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Total Results: 3,566 records

Showing results for "the change teams".

3081. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73434/psn-pdf
      June 30, 2021 - This report along with the images were sent to the orthopedic surgeon’s office the same day. … care of the patient often shifts to the radiologist and then back to the referring clinician via the … whenever imaging reveals an unexpected incidental finding or any finding that may change management … ://psnet.ahrq.gov//#9 recommendations could be a viable alternative for radiologists.5,8 Systems Change … , the report can also be sent to the PCP, if different than the referring clinician.

3082. Dangerous Dialysis | PSNet
      psnet.ahrq.gov/web-mm/dangerous-dialysis
      June 12, 2024 - , the need for medications, the risk for falls, and the comorbidities of the patient population. … Safety in the hemodialysis unit is under the oversight of the facility's medical director and manager … The role of the medical director: changing with the times. Semin Dial. 2008;21:54-57.  … The hemodialysis process. … impact and effectiveness of rapid response teams.

3083. The Consequences of Miscommunication Regarding a Possible Artifact | PSNet
      psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
      May 11, 2019 - This report along with the images were sent to the orthopedic surgeon’s office the same day. … care of the patient often shifts to the radiologist and then back to the referring clinician via the … whenever imaging reveals an unexpected incidental finding or any finding that may change management … communicate results and recommendations could be a viable alternative for radiologists. 5 , 8 Systems Change … , the report can also be sent to the PCP, if different than the referring clinician.

3084. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49426/psn-pdf
      November 01, 2003 - https://psnet.ahrq.gov/web-mm/dont-push The Case A 37-year-old HIV-positive woman was brought to the … until sedation was achieved, so that the neurologist and psychiatrist could evaluate the patient. … references Because this patient had no significant psychiatric problems prior to developing an unspecified change … This suggests the risk is low. … which generally occurs in patients with prolonged QT intervals, is characterized by QRS complexes that change

3085. Tough Call: Addressing Errors From Previous Providers | PSNet
      psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
      July 17, 2024 - The admitting team re-examined all of the information and realized the clinical presentation was not … The attending physician on the admitting team wondered why the diagnosis had not been made during the … She felt like this was a diagnostic error—that the multiple clinicians and teams who had cared for the … What was the most effective way to give feedback to the previous teams? … In our opinion, the appropriate response of the individual clinician and the health care system should

3086. Out of Sight, Out of Mind: Out-of-Office Test Result Management | PSNet
      psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
      September 01, 2007 - Her colleague was covering the electronic inbox (the portal within the electronic health record in which … The patient health record (PHR) tethered to the EHR has made it easier for patients to reach out to the … the following week, the covering physician gave her the patient's last name but did not provide his … result in the inbasket of the returning rheumatologist? … Third, this case highlights the potential role the patient could have played as part of the care team

3087. Nonsustained Ventricular Tachycardia After Acute Coronary Syndromes: Recognizing High-Risk Patients | PSNet
      psnet.ahrq.gov/web-mm/nonsustained-ventricular-tachycardia-after-acute-coronary-syndromes-recognizing-high-risk
      September 20, 2011 - However, given the physician's initial response, the nurse did not notify the physician about these additional … the NSVT. … .( 7 ) Nursing units and health care teams that care for high-risk patients (such as the one described … Frequent ACLS drills and the use of rapid response teams have value and are used in many hospitals. … despite several interventions, including use of automated external defibrillators and rapid response teams

3088. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49703/psn-pdf
      March 01, 2014 - The rest of the examination was unremarkable. … Although no harm resulted from the interactions, the mistake on the after-visit summary and the communication … it was not updated after the actual evaluation by either the physician or the medical assistant. … Others offer patients the ability to directly communicate with their health care teams using secure … tools poses a number of questions to consider.(9) Most important, how can providers and their care teams

3089. Cultural Dimensions of Depression | PSNet
      psnet.ahrq.gov/web-mm/cultural-dimensions-depression
      September 01, 2018 - The patient had lived through the Vietnam War; he and his family had come to the United States on a boat … as part of a mass exodus in the late 1970s; there was strife within the family unit, as the patient … Traditional Vietnamese values emphasize maintaining the stability of the culture and primacy of the community … And, more important, did they notice a change in his behavior? … What needed to change to help him feel better?

