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Total Results: 4,723 records

Showing results for "site".

201. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866271/psn-pdf
     July 10, 2024 - A taxonomy for advancing systematic error analysis in multi-site electronic health record-based clinical … A taxonomy for advancing systematic error analysis in multi-site electronic health record-based clinical … https://psnet.ahrq.gov/issue/taxonomy-advancing-systematic-error-analysis-multi-site-electronic-health … https://psnet.ahrq.gov/issue/taxonomy-advancing-systematic-error-analysis-multi-site-electronic-health-record-based … https://psnet.ahrq.gov/issue/taxonomy-advancing-systematic-error-analysis-multi-site-electronic-health-record-based

202. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47638/psn-pdf
     February 06, 2019 - Decreasing surgical site infections by developing a high reliability culture. … Decreasing Surgical Site Infections by Developing a High Reliability Culture. … https://psnet.ahrq.gov/issue/decreasing-surgical-site-infections-developing-high-reliability-culture … explores how high reliability concepts can support the reliable use of best practices to prevent surgical site … https://psnet.ahrq.gov/issue/decreasing-surgical-site-infections-developing-high-reliability-culture

203. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853241/psn-pdf
     September 06, 2023 - Hiding in plain sight: inconvenient facts for patient safety in non-24/7 theatre on-site staffed obstetric … site staffed obstetric units. … https://psnet.ahrq.gov/issue/hiding-plain-sight-inconvenient-facts-patient-safety-non-247-theatre-site … https://psnet.ahrq.gov/issue/hiding-plain-sight-inconvenient-facts-patient-safety-non-247-theatre-site-staffed-obstetric … https://psnet.ahrq.gov/issue/hiding-plain-sight-inconvenient-facts-patient-safety-non-247-theatre-site-staffed-obstetric

204. Hiding in plain sight: inconvenient facts for patient safety in non-24/7 theatre on-site staffed obstetric units. | PSNet
     psnet.ahrq.gov/issue/hiding-plain-sight-inconvenient-facts-patient-safety-non-247-theatre-site-staffed-obstetric
     November 02, 2022 - Hiding in plain sight: inconvenient facts for patient safety in non-24/7 theatre on-site … Hiding in plain sight: Inconvenient facts for patient safety in non‐24/7 theatre on‐site staffed obstetric … Hiding in plain sight: Inconvenient facts for patient safety in non‐24/7 theatre on‐site staffed obstetric

205. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/856583/psn-pdf
     January 01, 2024 - Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort … Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort … https://psnet.ahrq.gov/issue/prescription-opioid-dose-reductions-and-potential-adverse-events-multi-site … https://psnet.ahrq.gov/issue/prescription-opioid-dose-reductions-and-potential-adverse-events-multi-site-observational … https://psnet.ahrq.gov/issue/prescription-opioid-dose-reductions-and-potential-adverse-events-multi-site-observational

206. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44255/psn-pdf
     November 09, 2015 - Biopsy site selfies—a quality improvement pilot study to assist with correct surgical site identification … Biopsy site selfies--a quality improvement pilot study to assist with correct surgical site identification … https://psnet.ahrq.gov/issue/biopsy-site-selfies-quality-improvement-pilot-study-assist-correct-surgical-site … for subsequent surgical excision, potentially avoiding wrong-site surgeries. … https://psnet.ahrq.gov/issue/biopsy-site-selfies-quality-improvement-pilot-study-assist-correct-surgical-site

207. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43503/psn-pdf
     August 02, 2015 - site infection reduction and health care cost savings. … site infection reduction and health care cost savings. … - surgical-site Surgical site infections are a major contributor to the overall burden of health care–associated … https://psnet.ahrq.gov/issue/preventive-surgical-site-infection-bundle-colorectal-surgery-effective-approach-surgical-site … https://psnet.ahrq.gov/issue/preventive-surgical-site-infection-bundle-colorectal-surgery-effective-approach-surgical-site

208. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49650/psn-pdf
     March 01, 2012 - The surgery site was marked after the patient confirmed the biopsy site with use of a mirror, two physicians … The patient in this case self-identified the wrong surgical site. … surgery—stems largely from incorrect identification of a surgical biopsy site. … Preoperative biopsy site photography and correct site protocols are two solutions that appear to be … Outcome of 6 years of protocol use for preventing wrong site office surgery.

209. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72468/psn-pdf
     November 18, 2020 - Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes … Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes … https://psnet.ahrq.gov/issue/development-rapid-response-capabilities-large-covid-19-alternate-care-site … Health system leadership used failure modes and effect analysis, process mapping, and on-site walkthroughs … https://psnet.ahrq.gov/issue/development-rapid-response-capabilities-large-covid-19-alternate-care-site-using-failure

210. Turn the Other Cheek | PSNet
     psnet.ahrq.gov/web-mm/turn-other-cheek
     October 26, 2010 - The surgery site was marked after the patient confirmed the biopsy site with use of a mirror, two physicians … The Joint Commission defines wrong-site surgery as any surgery performed on the wrong site or the wrong … The patient in this case self-identified the wrong surgical site. … Preoperative biopsy site photography and correct site protocols are two solutions that appear to be effective … Outcome of 6 years of protocol use for preventing wrong site office surgery.

211. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41245/psn-pdf
     March 29, 2012 - The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board … The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board … - board This study found that wrong-site surgeries continued to occur despite adoption of "Sign Your … Site" initiatives and implementation of a Universal Protocol. … /issue/patient-participation-surgical-site-marking-can-be-additional-tool-help-avoid-wrong-site https

212. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39404/psn-pdf
     March 31, 2010 - Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. … Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. … https://psnet.ahrq.gov/issue/incidence-and-root-cause-analysis-wrong-site-pain-management-procedures- … multicenter-study Wrong-site surgeries are considered rare but devastating never events. … A wrong-site surgery near miss is discussed in this AHRQ WebM&M commentary.

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35875/psn-pdf
     May 21, 2013 - Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. … https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person- … surgery According to an AHRQ-supported study, wrong-site surgery occurred at a rate of approximately … Protocol that was developed through expert consensus on principles and steps for preventing wrong-site … This Web site includes a number of resources and facts related to the Universal Protocol.

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36632/psn-pdf
     July 28, 2010 - Operating room briefings and wrong-site surgery. … Operating room briefings and wrong-site surgery. J Am Coll Surg. 2007;204(2):236-43. … https://psnet.ahrq.gov/issue/operating-room-briefings-and-wrong-site-surgery Although wrong-site surgeries … The Joint Commission's Universal Protocol for prevention of wrong-site surgeries requires performing … /incidence-patterns-and-prevention-wrong-site-surgery https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

215. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47118/psn-pdf
     August 08, 2018 - Wrong-site nerve blocks: a systematic literature review to guide principles for prevention. … Wrong-site nerve blocks: A systematic literature review to guide principles for prevention. … https://psnet.ahrq.gov/issue/wrong-site-nerve-blocks-systematic-literature-review-guide-principles- … prevention Wrong-site procedures are considered never events, yet they continue to occur. … A WebM&M commentary discussed an incident involving a wrong-site nerve block.

216. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73592/psn-pdf
     August 11, 2021 - Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. … Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. … /psnet.ahrq.gov/issue/using-performance-improvement-enhance-time-out-compliance-and-prevent- wrong-site-surgery … ://psnet.ahrq.gov/issue/using-performance-improvement-enhance-time-out-compliance-and-prevent-wrong-site-surgery … ://psnet.ahrq.gov/issue/using-performance-improvement-enhance-time-out-compliance-and-prevent-wrong-site-surgery

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44020/psn-pdf
     March 25, 2015 - Wrong-site orthopedic operations on the extremities: the Pennsylvania experience. … https://psnet.ahrq.gov/issue/wrong-site-orthopedic-operations-extremities-pennsylvania-experience Wrong-site … extremity procedures in orthopedic surgery reported over 9 years and recommends site marking and time … https://psnet.ahrq.gov/issue/wrong-site-orthopedic-operations-extremities-pennsylvania-experience https … ://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery https://psnet.ahrq.gov/

218. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38331/psn-pdf
     October 20, 2010 - Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. … Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. … https://psnet.ahrq.gov/issue/assessment-implementation-national-patient-safety-alert-reduce-wrong-site … - surgery Wrong-site surgery is a rare yet devastating outcome. … A past AHRQ WebM&M commentary discussed the factors contributing to a near-miss wrong-site surgery,

219. Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study. | PSNet
     psnet.ahrq.gov/issue/adaptive-design-adaptation-and-adoption-patient-safety-practices-daily-routines-multi-site
     November 25, 2020 - Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site … Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site … Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site

220. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43867/psn-pdf
     March 11, 2015 - Applying fault tree analysis to the prevention of wrong- site surgery. … Applying fault tree analysis to the prevention of wrong-site surgery. … https://psnet.ahrq.gov/issue/applying-fault-tree-analysis-prevention-wrong-site-surgery This systematic … review investigated root causes of wrong-site surgery and identified three vulnerabilities: transcription … /issue/incidence-patterns-and-prevention-wrong-site-surgery https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery