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Total Results: 913 records

Showing results for "clinical condition or care plan".

181. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865411/psn-pdf
     March 27, 2024 - facilities should implement obstetric hemorrhage risk assessment, manage and treat iron deficiency anemia, plan … anytime their condition changes.7,8 The patient’s hemorrhage risk should be embedded in the EHR, easy … Oxygen saturation <93% Heart rate >110 or <50 beats/min (bpm) Respiratory rate >24 or <10/minute … and postpartum processes, and plan appropriate precautions. … A systematic review of the relationship between blood loss and clinical signs.

182. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33739/psn-pdf
     October 01, 2012 - body of architects, researchers, and clinicians.(3) A systems approach allows us to evaluate error or … replacing worn ceiling tiles with high-sound absorbing tiles to reduce noise, an error- provoking condition … Each patient safety improvement plan should consider environmental solutions. … Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316:1154-1157. … based on Vincent (22) and Reason's (23) work showing the role of the physical environment as a latent condition

183. Empty Handoff | PSNet
     psnet.ahrq.gov/web-mm/empty-handoff
     August 01, 2017 - Finally, in phase 4, the whole team (referring and receiving) agrees on a patient plan and contingencies … mismatch (e.g., a different condition or diagnosis from what was handed over), or documentation mismatches … technology transfer, information transfer using checklist and standardized communication, and a joint plan … The long-term challenge is to maintain a reliable system in ever increasingly busy clinical settings. … Failures in transition: learning from incidents relating to clinical handover in acute care.

184. The Physical Environment: An Often Unconsidered Patient Safety Tool | PSNet
     psnet.ahrq.gov/perspective/physical-environment-often-unconsidered-patient-safety-tool
     November 21, 2018 - , environmental latent conditions undermine system defenses, setting the stage for active failures or … ., replacing worn ceiling tiles with high-sound absorbing tiles to reduce noise, an error-provoking condition … Each patient safety improvement plan should consider environmental solutions. … Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316:1154-1157. … on Vincent ( 22 ) and Reason's ( 23 ) work showing the role of the physical environment as a latent condition

185. Isolated Clot, Real Error | PSNet
     psnet.ahrq.gov/web-mm/isolated-clot-real-error
     December 01, 2013 - They were reviewing the plan of care and discussed the reason for the IVC filter (an unusual intervention … Fang, MD, MPH Venous thromboembolism (VTE) is a common cardiovascular condition that affects more than … Venous thromboembolism is a condition commonly faced by both inpatient and outpatient clinicians. … to intensive care. … Units Health Care Providers Critical Care Diagnostic Test Interpretation Error Anticoagulants

186. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72563/psn-pdf
     December 07, 2020 - implementation and maintenance of the dental antimicrobial stewardship program in their strategic plan … The Associate Dean of Clinical Affairs, who oversaw the clinical enterprise, sent out a “Monday Minute … We provided the patients with a contingency plan and information about what really bad pain was like … KH: What about the use of clinical decision support? … have some other kind of immunocompromised condition.

187. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49618/psn-pdf
     February 01, 2011 - evaluation, requires physicians to ask what gaps might exist in their understanding of the patient's condition … she has the knowledge and skill to care for a condition outside his or her primary scope of practice … care activities. … Clinical reasoning. In: Norman GR, van der Vleuten CPM, Newble DI, eds. … health plan.

188. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840174/psn-pdf
     August 28, 2024 - His complex health condition was known to his wife, and given the very complex nature of the surgery … However, the surgeon identified an error in the team’s intraoperative care that may or may not have … Unfortunately, in this case, there was no plan or commitment made to the widow to follow up with her … The patient’s clinical care should be explained and questions about it answered as extensively as possible … After the clinical care and recommended improvements are explained, the clinicians involved should excuse

189. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50612/psn-pdf
     October 30, 2019 - intern night float, who was cross-covering this patient, to come to the bedside to assess the patient's condition … The signout did not provide a contingency plan explaining what course of action to take should the patient … resident in the hallway and asked him to assess the patient and to assist in managing the patient's care … several days and that the family had already decided the patient should be transitioned to comfort care … A randomized trial of nighttime physician staffing in an intensive care unit.

190. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49612/psn-pdf
     November 01, 2010 - The plan was for the patient to follow up with his primary care physician in 2 weeks. … plan, including any pending test results. … or forwarded to his primary care physician. … However, because, more often than not, microbiology TPADs do not alter the care plan, physicians have … Comprehensive discharge planning for the hospitalized elderly: a randomized clinical trial.

191. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism | PSNet
     psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
     December 31, 2024 - distributing health care goods or services consumed by, or used on patients” and relevant financial … plan. … Pulmonary embolism (PE) is serious condition that also causes dyspnea. … , clinical decision rules, D-Dimer measurement, and/or diagnostic imaging such as ultrasound (US), CT … on several clinical variables: clinical signs or symptoms of DVT, heart rate > 100, immobilization for

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836885/psn-pdf
     May 16, 2022 - Despite intensive care, the patient’s condition remained unstable, and he expired several days later … Addressing the patient’s urgent condition relied on ACLS execution by providers available at the scene … Root causes may include not formulating a plan that anticipates potential consequences, communication … All clinical providers in these settings should be familiar with ACLS guidelines and competent in the … unit or the hospital ward, or more unconventional locations, such as the radiology suite or clinic.

193. Transition to Nowhere | PSNet
     psnet.ahrq.gov/web-mm/transition-nowhere
     March 21, 2009 - be argued that the patient in this case should not have been discharged without a better follow-up plan … a telemedicine visit utilizing self-taken blood pressure measurements, augmented by clinical pharmacist-led … Farrell, MD Assistant Professor of Medicine (Clinical) Adjunct Assistant Professor of Family Medicine … Post-hospital syndrome—an acquired, transient condition of generalized risk. … Medication Reconciliation Victory After an Avoidable Error March 21, 2009 A clinical

194. Amended Lab Results: Communication Slip | PSNet
     psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip
     September 26, 2012 - this instance, the amended laboratory result was recognized prior to discharge and a new management plan … Errors of the assay process are much less common.( 2 ) Many laboratory errors are of no clinical consequence … method of identification.( 6 ) Creating a fail-safe system of communication between two silos, the clinical … patient's condition and reason for ordering the test (pregnancy, sepsis, etc.), further reducing errors … Clinical laboratories should follow strict algorithms for contacting a responsible clinician when communicating

195. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49430/psn-pdf
     January 01, 2004 - After receiving these instructions from the doctor, the nurse alerted the ED charge nurse of the plan … The triage nurse walked back out of the ED and down the hallway and relayed this altered plan to the … As in this scenario, nurses often conduct ED triage by using their clinical judgment and experience … in the absence of written guidelines or other aids. … The triage nurse in this scenario did not recognize the acuity of the child's condition.

196. Annals Clinical Decision Making: avoiding cognitive errors in clinical decision making. | PSNet
     psnet.ahrq.gov/issue/annals-clinical-decision-making-avoiding-cognitive-errors-clinical-decision-making
     May 25, 2016 - Commentary Annals Clinical Decision Making: avoiding cognitive errors in clinical … Annals Clinical Decision Making: avoiding cognitive errors in clinical decision making. … diagnostic process to avoid such errors, including using diagnostic checklists , conferring with teammates or … View More See More About The Topic Hospitals Ambulatory Clinic or … Office Health Care Providers Medicine Nurse Care View More

197. Missed CANDOR Implementation Opportunities. | PSNet
     psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
     November 11, 2020 - His complex health condition was known to his wife, and given the very complex nature of the surgery, … However, the surgeon identified an error in the team’s intraoperative care that may or may not have contributed … Unfortunately, in this case, there was no plan or commitment made to the widow to follow up with her … The patient’s clinical care should be explained and questions about it answered as extensively as possible … After the clinical care and recommended improvements are explained, the clinicians involved should excuse

198. The Safety Challenges of Supervision and Night Coverage in Academic Residency | PSNet
     psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
     February 21, 2024 - intern night float, who was cross-covering this patient, to come to the bedside to assess the patient's condition … The signout did not provide a contingency plan explaining what course of action to take should the patient … While these factors may promote clinical growth among trainees, they simultaneously increase risk for … A randomized trial of nighttime physician staffing in an intensive care unit. … to care home transitions: a retrospective content analysis.

199. Health plan members' views about disclosure of medical errors. | PSNet
     psnet.ahrq.gov/issue/health-plan-members-views-about-disclosure-medical-errors
     November 15, 2011 - Health plan members' views about disclosure of medical errors. … Health plan members' views about disclosure of medical errors. … support on adverse drug events in the long-term care setting. … July 20, 2011 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … June 5, 2013 Error or "act of God"?

200. Racial/ethnic disparities in interhospital transfer for conditions with a mortality benefit to transfer among patients with Medicare. | PSNet
     psnet.ahrq.gov/issue/racialethnic-disparities-interhospital-transfer-conditions-mortality-benefit-transfer-among
     April 14, 2021 - adherence, and chronic condition control. … Perspectives of emergency clinicians about medical errors resulting in patient harm or … November 30, 2022 Emotional exhaustion among US health care workers before and during … May 19, 2021 Comparison of methods to reduce bias from clinical prediction models of … vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or