-
psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
May 16, 2022 - verified as part of a pre-procedure checklist, the procedure ordered did not match the patient’s clinical situation
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-slides.pptx
September 01, 2022 - professional judgment and standards of care in regard to the unique circumstances that may apply in each situation
-
psnet.ahrq.gov/node/49639/psn-pdf
November 01, 2011 - Thus, a common definition of a near miss is "An event or a situation that did not produce
patient harm
-
psnet.ahrq.gov/sites/default/files/2020-12/final_dec_spotlight_code_status_vs_care_status.pdf
January 01, 2020 - — Appreciation involves the application of information presented to one’s
own situation.
-
psnet.ahrq.gov/node/49408/psn-pdf
July 01, 2003 - one,
where none of the personnel interacting with the patient would be likely to know her clinical situation
-
psnet.ahrq.gov/node/49540/psn-pdf
August 21, 2007 - report.(13) Unfortunately,
it is often the case that these errors are only noted during an emergency situation
-
cdsic.ahrq.gov/cdsic/workgroup-viewpoint
February 03, 2023 - of data on patient preferences and values can vary by clinical domain, medical condition, clinical situation
-
psnet.ahrq.gov/primer/failure-rescue
September 15, 2024 - Relay Implement escalation protocols, SBAR (situation, background, assessment, recommendations), allied
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hurley_55.pdf
March 07, 2008 - An example of an out-of-control condition is a situation where a
patient admits to recently ingesting … An
incorrect conclusion from that situation might result in a permanent dosage change that could
inappropriately
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hurley_55.pdf
March 07, 2008 - An example of an out-of-control condition is a situation where a
patient admits to recently ingesting … An
incorrect conclusion from that situation might result in a permanent dosage change that could
inappropriately
-
pcmh.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
December 01, 2017 - base, how much does a nurse know; critical application, how can they apply it to each unique patient situation … it looks like they’re in some kind of shock state, they’re going to go to the ICU, this is clearly a situation … pieces of this model, so we need to look at individual nurses, we need to look at the environmental situation … to put systems in place that allow nurses to do this, so want to, again, look at the environmental situation
-
pbrn.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
December 01, 2017 - base, how much does a nurse know; critical application, how can they apply it to each unique patient situation … it looks like they’re in some kind of shock state, they’re going to go to the ICU, this is clearly a situation … pieces of this model, so we need to look at individual nurses, we need to look at the environmental situation … to put systems in place that allow nurses to do this, so want to, again, look at the environmental situation
-
cahps.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
December 01, 2017 - base, how much does a nurse know; critical application, how can they apply it to each unique patient situation … it looks like they’re in some kind of shock state, they’re going to go to the ICU, this is clearly a situation … pieces of this model, so we need to look at individual nurses, we need to look at the environmental situation … to put systems in place that allow nurses to do this, so want to, again, look at the environmental situation
-
healthcare411.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
December 01, 2017 - base, how much does a nurse know; critical application, how can they apply it to each unique patient situation … it looks like they’re in some kind of shock state, they’re going to go to the ICU, this is clearly a situation … pieces of this model, so we need to look at individual nurses, we need to look at the environmental situation … to put systems in place that allow nurses to do this, so want to, again, look at the environmental situation
-
www.cpsi.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
May 01, 2017 - properly structured patient care team enables and results from effective communication, leadership, situation … Briefings help teams monitor the situation and raise red flags when needed. … When the conversation starts with “STOP,” emotions are triggered and the situation is made worse. … the problem reaches this point and nothing changes, there should be a plan for the next step in this situation
-
www.innovations.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
May 01, 2017 - properly structured patient care team enables and results from effective communication, leadership, situation … Briefings help teams monitor the situation and raise red flags when needed. … When the conversation starts with “STOP,” emotions are triggered and the situation is made worse. … the problem reaches this point and nothing changes, there should be a plan for the next step in this situation
-
www.monahrq.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
May 01, 2017 - properly structured patient care team enables and results from effective communication, leadership, situation … Briefings help teams monitor the situation and raise red flags when needed. … When the conversation starts with “STOP,” emotions are triggered and the situation is made worse. … the problem reaches this point and nothing changes, there should be a plan for the next step in this situation
-
www.talkingquality.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
May 01, 2017 - properly structured patient care team enables and results from effective communication, leadership, situation … Briefings help teams monitor the situation and raise red flags when needed. … When the conversation starts with “STOP,” emotions are triggered and the situation is made worse. … the problem reaches this point and nothing changes, there should be a plan for the next step in this situation
-
www.qualitymeasures.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
May 01, 2017 - properly structured patient care team enables and results from effective communication, leadership, situation … Briefings help teams monitor the situation and raise red flags when needed. … When the conversation starts with “STOP,” emotions are triggered and the situation is made worse. … the problem reaches this point and nothing changes, there should be a plan for the next step in this situation
-
www.healthcare411.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
May 01, 2017 - properly structured patient care team enables and results from effective communication, leadership, situation … Briefings help teams monitor the situation and raise red flags when needed. … When the conversation starts with “STOP,” emotions are triggered and the situation is made worse. … the problem reaches this point and nothing changes, there should be a plan for the next step in this situation