-closed-loop
https://psnet.ahrq.gov/issue/reducing-delay-diagnosis-multistage-recommendation-tracking
-
psnet.ahrq.gov/node/38592/psn-pdf
April 29, 2009 - teaching-structured-tool-improves-clarity-and-content-interprofessional-clinical
Medical students received training in a modified SBAR (situation-background-assessment-
recommendation
-
psnet.ahrq.gov/node/49748/psn-pdf
December 01, 2015 - Otherwise,
for patients with large ascites, the recommendation is to simply drain it, and drain it as … This recommendation is based on our early experience
of a high incidence of infection when the draining … My personal
recommendation is that albumin should be given at the end of paracentesis, rather than during … This recommendation is based on hemodynamic studies that we undertook 25 years ago (4),
which observed
-
psnet.ahrq.gov/node/45320/psn-pdf
January 01, 2017 - https://psnet.ahrq.gov/issue/problem-5-whys
https://psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and-lessons-aftermath-incident
-
psnet.ahrq.gov/node/41022/psn-pdf
December 21, 2011 - cause analysis, failure mode and effects analysis
(FMEA), and SBAR (situation, background, assessment, recommendation
-
psnet.ahrq.gov/node/42997/psn-pdf
May 28, 2014 - handoffs in a labor and delivery ward revealed that key elements (
situation, background, assessment, recommendation
-
psnet.ahrq.gov/issue/patient-safety-essentials-toolkit
January 08, 2020 - Featured tools include the Situation-Background-Assessment-Recommendation approach, huddle agendas,
-
psnet.ahrq.gov/issue/hospitals-combat-errors-hand
August 17, 2016 - This article reports on communication interventions such as SBAR (Situation-Background-Assessment-Recommendation
-
psnet.ahrq.gov/node/45298/psn-pdf
April 22, 2017 - effectiveness-and-efficiency-root-cause-analysis-medicine
https://psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and-lessons-aftermath-incident
-
psnet.ahrq.gov/node/43568/psn-pdf
April 25, 2016 - Despite this
recommendation, this convenience sample of 34 children's hospitals across the United States
-
psnet.ahrq.gov/node/42838/psn-pdf
January 08, 2014 - psnet.ahrq.gov/issue/improving-patient-safety-intensive-care-units-michigan
https://psnet.ahrq.gov/issue/council-recommendation-patient-safety-including-prevention-and-control-healthcare-associated
-
psnet.ahrq.gov/node/42672/psn-pdf
October 23, 2013 - with a standardized nurse–physician
communication method, SBAR (situation, background, assessment, recommendation