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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide5.html
October 01, 2022 - Many centers have adapted definitions such as "ambulates independently outside of room twice daily" or
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psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
October 31, 2023 - She began experiencing balance problems and leg spasms such that she required use of a walker to ambulate … year after her initial evaluation for back pain, the patient’s family brought her to the emergency room … because she was unable to ambulate even to the bathroom due to pain. … divided diagnostic errors into three categories :
No-fault errors, which result from factors outside
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psnet.ahrq.gov/node/49750/psn-pdf
January 01, 2016 - A Room Without Orders
January 1, 2016
Vogelsmeier A, Despins L. A Room Without Orders. … https://psnet.ahrq.gov/web-mm/room-without-orders
Case Objectives
Review a common process for planned … At shift change, the patient's
room was ready but the nurse who had initially greeted him on arrival … had been replaced by a new nurse,
who escorted the patient to his room. … admissions include an interoperable EHR that can be
accessed by physicians scheduling admissions from outside
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-transcript.html
December 01, 2017 - If the patient has more IV pumps than there are people in the room, they're probably ICU caliber. … you don't want to add something else that they have to worry about holding on to if they're trying to ambulate … We also have to remember that outside of the ICU setting and sometimes in the ICU setting, that strict … Next, a hip fracture who's going to the operating room, eventually. … They are in a patient bed, in a typical looking patient care room.
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-preventing-cauti-transcript.html
November 01, 2015 - If the patient has more IV pumps than there are people in the room, they're probably ICU caliber. … you don't want to add something else that they have to worry about holding on to if they're trying to ambulate … We also have to remember that outside of the ICU setting and sometimes in the ICU setting, that strict … Next, a hip fracture who's going to the operating room, eventually. … They are in a patient bed, in a typical looking patient care room.
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psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
February 10, 2010 - alert, and may decrease the turnaround times between cases, especially if a separate area is available outside … For instance, with spinal anesthesia, the patient must be able to ambulate, and sufficient regression … no dizziness, consistent with preoperative level 2 Requires assistance 1 Unable to ambulate
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www.ahrq.gov/patient-safety/resources/vtguide/guide7.html
May 01, 2016 - potential over-prophylaxis is identified by "green" patients on anticoagulant who are ambulating actively outside
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide7.html
May 01, 2016 - potential over-prophylaxis is identified by "green" patients on anticoagulant who are ambulating actively outside
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide7.html
May 01, 2016 - potential over-prophylaxis is identified by "green" patients on anticoagulant who are ambulating actively outside
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psnet.ahrq.gov/node/866622/psn-pdf
August 28, 2024 - are operationalized more effectively when there is a full understanding
of workflows, so there is room … The second step is to tap into external
expertise, sometimes outside of health care. … you ask registration, perioperative techs, or bedside nurses, you'll hear about things that folks do outside … of
policy and outside of work as imagined to keep patients safe.
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www.qualitymeasures.ahrq.gov/practiceimprovement/delivery-initiative/ihs/appendixa.html
December 01, 2017 - Although factors outside the direct control of the health care system influence inpatient service utilization … Plastic Surgery
Education/Case Management
Chest and TB
Surgical Outpatient Use Of Inp Trtmnt Room … Emergency room
Urgent
Eye care
Dental
Behavioral health
Home visits
Primary/General
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ce.effectivehealthcare.ahrq.gov/practiceimprovement/delivery-initiative/ihs/appendixa.html
December 01, 2017 - Although factors outside the direct control of the health care system influence inpatient service utilization … Plastic Surgery
Education/Case Management
Chest and TB
Surgical Outpatient Use Of Inp Trtmnt Room … Emergency room
Urgent
Eye care
Dental
Behavioral health
Home visits
Primary/General
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psnet.ahrq.gov/issue/communication-skills-training-address-disruptive-physician-behavior
September 16, 2009 - 2017
Analysis of adverse events associated with adult moderate procedural sedation outside … the operating room. … WebM&M Cases
Medication Handling and Compounding Errors in the Operating Room … August 3, 2022
How gender shapes interprofessional teamwork in the operating room: a … The nature of reported safety events related to care coordination in the operating room
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
May 30, 2013 - of toxicity
have ready access to the antidote, calcium gluconate, via a kit stored in the patient’s room … worksheet
· Interdisciplinary case reviews
Have a process in place to review use of magnesium sulfate outside … Unit can decide its approach to reviewing cases where magnesium sulfate was used outside of the unit’ … saturation level)
· DTRs and presence or absence of clonus
· fluid inputs and outputs (if a patient cannot ambulate … and family can request urgent assistance if nurse is not at bedside.
· Place lights in the patient’s room
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psnet.ahrq.gov/node/60066/psn-pdf
March 25, 2020 - Because the ED was busy with no available beds, the patient remained in the waiting room. … Second, nursing staff did not reassess the patient while
she was in the waiting room. … Input pertains to factors outside of the immediate control of the ED, such as patient disease factors … Triage Process
Delays due to ED crowding and boarding are outside the immediate control of any one individual … Delays in the operating room: signs of an imperfect
system. Can J Surg. 2010;53(3):189-195.
16.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/appc.html
May 01, 2016 - Medical patient able to ambulate outside room and not meeting criteria for moderate or high risk.
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/vtguide/guide5.html
October 01, 2022 - Many centers have adapted definitions such as "ambulates independently outside of room twice daily" or
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/guide5.html
October 01, 2022 - Many centers have adapted definitions such as "ambulates independently outside of room twice daily" or
-
psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
November 25, 2020 - Because the ED was busy with no available beds, the patient remained in the waiting room. … Second, nursing staff did not reassess the patient while she was in the waiting room. … Input pertains to factors outside of the immediate control of the ED, such as patient disease factors … Triage Process
Delays due to ED crowding and boarding are outside the immediate control of any one … Delays in the operating room: signs of an imperfect system. Can J Surg. 2010;53(3):189-195.
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www.ahrq.gov/research/shuttered/acfselection/appendixd.html
July 01, 2018 - Yes
Yes
Yes
Yes
Yes
Outside Provider Issues? … Outside Providers?
Yes
Yes
Yes
Yes
Yes
Outside Provider Issues? … Yes
Yes
Yes
Yes
No
Outside Integration? … Computer board
a room roster started when they admit. … Limited
Each family unit had private room
Did not
.
.
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