Results

Total Results: 142 records

Showing results for "safer iii critical".

101. Near Miss with Bedside Medications | PSNet
     psnet.ahrq.gov/web-mm/near-miss-bedside-medications
     February 01, 2006 - that never reached the patient, (ii) incidents that reached the patient but did not cause harm, and (iii … They can also identify recovery strategies that can be incorporated into designing safer care processes … January 19, 2014 How will we know patients are safer? … More See More About The Topic Emergency Departments Health Care Providers Critical

102. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49771/psn-pdf
     July 01, 2016 - the 18 problems https://psnet.ahrq.gov//#references https://psnet.ahrq.gov/issue/err-human-building-safer-health-system … https://psnet.ahrq.gov/issue/err-human-building-safer-health-system https://psnet.ahrq.gov//#references … effect can change the apparent position of an object depending on the sight line of the viewer); (iii … "e-Iatrogenesis": the most critical unintended consequence of CPOE and other HIT.

103. Total Parenteral Nutrition, Multifarious Errors | PSNet
     psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
     January 23, 2017 - Nearly 10% of the errors identified resulted in or contributed to patient harm.( 6 ) Making PN Use Safer … standardization of the process and the expertise of those involved, the number of patients receiving PN is a critical … In the absence of built-in decision support, the critical step of pharmacist review becomes paramount … Unfortunately, commercially available pre-made PN formulations are not safer in the absence of a standardized … Poh BY, Benjamin S, Hayward TZ III.

104. Promising Areas for Patient Safety Research | PSNet
     psnet.ahrq.gov/perspective/promising-areas-patient-safety-research
     November 02, 2016 - patient safety, but also how this knowledge can enhance clinical and organizational practices and support safer … The Institute of Medicine's landmark patient safety publication, To Err is Human: Building a Safer Health … It is critical that researchers test the effectiveness of prospective tools and resources in real world … constructing measures that shape clinical definitions, electronic specifications, and interoperability; and (iii … safety research and its application, more interdisciplinary research initiatives will enable and support safer

105. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49763/psn-pdf
     June 01, 2016 - it's clear that the infusion of physicians unfamiliar with the local clinical microsystems is also critical … Making July safer: simulation-based mastery learning during intern boot camp. … Highstead RG, Johnson LC, Street JH III, Trankiem CT, Kennedy SO, Sava JA.

106. Waiting Too Long | PSNet
     psnet.ahrq.gov/web-mm/waiting-too-long
     February 01, 2013 - Outcomes research is beginning to address these critical questions, and it is driving policy decisions … hospitals in the State of Ohio, a complete surgical team was immediately available in 100% of Level III … can give providers a set of tools to make their responses more rational, productive, and ultimately safer

107. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33711/psn-pdf
     May 01, 2011 - the second victim recovery process: (i) chaos and accident response, (ii) intrusive reflections, (iii … Awareness of the second victim phenomenon and proactive institutional response planning are critical … To Err is Human: Building a Safer Health System.

108. In Conversation with…Janet Corrigan, PhD, MBA | PSNet
     psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba
     April 01, 2010 - We lack critical supports like electronic health records and personal health records. … There's a critical balance. … the frontline delivery system and that we're probably not focusing their efforts on some of the most critical … plan for measurement and reporting, (ii) identifying core metrics for measurement and reporting, and (iii … To Err Is Human: Building A Safer Health System.

109. Editorial Team | PSNet
     psnet.ahrq.gov/Information/Editor
     May 23, 2025 - He is board certified in anesthesiology, critical care medicine and transesophageal echocardiography. … quality for over eight years, most recently writing several chapters of the AHRQ Making Healthcare Safer … III report. … residency in general surgery at the University of California, Davis, and fellowship in trauma and surgical critical

110. Veterans Health Administration Stratification Tool for Opioid Risk Mitigation (STORM) Shows Promise for Targeting Prevention Interventions to Reduce Mortality in Patients Who Are Prescribed Opioids | PSNet
     psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
     October 30, 2024 - Related Resources Patient Safety Innovations Critical … Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer … Diagnosis (Safer Dx) Instrument January 26, 2022 Patient Safety … Making and MAT to Reduce Mortality Rates February 9, 2021 Making Healthcare Safer … III.

