-
psnet.ahrq.gov/issue/association-note-quality-and-quality-care-cross-sectional-study
June 05, 2018 - standardization and improvement, it found no clear relationship between physician note quality and appropriate
-
psnet.ahrq.gov/issue/readiness-us-general-surgery-residents-independent-practice
April 24, 2018 - A previous PSNet perspective advocated for continued appropriate supervision to augment patient safety
-
psnet.ahrq.gov/issue/how-will-we-know-patients-are-safer-organization-wide-approach-measuring-and-improving-safety
May 20, 2009 - approach that focuses on the following: how often do we harm patients, how often do patients receive the appropriate
-
psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
April 27, 2022 - Understanding risk factors, disease presentation and progression, and appropriate evaluation strategies … If appropriate imaging studies cannot be obtained in a timely manner, the patient should be transferred … In practice, it is appropriate to administer antibiotics early if bacterial meningitis is suspected. … The combination of vancomycin plus ceftriaxone or cefepime is one example of appropriate empiric antibiotic … November 25, 2020
WebM&M Cases
Delay in Appropriate
-
psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
March 22, 2009 - individuals to obtain, process, and understand basic health information and services needed to make appropriate … information was adequately communicated (or even made available) to patients and subsequently understood for appropriate … But otherwise it could be an appropriate lever.
The last lever is health IT. … Resources From the Same Author(s)
A patient-centered prescription drug label to promote appropriate
-
psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
January 23, 2017 - After an appropriate procedural pause, nursing staff applied cardiac, pulse oximetry, and end tidal carbon … emergency, including antagonists as indicated M = Monitors : functioning pulse oximeter with size-appropriate … oximeter probes, end-tidal carbon dioxide monitor, and other monitors as appropriate for the procedure … be delayed. 4,5,10 Nine rights of medication administration This case highlights the importance of appropriate … Standard dosing units (e.g., mg/mL) should always be used, and appropriate size syringes should be tailored
-
psnet.ahrq.gov/node/33715/psn-pdf
July 01, 2011 - Our challenges were mainly around the need to have appropriate security for Patient
Safety Work Product … To the extent practical and appropriate, the PSO must collect patient safety work product from
providers
-
psnet.ahrq.gov/web-mm/all-history
February 28, 2011 - Simply leaving the patient on an ED gurney does not constitute an appropriate transfer of care and may … aim to be "specific" (i.e., the emergency physician's role is to stabilize the patient and determine appropriate … "anchored" on the diagnosis provided by the ED, which potentially delayed receipt of the definitive appropriate … must: Have available space and qualified personnel Accept transfer of the patient and provide appropriate … treatment Regional referral centers and hospitals with specialized capabilities cannot refuse appropriate
-
psnet.ahrq.gov/node/845473/psn-pdf
March 15, 2023 - When designing the
program, organizations must develop clear protocols for identifying appropriate patients … Appropriate staff are needed to train patients and provide technical support, monitor data, or respond
-
psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
October 31, 2023 - Describe evidence-based first line treatments for low back pain and assess the appropriate role of opioid … gathering, and failing to synthesize information
In this case, the physician’s initial workup appears appropriate … Finally, all healthcare delivery systems should have systems in place to ensure that all patients receive appropriate … conservative home measures (including exercise, topical cold or heat, and continued usual activity) was appropriate
-
psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
January 29, 2021 - slept for 3 hours), performed the procedure successfully but injected an analgesic drug that was not appropriate … impair trainee performance, but shorter trainee shifts burden other team members, and systems with appropriate … staff hospitals, and improving the culture to support shorter shifts, regular breaks, and napping when appropriate
-
psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
June 16, 2021 - Checklists 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.
-
psnet.ahrq.gov/node/34638/psn-pdf
December 23, 2008 - These include professional, economic, and political models, which, the authors argue, fail to serve an
appropriate
-
psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
September 25, 2024 - .: (1) Recognition of patient deterioration; (2) Prompt communication to the appropriate providers; and … lexicon during neonatal resuscitation exercises was associated with a trend toward faster initiation of appropriate … Technical steps like using appropriate monitoring, minimizing insufflation and dilation pressures to
-
psnet.ahrq.gov/web-mm/dont-use-port-insert-picc
December 22, 2018 - , specific types of cancer (e.g., pancreatic), parenteral nutrition, and preexisting sepsis.( 3,4 ) Appropriate … First, an appropriate disclosure process should be undertaken and relevant patient, and provider, needs … patient's perspective, anticoagulation should be continued for 3 months, the PICC should be removed when appropriate
-
psnet.ahrq.gov/web-mm/routine-goes-awry
September 23, 2020 - important for the pediatric otolaryngologist—and others who care for children—to become familiar with appropriate … presence or absence of SDB symptoms, and as mentioned earlier, the severity of SDB may influence the appropriate … Patient should undergo preoperative evaluation to determine the appropriate surgical setting for the
-
psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims
October 26, 2010 - a timely diagnosis was generally due to multiple process breakdowns, including failure to order an appropriate
-
psnet.ahrq.gov/issue/patient-specific-electronic-decision-support-reduces-prescription-excessive-doses
November 02, 2010 - Clinician decision support systems (CDSS) hold great promise as a means of promoting appropriate care
-
psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
January 31, 2024 - while also giving them the feeling of not being alone. 13 An empathetic and focused apology may be appropriate … competent”), but instead document the basis for this finding, including a mental status examination, if appropriate … does not confer any protection against future legal action if the health care provider has not made appropriate
-
psnet.ahrq.gov/issue/tradeoffs-between-safety-and-alert-fatigue-data-national-evaluation-hospital-medication
March 17, 2021 - Study
The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support.
Citation Text:
Co Z, Holmgren AJ, Classen DC, et al. The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital…