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psnet.ahrq.gov/web-mm/neurological-red-flags-missed-stroke-after-intermittent-episodes-dizziness-and-headache
February 08, 2023 - Imprecision in patient reports of dizziness symptom quality: a cross-sectional study conducted in an … Acute dizziness: A personal journey through a paradigm shift. … Major neurological deficit following neck hyperextension during dental treatment: report of 2 cases and … Beauty parlor stroke syndrome: report of five cases. … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S
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psnet.ahrq.gov/sites/default/files/2024-11/spotlight_case_neurological_red_flags_final.pptx
January 01, 2024 - Imprecision in patient reports of dizziness symptom quality: a cross-sectional study conducted in an … Acute dizziness: A personal journey through a paradigm shift. Acad Emerg Med. 2023;30(5):598-602. … Major neurological deficit following neck hyperextension during dental treatment: report of 2 cases and … Beauty parlor stroke syndrome: report of five cases. JAMA. 1993;269(16):2085-2086. … HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination
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psnet.ahrq.gov/node/49684/psn-pdf
May 01, 2013 - In the morning his bedside nurse for the day came in
and stated that she would be giving him his fourth … A national trend, in place for more
than a decade, has resulted in a shift in the setting in which chemotherapy … The shift of oncology inpatient care to outpatient care: the challenge of retaining expert
oncology … Readers should not interpret any statement in this report as an official position of AHRQ or
of the … www.ncbi.nlm.nih.gov/pubmed/20616197
involvement that conflicts with the material presented in this report
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psnet.ahrq.gov/web-mm/too-much-too-fast
June 14, 2019 - depletion leads to low levels of Na-K ATPase expression, which in turn decreases the body's ability to shift … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S … authors has any affiliation or financial involvement that conflicts with the material presented in this report … See More About The Topic
Intensive Care Units
Health Care Providers
Internal Medicine
Bedside
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psnet.ahrq.gov/issue/empowering-patients-hospital-new-approach-reducing-burden-health-care-associated-infections
May 25, 2022 - June 3, 2020
Bedside clinicians' perceptions on the contributing role of diagnostic errors … January 5, 2011
Improving resident morning sign-out by use of daily events reports. … February 8, 2012
Professionalism in the era of duty hours: time for a shift change? … 2020
Association of workload of on-call medical interns with on-call sleep duration, shift … View More
Related Resources
MHA and MHA Keystone Center Annual Reports
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psnet.ahrq.gov/issue/origin-and-uses-primum-non-nocere-above-all-do-no-harm
January 09, 2019 - Defining diagnostic error: a scoping review to assess the impact of the National Academies' report … January 12, 2011
The effect of staff nurses' shift length and fatigue on patient safety … January 25, 2012
How useful are voluntary medication error reports? … January 9, 2005
Decreasing mislabeled laboratory specimens using barcode technology and bedside … ethics, safety, best practices, and oversight regarding HIT vendors, their customers, and patients: a report
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psnet.ahrq.gov/issue/adenocarcinoma-situ-uterine-cervix-screening-and-diagnostic-errors-papanicolaou-smears
July 06, 2011 - Review of alternatives to root cause analysis: developing a robust system for incident report … October 7, 2020
A report of information technology and health deficiencies in U.S. nursing … December 13, 2023
Gender bias in risk management reports involving physicians in training … August 3, 2016
Bedside shift reports: what does the evidence say? … The Report of the Independent Medicines and Medical Devices Safety Review.
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psnet.ahrq.gov/node/49783/psn-pdf
February 01, 2017 - brain (done for cancer staging)
showed a right subdural hematoma with a very small (5 mm) midline shift … The patient was alert and
oriented when she arrived in the ED, but she did report falling and hitting … On that study,
the radiologist noted that the subdural hematoma had enlarged and the midline shift had … Checking it twice: an evaluation of
checklists for detecting medication errors at the bedside using … Readers should not interpret any statement in this report as an official position of AHRQ or
of the
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psnet.ahrq.gov/node/49760/psn-pdf
May 01, 2016 - loved one's care and requested
alternate ward placement that allowed a 24-hour family caregiver at the bedside … The patient continued to act out
dreams, but having a family caregiver at the bedside prevented escalation … Readers should not interpret any statement in this report as an official position of AHRQ or
of the … authors has any affiliation or financial
involvement that conflicts with the material presented in this report
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psnet.ahrq.gov/node/867206/psn-pdf
December 18, 2024 - Imprecision in patient reports of dizziness
symptom quality: a cross-sectional study conducted in an … Acute dizziness: A personal journey through a paradigm shift. Acad Emerg Med.
