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psnet.ahrq.gov/issue/electronic-health-record-based-triggers-detect-potential-delays-cancer-diagnosis
January 19, 2012 - iron-deficiency anemia, or bright red blood per rectum, but automatically excluded those that already received appropriate … triggers were between 58% and 70%, providing a reasonably accurate report of patients that truly lacked appropriate
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psnet.ahrq.gov/issue/visual-acuity-literacy-and-unintentional-misuse-nonprescription-medications
November 26, 2014 - has shown that patients with limited health literacy are at increased risk for misunderstanding the appropriate … January 22, 2014
A patient-centered prescription drug label to promote appropriate medication
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psnet.ahrq.gov/issue/patient-safety-what-about-patient
January 22, 2025 - The authors outline the patient’s role in increasing diagnostic accuracy, determining appropriate treatment
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psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-high-risk
November 13, 2024 - guidelines to foster the use of best practices by obstetric providers across the state; and facilitates appropriate … obstetric providers across the state ; utilizes a statewide telemedicine network; and facilitates appropriate … Patients with a positive secondary test are then connected with the appropriate medical team for management … The program ensures that birth occurs at the appropriate care facility and provides a seamless transition … the 2018-2019 fiscal year . 541 high-risk maternal transports were facilitated to the closest, most appropriate
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psnet.ahrq.gov/taxonomy/term/3437
April 02, 2025 - even if the operation proceeded with optimal adherence to sterile procedures, the patient received appropriate
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psnet.ahrq.gov/node/837659/psn-pdf
July 08, 2022 - Varying levels of
sedation prior to imaging can be appropriate given the need for patients to remain … Reassessments should be
implemented into workflows throughout each procedure to ensure safe and appropriate … Although this practice is often appropriate to ensure adequate image quality and improve
patient experience … Practice guidelines that specify
appropriate timing of patient reassessments should be implemented to … STOP-BANG can
help care teams better understand a patient’s risk for oversedation and ensure that appropriate
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psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy
November 25, 2020 - Strategies to ensure availability of appropriate expertise also are likely to reduce diagnostic errors … Appropriate training and experience, vigilance and a rigorous systematic approach to radiologic interpretation … service (OB/GYN), which re-interpreted the discrepant data, and resulted in a correct assessment and appropriate … Communication among members of work teams is critical for avoiding perpetuation of cognitive errors
Appropriate
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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - prompt and ordered the naloxone but did not inform the patient or educate him on its indication and appropriate … Through the use of layered learning, professional development, and appropriate clinical decision support … , the appropriate prescribing and use of naloxone to prevent accidental overdose can be achieved. … Take-Home Points
Co-prescribing naloxone with opioids may result in patient harm if appropriate … Healthcare systems and providers should use multi-layered education to inform patients about appropriate
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psnet.ahrq.gov/taxonomy/term/3440
April 10, 2025 - awareness of fatigue and stress among team members (including oneself), environmental threats to safety, appropriate
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psnet.ahrq.gov/web-mm/do-me-favor
September 12, 2016 - this case, an important quality of care and safety component was bypassed: the involvement of other appropriate … Appropriate protocols, including review of the case with another physician, were circumvented. … While advice about routine problems, referrals, or simple prescriptions could be considered appropriate … "( 4,6 ) Open discussions about appropriate types of caregiving among colleagues in institutions is a … Communicate with other care providers, as appropriate, to ensure these needs are met.
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psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
September 27, 2023 - A more appropriate diagnosis would have been “symptomatic cholelithiasis” or “biliary colic,” but these … updated “evidence-based guidelines to assist referring physicians and other providers in making the most appropriate … ACR guidelines are available to guide physician choice of appropriate imaging.
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psnet.ahrq.gov/node/33572/psn-pdf
December 15, 2024 - training, supervision, and decision support rather than
standardizing behavior, and thus may not be an appropriate … Current Context
When a checklist is appropriate, safety professionals must be aware that implementing … Failure to engage in appropriate
preparatory and monitoring before and after checklist implementation
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psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
April 27, 2022 - not hypothermic, as this state can contribute to coagulopathy. 1 Laboratory test results can guide appropriate … When initial efforts to control bleeding are unsuccessful, it is appropriate to institute damage control … Packing the wound in this case may have been an appropriate plan to start, but the lack of further intervention … If an MTP is activated, the blood bank can send a cooler with blood, FFP, and platelets in the appropriate … Resuscitation with blood products in appropriate ratios has been proven to be more effective than waiting
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psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
July 19, 2023 - . 2 , 15 The increased risk to inpatients highlights the need for vigilance by hospital staff in appropriate … of Access Duration of access is one of the primary clinical considerations in selecting the most appropriate … Each scenario was rated as appropriate, neutral/uncertain, or inappropriate. … The MAGIC criteria address PICC practices related to appropriate line selection, duration of access, … with a PICC line solely to avoid the discomfort associated with future blood draws would not be an appropriate
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psnet.ahrq.gov/perspective/accountability-patient-safety
January 01, 2018 - the no-blame movement and the recent shift toward a framework of a just culture that incorporates appropriate … disruptive behaviors harm patients, work environments, and staff morale, and that the problem warrants appropriate … ahead for the field is to develop a sophisticated understanding of the best methods for implementing appropriate
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psnet.ahrq.gov/issue/pulse-oximeters-medical-purposes-non-clinical-and-clinical-performance-testing-labeling-and
January 22, 2025 - This draft guidance shares regulatory recommendations to improve the performance and appropriate labeling
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psnet.ahrq.gov/issue/documenting-indication-antimicrobial-prescribing-scoping-review
August 03, 2022 - conclude that this is a growing area of research interest and note that emerging evidence indicates that appropriate
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psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
April 01, 2005 - Due to the new system’s updates, intervention and appropriate care was provided to these eight patients … In 2020, this program successfully identified 686 patients diagnosed with AAA and did not have appropriate … Decision-support systems for CT scans and CEA tests at appropriate intervals post-surgery were implemented … The tool should include an appropriate number of questions determined by the implementation team to ensure … Getting Started with This Innovation
The intervention starts by selecting an appropriate diagnosis
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psnet.ahrq.gov/issue/implementation-antibiotic-stewardship-program-long-term-care-facilities-across-us
July 20, 2022 - AHRQ) Safety Program for Improving Antibiotic Use developed programs and a toolkit to improve the appropriate
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psnet.ahrq.gov/issue/preliminary-study-patient-safety-and-quality-use-cases-icd-11-mms
July 22, 2020 - The authors evaluated whether the ICD-11 MMS is appropriate for use in patient safety and quality or