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Total Results: 142 records

Showing results for "safer iii critical".

41. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60173/psn-pdf
    March 30, 2020 - We spoke with them about their role in the development of the Making Healthcare Safer III Report and … current role that you play as well as the role that you played in the creation of the Making Healthcare Safer … conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md https://psnet.ahrq.gov/issue/making-healthcare-safer-iii … SH: If someone is not familiar with the Making Healthcare Safer Report, what is your short explanation … SH: Were there any particular technologies in the report that address critical new or emerging issues

42. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49653/psn-pdf
    May 01, 2012 - lines placed outside the hospital in patients received on transfer (and writing on the dressing), (iii … handoffs between nurses (e.g., does the patient have a central line; do they need a central line), and (iii … training, and a safety culture that reduce the risk of injury by making it easier to know what to do and safer … medications; the residents consider the physiology and greatest source of danger for the patient that day), (iii … Professor, University of Cincinnati College of Medicine, Division of Pulmonary, Critical Care, and

43. Iatrogenic delirium and coma: a "near miss." | PSNet
    psnet.ahrq.gov/issue/iatrogenic-delirium-and-coma-near-miss
    September 23, 2020 - July 26, 2023 Perspective Making Healthcare Safer III Report

44. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49775/psn-pdf
    November 01, 2016 - McGreevey III, MD Order sets are intended to increase consistent, evidence-based practice, prevent errors … Adherence to established principles of order set design, decision support, and governance is critical … McGreevey JD III. Order sets in electronic health records: principles of good practice. … SAFER Guides: Computerized Provider Order Entry With Decision Support. … pubmed/23276846 http://www.ncbi.nlm.nih.gov/pubmed/23457151 https://www.healthit.gov/sites/default/files/safer

45. The Forgotten Line | PSNet
    psnet.ahrq.gov/web-mm/forgotten-line
    March 11, 2011 - lines placed outside the hospital in patients received on transfer (and writing on the dressing), (iii … handoffs between nurses (e.g., does the patient have a central line; do they need a central line), and (iii … training, and a safety culture that reduce the risk of injury by making it easier to know what to do and safer … medications; the residents consider the physiology and greatest source of danger for the patient that day), (iii … Render, MD Veterans Health Administration, National Program Director, Critical Care, Lung Disease

46. Safety-II and the study of healthcare safety routines: two paths forward for research. | PSNet
    psnet.ahrq.gov/issue/safety-ii-and-study-healthcare-safety-routines-two-paths-forward-research
    May 25, 2022 - Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality's Making Healthcare Safer … III Report.

47. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49722/psn-pdf
    December 01, 2014 - Another, safer design could involve consolidating all bed status information, including lock status, … Unlike in aviation where safety-critical changes are quickly communicated and acted upon across the … infusion pump.(14) In summary, medical device and health care industries can produce safer products … By designing safer medical devices based on human factors engineering principles and methods, patient … Pennathur PR, Thompson D, Abernathy JH III, et al.

48. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49702/psn-pdf
    March 01, 2014 - that allow for easy reporting of events, (ii) standardizing performance review and assessment, and (iii … clinicians consider all appropriate diagnoses.(13,14) Balancing systems and individual accountability is critical … Lesser CS, Lucey CR, Egener B, Braddock CH III, Linas SL, Levinson W. … Reiter CE III, Pichert JW, Hickson GB. … Commentary: how can we make diagnosis safer? Acad Med. 2012;87:135-138. [go to PubMed] 14.

49. Annual Perspective: Topics in Medication Safety | PSNet
    psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
    April 27, 2022 - the areas of focus in the Agency for Healthcare Research and Quality (AHRQ) report Making Healthcare Safer … III: A Critical Analysis of Existing and Emerging Patient Safety Practices . 1  Although medication … interventions provide prescribers with medication warning alerts and alternative medications that are safer … of opioid prescribing practices related to workers’ compensation in Washington State reported that safer … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices .

50. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/836850/psn-pdf
    March 31, 2022 - the areas of focus in the Agency for Healthcare Research and Quality (AHRQ) report Making Healthcare Safer … III: A Critical Analysis of Existing and Emerging Patient Safety Practices.1 Although medication safety … interventions provide prescribers with medication warning alerts and alternative medications that are safer … of opioid prescribing practices related to workers’ compensation in Washington State reported that safer … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices.

51. Alert Fatigue | PSNet
    psnet.ahrq.gov/primer/alert-fatigue
    March 15, 2025 - problem is that clinicians then ignore both the bothersome, clinically meaningless alarms and the critical … Clinicians generally override the vast majority of CPOE warnings, even "critical" alerts that warn … The Making Healthcare Safer III report outlines several patient safety practices to address alert fatigue … Tailor alerts to patient characteristics and critical integrated clusters of physiologic indicators.

