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Total Results: 8,455 records

Showing results for "responsible".

141. Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm. | PSNet
     psnet.ahrq.gov/issue/hearing-broken-promises-assessing-vas-systems-protecting-veterans-clinical-harm
     December 23, 2012 - The Veterans Affairs (VA) health system  is responsible for both systemic achievements and challenges

142. Hospital bosses ignored months of doctors' warnings about Lucy Letby. | PSNet
     psnet.ahrq.gov/issue/hospital-bosses-ignored-months-doctors-warnings-about-lucy-letby
     September 01, 2010 - Whistleblowers  can identify the presence of systemic failures, but the organization is responsible for

143. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49451/psn-pdf
     June 01, 2004 - Physicians are responsible for following up on tests they order. … the laboratory must immediately alert the individual or entity requesting the test or the individual responsible … Take-Home Points Physicians are responsible for tracking the results on laboratory tests they order. … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

144. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49535/psn-pdf
     May 01, 2007 - He protested, noting that he was already responsible for overseeing the anesthesia for three surgeries … providers, as well as to improve the quality and safety of care.(5) Those in upper management who are responsible … A system analysis of production pressures examines all of the work system factors that can be responsible … cmd=retrieve&db=pubmed&dopt=abstract&list_uids=16182125 responsible for this report’s contents, findings

145. A Costly Colonoscopy Leads to a Delay in Diagnosis | PSNet
     psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
     September 01, 2014 - patient had contacted the insurance company multiple times, he was repeatedly informed that he would be responsible … the colonoscopy a diagnostic test (rather than a screening test), which means that patients may be responsible … ) For patients on a high-deductible health plan, this change in test classification could make them responsible … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

146. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49562/psn-pdf
     May 01, 2008 - occurs, best practices must also address the issue of who documents the communication—the individual responsible … Best practices suggest that the time out be led by the physician responsible for performing the procedure … Protocol and time out are documented, but care must be taken to not make one member of the team feel responsible … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

147. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49747/psn-pdf
     December 01, 2015 - The resident physician responsible for the patient overnight was also paged about the alarms. … Since one monitor watcher is responsible for watching as many as 40 patients' data, only one ECG lead … the nurse responded to these alarms by checking on the patient (multiple times) and contacting the responsible … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

148. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49766/psn-pdf
     August 21, 2016 - know how to access the call schedule to find out which care team and which resident were primarily responsible … Medicine, Neurosurgery, Orthopedics, etc.) and first call provider (the provider on the care team responsible … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

149. Patient Engagement and Safety | PSNet
     psnet.ahrq.gov/primer/patient-engagement-and-safety
     August 30, 2023 - medical error, and another study found that most parents of hospitalized children felt personally responsible … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

150. Patient safety professionals as the third victims of adverse events. | PSNet
     psnet.ahrq.gov/issue/patient-safety-professionals-third-victims-adverse-events
     July 07, 2021 - second victims, and third victims of medical errors, then elaborates on how patient safety professionals responsible

151. Safety in office-based anesthesia: an updated review of the literature from 2016 to 2019 | PSNet
     psnet.ahrq.gov/issue/safety-office-based-anesthesia-updated-review-literature-2016-2019
     February 10, 2021 - to the safety of OBA and makes recommendations for safe practices including; medical directors to be responsible

152. Simulator-based crew resource management training for interhospital transfer of critically ill patients by a mobile ICU. | PSNet
     psnet.ahrq.gov/issue/simulator-based-crew-resource-management-training-interhospital-transfer-critically-ill
     February 14, 2024 - This study reports on the use of simulator-based teamwork training for teams responsible for inter-hospital

153. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.218_slideshow.ppt
     May 01, 2010 - should be done One of best starting points for Just Culture: people closest to mishap often feel responsible … , a hospital should balance accountability and learning Accountability is not just holding someone responsible

154. In Conversation With… Lucian Leape, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-lucian-leape-md
     June 12, 2019 - want to prevent that as well as a whole host of other problems, you have to have the whole team feel responsible … medicine—the operating room—where everybody says the surgeon is the captain of the ship and holds him responsible … What we are saying is that the best way to be responsible is to start by listening to people, by making … them feel responsible, too. … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

155. Humanizing harm: using a restorative approach to heal and learn from adverse events. | PSNet
     psnet.ahrq.gov/issue/humanizing-harm-using-restorative-approach-heal-and-learn-adverse-events
     November 30, 2022 - A restorative approach focuses on (1) who has been hurt and their needs, and who is responsible for addressing

156. How medical error shapes physicians' perceptions of learning: an exploratory study. | PSNet
     psnet.ahrq.gov/issue/how-medical-error-shapes-physicians-perceptions-learning-exploratory-study
     August 16, 2023 - that memories of mistakes from training seemed to stand out, and participants expressed feeling both responsible

157. Improved medication management with introduction of a perioperative and prescribing pharmacist service. | PSNet
     psnet.ahrq.gov/issue/improved-medication-management-introduction-perioperative-and-prescribing-pharmacist-service
     August 05, 2020 - This study evaluated the impact of the PeRiopErative and Prescribing (PREP) pharmacist, who is responsible

158. Exploring nurses' attitudes, skills, and beliefs of medication safety practices. | PSNet
     psnet.ahrq.gov/issue/exploring-nurses-attitudes-skills-and-beliefs-medication-safety-practices
     October 21, 2020 - Nurses are responsible for several steps in the medication-use process, including preparation, administration

159. Medication management of COVID-19 patients during transition to virtual models of care: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/medication-management-covid-19-patients-during-transition-virtual-models-care-qualitative
     October 30, 2024 - Participants described challenges with lack of clarity on who is responsible for the patient's usual

160. A "Weak" Response | PSNet
     psnet.ahrq.gov/web-mm/weak-response
     February 24, 2011 - The authors are solely responsible for this report’s contents, findings, and conclusions, which do not