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psnet.ahrq.gov/node/866370/psn-pdf
July 31, 2024 - She heard the surgeon verbally acknowledge her condition and
offer reassurance that the operation was … However, these
clinical signs often fail to detect awareness. … .24
Finally, it is important to recognize that some cases of awareness are intended, as part of the plan … of care. … simultaneously impaired by opioid pain medications, the patient may not remember that the
anesthetic plan
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psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
March 09, 2022 - The patient was discharged, but his condition worsened over the following week, with increasing back … fluid (CSF) leaks through the dural tear into the surrounding tissue, forming a fibrous capsule, the condition … continue or worsen, as in this case, escalation of care to non-conservative therapy should begin. … Approaches to Improving Patient Safety Avoidance of a durotomy, if not in the plan of the operation, … Take-Home Points The best offense is a good defense and avoidance of a durotomy, if not in the plan of
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psnet.ahrq.gov/issue/bid-better-care-surgery-warranty
August 05, 2008 - Newspaper/Magazine Article
In bid for better care, surgery with a warranty. … Citation Text:
In bid for better care, surgery with a warranty. Abelson R. … April 27, 2016
Clash in the name of care. … August 8, 2012
Patient Safety: Investigating and Reporting Serious Clinical Incidents … April 29, 2009
Geisinger Health System's plan to fix America's health care.
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psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
October 30, 2024 - plan in the context of that environment. 2
Building on prior studies, a team at the Cleveland Clinic … AHRQ had no role in the study design or reporting. … Overview of Clinical Conditions with Frequent and Costly Hospital Readmissions by Payer, 2018. … or developer of the innovation. … Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result in Better Outcomes
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psnet.ahrq.gov/issue/association-measured-quality-financial-health-among-us-hospitals
December 07, 2022 - 2022
Patients' experiences and perspectives of patient-reported outcome measures in clinical … Interview
In Conversation With...Amy Helwig about Health Plan … July 10, 2024
Perspectives on Safety
Health Plan … 13, 2022
Changes in hospital safety following penalties in the US Hospital Acquired Condition … Executives and Administrators
Non-Health Care Professionals
Hospital Medicine
Nurse Care
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psnet.ahrq.gov/primer/failure-rescue
September 15, 2024 - The monitoring and analysis functions involved in recognizing and responding to such a challenge - or … condition involving patient harm. … due to patient flow or turnover. … deterioration in acute care settings. … safety in the intensive care unit.
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psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-intensive-care
October 30, 2024 - -square-foot unit with five resuscitation or trauma bays and nine critical care patient rooms immediately … ED team in resuscitation bays or regular ED rooms until an inpatient ICU bed became available or the … team is comprised of emergency medicine (EM) physicians (with or without critical care fellowship training … Staffing of the EC3 includes one EM attending physician and one or two residents, fellows, or physician … In addition to providing clinical care, EC3 serves as a training site for medical students, residents
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psnet.ahrq.gov/node/848124/psn-pdf
April 26, 2023 - That is very different than in the ICU [intensive care unit] or in the operating
room, where it’s one … , or in the intermediate care
setting, versus the general care setting. … So, if you use the condition-specific monitoring approach in the general care setting where the
prevalence … Our research shows if you set up alerts at traditional ICU levels, or even a more
condition-specific … We always find things we didn’t expect—you can’t plan it all.
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psnet.ahrq.gov/issue/ahrq-health-literacy-universal-precautions-toolkit-0
May 26, 2010 - December 9, 2015
2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings … Patient Safety Result in 1.3 Million Fewer Patient Harms: Interim Update on 2013 Annual Hospital-Acquired Condition … November 9, 2022
Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error … May 30, 2012
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication … December 14, 2011
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See More About The Topic
Ambulatory Clinic or
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psnet.ahrq.gov/issue/nhs-safety-thermometer-report-patient-harms-and-harm-free-care-november-2014-november-2015
July 08, 2021 - Leeds, UK: Clinical Support Audit Unit, Health and Social Care Information Centre. 2012-2017. … Facebook
Twitter
Linkedin
Copy URL
January 27, 2016
Leeds, UK: Clinical … Leeds, UK: Clinical Support Audit Unit, Health and Social Care Information Centre. 2012-2017. … March 14, 2018
Managing the Costs of Clinical Negligence in Trusts. … September 25, 2024
DOD Should Improve Its Process for Clinical Adverse Actions against
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psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry
December 07, 2020 - screening prior to prescribing an opioid. 15 Prescribing non-opioid analgesics with a clear escalation plan … the 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 … have some other kind of immunocompromised condition.
