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psnet.ahrq.gov/web-mm/thin-air
March 01, 2006 - A flowmeter is connected to the outlet to meter gas at an appropriate flow rate, typically 1-15 liters … Even with the appropriate color Christmas tree adapter, it is quite possible to attach the tubing to … 1,2 ) Each cylinder has a specific pattern of holes into which the matching pattern of pins from the appropriate
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psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - enhance the ability for organizations to improve reliability.(24,25)
Although the availability of appropriate … Human factors and technology-focused solutions
developed in research environments will require appropriate … Preventing failure-to-rescue events requires timely recognition of complications and appropriate
action-taking
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psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
August 05, 2022 - teach-back are likely the most effective way to limit medication discrepancies and address them in an appropriate
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psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
October 28, 2020 - not have infection in retrospect had higher mortality rates, which may have been related to delays in appropriate … misdiagnosis delayed the correct diagnosis of cardiogenic shock, leading to a concomitant delay in appropriate … support tools, including sepsis alerts and order sets, can facilitate early recognition of sepsis and appropriate
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psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
September 01, 2016 - oxycodone comes in two concentrations, the pharmacist did not know that the concentrated product was not appropriate … such as concentrated oxycodone, should have additional safeguards that guide practitioners to their appropriate … monitoring
• Assessment of drug delivery devices before purchase and during use
• Implementation of appropriate
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psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
May 01, 2005 - cancer accounted for 250,520 new diagnoses and 42,000 deaths in the US in 2017. 1 Early detection and appropriate … 2 Although there is debate among cancer epidemiologists and professional society panels about the appropriate … Although radiologists may consider themselves to be “essential and central... in the appropriate care
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psnet.ahrq.gov/web-mm/finding-fault-default-alert
August 28, 2024 - clinically irrelevant.( 3,5 ) Consequently, physicians' decisions to override alerts are often entirely appropriate … Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate
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psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-management-sepsis
February 26, 2025 - their ideas for addressing at-risk patients, a select multidisciplinary team worked to develop the most appropriate … implementation of specific bundle elements, including testing and antibiotic administration, deemed clinically appropriate
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psnet.ahrq.gov/periodic-issue/periodic-issue-470
December 31, 2024 - This draft guidance shares regulatory recommendations to improve the performance and appropriate labeling … discusses the contraindications for beta-blockers in the setting of acute decompensated heart failure and appropriate
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psnet.ahrq.gov/issue/computerized-dose-range-checking-using-hard-and-soft-stop-alerts-reduces-prescribing-errors
June 16, 2010 - Study
Computerized dose range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit.
Citation Text:
Balasuriya L, Vyles D, Bakerman P, et al. Computerized Dose Range Checking Using Hard and Soft Stop Alerts Reduces Prescribing Errors in a …
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psnet.ahrq.gov/issue/association-inappropriate-outpatient-pediatric-antibiotic-prescriptions-adverse-drug-events
March 05, 2008 - Review
Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug events and health care expenditures.
Citation Text:
Butler AM, Brown DS, Durkin MJ, et al. Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug even…
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psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
May 01, 2014 - of patient care to clean hands, and they simply could not wash their hands with soap and water in an appropriate … cannot tell if or when people are using the alcohol-based hand rub, if it is appropriately used at the appropriate … Or, "You could have waited during the course of care to perform hand hygiene at a much more appropriate … completely agree that patients should have the right to benefit from health care workers practicing appropriate
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psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
December 23, 2020 - fluids
Because the TPN had not been ordered in time, a substitute bag of intravenous fluid with appropriate … Also, several “quick pick” options for making substitutions can be implemented for various appropriate … Similarly, given the dietician’s role in alerting the care team to the expiration of TPN orders, appropriate
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psnet.ahrq.gov/web-mm/dropped-lung
February 06, 2012 - These would include appropriate safeguards, such as review of pre-procedure imaging studies by a competent … Education (ACGME).( 8 ) Competencies Requirements Patient Care Compassionate, appropriate
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psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
April 26, 2023 - If you’re not setting up your system to interrupt only when it’s appropriate, the alarms cause more harm … George, as chief quality officer, found that if you had appropriate ordering of telemetry, you could … complications; (2) failure to relay information to the care team, and (3) failure to react in a timely and appropriate
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psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
December 14, 2022 - best practices are well-established and resources are stable, compliance with rigid protocols may be appropriate … frameworks should be viewed as complementary perspectives in which the context of care often determines the appropriate … Providers adjust their interventions when standard processes are not appropriate or when required resources … So, there are circumstances in which the Safety-I approach of constraining options is appropriate, and
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psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertion-latex-drain-patient-known-latex-allergy
July 08, 2022 - The second is through elimination of the use of latex products and substitution with appropriate non-latex … case described above illustrates how an inadvertent exposure to latex can cause substantial harm if appropriate … This committee must have authority to eliminate unsafe latex products from hospital use when an appropriate … In order to avoid medical and nursing staff conflict over these decisions, appropriate leadership (nursing
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psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension
February 01, 2012 - To do this safely, however, we need clear expectations about what constitutes appropriate supervision … When faculty or more experienced residents are too busy with their own clinical obligations to provide appropriate … And how do we strike that appropriate balance?
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psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
August 31, 2022 - Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate
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psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
September 01, 2014 - As part of age-appropriate cancer screening, the primary care provider ordered a fecal immunochemical … physician called the patient to inform him of the results and explained that a colonoscopy was the appropriate