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Showing results for "the change teams".

2661. Pseudo-obstruction But a Real Perforation | PSNet
      psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation
      April 01, 2015 - The next step in treatment was colonoscopy with the goal of decompressing the dilated colon. … At the beginning of the procedure, the gastroenterologist inserted the colonoscope and began insufflation … Guidelines for the role of colonoscopy in the management of ACPO were published by the American Society … Abdominal radiographs should generally be obtained at least daily, and more frequently if there is a change … The anticipated benefit of performing the procedure should outweigh the risks, which must be clearly

2662. In Conversation With… Andrew Bindman, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-andrew-bindman-md
      June 15, 2024 - And I had not appreciated the scale of the work, the ability to move from the research into scaling this … RW : Do you have a sense of the trajectory of the field? … The job has become much more complex given the aging of the population, the growing burden of chronic … It used the hub of the University of New Mexico to support primary care providers out in the community … When we think about some of the most important health care problems in the United States, including the

2663. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49708/psn-pdf
      May 01, 2014 - Although the family stated that the patient was on a "memory medicine," the reconciliation list did … Based on this discrepancy, the consulting service contacted the outpatient pharmacy and learned the … She had not been prescribed the drug during the hospital stay, and the last patch had been placed more … abrupt withdrawal of the cholinesterase inhibitor contributed to the episode. … The BPMH was eventually determined by the geriatrics consulting team in collaboration with the outpatient

2664. Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic addiction in the current opioid epidemic. | PSNet
      psnet.ahrq.gov/issue/moving-beyond-misuse-and-diversion-urgent-need-consider-role-iatrogenic-addiction-current
      July 18, 2012 - Commentary Moving beyond misuse and diversion: the urgent need to consider the role … Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic addiction in the … Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic addiction in the … findings for the quality of care of patients with acute myocardial infarction: results of the Emergency … December 21, 2018 Changing dynamics of the drug overdose epidemic in the United States

2665. Error, stress, and teamwork in medicine and aviation: cross sectional surveys. | PSNet
      psnet.ahrq.gov/issue/error-stress-and-teamwork-medicine-and-aviation-cross-sectional-surveys
      June 16, 2011 - View more articles from the same authors. … eye of the beholder. … June 9, 2011 Changing the work environment in ICUs to achieve patient-focused care: the … September 29, 2010 A common body of care: the ethics and politics of teamwork in the … care unit compare to the rest of the hospital?

2666. Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/standardized-multidisciplinary-protocol-improves-handover-cardiac-surgery-patients-intensive
      July 14, 2010 - View more articles from the same authors. … when transferring cardiac surgery patients from the operating room to the intensive care unit. … : an analysis of the Wake Up Safe database. … June 1, 2011 Dealing with unforeseen complexity in the OR: the role of heedful interrelating … in medical teams.

2667. Simulation-based clinical systems testing for healthcare spaces: from intake through implementation. | PSNet
      psnet.ahrq.gov/issue/simulation-based-clinical-systems-testing-healthcare-spaces-intake-through-implementation
      April 10, 2024 - View more articles from the same authors. … This article describes the development and implementation of a simulation-based clinical systems testing … July 28, 2021 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … January 12, 2022 Mitigating the July effect. … April 10, 2019 Fixing healthcare from the inside, today.

2668. "Near miss": a mixed-methods analysis of medical student assignments in patient safety. | PSNet
      psnet.ahrq.gov/issue/near-miss-mixed-methods-analysis-medical-student-assignments-patient-safety
      May 25, 2016 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … -19 pandemic: The PLACE Strategy. … January 31, 2024 Undiagnosed cancer cases in the US during the first 10 months of the … irregular incidents in the medical clinic.

2669. Identifying barriers to and opportunities for telehealth implementation amidst the COVID-19 pandemic by using a human factors approach: a leap into the future of health care delivery? | PSNet
      psnet.ahrq.gov/issue/identifying-barriers-and-opportunities-telehealth-implementation-amidst-covid-19-pandemic
      July 07, 2021 - View more articles from the same authors. … The increased use of telehealth during the COVID-19 pandemic has not been without challenges .  … related to telehealth implementation during the pandemic and the impact on patients, providers, technology … June 29, 2022 Crisis management for surgical teams and their leaders, lessons from the … July 22, 2020 Response of practicing chiropractors during the early phase of the COVID

2670. Provider bias in prescribing opioid analgesics: a study of electronic medical records at a hospital emergency department. | PSNet
      psnet.ahrq.gov/issue/provider-bias-prescribing-opioid-analgesics-study-electronic-medical-records-hospital
      September 30, 2020 - View more articles from the same authors. … Constrained diagnostic situations in the emergency department (ED), such as crowding , can impact safe … September 30, 2020 Organizational readiness to change as a leverage point for improving … November 3, 2021 How gender shapes interprofessional teamwork in the operating room: … November 17, 2021 A human factors intervention in a hospital--evaluating the outcome