52. Tough Call: Addressing Errors From Previous Providers | PSNet
    psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
    July 17, 2024 - that allow for easy reporting of events, (ii) standardizing performance review and assessment, and (iii … clinicians consider all appropriate diagnoses.( 13,14 ) Balancing systems and individual accountability is critical … Lesser CS, Lucey CR, Egener B, Braddock CH III, Linas SL, Levinson W. … Reiter CE III, Pichert JW, Hickson GB. … Commentary: how can we make diagnosis safer? Acad Med. 2012;87:135-138. [go to PubMed] 14.

53. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49490/psn-pdf
    September 01, 2005 - Performance analysis focused on errors, and trained users of the 3 pumps had a total of 10, 18, and 42 critical … viewpoint arises when we start looking at devices, software, and even architecture through a more critical … The Role of Health Care Organizations Health care organizations can use HFE to select and deploy safer … pump system is not being replaced, an organization can use HFE methods to make its existing system safer … from each IV bag all the way to the IV catheter—beyond simply placing a label every 6 inches, and (iii

54. Medical Devices in the "Wild" | PSNet
    psnet.ahrq.gov/web-mm/medical-devices-wild
    March 27, 2024 - Another, safer design could involve consolidating all bed status information, including lock status, … Unlike in aviation where safety-critical changes are quickly communicated and acted upon across the entire … infusion pump.( 14 ) In summary, medical device and health care industries can produce safer products … By designing safer medical devices based on human factors engineering principles and methods, patient … Pennathur PR, Thompson D, Abernathy JH III, et al.

55. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33749/psn-pdf
    April 01, 2013 - A policy that makes today's patients a bit safer at the cost of larger harm to patients later would … Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis … Fletcher KE, Davis SQ, Underwood W III, Mangrulkar RA, McMahon LF Jr, Saint S. … Fletcher KE, Underwood W III, Davis SQ, Mangrulkar RS, McMahon LF Jr, Saint S.

56. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49853/psn-pdf
    February 01, 2019 - Care Medicine and the Society of Critical Care Medicine.(6) The guidelines recommend careful planning … factor for errors and adverse events.(12) Moreover, handover within and between units can result in critical … team; (ii) assessment of the patient after transport to determine any deterioration in condition; (iii … Warren J, Fromm Jr RE, Orr RA, Rotello LC, Mathilda HM; American College of Critical Care Medicine. … To Err Is Human: Building a Safer Health System.

57. The Wrong Channel | PSNet
    psnet.ahrq.gov/web-mm/wrong-channel
    February 01, 2003 - Performance analysis focused on errors, and trained users of the 3 pumps had a total of 10, 18, and 42 critical … Another viewpoint arises when we start looking at devices, software, and even architecture through a more critical … create human factors design standards for all future infusion devices.( 10 ) Designing efficient, yet safer … pump system is not being replaced, an organization can use HFE methods to make its existing system safer … from each IV bag all the way to the IV catheter—beyond simply placing a label every 6 inches, and (iii

58. Unexpected Drawbacks of Electronic Order Sets | PSNet
    psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
    December 01, 2017 - McGreevey III, MD | November 1, 2016 View more articles from the same authors. … McGreevey III, MD Order sets are intended to increase consistent, evidence-based practice, prevent errors … Adherence to established principles of order set design, decision support, and governance is critical … McGreevey JD III. Order sets in electronic health records: principles of good practice. … SAFER Guides: Computerized Provider Order Entry With Decision Support.

59. Diuretics and Electrolyte Abnormalities | PSNet
    psnet.ahrq.gov/web-mm/diuretics-and-electrolyte-abnormalities
    February 15, 2017 - The critical care provider consulted a nephrologist, and both agreed the severe symptomatic hyponatremia … thiazides in patients with a history of thiazide-induced hyponatremia; (ii) start with a low dose; (iii … Take-Home Points References Related Resources From the Same Author(s) Safer … November 15, 2023 Guidelines on Human Factors in Critical Situations 2023. … Order Set Change and Critical Limb Ischemia January 1, 2019 Another tragic

60. Code Blue—Where To? | PSNet
    psnet.ahrq.gov/web-mm/code-blue-where
    March 30, 2020 - When the critical care nurse and the rest of the code team arrived, they attempted to hook the patient … Ironically, casinos or airports, with their robust public access defibrillator systems, may be safer … Critical Care Medicine. 1986;14:99-104. [go to PubMed] 12. Adams BD, Easty DM, Stuffel E, et al. … Resources From the Same Author(s) Perspective Making Healthcare Safer … III Report March 30, 2020 Natural history of retained surgical items supports