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Total Results: 472 records

Showing results for "the consumer assessment of healthcare providers and systems".

321. Volume Too Low: In and Out | PSNet
     psnet.ahrq.gov/web-mm/volume-too-low-and-out
     July 01, 2017 - The night nurse communicated the minimal intake of fluids and poor urine output to the day nurse at the … and the inability of children to communicate with health care providers (in this case, a patient who … In this case, the institutional expectation and standard of care should have been assessment and reporting … Tools to assist in managing children, such as computerized bedside management systems (that can both … Topic Hospitals Health Care Providers Pediatrics Medical Complications Cognitive

322. Outbreak | PSNet
     psnet.ahrq.gov/web-mm/outbreak
     January 29, 2015 - Nevertheless, hospitals need to respond, adapt, and evolve their care delivery systems, particularly … case presented, but these prevention steps along with the HCW's knowledge of his history and past exposures … Early on, the cause and extent of disease, including the transmission potential, are often unknown. … In the case of a suspected biothreat, the CDC partners with EDs and other frontline sites to conduct … Topic Emergency Departments Health Care Providers Quality and Safety Professionals Emergency

323. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event | PSNet
     psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
     July 01, 2017 - Therefore, risk assessment is difficult due to underreporting and the fact that there is no centralized … performance of instrument maintenance and function checks; (5) assessment of test performance through … testing of samples; and (6) assessment of problem-solving skills. 21 A monitoring process, typically … Implementing strong systems processes as discussed in this Commentary should reduce the risk of errors … June 2, 2019 Assessment of incorrect surgical procedures within and outside the operating

324. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-400
     July 31, 2023 - This commentary provides a grounded assessment of this potential by examining clinician knowledge, physician … assessment, and leadership support to promote safety culture. … Commentary Issues and complexities in safety culture assessment in healthcare. … The commentary summarizes the diagnosis and management of stercoral colitis and the importance of prompt … The patient’s Clinical Institute Withdrawal Assessment (CIWA) score was very high, indicating signs and

325. In Conversation With… Matthew Weinger, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
     August 01, 2018 - Weinger is Director of the Center for Research and Innovation in Systems Safety and Professor of Anesthesiology … Also, in terms of general clinical competence, one could see ongoing assessment of practitioners along … about modifying systems, what level of the system? … of systems and human actions … Use of simulation to test systems and prepare staff for a new hospital transition.

326. Value and Patient Safety | PSNet
     psnet.ahrq.gov/curated-library/value-and-patient-safety
     October 30, 2019 - The relationship between nurse staffing and the quality and safety of care has been reported.  … This article proposes a new concept of safety as the preservation of values/valuables, experiences, and … Commentary Value assessment of deprescribing interventions: suggestions for improvement … the cost (medical cost to the health system and loss of patient productivity) of each ADE-related hospital … of buying and implementing the system.

327. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845472/psn-pdf
     March 15, 2023 - providers that can be processed accordingly. … At times, patients will want to please their health care provider, and with the pen and paper method … systems and clinical entities handle these data. … same assessment. … All sorts of measurements are enabled through consumer-grade wearable devices.

328. Inpatient Stroke Management in an Adolescent with Type 1 Diabetes and Home Insulin Pump | PSNet
     psnet.ahrq.gov/web-mm/inpatient-stroke-management-adolescent-type-1-diabetes-and-home-insulin-pump
     February 01, 2023 - Patients with T1D are accustomed to knowing more about diabetes technology than many of their health … care providers and as a result may be skeptical about inpatient recommendations for changes. 7 , 12   … Shared decision making with the patient is imperative. 13   Assessment of patient ability is also important … An Overview of Safety Issues on Use of Insulin Pumps and Continuous Glucose Monitoring Systems in the … Topic Hospitals Health Care Providers Nurses Hospital Medicine Pediatric Endocrinology

329. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72618/psn-pdf
     December 23, 2020 - Broad and targeted approaches may both be needed to address the scope of the challenge. … This hypothesis will then inform the design of the pilot, implementation, and evaluation strategy and … your informatics or information systems department to ensure the project can be evaluated once it is … Ensure that there is a clear process of monitoring the progress of the project so success and any unintended … Representatives from 22 health systems across the US and Canada attended.a To-date, approximately 30

330. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60609/psn-pdf
     June 24, 2020 - medication administration according to the practitioner’s order Appropriate and timely assessment of … on shift workers.8  Also relevant to this case is the reduced presence of other health care providers … Health systems have made attempts to decrease the likelihood of adverse drug events by implementing … Assessment of patient response is crucial for ascertaining whether an ordered medication is having the … Systematic Assessment of Preventable Adverse Events.

