-
psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
May 16, 2022 - Sarah Mossburg: Let's start with exploring a little bit more around the trigger tool. … So those defined lists have given us all this common base to start from, and that's not to say that there's … For example, don't go back to the patient’s 10 years’ worth of medical history, start the template with … And that can even start as early as the radio communication to the hospital. … So, let's dig in, and that's where you start to use some of these other tools from improvement science
-
psnet.ahrq.gov/issue/reduce-medication-errors-through-following-metrics
December 21, 2022 - Related Resources From the Same Author(s)
Detectability of medication errors with a STOPP/START-based
-
psnet.ahrq.gov/issue/sophisticated-digital-aids-could-help-determine-what-ails-you
January 15, 2020 - September 19, 2018
How health care changes when algorithms start making diagnoses.
-
psnet.ahrq.gov/issue/future-directions-diagnostic-decision-support
February 25, 2019 - June 25, 2018
How health care changes when algorithms start making diagnoses.
-
psnet.ahrq.gov/issue/prevent-administration-ear-drops-eyes
December 16, 2020 - November 16, 2022
Start the year off right by addressing these top 10 medication safety
-
psnet.ahrq.gov/issue/high-reliability-organizations-hros-what-they-know-we-dont-part-i
July 27, 2022 - Related Resources From the Same Author(s)
Medication orders with future start
-
psnet.ahrq.gov/issue/failure-crisis-leadership-global-pandemic-some-reflections-covid-19-and-future
September 16, 2020 - At the start of the COVID-19 pandemic, leaders around the world were forced to rapidly made decisions
-
psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
April 17, 2024 - January 26, 2023
Start the year off right by addressing these top 10 medication safety
-
psnet.ahrq.gov/node/49782/psn-pdf
January 01, 2017 - The plan was to start norepinephrine bitartrate after the placement of a central intravenous line. … faced by clinicians when caring for patients with shock resistant
to fluid resuscitation: (i) Do I start … back to our central question: do we tolerate hypoperfusion until a central line is inserted, or
do we start
-
psnet.ahrq.gov/node/33776/psn-pdf
January 01, 2015 - When leaders start demonstrating different behaviors, admitting mistakes, looking
at the process and … When leaders are willing to strip away at some of that cloak of
infallibility and start being open and … But when we start looking at which behaviors
actually save lives, I would rather err on the side of … into a really dysfunctional culture—and I've seen at times in
health care where department directors start … Trying to better understand human factors of when people start to get physically or mentally fatigued
-
psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
February 23, 2022 - should be reviewed by a pharmacist prior to their release to ensure the recommended dose, and explicit start … Effective communication among all members of a patient’s care team is critical for understanding the timely start … hypertonic saline, standardized order sets specifying dose, route of administration, clearly defined start
-
psnet.ahrq.gov/node/33752/psn-pdf
August 01, 2013 - BS: It's almost like Maslow's hierarchy of needs—where do you start? … Sometimes where you start is to get
people back to their fighting strength so that they can work on … where everybody is showing up and they're firing on all pistons,
on these burned out units you have to start … What ends up happening is these people who feel
powerless, they start punching sideways. … People start to game the
system. They don't give honest responses on surveys.
-
psnet.ahrq.gov/issue/lean-six-sigma-reduces-medication-errors
January 18, 2023 - June 14, 2011
Mistake-proofing healthcare: why stopping processes may be a good start
-
psnet.ahrq.gov/issue/oral-solid-medication-appearance-should-play-greater-role-medication-error-prevention
February 20, 2019 - June 10, 2018
View More
Related Resources
Start the year off right
-
psnet.ahrq.gov/issue/how-safe-are-compounded-drugs
May 20, 2020 - August 11, 2021
Detectability of medication errors with a STOPP/START-based medication
-
psnet.ahrq.gov/node/42983/psn-pdf
June 27, 2018 - Medication reconciliation: getting started with IT.
June 27, 2018
Lefeber J
https://psnet.ahrq.gov/issue/medication-reconciliation-getting-started-it
This article reveals the experience of a critical access hospital that used medication reconciliation to
expand electronic health record adoption efforts. The author…
-
psnet.ahrq.gov/node/49473/psn-pdf
March 01, 2005 - Due to time restrictions and the desire to start promptly, staff did
not ask surgeons to mark the operative … When the OR staff contacted the vascular
surgeon to start the case, he stated that it had been canceled … The mistake was discovered only when the surgeon was called to start the operation—thankfully
before
-
psnet.ahrq.gov/node/33835/psn-pdf
June 01, 2017 - I'm told that if you start your first consultant post in a hospital as a surgeon, you almost
invariably … It seems that we can start to use either more traditional statistical methods to look at
changes in … those observations or start to begin to use some of the algorithms and techniques involved in
artificial
-
psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
May 16, 2022 - Sarah Mossburg: Let's start with exploring a little bit more around the trigger tool. … So those defined lists have given us all this common base to start from, and that's not to say that there's … For example, don't go back to the patient’s 10 years’ worth of medical history, start the template with … And that can even start as early as the radio communication to the hospital. … So, let's dig in, and that's where you start to use some of these other tools from improvement science
-
psnet.ahrq.gov/node/848124/psn-pdf
April 26, 2023 - Let’s start by having you tell us a little bit about yourselves and your current roles. … beautiful opportunity for our team to look long and hard at
failure to rescue as a system, and to start … And we
know that some of those arrests are rescuable if you can start the rescue and resuscitation sooner … If you start adding more
sensors and more alarms, then you’re going to be right back in that situation … It’s also very important to start with a good signal.