Results

Total Results: 153 records

Showing results for "safer iii critical".

121. 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,

122. 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

123. 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.

124. In Conversation With… Jack Needleman, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
     September 01, 2012 - How the work is changed to make patients safer and deliver care more efficiently, both the processes … JN : One of the critical issues for nurse satisfaction is effective communication among the team and … [such as exist in certain states like California] probably keep the patients in those institutions safer … There's some evidence that patients have been made safer, but all other things are not equal. … Gibson, MSc September 1, 2014 Addressing the quality and safety gap—parts I-III

125. In Conversation With… Richard Kronick, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
     February 01, 2014 - Key challenges include developing evidence about how health care can be made safer, working with our … Our mission statement is to produce evidence to make health care safer, higher quality, more accessible … The report we released in 2015 showing that hospital care has become much safer and that 87,000 fewer … These include: (i) establishing a no interruption zone (NIZ); (ii) ensuring a do-not-disturb approach; (iii … evaluated and demonstrate that NIZs can decrease interruptions during medication administration in critical

126. 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.

127. 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

128. 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

129. 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.

130. Falling Through the Crack (in the Bedrails) | PSNet
     psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
     February 19, 2020 - 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.

131. July Syndrome | PSNet
     psnet.ahrq.gov/web-mm/july-syndrome
     July 01, 2011 - 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.

132. Diagnostic Delay in the Emergency Department | PSNet
     psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
     September 18, 2024 - mildness of presenting symptoms; (ii) diagnostic testing that suggested another disease process; and (iii … Tools, workflows, and methods to encourage deliberate (type 2) reasoning prior to making critical decisions … Opinion: Institute of Medicine report on medical misdiagnoses overly critical of emergency medicine. … Partnership as a pathway to diagnostic excellence: the challenges and successes of implementing the Safer

133. 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.

134. 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.

135. 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

136. In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
     August 01, 2016 - identifying threats to patient safety; (ii) identifying and evaluating effective patient safety practices; (iii … Making Dentistry Safer Being among the small number of dental patient safety researchers, our goal … and strives to make dental care ever safer. … Safety January 31, 2024 Blackbox error management: how do practices deal with critical

137. In Conversation With…Kaveh G. Shojania, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
     September 01, 2011 - He led the team that produced the 2001 AHRQ evidence report, Making Health Care Safer , and was awarded … In fact, the original definition of a "critical incident" was basically an incident involving the potential … KS : Well, the received view is that they're getting safer, or the culture is improving. … narratives), because this gives the information needed to prevent similar events from recurring; and (iii … of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III

138. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please | PSNet
     psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
     September 01, 2011 - narratives), because this gives the information needed to prevent similar events from recurring; and (iii … He led the team that produced the 2001 AHRQ evidence report, Making Health Care Safer , and was awarded … In fact, the original definition of a "critical incident" was basically an incident involving the potential … KS : Well, the received view is that they're getting safer, or the culture is improving. … of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III

139. In Conversation with Elizabeth Salisbury-Afshar about Harm Reduction Strategies to Improve Safety for People Who Use Substances | PSNet
     psnet.ahrq.gov/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
     October 30, 2024 - However, because of the changing landscape and regional variability in use trends, it’s critical that … That is an important first step, but we need to similarly embrace talking to patients about safer substance … Now anyone with a Schedule III DEA license can prescribe buprenorphine. … strategies can include screening for substance use disorders (SUD) in all patients, educating PWUS on safer … Cheryl Jones about Addressing Workplace Violence and Creating a Safer Workplace October 31, 2023

140. In Conversation With… Reed V. Tuckson, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md
     September 01, 2016 - RT : This is why I think it is so critical that physicians are taking the lead and must take the lead … videoconferencing consultations between physicians in rural emergency departments (EDs) and pediatric critical … 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