-
psnet.ahrq.gov/web-mm/dangerous-dialysis
June 12, 2024 - center was actually not sure which dialysis membrane had been reused, so they couldn't identify the specific … A formal system to identify each patient and match the specific membrane to the individual patient is … Barcode labeling of dialyzers; staff education; avoiding reuse in patients with infectious diseases; specific … Centers for Medicare & Medicaid Services (CMS)
Conditions of coverage include specific quality indicators
-
psnet.ahrq.gov/curated-library/artificial-intelligence-system-level-considerations
March 27, 2024 - Resources specific to distinct tasks (decision support) and care processes (diagnosis) are not included … Read More
Digital health technology-specific risks for medical malpractice … They also call for specific training developments that enable clinicians to apply AI-generated information … Commentary
Digital health technology-specific risks for medical malpractice liability
-
psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
April 26, 2023 - The way that it’s designed for the general care setting is very specific. … With surveillance monitoring, we had implemented a system that had a specific purpose, and it was extremely … That’s how we differentiated it from condition-specific monitoring that most clinicians are used to. … Our research shows if you set up alerts at traditional ICU levels, or even a more condition-specific … Specific alarm thresholds, annunciation delays (i.e., a delay in activation of an alarm after trigger
-
psnet.ahrq.gov/node/851184/psn-pdf
July 05, 2023 - Initial delays resulted from
patients’ non-specific symptoms such as fatigue and symptoms that came
-
psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
December 20, 2023 - functional unit within a healthcare organization in which patient care is delivered. 11 This unit can be a specific … the collective efforts of many individuals, teams, and processes, all working together within their specific … See More About The Topic
Hospitals
Pharmacists
Hospital Medicine
Hospital Pharmacy
Specific
-
psnet.ahrq.gov/node/867652/psn-pdf
February 26, 2025 - As a result, organizations customize how they use the RCA process to fit their
specific needs and overcome … In addition, the RCA process must be transparent, and the results must be specific and
actionable to … integrate RCA practices can access a variety of customizable tools and resources tailored to
their specific
-
psnet.ahrq.gov/node/33582/psn-pdf
September 15, 2024 - includes root cause analysis (RCA), mortality reviews, and related methods of in-depth investigation
into specific … Standardized mortality reviews
may be used to analyze specific cases for systematic harm or to estimate … have also yielded useful information regarding
the types of adverse events that frequently occur in specific
-
psnet.ahrq.gov/primer/systems-approach
June 15, 2024 - There are many specific techniques that can be used to analyze errors, including retrospective methods … analysis (FMEA) attempts to prospectively identify error-prone situations, or failure modes, within a specific … Specific solutions thus vary widely depending on the type of latent error, the severity of the error,
-
psnet.ahrq.gov/primer/individual-clinician-performance-issues
March 15, 2025 - Performance Issues Individual clinician performance issues may relate to technical competence to perform specific … a PSNet perspective , it remains unclear what proportion of physicians with problems lack skill in specific … the combination of simulation and individualized coaching can reduce adverse events associated with specific
-
psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
September 23, 2024 - review committee to champion the RIC A skilled moderator who prepares topics for discussion around specific … focused on individual errors, RICs focus on the systems that contribute to the error or near miss, with specific … review committee to champion the RIC A skilled moderator who prepares topics for discussion around specific
-
psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-management-sepsis
February 26, 2025 - After establishing the infrastructure and site-specific workflows, the team conducted targeted education … When the system is deployed in the EHR, an algorithm processes specific vital sign indicators in combination … will continue to monitor the EHR to assure the clinical team’s responsiveness and implementation of specific
-
psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
October 31, 2023 - rates with an increasing number of procedures.( 14 ) These findings of practice makes perfect are not specific … Urological Association has made recommendations for training and credentialing procedures consisting of specific … that all physicians complete the da Vinci online robotic safety training course on set-up, draping, specific … in robotics is still a relatively new field, and there is not a strong body of evidence to support a specific … found that less than 70% of patients were appropriately counseled preoperatively on the potential risks specific
-
psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
September 01, 2016 - error, added a comment to both the electronic medication administration record (eMAR) and the patient-specific … opioid-use history, such as which liquid opioid he used in the past, and thus could not reorder that specific … patient's diagnoses, allergies and adverse reactions to medications (including the inability to tolerate specific … unit-dose cups or oral syringes for those with standardized dosages or in oral syringes with the patient-specific … uniform model to adhere to when performing various functions to reduce the complexity and variation of a specific
-
psnet.ahrq.gov/primer/checklists
September 15, 2024 - level of success was achieved through implementation of a surgical safety checklist , which included specific … complex sociotechnical endeavor, requiring frontline providers to not only change their approach to a specific
-
psnet.ahrq.gov/primer/simulation-training
September 15, 2024 - Known as part-task trainers, these life-like simulators are used to train specific clinical skills. … There are several organizations that provide guidelines as well as profession-specific and modality specific … Graduate Medical Education requires that residency programs provide simulation training, although the specific
-
psnet.ahrq.gov/node/73365/psn-pdf
June 09, 2021 - Specific interventions are discussed, including family
involvement, leadership communication, and simulation
-
psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
April 26, 2023 - The second key difference is the communication system used to direct staff attention to a specific patient … Specific alarm thresholds, annunciation delays (i.e., a delay in activation of an alarm after trigger … Another important element specific to this intervention is reliable and accurate signal technology, such … The way that it’s designed for the general care setting is very specific. … Our research shows if you set up alerts at traditional ICU levels, or even a more condition-specific
-
psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - members have a joint and shared responsibility to prevent retention and are expected to use their
specific … Incorrect
Final
Count
At the final count, either too many or too few of a specific class of item ( … These observations are specific to surgical sponge management, but the principles are equally applicable … Hospitals, health systems, and ambulatory
care surgical sites often develop site-specific or systemwide … Site-specific usability analyses and comparative effectiveness studies of new innovations and
technological
-
psnet.ahrq.gov/node/867850/psn-pdf
February 26, 2025 - In terms of organizations I work with, I’ll provide a specific example from a cardiac catheterization … This example is instructive about high reliability, tailored to solve a specific problem. … Sarah Mossburg: So, leaders are critical, but also building these ideas into specific structures and … What we lack that practitioners need and want are specific
interventions that take an organization from … is quite right, because each of those
interventions is not deployed in a precise way to elicit the specific
-
psnet.ahrq.gov/issue/specifications-computerized-provider-order-entry-and-clinical-decision-support-systems-cancer
April 24, 2019 - Review
Specifications of computerized provider order entry and clinical decision support systems for cancer patients undergoing chemotherapy: a systematic review.
Citation Text:
Rahimi R, Kazemi A, Moghaddasi H, et al. Specifications of Computerized Provider Order Entry and Clinical Deci…