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psnet.ahrq.gov/web-mm/empiric-steroids-good-bad-and-ugly
June 01, 2015 - If the answer is yes, consider withholding the steroids, empirically treating the other condition, or … pursuing more aggressive diagnostic testing to rule out the condition. … Patients on either of these two regimens were more likely to achieve a clinical remission of disease … September 30, 2015
A reduction in cardiac arrests and duration of clinical instability … Units
Emergency Departments
Ambulatory Clinic or Office
Health Care Providers
Critical Care
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psnet.ahrq.gov/issue/physician-motivation-listening-what-pay-performance-programs-and-quality-improvement
January 02, 2017 - safer care. … teams to prospectively identify and mitigate clinical hazards. … Interview
In Conversation With...Amy Helwig about Health Plan … July 10, 2024
Perspectives on Safety
Health Plan … Patient Safety Initiatives
July 10, 2024
Hospital-Acquired Condition Reduction
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psnet.ahrq.gov/periodic-issue/periodic-issue-286
April 28, 2021 - (one from industrial companies and two from hospitals) using two methods of investigation (in-depth or … Root cause analysis resulted in suggestions at the department or ward level. … His condition was eventually discovered through communication with a physician whose experience with … Special or Theme Issue
Safety and Quality in Perioperative Anesthesia Care. … The patient was discharged in stable clinical condition but was advised to quarantine for 14 days.
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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.
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psnet.ahrq.gov/issue/misdiagnosis-acute-myocardial-infarction-systematic-review-literature
July 28, 2021 - approximately 1-2% of cases, and AMI is commonly diagnosed as other heart conditions, musculoskeletal pain, or … Evaluating the relationship between health information technology and safer-prescribing in the long-term care … May 12, 2021
Bracing for the storm: one health care system's planning for the COVID-19 … October 14, 2009
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Hospitals
Health Care … Providers
Educators
Cardiology
Clinical Misdiagnosis
View More
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psnet.ahrq.gov/node/851971/psn-pdf
July 31, 2023 - Pica
Pica is a medical term describing the condition of eating non-digestible substances for more than … When a new nurse is assuming care at shift change or break time, it is prudent for the physician to confirm … Explaining the same
plan repeatedly to fresh staff may seem exhausting, but this process should not … Whenever a
change is made in the plan, the communication process needs to start over again. … Pica associated with iron deficiency or depletion: clinical and
laboratory correlates in 262 non-pregnant
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.182_slideshow.ppt
September 01, 2008 - If yes, consider withholding steroids, empirically treating the other condition, or pursuing more aggressive … diagnostic testing to rule out the condition
Case B: Part 1
A 49-year-old woman had onset over … She sees you, her primary care physician, 3½ weeks after symptoms began. … RA in this woman, it is not appropriate to begin oral glucocorticoids unless there is a definitive plan … antibody directed against TNF alpha)
Patients on either of these regimens
More likely to achieve clinical
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psnet.ahrq.gov/node/49674/psn-pdf
December 01, 2012 - Once the PICC is placed, a plan should be initiated to provide for daily site assessment, routine flushing … present case, the patient required intravenous immunoglobulin (IVIG) to treat her underlying
neurologic condition … It requires the establishment of a plan and education for providers and patients to safely reach the … Establish a plan for PICC management with patients that require management outside the insertion
facility … The clinical effectiveness and cost-effectiveness of central
venous catheters treated with anti-infective
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psnet.ahrq.gov/issue/safer-delivery-surgical-services-programme-controlled-and-after-intervention-studies-pre
October 12, 2016 - Although teamwork training alone improved how teams functioned , it did not always enhance clinical … Related Resources From the Same Author(s)
Characterising the nature of primary care … March 14, 2018
Preventable Hospitalizations: A Window Into Primary and Preventive Care … October 26, 2016
View More
Related Resources
Simulation-based clinical … June 6, 2018
Improving the Working Environment for Safe Surgical Care.