331. A Mid-Summer Fog | PSNet
     psnet.ahrq.gov/web-mm/mid-summer-fog
     September 29, 2017 - How can patient safety systems be designed to be more impervious to the impact of new, inexperienced … between health care providers, with the realism of simulation technology and deep debriefing has opened … How can patient safety systems be designed to be more impervious to the impact of new, inexperienced … Hospital systems, the Joint Commission, professional organizations, and CPOE vendors can help reduce … Topic Hospitals Health Care Providers Quality and Safety Professionals Information Professionals

332. SNOMED CT: electronic health record enhances anesthesia patient safety. | PSNet
     psnet.ahrq.gov/issue/snomed-ct-electronic-health-record-enhances-anesthesia-patient-safety
     March 14, 2022 - prescribing systems: a systematic review and narrative synthesis. … August 28, 2013 How reliable are clinical systems in the UK NHS? … May 14, 2014 Identifying systems failures in the pathway to a catastrophic event: an … February 24, 2010 The response of the APPD, CoPS and AAP to the Institute of Medicine … March 16, 2022 Guidelines for US hospitals and clinicians on assessment of electronic

333. Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes | PSNet
     psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
     April 10, 2024 - toll on healthcare workers in NHs. … delivery systems, and quality improvement organizations across the nation. … and met nine times over the summer. 69 The commission included 25 LTC experts, consumer advocates, academics … United States in 2020 and 2021, presenting a significant challenge to healthcare systems throughout the … Care Providers Allied Health Professionals Health Care Executives and Administrators Facility

334. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose | PSNet
     psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
     March 15, 2023 - Alert fatigue is a significant concern in healthcare, as healthcare workers may become desensitized … In pediatric care, accurate assessment of a child’s weight and growth trajectory is critical for determining … for weight/height , and fostering a culture of learning, healthcare systems can improve safety for … , supervision, and pharmacist oversight in healthcare systems. … Topic Emergency Departments Health Care Providers Nurses Pharmacists Pediatric Emergency

335. Opioid Safety | PSNet
     psnet.ahrq.gov/primer/opioid-safety
     December 15, 2024 - It now appears clear that during the 1990s and 2000s, the health care system promoted the overuse of … cohort study in diverse US health systems. … Health Systems and Providers Can Do. … April 17, 2019 Assessment of the FDA Risk Evaluation and Mitigation Strategy for transmucosal … January 23, 2019 View More See More About The Topic Health Care Providers

336. 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 - She logged into the medical record of one of these patients—the wrong one—and saw a normal CRP value, … SAFER Self-Assessment. Test Results Reporting and Follow-Up. … Improving clinical practice using clinical decision support systems: a systematic review of trials to … order entry systems in U.S. hospitals. … reminder systems.

337. Are long physician working hours harmful to patient safety? | PSNet
     psnet.ahrq.gov/issue/are-long-physician-working-hours-harmful-patient-safety
     June 24, 2020 - April 12, 2006 Second victim syndrome in intensive care unit healthcare workers: a systematic … August 8, 2018 Perceptions of patient safety culture among physicians and RNs in the … September 9, 2020 Beyond the corrective action hierarchy: a systems approach to organizational … June 23, 2021 Promoting the psychological well-being of healthcare providers facing the … need to address unconscious bias within health systems.

338. Measuring Patient Safety | PSNet
     psnet.ahrq.gov/perspective/measuring-patient-safety
     December 14, 2022 - , the shift to digital measures has facilitated real-time assessment of the quality of care being provided … Nonetheless, the take-home message is that systems of safety did not endure and that we need to recommit … The last thing I want to mention is establishing the systems of safety and those key tools of high-reliability … System Failures on Healthcare Workers March 21, 2023 Perspective … Topic Researchers General Public Hospitals Ambulatory Care Health Care Providers

339. Medication Safety in Nursing Homes: What's Wrong and How to Fix It | PSNet
     psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
     August 01, 2012 - systems with sophisticated clinical decision support systems that incorporate relevant clinical information … .( 13 ) Structured communication strategies, including the use of SBAR ("Situation, Background, Assessment … exclusive of efforts to improve communication between health care providers, may have only limited benefits … , and quality measures whereby a consumer can compare one place to another. … Topic Long-Term Care Health Care Providers Health Care Executives and Administrators

340. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33699/psn-pdf
     August 01, 2010 - , significant amounts of research, and substantial innovations in both technology and delivery systems … Outreach of this kind emphasizes how AMCs embrace patient safety and promotes the kind of culture changes … Improving general communication skills between health care providers and consumers is essential in medicine … The human factor: the critical importance of effective teamwork and communication in providing safe … Healthcare Systems Ergonomics and Patient Safety. London, UK: Taylor & Francis Group; 2005:85.