Results

Total Results: 1,040 records

Showing results for "type".

341. Culture of Safety | PSNet
     psnet.ahrq.gov/primer/culture-safety
     September 15, 2024 - In a just culture, the response to an error or near miss is predicated on the type of behavior associated

342. The importance of cognitive errors in diagnosis and strategies to minimize them. | PSNet
     psnet.ahrq.gov/issue/importance-cognitive-errors-diagnosis-and-strategies-minimize-them
     September 18, 2024 - Study Classic The importance of cognitive errors in diagnosis and strategies to minimize them. Citation Text: Croskerry P. The importance of cognitive errors in diagnosis and strategies to minimize them. Acad Med. 2003;78(8):775-780. Copy Citation Format…

343. Recurrent Hypoglycemia: A Care Transition Failure? | PSNet
     psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
     December 23, 2020 - Case & Commentary: Part 1 A 70-year-old man with type II diabetes and chronic kidney disease was admitted … In the interim, he had seen his primary physician, who had restarted a sulfonylurea (a common type of

344. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
     January 01, 2020 - patients receiving IV opioid PCA should be monitored closely 25 Monitoring Component Assessment Type … detection of respiratory depression <2 hours 27 Postoperative Monitoring (4) • Increasing the type

345. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60328/psn-pdf
     May 27, 2020 - should be performed every 2 to 2.5 hours.38 Patient-specific monitoring plans should reflect the type … .13 While recommendations related to monitoring for patients receiving PCA may vary, increasing the type

346. Crowdsourcing diagnosis for patients with undiagnosed illnesses: an evaluation of CrowdMed. | PSNet
     psnet.ahrq.gov/issue/crowdsourcing-diagnosis-patients-undiagnosed-illnesses-evaluation-crowdmed
     November 13, 2024 - Study Crowdsourcing diagnosis for patients with undiagnosed illnesses: an evaluation of CrowdMed. Citation Text: Meyer AND, Longhurst CA, Singh H. Crowdsourcing Diagnosis for Patients With Undiagnosed Illnesses: An Evaluation of CrowdMed. J Med Internet Res. 2016;18(1):e12. doi:10.2196/j…

347. Quality improvement and safety in pediatric emergency medicine. | PSNet
     psnet.ahrq.gov/issue/quality-improvement-and-safety-pediatric-emergency-medicine
     March 12, 2025 - Review Quality improvement and safety in pediatric emergency medicine. Citation Text: Ku BC, Chamberlain JM, Shaw KN. Quality Improvement and Safety in Pediatric Emergency Medicine. Pediatr Clin North Am. 2018;65(6):1269-1281. doi:10.1016/j.pcl.2018.07.010. Copy Citation Format: …

348. About Us | PSNet
     psnet.ahrq.gov/about-psnet
     September 01, 2015 - Search When you type a term into the Search function of AHRQ PSNet, the search algorithm searches resource

349. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45666/psn-pdf
     April 24, 2018 - The relationship between professional burnout and quality and safety in healthcare: a meta-analysis. April 24, 2018 Salyers MP, Bonfils KA, Luther L, et al. The Relationship Between Professional Burnout and Quality and Safety in Healthcare: A Meta-Analysis. J Gen Intern Care. 2017;32(4):475-482. doi:10.1007/s11606-…

350. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42230/psn-pdf
     October 06, 2016 - Using Lean to improve medication administration safety: in search of the "perfect dose." October 6, 2016 Ching JM, Long C, Williams BL, et al. Using lean to improve medication administration safety: in search of the "perfect dose". Jt Comm J Qual Patient Saf. 2013;39(5):195-204. https://psnet.ahrq.gov/issue/using-…

351. In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring | PSNet
     psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
     April 26, 2023 - The issue is your system must be tuned to say, “Is this the type of situation that would trigger a rapid … We believe that you can build a surveillance system with more than one type of physiologic sensor. … Addressing the Alarm Problem One hurdle that organizations face in implementing any type of continuous … is raised, organizations implementing surveillance monitoring should reiterate that the goal of this type

352. Mindful workarounds in bar code medication administration. | PSNet
     psnet.ahrq.gov/issue/mindful-workarounds-bar-code-medication-administration
     July 20, 2022 - Commentary Mindful workarounds in bar code medication administration. Citation Text: Lichtner V, Dowding D. Mindful workarounds in bar code medication administration. Stud Health Technol Inform. 2022;294:740-744. doi:10.3233/shti220575. Copy Citation Format: DOI Google Scho…

353. The differences between human error, at-risk behavior, and reckless behavior are key to a just culture. | PSNet
     psnet.ahrq.gov/issue/differences-between-human-error-risk-behavior-and-reckless-behavior-are-key-just-culture
     September 23, 2020 - Newspaper/Magazine Article The differences between human error, at-risk behavior, and reckless behavior are key to a just culture. Citation Text: The differences between human error, at-risk behavior, and reckless behavior are key to a just culture. ISMP Medication Safety Alert! Acute Ca…

354. Nurse burnout predicts self-reported medication administration errors in acute care hospitals. | PSNet
     psnet.ahrq.gov/issue/nurse-burnout-predicts-self-reported-medication-administration-errors-acute-care-hospitals
     August 25, 2021 - Study Nurse burnout predicts self-reported medication administration errors in acute care hospitals. Citation Text: Montgomery AP, Azuero A, Baernholdt MB, et al. Nurse burnout predicts self-reported medication administration errors in acute care hospitals. J Healthc Qual. 2020;43(1):13…

355. A framework for the analysis of communication errors in health care. | PSNet
     psnet.ahrq.gov/issue/framework-analysis-communication-errors-health-care
     October 21, 2020 - Commentary A framework for the analysis of communication errors in health care. Citation Text: Bender JA, Thiyagarajan S, Morrish W, et al. A framework for the analysis of communication errors in health care. J Patient Saf. 2025;21(2):69-81. doi:10.1097/pts.0000000000001303. Copy Citat…

356. Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units | PSNet
     psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
     April 26, 2023 - Addressing the Alarm Problem One hurdle that organizations face in implementing any type of continuous … is raised, organizations implementing surveillance monitoring should reiterate that the goal of this type … The issue is your system must be tuned to say, “Is this the type of situation that would trigger a rapid … We believe that you can build a surveillance system with more than one type of physiologic sensor.

357. Are We Getting Better at Measuring Patient Safety? | PSNet
     psnet.ahrq.gov/perspective/are-we-getting-better-measuring-patient-safety
     November 10, 2015 - This type of ad hoc reporting frequently leads to underestimation and underdetection of safety events … such as an adverse drug event (ADE), occurred.( 11-13 ) For example, an example of a trigger for one type

358. Check the Wristband | PSNet
     psnet.ahrq.gov/web-mm/check-wristband
     August 03, 2009 - She also confirmed other information, including the [type of] surgery.” … that can reduce them, states: “Leaving out necessary task steps is the single most common human error type

359. The Result Stopped Here | PSNet
     psnet.ahrq.gov/web-mm/result-stopped-here
     December 01, 2006 - This type of communication failure probably occurs more frequently with float staff, since they tend … In general, assumptions of this type, especially in the context of ambiguous roles and hierarchical differences

360. Unintended Consequences of CPOE | PSNet
     psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
     September 01, 2004 - SPOTLIGHT CASE Unintended Consequences of CPOE Citation Text: Wears RL. Unintended Consequences of CPOE. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNot…