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Total Results: 617 records

Showing results for "absence".

181. Total Parenteral Nutrition, Multifarious Errors | PSNet
     psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
     January 23, 2017 - In the absence of built-in decision support, the critical step of pharmacist review becomes paramount … Unfortunately, commercially available pre-made PN formulations are not safer in the absence of a standardized … In the absence of such a system, required documentation of the pharmacist's review to include comparing

182. The Dropped Lung | PSNet
     psnet.ahrq.gov/web-mm/dropped-lung
     February 06, 2012 - The absence of a supervising attending physician in this situation should be considered. … training in thoracentesis with portable ultrasound or consulted a trained ultrasound operator, the absence

183. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33731/psn-pdf
     June 01, 2012 - Government was simply one of these actors, and often not the most important one.(6,7) This absence … happened in the UK, based on the system's instinct to manage safety from the top down and the relative absence

184. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2019-12/spotlight_code_status_dec_2019_powerpoint.pdf
     January 01, 2019 - could result in unfortunate consequences including preventable death • Default code status in the absence … In the absence of a discussion, the default is to the most aggressive, invasive, potentially life-prolonging

185. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49778/psn-pdf
     December 01, 2016 - One might have hoped that the ICU physicians would have noticed the absence of antifungal therapy for … this care model been in place, it is likely that an ICU nurse or pharmacist would have recognized the absence

186. COVID-19: Team and Human Factors to Improve Safety | PSNet
     psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
     September 15, 2024 - These weaknesses are exacerbated by fatigue and burnout, absence of team trust, lack of time, medical … Absence of trust among care team members The extraordinary influx of clinicians being drawn together

187. Primary Workaround, Secondary Complication | PSNet
     psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
     January 24, 2018 - In the case study, the use of a Foley catheter to maintain the patency of a stoma in the absence of a … For example, the case study described using a Foley catheter to maintain patency of a stoma in the absence

188. Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins Acute Ward Study. | PSNet
     psnet.ahrq.gov/issue/adverse-incidents-patient-flow-and-nursing-workforce-variables-acute-psychiatric-wards
     April 03, 2019 - Study Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins Acute Ward Study. Citation Text: Bowers L, Allan T, Simpson A, et al. Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins …

189. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33589/psn-pdf
     September 15, 2024 - The absence of errors or accidents leads not to complacency but to a heightened sense of vigilance for

190. Two Wrongs Don't Make a Right (Kidney) | PSNet
     psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
     April 01, 2010 - At the time of surgery, the surgeon was asked if the absence of an available image should preclude progressing … Many surgical cases do not require preoperative imaging, and the presence or absence of imaging is left

191. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49789/psn-pdf
     April 01, 2017 - There is emerging literature on the benefits of ACP but also the impact of its absence, as illustrated … life-sustaining technologies, or feeding tube insertions) and less use of hospice services.(3) Consequently, the absence

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49679/psn-pdf
     March 01, 2013 - The devastated RN requested a temporary leave of absence, but never returned to work. … What we do know is that she took a temporary leave of absence and never returned to the hospital.

193. A Real Heartache | PSNet
     psnet.ahrq.gov/web-mm/real-heartache
     October 01, 2018 - In the absence of overt infarction, further ED testing is routinely employed. … To reassure them regarding the absence of cardiac ischemia, the clinicians in this case seemed to rely

194. Diffusion of Responsibility Leads to Danger | PSNet
     psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
     November 08, 2013 - focused on inattention by physicians and a general absence of diligent care among his academic colleagues … illustrates how patients are particularly susceptible to defects in care due to miscommunication, an absence

195. An American View of the UK's Patient Safety Enterprise: Top Down vs. Bottom Up | PSNet
     psnet.ahrq.gov/perspective/american-view-uks-patient-safety-enterprise-top-down-vs-bottom
     December 01, 2005 - Government was simply one of these actors, and often not the most important one.( 6,7 ) This absence … happened in the UK, based on the system's instinct to manage safety from the top down and the relative absence

196. Missed Pneumonia | PSNet
     psnet.ahrq.gov/web-mm/missed-pneumonia
     June 01, 2005 - associated with a 3.7–6.5-fold increased risk of mortality.( 8 ) Isolated effusions, occurring in the absence … Because the differential diagnosis of pleural effusions is quite broad, in the absence of an obvious

197. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49588/psn-pdf
     August 01, 2009 - Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care August 1, 2009 Rich V. Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care Case…

198. Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. | PSNet
     psnet.ahrq.gov/issue/failures-care-coordination-and-reviewing-patients-death-va-salt-lake-city-healthcare-system
     April 19, 2023 - Book/Report Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. Citation Text: Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. Washington, DC: Department of Vet…

199. Are you surgically current? Lessons from aviation for returning to non-urgent surgery following COVID-19. | PSNet
     psnet.ahrq.gov/issue/are-you-surgically-current-lessons-aviation-returning-non-urgent-surgery-following-covid-19
     September 29, 2021 - Commentary Are you surgically current? Lessons from aviation for returning to non-urgent surgery following COVID-19. Citation Text: Hardie JA, Brennan PA. Are you surgically current? Lessons from aviation for returning to non-urgent surgery following COVID-19. Br J Oral Maxillofac Surg. …

200. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49798/psn-pdf
     July 01, 2017 - Diagnosis of ACPO is secured with imaging showing a dilated colon in the absence of a mechanical obstruction … The chance of successful immediate closure is highest in patients with small perforations and absence