3090. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49592/psn-pdf
      October 01, 2009 - The anesthesiologist threw the needle on the floor and walked toward the door. … By mastering communication and confrontation skills, these individuals have begun to change the culture … approach to nurse–physician relationships has begun to change, partly because of two factors in health … exchange of facts and feelings can occur, there is a real possibility that physician behavior will change … Working together, nurses, physicians, and administrators can admit that change is needed and openly

3091. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49517/psn-pdf
      August 01, 2006 - opiates, as well as a failure on the part of the pharmacist and nurse to appreciate the excessive dose … Third, divide the total 24-hour dose of the new drug by the number of daily doses to be administered. … The duration of action values in the Table are helpful in this regard. … Fourth, consider reducing the calculated dose of the new drug by 25%-50%. … Multiplying 54 mg by the dose ratio from the conversion table (20/10, or 2), the total expected 24-hour

3092. After-Visit Confusion | PSNet
      psnet.ahrq.gov/web-mm/after-visit-confusion
      August 21, 2007 - The rest of the examination was unremarkable. … Although no harm resulted from the interactions, the mistake on the after-visit summary and the communication … Others offer patients the ability to directly communicate with their health care teams using secure e-mail … tools poses a number of questions to consider.( 9 ) Most important, how can providers and their care teams … August 21, 2007 Perspective Rapid Response Teams

3093. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49723/psn-pdf
      January 01, 2015 - Two nurses at the nursing station were assigned to watch the monitor at the time of the concerning abnormalities … The first difference concerns the nature of the display itself. … open and clear communication between the health care teams, and a common acceptance and understanding … This complicated patient flow requires dedicated specialized teams with strong commitment to safety. … Achieving this requires open and transparent communication between the health care teams, ongoing education

3094. Patient Advocacy in Patient Safety: Have Things Changed? | PSNet
      psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
      June 01, 2014 - Patients, led to a sea change in the interaction of patients with hospitals, researchers, and other … This amounts to a great deal of change. Yet in many ways it is much less change than we would wish. … This situation has the potential to change considerably with the availability of more granular "big data … actual change that the numbers will measure. … processes that keep systems gyroscopically resisting change—then you land on the question: what could

3095. In Conversation with David W. Bates about Are We Safer Today? | PSNet
      psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
      February 26, 2025 - The other big change is that we are now using triggers to find adverse events, which were not used in … You mention the trigger tool as a methodological change for identifying those adverse events. … or wetness and then intervene and change things. … Robust change packages are critical. … change that I think would make a difference. 

3096. Are We Safer Today? | PSNet
      psnet.ahrq.gov/perspective/are-we-safer-today
      February 26, 2025 - The other big change is that we are now using triggers to find adverse events, which were not used in … You mention the trigger tool as a methodological change for identifying those adverse events. … or wetness and then intervene and change things. … Robust change packages are critical. … change that I think would make a difference. 

3097. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857060/psn-pdf
      November 27, 2023 - While the quantity of nurses and the environment of care are important, the quality of each nurse’s … traditional model of learning, the focus is on the learner showing the instructor what they know generally … who are better prepared to meet the dynamic challenges of the modern healthcare environment. … Skills labs support and facilitate psychomotor learning while offering the students the opportunity … most difficult parts of a nurse’s education is translating the theory learned in the classroom to the

3098. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49574/psn-pdf
      November 01, 2008 - The confused intern chose the wrong form, causing the patient to receive insulin in doses that failed … At 6:00 the following morning, the intern was called when the patient became unresponsive with a glucose … and nurses use the jargon phrase, the "July effect." … placement.(6) Other applications of simulation approaches include team training in cardiac arrest teams … The "July phenomenon" and the care of the severely injured patient: fact or fiction?

3099. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33844/psn-pdf
      October 01, 2017 - most common complications of medical care in the United States. … Change Is Complex and Requires Attention to All Drivers of Health Care Worker Presenteeism Health care … in this case the easy one. … The role played by contaminated surfaces in the transmission of nosocomial pathogens. … Changing the "working while sick" culture: promoting fitness for duty in health care.

3100. Computerized Provider Order Entry and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
      January 01, 2014 - oncology study demonstrated fewer chemotherapy medication errors using CPOE, while another found no change … Finally, evidence from a multicenter outpatient study did not find a change in the rate of preventable … the extent to which the CPOE system generated warnings or prevented the orders. … In 2015, the FDA released a white paper on the safety of CPOE systems. … effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and