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psnet.ahrq.gov/node/73103/psn-pdf
March 31, 2021 - physician also noted that the patient described a skin breakdown on her “backside,” but the
affected area … neurogenic bladder; if she had
a suprapubic catheter in place, direct visualization of the perineal area … a “patient-assisted” exam.4 However,
positioning the patient to visualize the skin in the perineal area … loss of privacy and social norms may also interfere with effective video
examination of the perineal area … Limited information from the patient about her emerging symptoms and failure to visualize
the area of
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psnet.ahrq.gov/node/49493/psn-pdf
November 01, 2005 - case, the hospital utilized one of these strategies, by “floating” a nurse from a regularly assigned
area … to an area of need. … Each staff person assigned to an area, temporarily or permanently, is expected to have the required … competencies to practice safely in that area. … If nurses are asked to float to an area in which they are unqualified and their request for
an orientation
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psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
January 01, 2014 - Laura Petersen, my primary mentor, was not only invested in the research area that I had chosen but she … It's about more than just a research area, it's about a person, and she took interest in both. … I also served as co-chair of a committee to revise VA's national policy in this area. … HS : For me, passion for my primary interest area, diagnostic error, drove me the most. … It seems too hard and we're not really sure if this is an important area."
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psnet.ahrq.gov/node/49549/psn-pdf
December 06, 2007 - For patients who are competent and who have
left the area without informing staff, response to their … place for patients to sign out or otherwise communicate with the nursing
staff before leaving the area … Immediate search of the unit and surrounding area by unit staff. … should be initiated when any patient with decreased mental capacity
has left the unit or treatment area … Missing patient—"A patient missing from a care area without staff knowledge or permission."
-
psnet.ahrq.gov/issue/clinical-outcomes-home-based-medication-reconciliation-program-after-discharge-skilled
March 21, 2017 - Prior research in this area has also documented the value of clinical pharmacists in preventing medication … February 2, 2011
Implementing root cause analysis in an area health service: views of
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psnet.ahrq.gov/node/49782/psn-pdf
January 01, 2017 - administration for no
more than 2 hours, and only when a good quality peripheral IV is in place in a proximal area … extravasation.(3) If complications are observed,
the vasopressor infusion should be relocated to another area … Then, 0.5–1 mL of phentolamine should be injected around the edges of the area of extravasation or
ischemia … This introduces the phentolamine into the
area of extravasation/ischemia, but also punctures the skin … Nitroglycerin paste can also be used on the area of extravasation or ischemia.
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psnet.ahrq.gov/web-mm/infused-not-ingested
February 01, 2017 - case, the hospital utilized one of these strategies, by “floating” a nurse from a regularly assigned area … to an area of need. … to practice safely in that area. … staffing solution, one might prioritize not only hiring an adequate supply of nurses for each clinical area … If nurses are asked to float to an area in which they are unqualified and their request for an orientation
-
psnet.ahrq.gov/node/33759/psn-pdf
October 01, 2012 - During the past 8
years, this latter area—implementation and spread—has seen some significant progress … In this area of
research, investigators consider not only whether a project improved our understanding … been firmly established in the safety field.(9) This gap is due in part to
the complexity of this area … Over the past decade, AHRQ has spurred progress in this area by addressing the technological limitations … Training opportunities and resources in this area are
available through the agency's Team Strategies
-
psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry
December 07, 2020 - However, antibiotic and opioid stewardship programs are nascent in the dental setting, making this an area … Kendall Hall: Please take a moment to introduce yourself and your area of research to provide some … We reviewed those antibiotic prescriptions and found that the treatment of oral infection was an area … Is that is that an up-and-coming area?
KS : It is in dentistry. … It is a very large area of opportunity.
-
psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
March 30, 2020 - If I’m new to this area, I wouldn’t know where to start. … This is really a gap area. … The other area that is new and very helpful is the cross-cutting topics. … This area was greatly expanded and more meaningfully incorporated as a technology solution. … Another new area that we have not touched on is the behavioral health area, and we know how important
-
psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report
March 30, 2020 - If I’m new to this area, I wouldn’t know where to start. … This is really a gap area. … The other area that is new and very helpful is the cross-cutting topics. … This area was greatly expanded and more meaningfully incorporated as a technology solution. … Another new area that we have not touched on is the behavioral health area, and we know how important
-
psnet.ahrq.gov/web-mm/elopement
July 14, 2010 - For patients who are competent and who have left the area without informing staff, response to their … in place for patients to sign out or otherwise communicate with the nursing staff before leaving the area … Immediate search of the unit and surrounding area by unit staff. … should be initiated when any patient with decreased mental capacity has left the unit or treatment area … Missing patient —"A patient missing from a care area without staff knowledge or permission."
-
psnet.ahrq.gov/perspective/are-we-safer-today
February 26, 2025 - Another area for future advances in patient safety may be the application of artificial intelligence … I think organizations should be required to put in measurement technology in this area. … David Bates: Infection is the poster child for an area where we have made improvements. … This area is not amenable to a single checklist. … Decompensation is also an area that has not really been addressed until recently.
-
psnet.ahrq.gov/node/50677/psn-pdf
November 20, 2019 - https://psnet.ahrq.gov/issue/what-happens-when-doctors-make-diagnostic-errors
Misdiagnosis growing area
-
psnet.ahrq.gov/node/72642/psn-pdf
January 13, 2021 -
https://psnet.ahrq.gov/issue/patient-safety-22
Surgical safety is a recognized area of emphasis
-
psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - extremity edema Abdomen: Normal active bowel sounds with some tenderness to palpation over the suprapubic area … debridement for Fournier's gangrene, a life-threatening form of necrotizing fasciitis of the perineal area … This is predominantly a clinical diagnosis with the direct visualization of the involved area being critical … and the stool guaiac has been done, there is a sense that one no longer needs to go near the genital area … Without leadership in this area from regulatory organizations and specialty societies, this skill set
-
psnet.ahrq.gov/node/46884/psn-pdf
January 01, 2020 - patient-safety-toolkit-family-practices
Improving patient safety in the ambulatory setting is an increasing area
-
psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
February 26, 2025 - I think organizations should be required to put in measurement technology in this area. … David Bates: Infection is the poster child for an area where we have made improvements. … This area is not amenable to a single checklist. … Decompensation is also an area that has not really been addressed until recently. … Another area for future advances in patient safety may be the application of artificial intelligence
-
psnet.ahrq.gov/node/60008/psn-pdf
July 09, 2024 - safety improvement such as learning
systems and leadership, with diagnostic excellence as an additional area
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psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-high-risk
November 13, 2024 - Statewide Telehealth Program Enhances Access to Care, Improves Outcomes for High-Risk Pregnancies in Rural Area