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Total Results: 1,049 records

Showing results for "specific".

361. Errors and nonadherence in pediatric oral chemotherapy use. | PSNet
     psnet.ahrq.gov/issue/errors-and-nonadherence-pediatric-oral-chemotherapy-use
     April 08, 2020 - , 2017 View More Related Resources Association between cancer-specific

362. High-alert medication administration and intravenous smart pumps: a descriptive analysis of clinical practice. | PSNet
     psnet.ahrq.gov/issue/high-alert-medication-administration-and-intravenous-smart-pumps-descriptive-analysis
     December 12, 2018 - More About The Topic Hospitals Health Care Providers Educators Hospital Pharmacy Specific

363. Utilizing pharmacy students in transitions-of-care services. | PSNet
     psnet.ahrq.gov/issue/utilizing-pharmacy-students-transitions-care-services
     October 19, 2022 - August 7, 2024 Design and impact of a novel surgery-specific second victim peer support

364. A scoping review of clinical handover mnemonic devices. | PSNet
     psnet.ahrq.gov/issue/scoping-review-clinical-handover-mnemonic-devices
     July 24, 2019 - April 7, 2019 Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician

365. Learning how to learn: compliance with patient safety alerts in the NHS. | PSNet
     psnet.ahrq.gov/issue/learning-how-learn-compliance-patient-safety-alerts-nhs
     September 01, 2021 - Health Care Providers Health Care Executives and Administrators Administration Errors Specific

366. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism | PSNet
     psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
     December 31, 2024 - authors considered 2% an acceptable miss rate for PE. 15,17 Because D-dimer is highly sensitive but not specific … rupture was associated with the highest incidence of VTE, although there were no cases of PE. 25 Data specific … Anchoring, a type of cognitive bias, occurs when a clinician fixates on features of a specific diagnosis … Assays for brain-type natriuretic peptide (BNP) and Troponin-T are sensitive but not specific for PE.

367. In Conversation With... Pascale Carayon, PhD and Nicole Werner, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
     November 16, 2022 - The specific patient safety domains, the way they are cataloged or categorized, doesn’t really matter … participatory design approach and based on those in-depth work system analyses, we decided to focus on two specific … We ended up focusing on a specific type of transition where older adults come to the emergency department

368. The Consequences of Miscommunication Regarding a Possible Artifact | PSNet
     psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
     May 11, 2019 - Identify specific approaches to facilitate effective communication among radiologists, referring clinicians … Referring clinician have a duty to review and consider specific recommendations that they receive from … clinically significant findings, which: May not urgently affect the patient’s presentation May need specific

369. Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia | PSNet
     psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
     August 29, 2021 - or dilutions to prepare, dispensing prefilled syringes and premixed solutions, and preparing patient specific … In this particular case, propofol was deemed as an institution-specific controlled substance. … through clinical areas Open-stock or non-profiled medication cabinets Lack ready-to-use or patient-specific

370. Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions | PSNet
     psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
     November 16, 2022 - The specific patient safety domains, the way they are cataloged or categorized, doesn’t really matter … participatory design approach and based on those in-depth work system analyses, we decided to focus on two specific … We ended up focusing on a specific type of transition where older adults come to the emergency department

371. Use of computerized physician order entry with clinical decision support to prevent dose errors in pediatric medication orders: a systematic review. | PSNet
     psnet.ahrq.gov/issue/use-computerized-physician-order-entry-clinical-decision-support-prevent-dose-errors
     June 05, 2024 - May 27, 2011 Patient-specific electronic decision support reduces prescription of excessive

372. Diagnostic error in the emergency department: follow up of patients with minor trauma in the outpatient clinic. | PSNet
     psnet.ahrq.gov/issue/diagnostic-error-emergency-department-follow-patients-minor-trauma-outpatient-clinic
     November 15, 2023 - September 27, 2016 Design and reliability of a specific instrument to evaluate patient

373. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33600/psn-pdf
     June 16, 2024 - overview of patient safety through defining key concepts and linking to other Primers that explore specific … This controversy arises in part because measurement of specific adverse events remains a complex and

374. Weekly Resource | PSNet
     psnet.ahrq.gov/periodic-issue/weekly-resource
     March 25, 2025 - Commentary Doing 'detective work' to find a cancer: how are non-specific symptom … Patients presenting with non-specific symptoms (NSSs) suggestive of cancer may experience diagnostic

375. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. | PSNet
     psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
     April 27, 2022 - surgical management of ongoing and unexpected bleeding in the OR is generally discussed in terms of specific … and allowing ongoing bleeding from the site at the end of the procedure are both unusual. 4 Although specific … express safety concerns.” 8 In this case, the postoperative nurse and overnight staff did not raise specific

376. Caution, Interrupted | PSNet
     psnet.ahrq.gov/web-mm/caution-interrupted
     October 01, 2016 - Interruptions Although this specific incident involves the interruption and distraction of a nurse, … Experts often monitor normal operations by listening to the background "chatter," not attending to any specific … inhibits the flow of potentially important information.( 12 ) The aviation industry has institutionalized specific

377. Double Trouble | PSNet
     psnet.ahrq.gov/web-mm/double-trouble
     August 01, 2012 - Some specific examples of drug-related adverse events occurring after hospital discharge are listed in … the generic and brand names of each of their medications, as well as each medication’s spelling and specific … Providers should review all new medications with patients and family members, with specific emphasis

378. Raising the barcode: improving medication safety behaviours through a behavioural science-informed feedback intervention. A quality improvement project and difference-in-difference analysis. | PSNet
     psnet.ahrq.gov/issue/raising-barcode-improving-medication-safety-behaviours-through-behavioural-science-informed
     November 01, 2023 - April 5, 2023 Comparing safety, performance and user perceptions of a patient-specific

379. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60328/psn-pdf
     May 27, 2020 - overdose, as well as “dose stacking”, and can be adjusted depending on the opioid chosen and patient-specific … on opioid selection for high-risk patients, with prompts to guide the prescriber based on patient-specific … respiratory rate, sedation level, and SpO2 monitoring should be performed every 2 to 2.5 hours.38 Patient-specific

380. 2017 ISMP Medication Safety Self Assessment® for Antithrombotic Therapy in Hospitals. | PSNet
     psnet.ahrq.gov/issue/2017-ismp-medication-safety-self-assessmentr-antithrombotic-therapy-hospitals
     June 07, 2017 - The Topic Hospitals Health Care Providers Health Care Executives and Administrators Specific