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2841. Abnormal Volunteer Results | PSNet
      psnet.ahrq.gov/web-mm/abnormal-volunteer-results
      July 18, 2016 - participants' expressed interest.( 9-12 ) Moreover, few institutional review boards maintain specific guidelines … Informing clinical trial participants about study results. JAMA. 2002;288:363-365. … Disclosing individual results of clinical research: implications of respect for participants. … Offering participants results of a clinical trial: sharing results of a negative study. … practice--a qualitative focus group interview study of anaesthesia personnel.

2842. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49830/psn-pdf
      May 01, 2018 - The next breakdown in the case was allowing the patient to be on her own without a clinical evaluation … patient transfers is a common root cause of suicide attempts and deaths throughout the hospital.(10) Clinical … Practice guideline for the assessment and treatment of patients with suicidal behaviors. … Inpatient suicide prevention: promoting a culture and system of safety over 30 years of practice.

2843. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected | PSNet
      psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
      September 25, 2024 - bleeding, bowel perforation, infection, and reactions to administered medications. 2,3 The Pediatric Clinical … Adult guidelines recommend monitoring blood pressure, oxygenation, and heart rate along with clinical … In children, guidelines and several studies recommend performing upper endoscopy under general anesthesia … Pediatric Endoscopy and High-risk Patients: A Clinical Report From the NASPGHAN Endoscopy Committee. … Guidelines for sedation and anesthesia in GI endoscopy. Gastrointest Endosc . 2018; 87: 327-37.

2844. Artificial Intelligence and Diagnostic Errors | PSNet
      psnet.ahrq.gov/perspective/artificial-intelligence-and-diagnostic-errors
      January 31, 2020 - Artificial intelligence, bias and clinical safety. … David Gruen: I have worked in a varied assortment of healthcare environments, from private practice … to hospital-based practice, and the one common denominator has been that radiologists can’t keep up. … with the literature on the latest advances and guidelines. … KH: Where are we with radiologists using AI in their practice?

2845. Right Patient, Wrong Sample | PSNet
      psnet.ahrq.gov/web-mm/right-patient-wrong-sample
      June 01, 2004 - In practice, after verification of identity, the nurse or physician was required to initial the patient … Clinical impact associated with corrected results in clinical microbiology testing. … A List of Intermediate and Strong Interventions with Specific Examples Related to Clinical Laboratory … impact associated with corrected results in clinical microbiology testing. … pitfalls: Missing and mislabeled specimens February 26, 2020 Blood sampling guidelines

2846. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61079/psn-pdf
      October 28, 2020 - /psnet.ahrq.gov//#11 https://psnet.ahrq.gov//#12 As presented above, the patient had very complex clinical … However, these studies often have limitations where the setting of the studies are not clinical practice … Such automated alerts have been shown to provide effective means of communicating essential clinical … assist in preventing an unintended medication  For medications that are not commonly ordered, best practice … The American Psychiatric Association Practice guideline for the treatment of patients with Schizophrenia

2847. Consequences of Medical Overuse | PSNet
      psnet.ahrq.gov/web-mm/consequences-medical-overuse
      May 05, 2021 - diagnostic tests in everyday medical decision making is seemingly simple, but riddled with error in actual practice … Myocardial infarction is a clinical diagnosis—according to the Universal Definition, "the term acute … Overuse is common and physicians should be on the lookout for it in their practice. … Infectious Diseases Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria … Interpretation by physicians of clinical laboratory results. N Engl J Med. 1978;299:999-1001.

2848. Delayed Diagnosis of Mesenteric Ischemia | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia
      March 31, 2021 - patients and colleagues is a necessary and valuable skill, but sometimes one that is hard to maintain in practice … medicine is thought to be approximately 15%, 16  although this varies significantly by specialty and practice … Acute mesenteric ischemia: a clinical review. … Acute mesenteric ischemia: guidelines of the World Society of Emergency Surgery. … Clinical reasoning in medicine. Clinical Reasoning in the Health Professions . 1995:49-59.

