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Total Results: 153 records

Showing results for "safer iii critical".

81. Do Me a Favor | PSNet
    psnet.ahrq.gov/web-mm/do-me-favor
    September 12, 2016 - Maintaining equipment and supplies in "ready" status is critical for systems responsiveness. … Making health care safer: a critical analysis of patient safety practices. … June 1, 2019 Perspective Making Healthcare Safer … III Report March 30, 2020 Testing an intervention to improve health care worker

82. Diagnostic errors in medicine: a case of neglect. | PSNet
    psnet.ahrq.gov/issue/diagnostic-errors-medicine-case-neglect
    July 15, 2015 - November 22, 2017 The critical need for nursing education to address the diagnostic process … September 18, 2019 Identifying psychiatric diagnostic errors with the Safer Dx Instrument … October 28, 2020 Making Healthcare Safer III. … August 21, 2019 Recommendations for using the Revised Safer Dx instrument to help measure

83. CVC Placement: Speak Now or Do Not Use the Line | PSNet
    psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
    November 01, 2003 - utilized); (ii) improper decision to use the line, despite inability to withdraw blood from it; and (iii … Error #1 Best practice for CVC placement mandates the use of ultrasound as a critical element for … Adequate supervision and the use of simulators are critical adjuncts to proper procedural training. … Real-time ultrasound-guided subclavian vein cannulation versus the landmark method in critical care patients … Making Health Care Safer: a Critical Analysis of Patient Safety Practices: Summary.

84. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/854897/psn-pdf
    October 31, 2023 - Reason highlights two critical aspects of these holes. … desensitized to frequent warnings, leading to reflexive dismissal and the possibility of overlooking critical … In pediatric care, accurate assessment of a child’s weight and growth trajectory is critical for determining … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices.

85. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose | PSNet
    psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
    March 15, 2023 - Reason highlights two critical aspects of these holes. … desensitized to frequent warnings, leading to reflexive dismissal and the possibility of overlooking critical … In pediatric care, accurate assessment of a child’s weight and growth trajectory is critical for determining … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices .

86. Situational Awareness and Patient Safety | PSNet
    psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
    May 01, 2012 - trainees to critically examine what they see every day on rounds and at the bedside, we can make patients safer … Before attempting to define situational awareness for any type of clinical practice, it is first critical … understand what it is about a situation that the physician must be aware of.( 6 ) In fact, even more critical … Reiff DA, Shoultz T, Griffin RL, Taylor B, Rue LW III.

87. Infused, Not Ingested | PSNet
    psnet.ahrq.gov/web-mm/infused-not-ingested
    February 01, 2017 - Since critical care units have an entirely different level of acuity, their practice competencies are … in critical care—floated to a unit where he lacked necessary competencies. … using a root cause analysis (RCA), (ii) disclosure to the patient and family with an apology, and (iii … That he did not object to a critical care assignment or seek support should raise questions regarding … To Err is Human: Building a Safer Health System. Washington, DC: National Academy Press; 2000.

88. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49796/psn-pdf
    June 01, 2017 - However, some experts argue that a safer approach is to clamp the chest tube and monitor closely for … Lekshmi Santhosh, MD Clinical Fellow Division of Pulmonary and Critical Care Medicine Department of … Courtney Broaddus, MD Professor Division of Pulmonary and Critical Care Medicine Department of Medicine … Millikan JS, Moore EE, Steiner E, Aragon GE, Van Way CW III.

89. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49723/psn-pdf
    January 01, 2015 - increasing the number of displays that need to be monitored on overall vigilance and detection of critical … The participants detected fewer critical signals as the number of tracings to be monitored increased … solutions include: (i) additional training, (ii) having more than one person monitor the displays, and (iii … Ongoing review of near-misses and poor outcomes is also an essential step towards building a safer system … Time and number of displays impact critical signal detection in fetal heart rate tracings.

90. When does quality improvement count as research? Human subject protection and theories of knowledge. | PSNet
    psnet.ahrq.gov/issue/when-does-quality-improvement-count-research-human-subject-protection-and-theories-knowledge
    July 10, 2019 - December 9, 2015 Computerised prescribing for safer medication ordering: still a work … June 26, 2019 Building safer systems through critical occurrence reviews: nine years … Results of the Harvard Medical Practice Study III.

91. Good Catch in the Operating Room | PSNet
    psnet.ahrq.gov/web-mm/good-catch-operating-room
    June 14, 2017 - decrease in surgical morbidity and annual mortality; (ii) a reduction in hospital-acquired conditions; (iii … Critical role of the surgeon–anesthesiologist relationship for patient safety. … Medical team training improves team performance: AOA critical issues. … Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes … Such understanding is conveyed by repeating critical parts of the message.

