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Showing results for "the change teams".

2161. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852700/psn-pdf
      August 30, 2023 - of telemedicine, virtual services to connect patients to their care teams and families, and increased … , and conduct small tests of change and to ramp up communities of learning. … With the support of the John A. … ll continue to have this same conversation another 20 years from now if something doesn’t radically change … for overseeing tests of change, monitoring progress, and supporting continuous improvement work.

2162. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33578/psn-pdf
      September 15, 2024 - unable to administer a potentially life-saving shock because the defibrillator pads and the defibrillator … But as these examples illustrate, the interaction between workers, the equipment, and their environment … It is the discipline that considers human strengths and limitations in the design of interactive systems … redesign of anesthesia equipment, significantly reducing the risk of injury or death in the operating … One of the first forcing functions identified in health care was the removal of concentrated potassium

2163. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33588/psn-pdf
      March 15, 2025 - When a medical error or patient harm occurs, the first priority is to attend to the patient and family … responsibility, and the outcome for the patient seem to be predictive of the degree of distress clinicians … sense that the provider is traumatized by the event." … The authors speculate that the intensity of the experience and the responsiveness of the organization … Enduring the Inquisition Clinician braces for the institutional investigation, wonders about the impact

2164. In Conversation with... Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
      November 27, 2023 - Another big change is the feedback and assessment that must occur frequently across the entire curriculum … Develop a plan for monitoring quality improvement change. … Students also may participate in the change process of a quality improvement committee, or in implementing … entry-level students can also have these opportunities to engage in initiatives, policy discussions, change … They could also be part of looking at what change might be needed, including coming up with recommendations

2165. The Role of Undergraduate Nursing Education in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
      November 27, 2023 - Another big change is the feedback and assessment that must occur frequently across the entire curriculum … Develop a plan for monitoring quality improvement change. … Students also may participate in the change process of a quality improvement committee, or in implementing … entry-level students can also have these opportunities to engage in initiatives, policy discussions, change … They could also be part of looking at what change might be needed, including coming up with recommendations

2166. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49692/psn-pdf
      September 01, 2013 - The case was reviewed in light of the tragic outcome. … study with the results on the text report of the prior dissection. … the identified pathology represented to the patient. … a change in an existing disease state. … The culprit in this case was not the security system, it was the workaround and the failure to address

2167. In Conversation With… Ann L. Hendrich, RN, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-ann-l-hendrich-rn-phd
      February 26, 2025 - Many patients have a change in status that causes them to be at high risk for falling, and it goes undetected … So if the score is 5 or more, I note on the flow chart what the patient's baseline is, and I constantly … What's the state of the evidence in all of those? … connecting the electronic record with the bed with the nurse communication. … I think the idea is right, but at the end of the day what I see that makes the most difference when the

2168. Making Healthcare Safer III Report | PSNet
      psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report
      March 30, 2020 - To guide the development of the report, the team developed a patient-centric framework that focuses on … , the report sought to align with the strategic goals from the Department of Health and Human Services … as much on the plan for implementation as on the specifics of the PSP itself. [3] Finally, the presentation … BS: Since the last report, one of the things that has matured the most on the technology front is the … capital resources, and also preparing for things like significant supply change disruption or human

2169. Emergence of Application-based Healthcare | PSNet
      psnet.ahrq.gov/perspective/emergence-application-based-healthcare
      August 05, 2022 - The fourth issue is the content of the app. … For nonclinical teams who are creating these medical apps, that presents a patient safety challenge because … You mentioned developers, and I wonder if you have any suggestions for nonclinical teams and developers … I think there’s a lot of opportunity here for policy change and advocacy. … There are so many great teams and companies out there working on the integrated technology with apps,

2170. In Conversation With... Francoise Marvel, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-francoise-marvel-md
      August 05, 2022 - The fourth issue is the content of the app. … For nonclinical teams who are creating these medical apps, that presents a patient safety challenge because … You mentioned developers, and I wonder if you have any suggestions for nonclinical teams and developers … I think there’s a lot of opportunity here for policy change and advocacy. … There are so many great teams and companies out there working on the integrated technology with apps,

