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psnet.ahrq.gov/issue/care-transitions-intervention-results-randomized-controlled-trial
July 10, 2008 - The foci of the intervention were on ensuring accurate medication usage and appropriate follow-up care
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psnet.ahrq.gov/issue/parental-misinterpretations-over-counter-pediatric-cough-and-cold-medication-labels
May 04, 2012 - Despite this, most parents in this study thought such medications were entirely appropriate for their
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psnet.ahrq.gov/issue/are-temporary-staff-associated-more-severe-emergency-department-medication-errors
June 29, 2011 - However, achieving an appropriate nurse-to-patient ratio may necessitate using temporary staff, who may
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psnet.ahrq.gov/issue/safety-time-covid-19-pandemic-how-keep-our-oncology-patients-and-healthcare-workers-safe
September 03, 2011 - They also propose measures focused on healthcare worker safety, including appropriate use of personal
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psnet.ahrq.gov/issue/introduction-medical-emergency-team-met-system-cluster-randomised-controlled-trial
January 18, 2011 - hospital groups, system-based interventions can support a focus on improved monitoring of patients and appropriate
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psnet.ahrq.gov/issue/improving-situation-awareness-reduce-unrecognized-clinical-deterioration-and-serious-safety
December 02, 2014 - Lack of appropriate situational awareness is an important source of diagnostic errors .
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psnet.ahrq.gov/issue/exploring-situational-awareness-diagnostic-errors-primary-care
September 20, 2011 - lacking (e.g., information perception, information comprehension, forecasting future events, and choosing appropriate
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psnet.ahrq.gov/node/49853/psn-pdf
February 01, 2019 - for the intrahospital transfer
process may include pretransport assessment of the patient, use of appropriate … standardized protocols (e.g., a triage protocol
or other locally developed guidelines) to determine appropriate … Safe transport requires trained personnel and appropriate level of monitoring.
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psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patient
March 12, 2021 - The clinician promptly corrected the error by administering the appropriate dose of rocuronium. … the impact of double check systems found that such processes may detect up to 95% of errors, with appropriate … Take-Home Points Double checks during medication administration have value with judicious use and appropriate
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psnet.ahrq.gov/web-mm/preventable-transfer-hospital
March 31, 2022 - The ethics committee found that transition to hospice was appropriate, given the patient’s pattern of
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psnet.ahrq.gov/issue/evaluation-clinical-practice-guidelines-fall-prevention-and-management-older-adults
March 09, 2022 - , 2022
Medication appropriateness in vulnerable older adults: healthy skepticism of appropriate
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psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - the enteric tube was safe to use would have been helpful to electronically communicate and document appropriate … significantly misplaced line or tube”. 16 Nevertheless, it can often be difficult for radiologists to find the appropriate … facilitate notification of critical imaging test results via automated transmission of information to the appropriate … NG tube aspirate characteristics may be considered as a low-cost secondary confirmatory measure for appropriate … radiologic results (such as ANCR), and the utilization of a standard and expected EHR order to document appropriate
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psnet.ahrq.gov/web-mm/mismanagement-acute-decompensated-heart-failure-hypertensive-emergency
May 01, 2018 - Objectives At the conclusion of this educational activity, participants should be able to: Recognize appropriate … Discuss appropriate Emergency Department disposition for patients during hypertensive emergencies, and … patient with only one “ICU level need” (i.e., a titratable infusion), a stepdown unit may have been appropriate … apparently led to repeated administration of “as needed” anti-hypertensives to keep the patient’s condition appropriate … Avoiding universal administration of fluid boluses, caution in treating hypertensive emergencies, choosing appropriate
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psnet.ahrq.gov/issue/safe-practice-recommendations-use-copy-forward-nursing-flow-sheets-hospital-settings
May 18, 2022 - easily identifiable within the electronic medical record, staff should receive formal training on the appropriate
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psnet.ahrq.gov/web-mm/abdominal-pain-early-pregnancy
November 13, 2024 - complete abdominal ultrasound (looking for nonpregnancy-related intra-abdominal pathology) would have been appropriate … In retrospect, it may not have been appropriate to discharge this patient from the ED after her initial … When the patient returned with worsening symptoms, appropriate imaging was pursued and revealed acute
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psnet.ahrq.gov/primer/culture-safety
September 15, 2024 - One issue is that while "no blame" is the appropriate stance for many errors, certain errors do seem … In an effort to balance the twin needs for no-blame and appropriate accountability, the concept of
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psnet.ahrq.gov/issue/evaluation-harm-associated-high-dose-range-clinical-decision-support-overrides-intensive-care
August 17, 2018 - In almost 90% of cases, the overrides were deemed clinically appropriate.
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psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-systems-medical-imaging-services-systematic-review
June 14, 2017 - studies have also shown that combining CPOE with DSS can improve diagnostic performance and encourage appropriate
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psnet.ahrq.gov/issue/anticoagulant-medication-errors-nursing-homes-characteristics-causes-outcomes-and-association
December 15, 2011 - Errors were found to be common and harmful, often due to inadequate monitoring to ensure appropriate
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psnet.ahrq.gov/issue/patient-safety-perceptions-pediatric-out-hospital-emergency-care-childrens-safety-initiative
March 22, 2017 - Respondents reported a need for training, support for clinical assessment and decision-making, appropriate