2671. The effect of clinical experience on the error rate of emergency physicians. | PSNet
      psnet.ahrq.gov/issue/effect-clinical-experience-error-rate-emergency-physicians
      November 16, 2022 - Study The effect of clinical experience on the error rate of emergency physicians … The effect of clinical experience on the error rate of emergency physicians. … The effect of clinical experience on the error rate of emergency physicians. … to the inpatient setting. … testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams

2672. Nurse staffing and inpatient mortality in the English National Health Service: a retrospective longitudinal study. | PSNet
      psnet.ahrq.gov/issue/nurse-staffing-and-inpatient-mortality-english-national-health-service-retrospective
      December 12, 2014 - Study Nurse staffing and inpatient mortality in the English National Health Service … View more articles from the same authors. … : the DISCERN realist evaluation study. … July 19, 2019 Still Failing the Frail. … March 26, 2015 The nurse's medication day.

2673. The Safe Patient Flow Initiative: a collaborative quality improvement journey at Yale-New Haven Hospital. | PSNet
      psnet.ahrq.gov/issue/safe-patient-flow-initiative-collaborative-quality-improvement-journey-yale-new-haven
      June 07, 2023 - View more articles from the same authors. … Problems with patient flow through the hospital can lead to lengthy wait times in the emergency department … January 22, 2020 Organizational safety climate and job enjoyment in hospital surgical teams … August 4, 2021 How strong is the evidence for the use of perioperative beta blockers … March 4, 2011 Bracing for the storm: one health care system's planning for the COVID-

2674. The impact of the 2011 Accreditation Council for Graduate Medical Education duty hour reform on quality and safety in trauma care. | PSNet
      psnet.ahrq.gov/issue/impact-2011-accreditation-council-graduate-medical-education-duty-hour-reform-quality-and
      April 05, 2013 - Study The impact of the 2011 Accreditation Council for Graduate Medical Education … The Impact of the 2011 Accreditation Council for Graduate Medical Education Duty Hour Reform on Quality … after the duty-hours reform. … The Impact of the 2011 Accreditation Council for Graduate Medical Education Duty Hour Reform on Quality … October 13, 2018 Ethical considerations in the development of the Flexibility in Duty

2675. Patient outcomes after opioid dose reduction among patients with chronic opioid therapy. | PSNet
      psnet.ahrq.gov/issue/patient-outcomes-after-opioid-dose-reduction-among-patients-chronic-opioid-therapy
      April 27, 2022 - View more articles from the same authors. … Opiates are a high-risk medication due to the potential for adverse events including misuse and overdose … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … Same Author(s) The effect of a transitional pharmaceutical care program on the occurrence … Usage September 1, 2013 View More See More About The Topic

2676. New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. | PSNet
      psnet.ahrq.gov/issue/new-problems-and-iatrogenic-events-among-older-adults-first-30-days-post-acute-rehabilitation
      March 16, 2022 - Study New problems and iatrogenic events among older adults in the first 30 days … View more articles from the same authors. … first surge of the pandemic. … February 3, 2021 The critical role of health information technology in the safe integration … July 20, 2022 Organizational readiness to change as a leverage point for improving safety

2677. How different countries respond to adverse events whilst patients' rights are protected. | PSNet
      psnet.ahrq.gov/issue/how-different-countries-respond-adverse-events-whilst-patients-rights-are-protected
      December 11, 2024 - View more articles from the same authors. Patient safety is a global health concern. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … February 26, 2025 Interventions in health organisations to reduce the impact of adverse … September 6, 2023 Lessons learned for reducing the negative impact of adverse events … October 13, 2021 The role of apology laws in medical malpractice.

2678. Interpersonal and organizational dynamics are key drivers of failure to rescue. | PSNet
      psnet.ahrq.gov/issue/interpersonal-and-organizational-dynamics-are-key-drivers-failure-rescue
      June 18, 2019 - View more articles from the same authors. … September 23, 2020 Changes in medication safety indicators in England throughout the … infections in 2020: a summary of data reported to the National Healthcare Safety Network. … The impact of medical errors. … January 14, 2015 When surgery goes wrong: weighing up the risks.

2679. Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient. | PSNet
      psnet.ahrq.gov/issue/failure-rescue-following-emergency-surgery-fram-analysis-management-deteriorating-patient
      May 19, 2021 - of the deteriorating patient. … Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating … View more articles from the same authors. … Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating … January 18, 2023 Transparency, public reporting, and a culture of change to quality and

2680. Encouraging employees to speak up to prevent infections: opportunities to leverage quality improvement and care management processes. | PSNet
      psnet.ahrq.gov/issue/encouraging-employees-speak-prevent-infections-opportunities-leverage-quality-improvement-and
      January 23, 2017 - View more articles from the same authors. … Conducted at hospitals participating in the On the CUSP: Stop BSI initiative , this qualitative study … May 26, 2011 The story behind the story: physician skepticism about relying on clinical … August 11, 2014 Status of the implementation of the World Health Organization multimodal … January 8, 2014 Culture change in infection control: applying psychological principles