2023;30(5):598-602. … Major neurological deficit following neck hyperextension during
dental treatment: report of 2 cases … Beauty parlor stroke syndrome: report of five cases. JAMA. 1993;269(16):2085-2086. … Readers should not interpret any statement in this report as an official position of AHRQ or
of the
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psnet.ahrq.gov/node/49636/psn-pdf
October 01, 2011 - It's also important that the PT communicate with the patient's
bedside nurse or physician(s) about changes … Early patient mobility in the ICU requires a culture shift that embraces mobilization and collaboration … Readers should not interpret any statement in this report as an official position of AHRQ or
of the … authors has any affiliation or financial
involvement that conflicts with the material presented in this report
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psnet.ahrq.gov/node/33837/psn-pdf
July 01, 2017 - Many malpractice attorneys even started using the Institute of Medicine's
report on medical error in … to explain a bad outcome in the hospital
became much more common after the publicity over the IOM report … RW: I want to shift to one of the other trends in the field, which is apology and disclosure. … It is a massive culture shift for institutions to move from a traditional "deny-and-defend" posture to … They have to see and
deal with these patients at the bedside after something goes wrong.
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psnet.ahrq.gov/node/49838/psn-pdf
August 01, 2018 - However, this occurred at the end of shift, and the resident did not verbally communicate the order change … suggests that
transitions to comfort care in the ICU should not occur unless the family is at the bedside … Readers should not interpret any statement in this report as an official position of AHRQ or
of the … authors has any affiliation or financial
involvement that conflicts with the material presented in this report
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psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
December 01, 2012 - Large-scale implementation of sedation and delirium monitoring in the intensive care unit: a report from … All these little things happen on the night shift because it's when things are otherwise quieter. … have to do major room switches, if someone comes up VRE or MRSA positive, they often do them on night shift … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S … authors has any affiliation or financial involvement that conflicts with the material presented in this report
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psnet.ahrq.gov/web-mm/wrong-route-nutrients
September 04, 2010 - The LPN on the night shift mistakenly hooked up the total nutrient fluid prepared for the central line … Recognizing the mistake, the LPN returned to the patient's bedside to correct the error, disconnected … The Commentary We interpret reports of medical error through the prism of our own underlying assumptions … Final Report to Agency for Healthcare Research and Quality; 2007. 6. … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S
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psnet.ahrq.gov/node/49808/psn-pdf
October 01, 2017 - The bedside nurse received education about treprostinil, with special instructions
not to flush the … However, research to date has primarily concentrated on intradisciplinary sign-offs among physicians, shift … report among nurses, and interdisciplinary communication among primary clinical team members. … An analysis of the reports submitted to the Australian Incident Monitoring
Study in Intensive Care. … Readers should not interpret any statement in this report as an official position of AHRQ or
of the
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psnet.ahrq.gov/node/72624/psn-pdf
January 05, 2021 - easily be replicated across hospitals (e.g., TeamSTEPPS, the use of
interdisciplinary care teams, bedside … shift reports, prioritizing patient engagement) and providing
guidance on how to implement and master
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psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - deterioration before the outcome became inevitable, a hospital-wide Early Warning System based on networked bedside … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S … authors has any affiliation or financial involvement that conflicts with the material presented in this report
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psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
September 27, 2023 - safety besides correct diagnosis (e.g., sepsis bundles, or prophylaxis against venous thromboembolism), shift-based … Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S … authors has any affiliation or financial involvement that conflicts with the material presented in this report
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
June 01, 2005 - There is a dichotomy—some quality experts are far removed from the bedside. … Their theories, which are often very elegant, are just not always applicable to bedside reality. … One real benefit that physicians working in this area bring is that we still practice at the bedside, … As a matter of fact, the goal is to put my team out of business—to shift the work to the caregivers at … If an article reports improvements in these ranges, scrutinize it closely.