92. Patient safety and systematic reviews: finding papers indexed in MEDLINE, EMBASE and CINAHL. | PSNet
    psnet.ahrq.gov/issue/patient-safety-and-systematic-reviews-finding-papers-indexed-medline-embase-and-cinahl
    August 04, 2021 - January 7, 2015 Making Health Care Safer II: An Updated Critical Analysis of the Evidence … Results of the Harvard Medical Practice Study III. … Improve Management of Sepsis May 31, 2023 Understanding complexity in a safety critical

93. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49475/psn-pdf
    March 01, 2005 - : the failures are (i) less frequent but more consequential, (ii) more challenging to detect, and (iii … Equally important is the apparently casual way in which a critical diagnosis was discarded. … We can only speculate because the details are unavailable, but the critical issue is that the neurosurgeon … The Federal government insists that adding IT to hospitals will make patients safer.(3) Surprisingly … Cook, MD Associate Professor, Department of Anesthesia and Critical Care Director, Cognitive Technologies

94. Teamwork and total quality management: a durable partnership. | PSNet
    psnet.ahrq.gov/issue/teamwork-and-total-quality-management-durable-partnership
    September 11, 2019 - 2019 TRIAD IX: can a patient testimonial safely help ensure prehospital appropriate critical … November 11, 2020 Making communication and resolution programmes mission critical in … January 12, 2022 Honesty and transparency, indispensable to the clinical mission--Parts I-III … teamwork approaches to enhance the effectiveness of safety improvement interventions in surgery: the Safer

95. Chest Tube Complications | PSNet
    psnet.ahrq.gov/web-mm/chest-tube-complications
    September 27, 2023 - However, some experts argue that a safer approach is to clamp the chest tube and monitor closely for … Lekshmi Santhosh, MD Clinical Fellow Division of Pulmonary and Critical Care Medicine Department of … Courtney Broaddus, MD Professor Division of Pulmonary and Critical Care Medicine Department of Medicine … Millikan JS, Moore EE, Steiner E, Aragon GE, Van Way CW III.

96. Monitoring Fetal Health | PSNet
    psnet.ahrq.gov/web-mm/monitoring-fetal-health
    September 08, 2010 - Decreases in critical signal rate and amplitude can all harm detection performance and exacerbate the … vigilance decrement; thus critical signals which occur less frequently or are of a low intensity may … solutions include: (i) additional training, (ii) having more than one person monitor the displays, and (iii … Ongoing review of near-misses and poor outcomes is also an essential step towards building a safer system … Time and number of displays impact critical signal detection in fetal heart rate tracings.

97. Techno Trip | PSNet
    psnet.ahrq.gov/web-mm/techno-trip
    May 01, 2005 - ): the failures are (i) less frequent but more consequential, (ii) more challenging to detect, and (iii … Equally important is the apparently casual way in which a critical diagnosis was discarded. … We can only speculate because the details are unavailable, but the critical issue is that the neurosurgeon … The Federal government insists that adding IT to hospitals will make patients safer.( 3 ) Surprisingly … Cook, MD Associate Professor, Department of Anesthesia and Critical Care Director, Cognitive Technologies

98. Time of Death? | PSNet
    psnet.ahrq.gov/web-mm/time-death
    January 03, 2017 - skills, including (i) high prevalence of untrained providers, (ii) overly complex treatment algorithms, (iii … team performance, including (i) problems of situation awareness, (ii) lack of team assertiveness, (iii … assertiveness are essential for effective team performance in health care and are especially relevant in critical … Discrepant attitudes about teamwork among critical care nurses and physicians. … November 18, 2016 Can we make postoperative patient handovers safer?

99. In Conversation With… Andrew Gettinger, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
    September 01, 2017 - We wish everybody would look at our SAFER guides , which we commissioned and worked with nationally … It's easy in retrospect to be critical, it was too much money, it was too fast, it was too x , it was … ); (ii) development and implementation of service-oriented clinical decision support (CDS) ( 7 ); (iii … ii) incorrect or incomplete use of EHR technology by those within the health care organization; and (iii … SAFER Guides.

100. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49489/psn-pdf
     September 01, 2005 - Starting therapy in an elderly patient with a single agent is generally a safer strategy, and many patients … the geriatric patient, (ii) the importance of anticipating confusion from sound-alike medications, (iii … indication.(10) Explaining that some pills contain multiple pharmacotherapeutic agents must be considered a critical … To Err is Human: Building a Safer Health System. Washington, DC: National Academy Press; 2000. 3.