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psnet.ahrq.gov/issue/development-just-culture-assessment-tool-measuring-perceptions-health-care-professionals
January 12, 2022 - growing support has emerged for the establishment of a just culture that balances no-blame with appropriate
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psnet.ahrq.gov/issue/application-electronic-trigger-tools-identify-targets-improving-diagnostic-safety
January 26, 2022 - and implement these electronic trigger tools successfully, health systems will need to invest in the appropriate
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psnet.ahrq.gov/issue/incidence-and-trends-sepsis-us-hospitals-using-clinical-vs-claims-data-2009-2014
February 27, 2019 - Early identification of sepsis is essential for initiating appropriate treatment and preventing
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psnet.ahrq.gov/issue/correlates-missed-or-late-versus-timely-diagnosis-dementia-healthcare-settings
March 09, 2022 - Timely diagnosis ensures these patients and their caregivers receive appropriate treatment and support
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psnet.ahrq.gov/issue/nurses-attitudes-medical-emergency-team-service-teaching-hospital
November 16, 2022 - Australian hospital with a long-standing MET, surveyed ward nurses to determine if they understood the appropriate
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psnet.ahrq.gov/issue/patient-carer-and-family-experiences-seeking-redress-and-reconciliation-following-life
April 24, 2018 - life-changing adverse events due to errors, and their families, typically want disclosure of the error and appropriate
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psnet.ahrq.gov/issue/i-am-not-doctor-you-physicians-attitudes-about-caring-people-disabilities
February 10, 2015 - people with disabilities, invest in accessible equipment, or obtain continuing education to provide appropriate
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psnet.ahrq.gov/issue/antibiotic-prescribing-practice-residential-aged-care-facilities-health-care-providers
November 12, 2014 - This qualitative study explored barriers to appropriate antibiotic use in residential aged care facilities
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psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
December 15, 2024 - actually receiving the medication consists of several steps: Ordering: the clinician must select the appropriate … Dispensing: the pharmacist must check for drug–drug interactions and allergies, then release the appropriate
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psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
February 23, 2022 - presentation of this patient with encephalopathy, in the setting of severe hyponatremia, resulted in appropriate … saline on serum sodium can be unpredictable; therefore, characterizing it as a high-risk medication is appropriate … can be increased by developing and using a carefully designed, standardized order set that includes appropriate
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psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
August 14, 2024 - Thyroid Association outlines eligibility criteria for same-day discharge: no major patient comorbidities, appropriate … endotracheal tube cuff leak or findings of a lateral neck radiograph, and should be performed when appropriate … This patient was given clear instructions for neck swelling, called the appropriate emergency number, … Because early neck hematomas can be difficult to distinguish from benign postoperative swelling, appropriate … To successfully manage this life-threatening complication, appropriate patient, caregiver and clinical
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psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
January 31, 2024 - practice guidelines ( 8 ) provide guidance on specific indications and evidence-based care practices for appropriate … Depending on the volume in the bladder (e.g., 300 to 400 mL), straight catheterization would have been the appropriate … Indications for Indwelling Urinary Cathether.( 6 ) Appropriate indications for an IUC include: Inappropriate … For prolonged postoperative duration without appropriate indications (e.g., structural repair of urethra … D o not use the IUC catheter unless medically appropriate ( Table 1 ).
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - The commentary describes the appropriate evaluation for acute abdominal pain, the importance of imaging … discusses the contraindications for beta-blockers in the setting of acute decompensated heart failure and appropriate … commentary summarizes risk factors for fall injuries among high-risk populations (such as older adults), appropriate … The clinician promptly corrected the error by administering the appropriate dose of rocuronium. … The commentary discusses appropriate management of ongoing intraoperative and postoperative bleeding
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psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
March 15, 2023 - postoperative course was notable for continued slow weaning from the ventilator and discharge to an appropriate … Patients dependent on mechanical ventilation require a tracheostomy tube that has an appropriate internal … Longer tracheostomy tubes may be placed in the distal intact trachea to bypass areas of dilation, as appropriate … a continual air leak despite reinflation of the cuff, should be included in teaching. 12,16 It is appropriate … teams, 13 including multidisciplinary synchronous ward rounds, standardization of care protocols, appropriate
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psnet.ahrq.gov/issue/can-communication-and-resolution-programs-achieve-their-potential-five-key-questions
September 01, 2018 - Communication-and-resolution programs are designed to build healing relationships, offer appropriate
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psnet.ahrq.gov/issue/what-accountability-health-care
April 19, 2013 - These include professional, economic, and political models, which, the authors argue, fail to serve an appropriate
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psnet.ahrq.gov/web-mm/pregnant-danger
January 12, 2011 - Presenting Complaint Pregnant women can present with a myriad of complaints, making appropriate triage … expertise of the emergency physician and the rapid availability of consultants may make the ED a more appropriate … mRad to the fetus.( 9 ) In other words, concern about fetal radiation should not stand in the way of appropriate … Policies should be developed to assure the availability of appropriate clinical skills and equipment … Careful attention to the differential diagnosis, appropriate consultation and the judicious use of diagnostic
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psnet.ahrq.gov/node/855425/psn-pdf
January 01, 2024 - Missed diagnosis prevents patients from
receiving appropriate care, including newly FDA-approved medications
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psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
December 20, 2023 - Without appropriate education, the patient could be at high risk of insulin dosing errors, which could … intended for use when the standard process is not timely enough to meet the demand) may be useful, when appropriate … Any of these workarounds could have been effective with appropriate and timely communication, but the
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psnet.ahrq.gov/web-mm/elopement
July 14, 2010 - risks requires attention to preventive measures through assessment and elopement precautions as well as appropriate … Notification of police by security as appropriate. … Notification of appropriate administrative personnel.( 12 )
Procedures differ among organizations … essential so that a concerted effort can be made to locate the patient and safely return him to an appropriate … by patients with diminished capacity should be immediate and include unit staff, security, and, when appropriate