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psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
October 01, 2008 - of conditions that "could reasonably have been prevented through the application of evidence-based guidelines … Clear coding guidelines and oversight will be necessary to ensure accuracy of POA indicators. … to push the check box in front of the providers and make it very hard to move to the next stage of clinical … patient safety revolution was to get patient safety on the radar screen and to have it be part of the clinical
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psnet.ahrq.gov/web-mm/charcoal-lavage-lungs
January 01, 2016 - problems of knowledge, training, and credentialing, but they can also be addressed in part by protocols or guidelines … Clinical procedures in emergency medicine. 2nd ed. Philadelphia: WB Saunders; 1991. 4.
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psnet.ahrq.gov/primer/opioid-safety
December 15, 2024 - factors led to an increase in opioid prescribing (and relative underuse of nonopioid therapies) for clinical … Guidelines developed by the CDC in 2016 and updated in 2022 were associated with an overall decrease
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psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
April 01, 2005 - If there was an immediate risk to the patient, then they could intervene immediately with the clinical … because the observers were seeing something that was evolving but simply because they were present when clinical … something—for example, once one of the observers noticed an x-ray hanging backwards—they pointed it out to clinical … whatever new ACGME guidelines are developed?
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psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
April 01, 2005 - If there was an immediate risk to the patient, then they could intervene immediately with the clinical … because the observers were seeing something that was evolving but simply because they were present when clinical … something—for example, once one of the observers noticed an x-ray hanging backwards—they pointed it out to clinical … whatever new ACGME guidelines are developed?
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psnet.ahrq.gov/web-mm/delayed-sepsis-management-due-ambiguous-allergy
January 13, 2021 - Similarly, one prior study found patients with beta-lactam allergy histories experienced higher clinical … allergic.( 5 )
Shared chemical structures between penicillins and cephalosporins can be the source for clinical … Clinical decision support tools to encourage standardized approaches to penicillin allergy in inpatients … Impact of penicillin allergy on time to first dose of antimicrobial therapy and clinical outcomes. … Improving clinical outcomes in patients with methicillin-sensitive Staphylococcus aureus bacteremia
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psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
October 28, 2020 - limit of normal is sufficient to diagnose primary AI, while a cortisol level between 5-14 ug/dl with clinical … to be in adrenal crisis, they should be treated with high dose steroids immediately to prevent poor clinical … Samantha Jimenez, MD Clinical Fellow Division of Pediatric Endocrinology UC Davis Children’s Hospital … Diagnosis and Treatment of Primary Adrenal Insufficiency: An Endocrine Society Clinical Practice Guideline
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psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety
June 01, 2010 - (iv) ED systems for teamwork and handoffs as well as guidelines for procedures and checklists should … The effect of clinical experience on the error rate of emergency physicians. … Yet the uptake of clinical decision rules is abysmally low. … July 12, 2017
Improving measurement in clinical handover. … September 3, 2014
Resilience in healthcare and clinical handover.
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psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
October 31, 2023 - Robotic-assisted Surgery Standardized Credentialing and Training Currently, there are no universal standard guidelines … Stricter Reporting Guidelines Developing a more uniform system of error reporting and tougher penalties … May 31, 2023
Handling injectable medications in anaesthesia: Guidelines from the … August 23, 2023
Guidelines for opioid prescribing in children and adolescents after surgery
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psnet.ahrq.gov/node/33708/psn-pdf
March 01, 2011 - Clinical context is also very important. … Sleep research has done a very good job defining what clinical tasks
are most sensitive to sleep deprivation … who admitted a
patient versus a well-rested covering intern who admitted a patient for a variety of clinical … hours now say that a resident can exceed their duty hours for the care of a single
patient, but the clinical … Institute of Medicine] that helped inform the duty hours task
force development of the current 2010 guidelines
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psnet.ahrq.gov/periodic-issue/periodic-issue-403
August 30, 2023 - Organizational Policy/Guidelines
Guidelines on Human Factors in Critical Situations
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psnet.ahrq.gov/perspective/special-edition-perspective-technology-responses-covid-19
August 31, 2020 - It is the incorporation of video visits into the clinical operations, I would say that is more challenging … The academic societies, including the American Telemedicine Association, have some guidelines for some … Cohen serves as the Lead Clinical Informatics Liaison between the clinical operations and the informatics … virus in the hospitals that are in the critical access area that do not have resources or education, clinical … Cohen, MD, PhD Lead Clinical Informatics Liaison Vice-Chair (Innovation, Information, & Technology)
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psnet.ahrq.gov/web-mm/back-again
November 18, 2016 - users is estimated at 1%–5% per year with Staphylococcus aureus being the most common organism.( 13 ) Clinical … The Clinical Practice Guideline published by the then Agency for Health Care Policy and Research on " … The clinical manifestations of infective endocarditis. Mayo Clin Proc. 1982;57:15-21. … Clinical and laboratory characteristics of infective endocarditis when associated with spondylodiscitis … May 12, 2021
Quality measures of clinical pharmacy services during transitions of care
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psnet.ahrq.gov/node/33597/psn-pdf
April 10, 2024 - infection preventionists
AHRQ infection control training
Detailed instructions, policies and procedure guidelines … These
require SNFs to have measures in place to prevent specific clinical harms (such as falls, pressure
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psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
April 24, 2018 - Accessed January 6, 2022. [ Available at ]
WHO Guidelines for Safe Surgery 2009: Safe Surgery Saves … 24, 2018
Balancing patient-centered and safe pain care for nonsurgical inpatients: clinical
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psnet.ahrq.gov/perspective/suicide-prevention
March 24, 2025 - Continuous training and adherence to these guidelines ensure that every screening session is an opportunity … suicide prevention efforts after discharge. 20 Additional obstacles include time constraints during clinical … Edwin Boudreaux : I am a clinical psychologist by training. … Obviously, the shorter the screener, the more acceptability it is going to have in clinical practice. … It is useful from a clinical perspective to better understand the risk factors, and it can be scored
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psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
March 25, 2025 - Edwin Boudreaux : I am a clinical psychologist by training. … Obviously, the shorter the screener, the more acceptability it is going to have in clinical practice. … quickly, and if they have any risk, it stratifies them based on three levels that can be aligned with clinical … It is useful from a clinical perspective to better understand the risk factors, and it can be scored … Continuous training and adherence to these guidelines ensure that every screening session is an opportunity
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psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
January 01, 2018 - Do you struggle with that at all in terms of the actual clinical value of the exercise? … paste, just two studies were identified that demonstrated a relationship between copy and paste and clinical … But even as the research base expands, we already have published guidelines and toolkits for the safe … Ultimately, physicians need to reestablish ownership of the accuracy of clinical documentation. … Duly noted: lessons from a two-site intervention to assess and improve the quality of clinical documentation
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psnet.ahrq.gov/perspective/conversation-withpat-croskerry-md-phd
June 01, 2010 - Yet the uptake of clinical decision rules is abysmally low. … But at the end of the day, the clinical decision rule will outperform you, so why not use it? … (iv) ED systems for teamwork and handoffs as well as guidelines for procedures and checklists should … The effect of clinical experience on the error rate of emergency physicians. … Cognitive forcing strategies in clinical decisionmaking. Ann Emerg Med. 2003;41:110-120.
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psnet.ahrq.gov/node/49562/psn-pdf
May 01, 2008 - references
surgery or procedure regardless of where it is being performed.(2) Despite the spirit of these guidelines … behavior and apologized to the nurse, but was also told that the nursing staff
would be establishing new guidelines