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psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
March 27, 2024 - 15; abnormal behavior; coagulopathy; persistent vomiting; and age 65 years or older. 6 While clear guidelines … suggest when to image patients with acute mTBI, no such guidelines exist regarding indications for repeat … missed subdural hematoma and/or subdural hygroma was present on the initial head CT, but it is our practice … March 27, 2024
Team dynamics, clinical work satisfaction, and patient care coordination … The impact of computerized provider order entry on medication errors in a multispecialty group practice
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psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
October 13, 2018 - As part of the clinical review process, the case was discussed in a morbidity and mortality conference … Schiff, MD Computerized provider order entry (CPOE) systems that incorporate clinical decision support … differentiations of extended-release (SR, ER, SA, XL, XR, CD) compared to immediate-release (IR) products; Clinical … Further standardization and guidelines for computerized provider order entry displays including drug … Amato, PharmD, MPH Department of Pharmacy Practice, MCPHS University, Boston, MA Sponsored Staff Brigham
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psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
July 10, 2024 - When I was in practice in the 1990s, it always seemed that information was going in one direction—that … Practice Initiative (TCPI), I believe that bidirectionality is crucial. … for additional funding and also payment penalties, various survey, certification, and accreditation guidelines … As the community of practice worked together in a learning network, we observed trends toward measure … And in fact, with TCPI [Transforming Clinical Practice Initiative] we made that a priority.
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psnet.ahrq.gov/node/866343/psn-pdf
December 31, 2024 - Furthermore, it is common practice to administer fluids to hospitalized
patients with evidence for improved … evaluation, the treating clinicians changed course, administering IV loop diuretics in
accord with usual practice … Proper use of checklists, treatment algorithms,
or clinical decision support tools might prevent similar … Farrell MH, Foody JM, Krumholz HM. beta-Blockers in heart failure: clinical applications. … The role of the clinical examination in patients with heart failure.
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psnet.ahrq.gov/web-mm/wrong-channel
February 01, 2003 - pump, a heuristic (expert) evaluation was accomplished by 4 raters, who used 14 human factors design guidelines … inspection method.( 8 ) Human factors engineering experts use a set of principles or list of design guidelines … infusion pumps.( 9 ) In usability testing, 17 typical infusion pump users attempted several realistic clinical … An increasing number of people in industry, government, academia, and practice are applying HFE to infusion
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psnet.ahrq.gov/web-mm/painful-dilemma
September 01, 2013 - Although the dominant clinical problem facing this patient was fungal endocarditis (a disease with a … Limited clinical competence and scope of practice should never result in refusal to treat chronic pain … Clinical algorithms are available for optimal management of chronic pain in kidney failure. … to severe cancer pain and renal impairment: a European Palliative Care Research Collaborative opioid guidelines … Clinical Algorithm & Preferred Medications to Treat Pain in Dialysis Patients [Pamphlet].
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psnet.ahrq.gov/web-mm/elopement
July 14, 2010 - Patients who are able to make determinations about their own care should be given guidelines upon admission … Notification of security with a description of the missing patient and pertinent clinical information … midnight as the indicator.( 10,12 ) Providers should consult with organization policies for specific guidelines … Pleading and practice forms, hospitals. In: American Jurisprudence. 2nd ed. … December 21, 2014
Clinical deterioration and hospital‐acquired complications in adult
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psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
May 14, 2020 - Telehealth is often referred to or referenced as telemedicine (clinical services), but also includes … It may include clinical care services, education for both patients and providers, and public health or … Guidelines Archive National Consortium of Telehealth Resource Centers COVID-19 Telehealth Resources … The protocols should align with existing clinical workflows and take into consideration the level of … At GW, the Innovative Practice and Telehealth team is part of the largest multi-specialty group practice
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psnet.ahrq.gov/node/49517/psn-pdf
August 01, 2006 - opioid dosing is very flexible and that a single algorithm would likely not be
appropriate for all clinical … Strassels, PharmD, PhD, BCPS Assistant Professor, Division of Pharmacy Practice University of
Texas … Pain: Clinical
Manual. 2nd ed. St. Louis, MO: Mosby; 1999:161-299.
