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Total Results: 1,557 records

Showing results for "small".

421. Elderly Falls. | PSNet
     psnet.ahrq.gov/issue/elderly-falls
     March 30, 2016 - Related Resources From the Same Author(s) Implementing a Program of Patient Safety in Small

422. 2 MSO programs show value of safety position. | PSNet
     psnet.ahrq.gov/issue/2-mso-programs-show-value-safety-position
     January 14, 2019 - September 22, 2021 Preventing medication errors at small and rural hospitals.

423. Microsoft PowerPoint - Spotlight Case_A Missed Bowel Perforation - SLIDES_FINAL.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
     January 01, 2023 - with abdominal distension, tachycardia and quick progression to septic shock, a gastric or proximal small … – The stomach and proximal small bowel contain erosive and acidic contents that can lead to more … mortality.18 • In other cohorts, the presence of sepsis was a negative prognostic factor for both small … Predictors of mortality in patients with acute small-bowel perforation transferred to ICU after emergency

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49662/psn-pdf
     August 01, 2012 - into the colon, which meant that the feedings were bypassing the entire digestive apparatus of the small … Once the safe track is confirmed, a trocar is inserted through a small abdominal skin incision into the … PEG insertion site, hemorrhage, peritonitis, buried bumper syndrome, gastrocolocutaneous fistula, small

425. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49864/psn-pdf
     June 01, 2019 - The physician scanned the patient and noted a small effusion on the right side. … He then called the medicine team and mentioned that he found a very small effusion on the right side … Creating a cultural norm of speaking up is no small feat as there are many disincentives to do so, especially

426. Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. | PSNet
     psnet.ahrq.gov/issue/testing-and-labeling-medical-devices-safety-magnetic-resonance-mr-environment
     March 12, 2019 - July 31, 2012 Safety considerations to mitigate the risks of misconnections with small-bore

427. During the pandemic, aspire to identify and prevent medication errors and to avoid blaming attitudes. | PSNet
     psnet.ahrq.gov/issue/during-pandemic-aspire-identify-and-prevent-medication-errors-and-avoid-blaming-attitudes
     September 07, 2022 - March 11, 2020 Hidden medication loss when using a primary administration set for small-volume

428. The Human Factors Analysis Classification System (HFACS) applied to health care. | PSNet
     psnet.ahrq.gov/issue/human-factors-analysis-classification-system-hfacs-applied-health-care
     November 16, 2022 - September 12, 2016 Deaths due to medical error: jumbo jets or just small propeller planes

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33787/psn-pdf
     January 01, 2018 - default.aspx http://dx.doi.org/10.1377/hlthaff.27.3.759 RW: When you started at IHI, the organization was small … and the worlds of safety and quality were also small. … Every 90 days we convene small teams of people who take on intractable problems in health care. … Don Berwick and a small number of experts from around the world recently served on a commission in England

430. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33826/psn-pdf
     February 01, 2017 - wrong, it's often a system breakdown, not individual human error or negligence, but rather a series of small … looking for whom to blame and to start thinking and working together to redesign the system or make small … And small changes can make a big difference. … So this was an example of a small intervention that made a substantial difference.

431. National Survey on Consumers' Experiences With Patient Safety and Quality Information. | PSNet
     psnet.ahrq.gov/issue/national-survey-consumers-experiences-patient-safety-and-quality-information
     December 17, 2008 - December 18, 2008 Implementing a Program of Patient Safety in Small Rural Hospitals.

432. Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment. | PSNet
     psnet.ahrq.gov/issue/hospital-bed-system-dimensional-and-assessment-guidance-reduce-entrapment
     October 28, 2010 - October 28, 2010 Safety considerations to mitigate the risks of misconnections with small-bore

433. Human Factors and Medical Devices. | PSNet
     psnet.ahrq.gov/issue/human-factors-and-medical-devices
     July 31, 2012 - June 2, 2021 Safety considerations to mitigate the risks of misconnections with small-bore

434. Guidelines for timely medication administration: response to the CMS "30-minute rule." | PSNet
     psnet.ahrq.gov/issue/guidelines-timely-medication-administration-response-cms-30-minute-rule
     June 10, 2018 - December 1, 2021 Preventing medication errors at small and rural hospitals.

435. Failure to cap IV tubing and disinfect IV ports place patients at risk for infections. | PSNet
     psnet.ahrq.gov/issue/failure-cap-iv-tubing-and-disinfect-iv-ports-place-patients-risk-infections
     June 10, 2018 - May 7, 2018 Pharmacist Staffing and the Use of Technology in Small Rural Hospitals: Implications

436. Patient Safety Improvement Corps: An AHRQ/VA partnership. | PSNet
     psnet.ahrq.gov/issue/patient-safety-improvement-corps-ahrqva-partnership
     December 24, 2008 - September 15, 2021 Implementing a Program of Patient Safety in Small Rural Hospitals.

437. Strategic Plan for Preventing and Mitigating Drug Shortages. | PSNet
     psnet.ahrq.gov/issue/strategic-plan-preventing-and-mitigating-drug-shortages
     October 09, 2013 - May 4, 2016 Pharmacist Staffing and the Use of Technology in Small Rural Hospitals: Implications

438. Your high-alert medication list—relatively useless without associated risk-reduction strategies. | PSNet
     psnet.ahrq.gov/issue/your-high-alert-medication-list-relatively-useless-without-associated-risk-reduction
     May 07, 2014 - June 26, 2013 Small effort, big payoff...automated maximum dose alerts with hard stops

439. Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions. | PSNet
     psnet.ahrq.gov/issue/order-scanning-systems-may-pull-multiple-pages-through-scanner-same-time-leading-drug
     June 10, 2018 - October 17, 2018 Small effort, big payoff...automated maximum dose alerts with hard stops

440. Scanning out medication errors: Ohio Valley Hospital's automated IV system provides real-time access to patient data. | PSNet
     psnet.ahrq.gov/issue/scanning-out-medication-errors-ohio-valley-hospitals-automated-iv-system-provides-real-time
     December 21, 2016 - and Improve Health Outcomes March 29, 2023 Preventing medication errors at small