Results

Total Results: 142 records

Showing results for "safer iii critical".

81. 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.

82. 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 .

83. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837791/psn-pdf
    August 05, 2022 - events in ambulatory and long term care settings.12 One recent funding opportunity, Making Health Care Safer … Making healthcare safer III: a critical analysis of existing and emerging patient safety practices.

84. Patient Safety in the Ambulatory Care Setting | PSNet
    psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
    April 27, 2022 - in ambulatory and long term care settings. 12 One recent funding opportunity, Making Health Care Safer … Making healthcare safer III: a critical analysis of existing and emerging patient safety practices .

85. 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

86. 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.

87. Good Catch in the Operating Room | PSNet
    psnet.ahrq.gov/web-mm/good-catch-operating-room
    August 27, 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.

88. Double Trouble | PSNet
    psnet.ahrq.gov/web-mm/double-trouble
    August 01, 2012 - 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 … .( 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.

89. 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.

90. 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?

91. 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

92. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49424/psn-pdf
    November 01, 2003 - 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

93. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49681/psn-pdf
    April 01, 2013 - 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.

94. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33695/psn-pdf
    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.

95. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33759/psn-pdf
    October 01, 2012 - 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 … research and its application, more interdisciplinary research initiatives will enable and support safer

96. Fire in the Hole!—An OR Fire | PSNet
    psnet.ahrq.gov/web-mm/fire-hole-or-fire
    August 03, 2017 - of three components, known as the "fire triad" ( 4 ): (i) an ignition source, (ii) an oxidizer, and (iii … However, the safest approach to OR fires is prevention, especially critical for on-the-patient fires … must recognize the fire triad in the OR (i.e., oxidizer, ignition source, and fuel), including the critical … September 7, 2011 Engineering the system of communication for safer surgery.

97. 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.

98. 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

99. Not All Headaches are Due to Migraine: Red Flags, Don’t Miss Diagnoses, and Diagnostic Pitfalls | PSNet
    psnet.ahrq.gov/web-mm/not-all-headaches-are-due-migraine-red-flags-dont-miss-diagnoses-and-diagnostic-pitfalls
    February 17, 2021 - addressed, clinicians and patients can use a combination of expertise and shared decision making to make safer … High-Risk Chief Complaints III: Neurologic Emergencies. … Points References  Related Resources From the Same Author(s) The critical

100. 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