2. … Equianalgesic dose guidelines for long-term opioid use: theoretical and
practical considerations.
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psnet.ahrq.gov/node/49536/psn-pdf
May 01, 2007 - The lack of technology (e.g.,
electronic medical records, clinical decision support systems) to support … Clinical practice guidelines for support of the family in the
patient-centered intensive care unit:
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psnet.ahrq.gov/node/49523/psn-pdf
November 01, 2006 - for an indwelling urethral
catheter and antibiotics that may cause side effects.(10)
However the clinical … a keystroke is now possible.(11) For patients with history of BPH and difficulty
voiding, "pop up" clinical … Since there are no guidelines to
assist health care providers with decision making in regard to BPH … of the patient's ability to void, as well as documentation of that ability, should be part
of best practice … Joseph, RN, MSN, CURN Clinical Nurse Specialist VA San Diego Heathcare System
References
1.
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psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
April 26, 2023 - Clinical Decision Support
The most prominent focus in the 2022 research on technology, based on the … number of articles published on PSNet, was related to clinical decision support (CDS) tools. … The federal government and international organizations have also published AI guidelines, focusing on … Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER … Challenges and opportunities for advancing patient-centered clinical decision support: findings from
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psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
May 01, 2009 - Patient Safety: A Perspective from Office Practice
Richard J. … Patient Safety: A Perspective from Office Practice. PSNet [internet]. … the proper context, as the root cause of many potential unhappy outcomes—far more so than our lack of clinical … argued that physicians' learned helplessness training begins early in residency, where we divide up "clinical … Physicians can make very persuasive clinical arguments but not very persuasive financial ones, because
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psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
January 01, 2023 - • The tracheostomy site was evaluated by the clinical team and instructions
were given to further … • The clinical team’s response was to insert air repeatedly into the cuff, but
increased balloon … • Some institutions have adopted the practice of placing tracheostomy tubes with a
distal extension … be structured in different ways and often include
pulmonary and otolaryngology physicians, advanced practice … AARC clinical practice guideline: management of adult patients with tracheostomy in the acute care setting
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psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - delivery systems and answer the question: No, you are not harming your patients if you follow these guidelines … A life cycle model of continuous clinical process innovation. … and the infrastructure, systems, and resources that allow for data analysis to advance knowledge and practice … national learning health system infrastructure and work toward closing the gap between research and practice … Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine
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psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - and the infrastructure, systems, and resources that allow for data analysis to advance knowledge and practice … national learning health system infrastructure and work toward closing the gap between research and practice … Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine … delivery systems and answer the question: No, you are not harming your patients if you follow these guidelines … A life cycle model of continuous clinical process innovation.
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psnet.ahrq.gov/node/849679/psn-pdf
June 28, 2023 - Some institutions have adopted the practice of
placing tracheostomy tubes with a distal extension, which … The patient in this clinical scenario was noted to have COVID-19 pneumonia. … psnet.ahrq.gov//#13
different ways and often include pulmonary and otolaryngology physicians, advanced practice … Elizabeth Gould, MSN, NP-C, CORLN
ENT and Tracheostomy Advance Practice Specialist Nurse
UC Davis Health … AARC clinical practice guideline: management of adult
patients with tracheostomy in the acute care setting
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psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
July 01, 2017 - acquaintance with physicians and understanding their narratives of how legal pressures affected their clinical … practice. … process by which experienced and skilled adjudicators are assisted by precedent, written opinions, guidelines … would be recorded in a database as a guidepost, or we can get together and have some commission develop guidelines … One set of questions relates to their clinical practice trajectory.
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psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
July 23, 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
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psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
September 15, 2024 - Background Prudent medical practice and federal and state laws require that any surgical item not intended … Coding Clinic, and thus the Centers for Medicare & Medicaid Services (CMS) follow the NQF SRE 2011 guidelines … follow the NQF definition for ICD-10-CM (International Classification of Diseases, 10 th Revision, Clinical … These items are unretrieved because a clinical determination has been made by the provider that the risk … These observations suggest that there are opportunities for practice improvements in the environments