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Showing results for "terms".

1. Terms & Conditions/Copyright | PSNet
   psnet.ahrq.gov/information/Terms
   Terms & Conditions Security For site security purposes and to ensure that this service remains available

2. Healthcare Simulation Dictionary, Third Edition. | PSNet
   psnet.ahrq.gov/issue/healthcare-simulation-dictionary-third-edition
   January 10, 2024 - The terms in the initial collection have been expanded to reflect changes in the field which now includes … This third edition includes a broader set of terms related to patient safety.

3. Adverse Events, Near Misses, and Errors | PSNet
   psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
   March 30, 2022 - In addition to preventable adverse events, two other terms appear commonly in the literature. … (Some studies use the related terms "potential adverse event" and "close call.") … Two other terms define hazards to patients that do not result in harm: Near miss : an unsafe situation

4. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/867845/psn-pdf
   February 26, 2025 - Concept sheets define all key terms and note which items should be included or excluded.2 A unique concept … innovators note that the keyword search technique, which involves queries, searching, and tabulating terms … translated into concept sheets with 85% accuracy or better.2 A final audit of subsamples allows for terms … refined if needed.2 In step 3, the final diagram from step 1 is studied with patient safety data and key terms

5. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/33592/psn-pdf
   December 15, 2024 - In addition to preventable adverse events, two other terms appear commonly in the literature. … (Some studies use the related terms "potential adverse event" and "close call.") … Two other terms define hazards to patients that do not result in harm: Near miss: an unsafe situation

6. Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary | PSNet
   psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
   February 26, 2025 - Concept sheets define all key terms and note which items should be included or excluded. 2 A unique … innovators note that the keyword search technique, which involves queries, searching, and tabulating terms … translated into concept sheets with 85% accuracy or better. 2 A final audit of subsamples allows for terms … refined if needed. 2 In step 3, the final diagram from step 1 is studied with patient safety data and key terms

7. PSNet Glossary. | PSNet
   psnet.ahrq.gov/issue/psnet-glossary
   February 22, 2023 - PSNet Compiled by the WebM&M and PSNet editorial staff, this glossary provides definitions for terms

8. In Conversation With… Amy J. Starmer, MD, MPH | PSNet
   psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
   May 31, 2023 - : From the single-site study, we knew it was important to consider what might be more effective in terms … RW : What did you have to do in terms of logistics, the timing of handoffs and when it happened, the … With the multisite study, we learned that there are still constraints in terms of how these systems are … I'm wondering whether what you saw in terms of the decrease in errors and in preventable adverse events … In terms of my personal next directions, the thrilling part is that this work can lead to so many different

9. Latent Error (or Latent Condition) | PSNet
   psnet.ahrq.gov/glossary/latent-error-or-latent-condition
   September 13, 2021 - Latent Error (or Latent Condition) September 13, 2021 Anonymous (not verified) The terms active

10. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867850/psn-pdf
    February 26, 2025 - In terms of organizations I work with, one of the most important things that a reliability-centered … high-reliability weird thing to want to do, but the word “reliability” carries less baggage than “safety” in terms … In terms of organizations I work with, I’ll provide a specific example from a cardiac catheterization … In terms of outcome measures, many of the studies I have done rely on a health system being willing … many different models of change and implementation, and you can think about high reliability in those terms

11. Active Error (or Active Failure) | PSNet
    psnet.ahrq.gov/glossary/active-error-or-active-failure
    September 13, 2021 - Active Error (or Active Failure) September 13, 2021 Anonymous (not verified) The terms active

12. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46723/psn-pdf
    April 12, 2019 - Artificial intelligence has the potential to improve the diagnostic process, both in terms of accuracy

13. Code Status Confusion | PSNet
    psnet.ahrq.gov/web-mm/code-status-confusion
    September 01, 2006 - In other discussions, physicians may use such terms as “very sick” or “very serious” and do not clarify … what they mean by these terms. … Fourth, when discussing CPR, physicians usually explain the intervention in highly technical terms, without … In ethical terms, the physicians were concerned that forgoing CPR and intubation would violate the principle

14. Mitigating hazards through continuing design: the birth and evolution of a pediatric intensive care unit. | PSNet
    psnet.ahrq.gov/issue/mitigating-hazards-through-continuing-design-birth-and-evolution-pediatric-intensive-care
    April 06, 2011 - organizational development of a new pediatric intensive care unit and discuss their observations in terms

15. Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise. | PSNet
    psnet.ahrq.gov/issue/dual-process-models-clinical-reasoning-central-role-knowledge-diagnostic-expertise
    March 08, 2017 - Diagnostic reasoning is frequently discussed in terms of System 1 ( thinking fast) and System 2 ( thinking

16. Omissions of care in nursing homes: a uniform definition for research and quality improvement. | PSNet
    psnet.ahrq.gov/issue/omissions-care-nursing-homes-uniform-definition-research-and-quality-improvement
    August 01, 2012 - The article details the terms and concepts included in (and excluded from) the proposed definition, provides

17. Effect of changes in hospital nursing resources on improvements in patient safety and quality of care: a panel study. | PSNet
    psnet.ahrq.gov/issue/effect-changes-hospital-nursing-resources-improvements-patient-safety-and-quality-care-panel
    July 19, 2023 - and 2016, researchers found that after adjusting for numerous factors, better nursing resources in terms

18. The contribution of staffing to medication administration errors: a text mining analysis of incident report data. | PSNet
    psnet.ahrq.gov/issue/contribution-staffing-medication-administration-errors-text-mining-analysis-incident-report
    December 21, 2022 - Effective trigger terms included “short staffing”, “workload”, and “extremely busy”.  

19. Patient Safety 101 | PSNet
    psnet.ahrq.gov/patient-safety-101
    March 26, 2025 - Misses, and Errors UC Davis PSNet Editorial Team | December 15, 2024 The terms

20. 25-Year summary of US malpractice claims for diagnostic errors 1986–2010: an analysis from the National Practitioner Data Bank. | PSNet
    psnet.ahrq.gov/issue/25-year-summary-us-malpractice-claims-diagnostic-errors-1986-2010-analysis-national
    July 17, 2019 - diagnostic errors—primarily in the outpatient setting —were both the most common and the most costly (in terms