111. The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance | PSNet
     psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
     April 01, 2010 - plan for measurement and reporting, (ii) identifying core metrics for measurement and reporting, and (iii … foundation for reporting systems that facilitate the capture of quality and patient safety practices critical … To Err Is Human: Building A Safer Health System. … We lack critical supports like electronic health records and personal health records. … There's a critical balance.

112. Can Research Help Us Improve the Medical Liability System? | PSNet
     psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
     March 01, 2012 - On the other hand, many patients and advocates point out that the courts are critical—if not essential—to … Given the number of stakeholders with varying interests, making decisions based on solid data will be critical … malpractice claims and adverse events due to negligence—results of the Harvard Medical Practice Study III … Maybe we need to get our arms around them and make them safer. I think that's the next frontier. … Ultimately it's not about claims at all, it's about making people safer.

113. In Conversation With… Richard C. Boothman, JD | PSNet
     psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
     March 01, 2012 - Maybe we need to get our arms around them and make them safer. I think that's the next frontier. … Ultimately it's not about claims at all, it's about making people safer. … On the other hand, many patients and advocates point out that the courts are critical—if not essential—to … Given the number of stakeholders with varying interests, making decisions based on solid data will be critical … malpractice claims and adverse events due to negligence—results of the Harvard Medical Practice Study III

114. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49483/psn-pdf
     June 01, 2005 - computerized physician order entry (CPOE) system, which had a menu of several possible doses of vasopressin; (iii … the ICU nurses brought a group of nursing students to the patient’s bedside for an introduction to critical … incorrectly written by a resident physician after he received a verbal order from his supervising critical … Finally, we suggest that all changes be re-evaluated periodically to ensure the new process is indeed safer

115. Getting to the Root of the Matter | PSNet
     psnet.ahrq.gov/web-mm/getting-root-matter
     September 01, 2005 - computerized physician order entry (CPOE) system, which had a menu of several possible doses of vasopressin; (iii … the ICU nurses brought a group of nursing students to the patient’s bedside for an introduction to critical … was incorrectly written by a resident physician after he received a verbal order from his supervising critical … Finally, we suggest that all changes be re-evaluated periodically to ensure the new process is indeed safer

116. Telemedicine and Patient Safety | PSNet
     psnet.ahrq.gov/perspective/telemedicine-and-patient-safety
     September 01, 2016 - usability and efficacy trials, such evaluations should not be limited to academic medical settings; (iii … Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project … Lewis TL, Wyatt JC. mHealth and mobile medical apps: a framework to assess risk and promote safer use … RT : This is why I think it is so critical that physicians are taking the lead and must take the lead … of medical malpractice claims against medical oncologists from a national database: implications for safer

117. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60328/psn-pdf
     May 27, 2020 - For many patients, while PCA is considered safer than continuous intravenous opioid administration, and … has fewer logistical considerations than epidural analgesia, it can result in critical respiratory … years Female gender American Society of Anesthesiologists (ASA) physical status classification III … Sarina Fazio, PhD, RN Postdoctoral Research Fellow, Division of Pulmonary, Critical Care and Sleep … Firestone, PharmD, BCCCP Critical Care Pharmacist, UC Davis Health Assistant Clinical Professor,

118. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression | PSNet
     psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
     May 26, 2021 - For many patients, while PCA is considered safer than continuous intravenous opioid administration, and … has fewer logistical considerations than epidural analgesia, it can result in critical respiratory depression … years Female gender American Society of Anesthesiologists (ASA) physical status classification III-V … Sarina Fazio, PhD, RN Postdoctoral Research Fellow, Division of Pulmonary, Critical Care and Sleep … Firestone, PharmD, BCCCP Critical Care Pharmacist, UC Davis Health Assistant Clinical Professor,

119. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions | PSNet
     psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
     November 13, 2024 - described the second victim recovery process: (i) chaos and accident response, (ii) intrusive reflections, (iii … Awareness of the second victim phenomenon and proactive institutional response planning are critical … To Err is Human: Building a Safer Health System.

120. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49759/psn-pdf
     May 01, 2016 - conduct fall risk screening, (ii) develop a tailored fall prevention plan for individual patients, and (iii … screening for fall risk, (ii) identifying interventions tailored to patient-specific areas of risk, and (iii … In: Making Health Care Safer: A Critical Analysis of Patient Safety Practices.