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Total Results: 470 records

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

441. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49579/psn-pdf
     March 21, 2009 - The 2008 Joint Commission Patient Safety Goal 2E requires all health care providers to "implement a … Many health care systems require EMS providers to radio the receiving ED prior to arrival. … The admitting ICU team evaluated the patient and agreed with the initial assessment (although they were … of clinical inertia (failure of health care providers to initiate or intensify therapy when indicated … Information transfer from prehospital to ED health care providers.

442. Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome | PSNet
     psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
     April 27, 2022 - painful areas, and thorough neurologic assessment including reflexes, grading of muscle activity, sensory … assessment, and gait. … In patients with severe symptoms or risk factors, a post-void residual bladder volume and assessment … The goals of surgical management are to preserve neurologic function and to control the source of the … communicate a history, or a patient unwilling to undergo testing or evaluation necessary for diagnosis. 34 Systems

443. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33614/psn-pdf
     June 01, 2005 - We have relatively superficial understandings of the causes of even common errors and adverse events … For instance, computerized order entry systems and greater participation of pharmacists in https://psnet.ahrq.gov … , the frequent use of before-after designs, and the subjective nature of many important outcomes create … Safety culture assessment: a tool for improving patient safety in healthcare organizations. … Role of computerized physician order entry systems in facilitating medication errors.

444. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50754/psn-pdf
     December 18, 2019 - Determine systems approaches that facilitate advance care planning between the healthcare team, patient … It is important for health care providers and the lay public alike to understand that DN(A)R increasingly … Health care providers may sometimes erroneously interpret DN(A)R status to mean that a patient wants … medical school and postgraduate training along with systems-level designs would help “close the loop … and other EHR systems to make code status a prominent and easily-seen entry near or at the top of the

445. Too Many Cooks in the Kitchen | PSNet
     psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
     March 07, 2018 - Use of TEE allows direct visualization of cardiac filling and contractility, as well as assessment of … Research has shown that such systems improve response time and overall patient outcomes. 21    The  … , both in identification and communication of the risk and in the use of appropriate mitigating strategies … Comparison of Early Warning Scoring Systems for Hospitalized Patients With and Without Infection at Risk … Topic Operating Room Health Care Providers Surgery Orthopedic Surgery Surgical Complications

446. Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up | PSNet
     psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
     March 29, 2023 - of the procedure and ultimately to an unsatisfactory conclusion with discharge of the patient against … This risk-benefit assessment needs to be performed individually based on the specific clinical situation … A detailed history of the timing of the ingestion and the nature of the foreign body is important, as … assessment. 30 Conclusion This patient probably did not suffer any harm as a result of this communication … Departments Operating Room Health Care Providers Nurses Emergency Medicine View

447. Opioid Overdose as a Patient Safety Problem | PSNet
     psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
     May 01, 2017 - Risk mitigation measures, such as urine toxicology screening, patient contracts, and risk assessment … prescriber PDMP use and providing integrated query systems that minimize provider burden will help to … While there are no perfect risk assessment instruments, universal screening and triaging of chronic opioid … that people need more and more of the drug to achieve the same effect. … May 8, 2017 Assessment of the FDA Risk Evaluation and Mitigation Strategy for transmucosal

448. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49717/psn-pdf
     September 01, 2014 - Describe the importance of understanding the nature of the acute pain and its relationship to the chronic … The oral route of administration is preferred when possible to maximize duration of action and reduce … Morphine and hydromorphone should be dose reduced in the setting of renal failure, and benzodiazepines … Take-Home Points Taking a thorough history regarding the nature of the pain, and differentiating acute … The opioid abuse and misuse epidemic: implications for pharmacists in hospitals and health systems.

449. Isolated Clot, Real Error | PSNet
     psnet.ahrq.gov/web-mm/isolated-clot-real-error
     December 01, 2013 - That afternoon, the intern checked the results and noted the first line of the final result stated "Positive … They were reviewing the plan of care and discussed the reason for the IVC filter (an unusual intervention … The senior resident reviewed all of the radiology records and read the original ultrasound report, which … widely used in the treatment and prevention of VTE. … Topic Intensive Care Units Health Care Providers Critical Care Diagnostic Test Interpretation

450. In Conversation with... Charles Ornstein | PSNet
     psnet.ahrq.gov/perspective/conversation-charles-ornstein
     October 01, 2009 - media, even the best systems may not protect them. … So I think it's a combination of both people and systems. … between the role that systems play in problems and the role that people play in problems, and the interplay … importance of searching for systems factors, without immediately zeroing in on more dramatic and obvious … Topic Hospitals Health Care Providers Health Care Executives and Administrators Active

