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psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
December 01, 2005 - that he received an unplanned drug due to a syringe or an ampoule swap.( Table 1 ) While maintaining cardiovascular … imperfect dose and identify checking.( 8 ) Studies in intensive care units have produced similar results … .( 13 ) Administrative medication errors in the operating room and intensive care unit are believed … transported safely to the post-operative care unit, where he recovered fully and was discharged. … Barcoding point-of-care systems (BPOC) are the main technology interventions to prevent medical and blood
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psnet.ahrq.gov/perspective/conversation-dr-neal-sikka-and-dr-colton-hood-about-remote-patient-monitoring
March 15, 2023 - At times, patients will want to please their health care provider, and with the pen and paper method … monitor cardiovascular diseases. 1 The American Heart Association recommends remote monitoring of vital … with chronic conditions and prevent the need for more acute care. … Perinatal Mental Health
March 29, 2023
Patient Safety Innovations … Christie Allen about Maternal Safety and Perinatal Mental Health
March 28, 2023
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psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
April 27, 2022 - benefit from preventive medications (e.g., cholesterol-lowering statin medications to prevent adverse cardiovascular … A study of providers in VHA primary care clinics found that even though most providers reported having … In another study involving primary care physicians, Hahn and coworkers found that providers perceived … Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care … Health Care Providers
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psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - data for analysis and to facilitate shared learning and improve care. 11,12 An example of using the … common goal of minimizing patient harm and delivering high quality care. … In other cases, it starts as a grassroots initiative, like in a cardiovascular or orthopedics clinical … within and across health care? … At Intermountain, I worked on the evaluation of the Mental Health Integration program.
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psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - In other cases, it starts as a grassroots initiative, like in a cardiovascular or orthopedics clinical … within and across health care? … At Intermountain, I worked on the evaluation of the Mental Health Integration program. … data for analysis and to facilitate shared learning and improve care. 11,12 An example of using the … common goal of minimizing patient harm and delivering high quality care.
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psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
September 29, 2021 - objectivity in all its CME activities to promote improvements in health care and not proprietary interests … First described in the 1920s, the procedure is now considered standard of care for adult and pediatric … care teams anticipate this complication and closely monitor for signs of it while an IO line remains … Emergency Cardiovascular Care. … Crit Care Med . 2001;29(3):534–40. [ Available at ]
Granfeldt A, Avis SR, Lind PC, et al.
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psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
April 01, 2018 - Patient, as well as family and caretaker, engagement in health care decision-making and treatment is … Team-based care coordination with inpatient and outpatient case managers, pharmacists, and visiting nurses … Deficits in communication and information transfer between hospital-based and primary care physicians … : implications for patient safety and continuity of care. … evaluated them, we could see that we had screwed up their immune system, their hematologic system, their cardiovascular
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psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
April 01, 2018 - evaluated them, we could see that we had screwed up their immune system, their hematologic system, their cardiovascular … Patient, as well as family and caretaker, engagement in health care decision-making and treatment is … Team-based care coordination with inpatient and outpatient case managers, pharmacists, and visiting nurses … Deficits in communication and information transfer between hospital-based and primary care physicians … : implications for patient safety and continuity of care.