2849. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49665/psn-pdf
      September 01, 2012 - identified additional risk factors for RSIs (Table).(13) Although there are published operating room guidelines … sensitivity and 100% specificity.(18) Recently, a prospective study of 2285 patients also demonstrated the clinical … Such technologies are costly, and further clinical and economic analyses should be done to determine … Using a data-matrix-coded sponge counting system across a surgical practice: impact after 18 months. … Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using

2850. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon | PSNet
      psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
      January 29, 2021 - A quantitative neuromuscular block monitor was not used but reliance was placed on clinical signs. … [ Free full text ] Thilen SR, Weigel WA, Todd MM, et al. 2023 American Society of Anesthesiologists Practice … Guidelines for Monitoring and Antagonism of Neuromuscular Blockade: A Report by the American Society … Clinical pharmacokinetics of rocuronium bromide. … WebM&M Cases Hurried Team Huddle and Poor Communication: Unsafe Practice

2851. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866055/psn-pdf
      May 29, 2024 - Therefore, adoption in clinical settings remains challenging.7 Additionally, evidence suggests that … formed a multidisciplinary workgroup to perform an evidence review on RSIs and identify evidence- based guidelines … Two common themes and findings that emerged from the workgroup review were (1) intraorganizational guidelines … The chief clinical officer (CCO) plays a pivotal role in guiding the implementation, with assistance

2852. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33779/psn-pdf
      March 01, 2015 - psnet.ahrq.gov/perspective/handoffs-and-transitions Annual Perspective 2014 Despite recent efforts to promote clinical … The SBAR (Situation-Background-Assessment- Recommendation) and ANTICipate (Administrative data, New clinical … tools were useful, none were subjected to rigorous research that captured key elements of context, clinical … The implementation of I-PASS in nine pediatric residency programs required adoption of the tool and guidelines

2853. Pathologic Mistake | PSNet
      psnet.ahrq.gov/web-mm/pathologic-mistake
      February 15, 2010 - Marked differences in both definitions of error and pathology practice make it impossible to compare … Although some errors have little clinical consequence, others may be more severe. … Raab, MD Professor, Anatomic Pathology Memorial University of Newfoundland Clinical Chief … Castleman's disease—hyaline vascular type—clinical, cytological and histological features with review … Clinical impact and frequency of anatomic pathology errors in cancer diagnoses.

2854. Coming Up Short: Maintaining Safety in the Face of Drug Shortages | PSNet
      psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
      November 01, 2012 - The hospital and clinical team were asked to conserve the supply and use alternatives wherever possible … incorrect concentration of a medication due to a compounding error, one set up by a change in normal practice … Steven Plogsted, PharmD Clinical Pharmacist Nutrition Support Service Nationwide Children's Hospital … Perspective The Evidence-Based Physical Examination as a Patient Safety Practice … Phototherapy October 1, 2017 Impact of a drug shortage on medication errors and clinical

2855. Missed Pneumonia | PSNet
      psnet.ahrq.gov/web-mm/missed-pneumonia
      June 01, 2005 - CAP), resulting in significant morbidity, mortality, and a total cost of more than $10 billion.( 1 ) Guidelines … A thorough history and physical exam must be combined with sound clinical judgment to differentiate these … For example, several well-validated clinical prediction rules have been combined with measurement of … This particular patient's Wells clinical prediction tool for PE results in a score of 1.5 (points are … Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management

2856. Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis | PSNet
      psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
      October 28, 2020 - Recognize the strengths and limitations of different sepsis criteria and clinical decision support tools … requires hospitals to report adherence to sepsis management bundles based on the Surviving Sepsis Campaign guidelines … The clinical signs and symptoms are nonspecific, and there is no gold standard test that confirms the … Incidence and trends of sepsis in US hospitals using clinical vs claims data, 2009–2014. … Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis

2857. Overriding Considerations | PSNet
      psnet.ahrq.gov/web-mm/overriding-considerations
      March 09, 2009 - February 10, 2016 Evaluation of clinical practice guidelines on fall prevention and management

2858. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49624/psn-pdf
      May 01, 2011 - First, important standards and guidelines have been developed by organizations such as the National … 1900 US physicians, 17% had direct personal knowledge of a physician colleague who is incompetent to practice … One can imagine clinical situations in which the rationale for mandatory disclosure of another health … Respectful Management of Serious Clinical Adverse Events. … Talking with Patients and Families about Medical Error: A Guide for Education and Practice.

2859. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854897/psn-pdf
      October 31, 2023 - False alerts occur without any actual event, whereas nonactionable alerts result from events that lack clinical … When a pharmacist requires clarification regarding a prescription, the best practice is to reach out … , and dosage calculations.8 In many organizations, pharmacist responsibilities are split between a clinical … However, the operational pharmacist should still apply their clinical knowledge of safe dosing ranges … ASHP Guidelines on Preventing Medication Errors in Hospitals.

2860. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose | PSNet
      psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
      March 15, 2023 - False alerts occur without any actual event, whereas nonactionable alerts result from events that lack clinical … When a pharmacist requires clarification regarding a prescription, the best practice is to reach out … and dosage calculations. 8 In many organizations, pharmacist responsibilities are split between a clinical … However, the operational pharmacist should still apply their clinical knowledge of safe dosing ranges … 2019;24(11). [ Free full text ] ASHP Guidelines on Preventing Medication Errors in Hospitals.