2171. Care Transitions | PSNet
      psnet.ahrq.gov/perspective/care-transitions
      December 01, 2007 - from the census as they clean out the room. … Patients who leave the hospital with a new diagnosis or new medications are asked to change their established … case.( 12 ) One of the most challenging aspects of improving care transitions will be to change the … EC: The model was designed for the initial encounter to take place between the patient and the coach … Depending on the part of the country that the hospital is located in and the level of competitiveness

2172. In Conversation With… Sigall K. Bell, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-sigall-k-bell-md
      February 26, 2025 - OpenNotes really didn't change their day-to-day workflow. … Email volume before and after the intervention didn't change at all. … So change may not necessarily be a bad thing. … The majority of the time when we contact clinicians about these issues, there's a change in the record … Being recognized by patients for "getting it right" can generate positive culture change.

2173. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33866/psn-pdf
      September 01, 2018 - OpenNotes really didn't change their day-to-day workflow. … Email volume before and after the intervention didn't change at all. … So change may not necessarily be a bad thing. … The majority of the time when we contact clinicians about these issues, there's a change in the record … Being recognized by patients for "getting it right" can generate positive culture change.

2174. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852699/psn-pdf
      August 30, 2023 - On May 11, 2023, more than three years after the first cases were documented in the United States, the … teams, team dynamics, and skill mix across healthcare, further posing safety challenges. … care partners collaboratively work with their healthcare teams. … The pandemic accelerated a shift from healthcare in the hospital toward healthcare in the home and the … In 2018, prior to the onset of the pandemic, the IHI convened the NSC, an interdisciplinary workgroup

2175. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60857/psn-pdf
      August 26, 2020 - The care team decided to proceed with amputation at the base of the left great toe.  … One such process is the surgical count, the manual process of counting the materials used in the surgical … After the count is performed, the result is announced so the entire team involved in the procedure is … Third, a sign out procedure is performed at the conclusion of the case by the surgeon and the operating … room team; the process reviews the procedure performed and the implants retained with the patient,

2176. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/842923/psn-pdf
      February 01, 2023 - wound in the PICU. … the ICU versus the OR. … the air and the strict cleaning protocols required in ORs. … Hospital infection prevention teams can use surveillance software to proactively identify, investigate … , the PICU patient room and bathroom, and the PICU equipment and ECMO storage room.

2177. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49584/psn-pdf
      April 01, 2009 - Three days later, the intern on the team was reviewing the patient's clinical information in the hospital's … The team and the primary care doctor all met with the patient to disclose the mistake, but clearly the … In fact, when called and asked if they had seen the error in X (the name of the EMR), the pathologist … As implementations and updates proceed in parallel, software and work processes change in ways that … the EMR.

2178. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861838/psn-pdf
      January 31, 2024 - the automated call. … Patient responses to the IVR survey were simultaneously emailed to the pharmacist The pharmacist assessed … The pharmacist would document the adverse drug effect in the medical record and alert the prescriber … The pharmacist documented the interaction with the patient, and any probable or possible ADE was documented … Identify the commonly prescribed medications across the clinical conditions to incorporate into the

2179. 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 - the patient at the bedside. … • The family decided to withdraw care and the patient died the following afternoon. … • There was failure in the fourth step in the diagnostic process, verifying the diagnosis by ruling … • Perhaps the first indication the patient was in early sepsis was the elevated lactate level. …  When an unanticipated change in clinical exam or status occurs, one should broaden the differential

2180. Safety Problems With Your Child's Medical Device? | PSNet
      psnet.ahrq.gov/issue/safety-problems-your-childs-medical-device
      January 09, 2013 - Copy Citation Related Resources From the Same Author(s) Making Medical Devices … February 15, 2024 FDA 101: How to Use the Consumer Complaint System and MedWatch. … August 11, 2010 Using ventilator splitters during the COVID-19 pandemic--letter to health … Cardinal Health recalls Argyle UVC insertion tray due to missing instructions for use for the … January 9, 2013 View More See More About The Topic Ambulatory Care