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psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong
March 31, 2021 - management is outside the scope of his or her practice, the surgeon will at least help coordinate the appropriate … in its professionalism and commitment to the patient in this case by failing to ensure and expedite appropriate … or other members of the clinical team (e.g., nurses) did not feel empowered to insist on the urgency appropriate … the substandard care provided in that the general surgeon responded with apparent resentment to an appropriate … Involving specialty services in creating these guidelines builds buy-in and provides an appropriate space
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-12
June 16, 2019 - reports provides examples of problems related to medication misadministration, drug shortages, and the appropriate
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psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
August 21, 2005 - The patient safety issues center on confirming the aortic valve-associated thrombosis, providing appropriate … initial choice of intravenous heparinization for treating this patient with arterial thrombosis was appropriate … Appropriate consultation to vascular surgery, interventional radiology or interventional cardiology should … CT aortogram with run-off is an appropriate imaging option for evaluating for propagation of a thrombus
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psnet.ahrq.gov/web-mm/wrongful-resuscitation
October 12, 2012 - An ethics committee is an appropriate vehicle to help resolve these conflicts. … Such a case should be reported to the appropriate state authorities, and the resulting sanctions and … Electronic medical records can include appropriate "flags" that make sure that important information … In this 80-year-old man with multiple organ impairment, the most appropriate focus of advance care planning … If the physician and nursing home staff addressed the appropriate use of hospitalization and prospectively
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psnet.ahrq.gov/issue/potentially-inappropriate-medications-according-stopp-j-criteria-and-risks-hospitalization
January 27, 2021 - American Geriatrics Society’s Beers Criteria and the relatively new Screening Tool for Older Person’s Appropriate
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psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
September 16, 2015 - oncologist and interventional radiologist discussed the case and decided it would be safest and most appropriate … The error was disclosed to the patient, the tunneled catheter was removed, and the appropriate catheter … Otherwise, the CDS can provide real-time feedback to redirect toward more appropriate care. … As a result, the 23%–27% of imaging orders without an appropriate indication were considered mistakes … Further, the ordering physician would have to arrive at the appropriate decision relatively quickly through
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psnet.ahrq.gov/node/33569/psn-pdf
June 15, 2024 - Even if communication between providers is timely and accurate, and appropriate steps are taken to
ensure … Failure to enlist appropriate resources to help with the transition from
hospital to home (or another … included linkage to community resources and care coordination with long-term care
facilities when appropriate
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psnet.ahrq.gov/curated-library/rapid-response-systems
September 15, 2024 - Read More
Spotlight Case
Delay in Appropriate Diagnosis and Treatment … The commentary discusses appropriate management of ongoing intraoperative and postoperative bleeding … Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism
David Barnes
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psnet.ahrq.gov/primer/checklists
September 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/wrong-blade-lack-familiarity-pediatric-emergency-equipment
June 01, 2018 - All of the teams used the Broselow system, a proprietary system designed to facilitate finding the appropriate-sized … mainly by adult-trained staff who may be less comfortable with pediatric presentations and the age-appropriate … that it is helpful ( 12 ), and a proven alternative that will reliably allow ED personnel to choose appropriate-sized
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psnet.ahrq.gov/web-mm/result-stopped-here
December 01, 2006 - test values should be included in a panic value policy, nor does it stipulate the types of personnel appropriate … since laboratory staff called infection control staff, who called a float nurse, who failed to notify appropriate … Computer alerting systems, which automatically detect panic values and notify an appropriate care provider … that a computer alerting system for panic values increased the fraction of inpatients who received appropriate … automatically paged covering physicians with panic laboratory values and reduced delays in delivering appropriate
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psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
March 27, 2024 - Explain the importance of timely identification and appropriate management of pediatric sepsis. … At five years of age, two of these values exceed age-appropriate cut-offs used in the 2005 criteria for … Ultimately, the goal of early sepsis recognition is the rapid implementation of appropriate treatment … The goal of early sepsis recognition is the rapid implementation of appropriate treatment. … Operationalizing appropriate sepsis definitions in children worldwide: considerations for the Pediatric
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psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
January 01, 2024 - .
• Explain the importance of timely identification and appropriate management of
pediatric sepsis. … – At five years of age, two of these values exceed age-appropriate cut-offs used in the 2005
criteria … – Such alerts avoid reliance solely on a clinician’s memory for determining appropriate age-specific … • The goal of early sepsis recognition is the rapid implementation of appropriate treatment. … Operationalizing Appropriate Sepsis Definitions in Children Worldwide: Considerations for the Pediatric
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psnet.ahrq.gov/node/865419/psn-pdf
March 27, 2024 - Explain the importance of timely identification and appropriate management of pediatric sepsis. … At five years of age, two of these values
exceed age-appropriate cut-offs used in the 2005 criteria … Ultimately, the goal of early sepsis recognition is the rapid implementation of appropriate treatment … The goal of early sepsis recognition is the rapid implementation of appropriate treatment. … Operationalizing appropriate sepsis definitions in children
worldwide: considerations for the Pediatric
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psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
March 29, 2023 - We ask OB/GYNs to provide appropriate care to those experiencing perinatal mental health conditions, … Preventive Services Task Force have recognized the importance of appropriate mental healthcare throughout … Effective care coordination can help ensure that patients receive the appropriate care and support they … Healthcare providers can help ensure that patients receive the appropriate care and support they need … Providing appropriate care can reduce the risk of adverse outcomes.
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psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
November 30, 2023 - consistent with a simple acid-base abnormality and physicians need to recall equations to evaluate whether appropriate … this combination of high AG metabolic acidosis from DKA and metabolic alkalosis from vomiting, then appropriate … patient in this case did not have DKA, the order for “sliding scale” insulin administration was not appropriate … point-of-care blood glucose values) is strongly discouraged for all patients with diabetes, and is never appropriate … order sets for physiologic insulin, with clinical decision support (CDS) tools to guide providers in appropriate
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psnet.ahrq.gov/issue/covering-health-patient-safety
August 09, 2023 - The role media plays in raising awareness of patient safety issues in a timely and appropriate manner
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psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
April 24, 2024 - Download Citation
Introduction Nurses are essential to patient care, and having an appropriate … levels of nurse staffing tend to reduce avoidable patient harm. 5 Appropriate staffing is not a static … Appropriate levels of nurse staffing vary by setting and even on a shift-by-shift basis depending on … To compensate for nurse shortages and to achieve appropriate nurse staffing, some healthcare systems … that they are efficient and not burdensome to nurses, and improving regulatory oversight to include appropriate
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psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
April 24, 2024 - Challenges
April 24, 2024
Introduction Nurses are essential to patient care, and having an appropriate … levels of nurse staffing tend to reduce avoidable patient harm. 5 Appropriate staffing is not a static … Appropriate levels of nurse staffing vary by setting and even on a shift-by-shift basis depending on … To compensate for nurse shortages and to achieve appropriate nurse staffing, some healthcare systems … that they are efficient and not burdensome to nurses, and improving regulatory oversight to include appropriate
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psnet.ahrq.gov/issue/improving-diagnosis-improving-education-policy-brief-education-healthcare-professions
August 28, 2019 - effective use of knowledge, clinical reasoning , system orientation, patient and team engagement , and appropriate