451. In Conversation With… David Juurlink, MD, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
     May 22, 2017 - he is also director of the Division of Clinical Pharmacology and Toxicology. … that people need more and more of the drug to achieve the same effect. … Risk mitigation measures, such as urine toxicology screening, patient contracts, and risk assessment … prescriber PDMP use and providing integrated query systems that minimize provider burden will help to … While there are no perfect risk assessment instruments, universal screening and triaging of chronic opioid

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837324/psn-pdf
     July 08, 2022 - systems conducted their own internal efforts, and all 220 California hospitals were exposed to state-wide … and approaches of the initiative. … Safety assessment of a large-scale improvement collaborative to reduce nulliparous cesarean delivery … Safety Assessment of a Large-Scale Improvement Collaborative to Reduce Nulliparous Cesarean Delivery … Safety Assessment of a Large-Scale Improvement Collaborative to Reduce Nulliparous Cesarean Delivery

453. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49595/psn-pdf
     December 01, 2009 - The patient had a normal radiograph of her left foot and ankle. … name, there will always be individual- and systems-level issues that facilitate triggering of the superficial … for the sake of another, larger group of clinicians who consume and act upon the terminology (and this … In the case of SFV, the period of change will be marked in years, and the transition may bring about … although "adenoma" usually connotes benignity Preoperative clearance • "clearance" implies certainty in assessment

454. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60744/psn-pdf
     July 29, 2020 - vary substantially by the magnitude of the stressor and the extent of underlying cardiac disease,22 … as the leading killer of women and better understanding of gender differences in the presentation and … record.33,34 Recent improvements in electronic medical record systems and increasing use of telehealth … Pharmacotherapy Self-Assessment Program, seventh edition (PSAP-VII) Cardiology.2020:179-99. 13. … Assessment and Treatment of Patients With Type 2 Myocardial Infarction and Acute Nonischemic Myocardial

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49808/psn-pdf
     October 01, 2017 - of staff time per transfer, and 11.3 full- time equivalents in nursing time over the course of a year … , during transfer, and posttransfer.(4) Pretransfer preparation should include an assessment of the … Pretransfer activities should also include both the transfer coordination and the testing and use of … in the assembly of needed equipment and medications. … Guidelines for the inter- and intrahospital transport of critically ill patients.

456. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73334/psn-pdf
     August 01, 2024 - In 2010, the Association for the Advancement of Medical Instrumentation and the U.S. … light-linking systems.17 While additional research will be required to determine which of these solutions … 2) placement of labels in two standard locations, below the smart pump and near the distal end of the … Ontario health technology assessment series. 2014;14(5):1. 18. … Ontario health technology assessment series. 2012;12(16):1. 43. Furniss D, Back J, Blandford A.

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72739/psn-pdf
     February 10, 2021 - patient population with massive or submassive PE, streamline patient assessment, and facilitate and … latent systems issues. … , and systems modifications. … Healthcare systems should continually evaluate for and address communication barriers that lead to these … Multimodality Assessment of Right Ventricular Strain in Patients With Acute Pulmonary Embolism.

458. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression | PSNet
     psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
     May 26, 2021 - These best practices include, but are not limited to, comprehensive identification and assessment of … Identification and Assessment of High-Risk Patients Risk factors for opioid-induced respiratory depression … , assessment and documentation of patient responses to opioid administration. 30 In postoperative patients … database, the interval between the last nursing assessment and detection of respiratory depression was … Safety assessment of postoperative pain management by an acute pain service.

459. In Conversation With… Enrico Coiera, MB, BS, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
     February 01, 2014 - EC : Very interesting work has come out of the design of computer systems and human–computer interaction … EC : I don't believe that the design of modern health IT systems actually reflects this literature and … Most modern e-health systems presume that the user is not doing anything else and that the screen has … It's very important to recognize that these devices are built for the consumer world; while they're very … Topic Hospitals Health Care Providers Quality and Safety Professionals Information Professionals

460. Interruptions and Distractions in Health Care: Improved Safety With Mindfulness | PSNet
     psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
     February 01, 2014 - EC : Very interesting work has come out of the design of computer systems and human–computer interaction … They teach us a lot about the sorts of systems we can eventually put in place to minimize distraction … EC : I don't believe that the design of modern health IT systems actually reflects this literature and … Most modern e-health systems presume that the user is not doing anything else and that the screen has … It's very important to recognize that these devices are built for the consumer world; while they're very