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psnet.ahrq.gov/node/33584/psn-pdf
March 15, 2025 - the task at hand, comprehend the data, forecast what may happen based on the data, and formulate an
appropriate
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psnet.ahrq.gov/node/33560/psn-pdf
June 15, 2024 - This model includes full disclosure of
adverse events, appropriate investigations, implementation of
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psnet.ahrq.gov/node/33586/psn-pdf
December 15, 2024 - Alert Fatigue
December 15, 2024
Alert Fatigue. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/alert-fatigue
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2024.
Bac…
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psnet.ahrq.gov/node/49720/psn-pdf
December 01, 2014 - upper and lower quadrants) are
tested by confrontation, using finger counting or visual
threat, as appropriate … Motor Arm: The limb is placed in the appropriate
position: extend the arms (palms down) 90 degrees ( … Motor Leg: The limb is placed in the appropriate
position: hold the leg at 30 degrees (always tested
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psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
May 01, 2016 - In other cases, the default settings may not be appropriate for a given patient population, such as in … patient-specific change often takes significant coordination between clinicians and, sometimes, discussion at an appropriate … Of course, some alarms are truly appropriate, and silencing them indiscriminately can lead to a life-threatening … tension of professional boundaries—particularly whether the nurse has both the training and then the appropriate
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psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
November 01, 2012 - Although one could debate the clinical indications for CT scanning in this scenario, the case provides an appropriate
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psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
August 01, 2017 - more rigorous set of standards, one that demands training programs demonstrate a culture of safety, an appropriate … service-to-education ratio, and appropriate availability of, and oversight by, attending physicians. … surgical outcomes are often determined by events outside the OR, including whether a patient has received appropriate
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psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - outcomes, but
when designing the interactive dashboard, researchers note that developers should ensure appropriate … to address communication
challenges caused by human error, predominantly associated with ensuring appropriate
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psnet.ahrq.gov/web-mm/inflicting-confusion
August 04, 2021 - core antibody, and surface antibody status should be assessed, and vaccination should be given when appropriate … discharge, the entire health care team should ensure timely follow-up with a gastroenterologist to confirm appropriate
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psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
November 25, 2020 - findings but without a definitive diagnosis within 24-48 hours, to recommend immediate follow-up care if appropriate … November 25, 2020
WebM&M Cases
Delay in Appropriate
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psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence
February 20, 2019 - should ask is how can we be confident that a particular machine learning decision support system is appropriate … to operate within a regulatory framework similar to that of human decision-makers, both in terms of appropriate
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psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
October 02, 2019 - There is evidence that continuity in care, a dedicated ambulatory curriculum, and appropriate outpatient … Sometimes it is appropriate to emphasize access over continuity, but it does not appear the patient was
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psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
September 25, 2019 - side effects of treatments, but it can be very challenging when completely new problems arise after appropriate … managed supportively – as is the evidence-based approach – for acute idiopathic pancreatitis, including appropriate
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psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
May 14, 2020 - infrastructure in place, patients may receive more timely diagnoses and treatment recommendations, more appropriate … triage processes can protect other patients by directing potentially infected individuals to the most appropriate … recognizing that there is a continued need to ensure patients are able to receive all necessary services when appropriate
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psnet.ahrq.gov/node/33609/psn-pdf
March 15, 2025 - an individual patient's risk of readmission based on clinical and demographic factors and suggest
appropriate
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psnet.ahrq.gov/node/33573/psn-pdf
March 15, 2025 - The concept of just culture provides an
appropriate foundation for dealing with disruptive behavior,
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psnet.ahrq.gov/node/33591/psn-pdf
March 15, 2025 - Versions of the
tool appropriate for prospective detection in real-time have also been developed.
-
psnet.ahrq.gov/innovations
February 26, 2025 - increased risk of adverse events, such as falls, and assessment of cognitive status and implementation of appropriate … increased risk of adverse events, such as falls, and assessment of cognitive status and implementation of appropriate
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psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
September 29, 2021 - because the patient was critically ill, removal of the IO line prior to transport to the OR was not appropriate … November 25, 2020
WebM&M Cases
Delay in Appropriate
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psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
March 25, 2025 - systems to think about what happens to patients when they leave the facility and make sure that they have appropriate … For example, pediatricians can use age-appropriate adaptations of tools like the Ask Suicide Screening … Choosing a Screening Approach Once the appropriate screening tool has been selected, healthcare organizations … Screening and Assessment The next step is to effectively implement and conduct the screenings once the appropriate … taken to the emergency department. 15,16 This tailored approach ensures that each patient receives an appropriate