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2941. Double Trouble | PSNet
      psnet.ahrq.gov/web-mm/double-trouble
      August 01, 2012 - Can clinical pharmacy services have a positive impact on drug-related problems and health outcomes in … Pharmacist care and clinical outcomes for patients with reactive airways disease. … May 26, 2011 Development and pilot testing of guidelines to monitor high-risk medications … July 29, 2020 Effect of a multifaceted clinical pharmacist intervention on medication … safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial

2942. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857258/psn-pdf
      November 30, 2023 - A quantitative neuromuscular block monitor was not used but reliance was placed on clinical signs. … The Commentary By Christian Bohringer, MBBS, and Sharon Ashley, MD Clinical Background The incidence … syndrome.11 When NMBAs are indispensable, the dose should be titrated carefully to the clinical need … Thilen SR, Weigel WA, Todd MM, et al. 2023 American Society of Anesthesiologists Practice Guidelines … Clinical pharmacokinetics of rocuronium bromide. Clin Pharmacokinet. 1996;31(3):174-183.

2943. Health Care Data Science for Quality Improvement and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
      October 01, 2016 - Yet clinical data is complex and contextual—a heart rate may be listed under the formal vital sign table … A report writer without clinical background may not appreciate that a request for heart rate should actually … Did clinicians at my institution transfuse blood in a way consistent with modern guidelines? … With a foot in both the clinical and data science realms, clinician data scientists are best positioned … We've been able to piggyback on that to answer questions that can inform system-level policy and practice

2944. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60721/psn-pdf
      July 21, 2020 - Staff must understand the value of change and innovation and be willing to modify practice to support … 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 … Cohen, MD, PhD Lead Clinical Informatics Liaison  Vice-Chair (Innovation, Information, & Technology … [3] Survey: Physician Practice Patterns Changing As A Result of COVID-19. Nerrit Hawkins.

2945. Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit | PSNet
      psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
      December 01, 2012 - As with these other important end-organ injuries, delirium is a clinical event for which prevention and … Valley Geriatric Research, Education and Clinical Center (GRECC). … Are delirium guidelines in place at the hospital? Are there delirium pathways? … We're going to have national guidelines for delirium within 2 years. … 2016 Improving medication administration safety: using naïve observation to assess practice

2946. Urinary Retention Dilemma | PSNet
      psnet.ahrq.gov/web-mm/urinary-retention-dilemma
      March 01, 2013 - for an indwelling urethral catheter and antibiotics that may cause side effects.( 10 ) However the clinical … 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 patients … 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.

2947. Identifying Adverse Events Not Present on Admission: Can We Do It? | PSNet
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      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 … Rather, the successes have come from systematizing practice. … patient safety revolution was to get patient safety on the radar screen and to have it be part of the clinical

2948. Miscalculated Risk | PSNet
      psnet.ahrq.gov/web-mm/miscalculated-risk
      March 01, 2015 - 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 at … 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.

2949. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49688/psn-pdf
      August 21, 2013 - subsequent postop visits, in part because the surgeon never explained specifically how the rehabilitation guidelines … To meet the literacy needs of diverse populations, health care systems and providers should practice … opportunities to review, such as a teach- back, which have been shown to improve patient adherence and clinical … inpatient projects can serve as meaningful models for the enhancement of discharge processes in other clinical

2950. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions | PSNet
      psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
      November 13, 2024 - events often reveal experienced, well-intentioned clinicians surrounded by complex clinical conditions … Many feel as though they have failed the patient, second guessing their clinical skills and knowledge … How does this actually work in practice? … Respectful Management of Serious Clinical Adverse Events. Institute for Healthcare Improvement. … practice guideline.

2951. In Conversation With… Reed V. Tuckson, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md
      September 01, 2016 - It is also extremely important to solve the problem of integrating telehealth services clinical records … telehealth centers are seeing orders of magnitude more cases than neurologists in solo or small group practice … has taught us the fundamental principle that unless physicians are driving the cultural change at the practice … increase regulatory, professional, and health care organizations' involvement in creating consensus-driven guidelines … The current rise in adoption and integration into clinical workflows will no doubt continue.

2952. In Conversation with…William B. Weeks, MD, MBA | PSNet
      psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
      May 01, 2009 - Physicians can make very persuasive clinical arguments but not very persuasive financial ones, because … 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 … Every day, we practice from the perspective of our own lives and our own experience. … A preliminary taxonomy of medical errors in family practice.

2953. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867656/psn-pdf
      February 26, 2025 - conversation-lucy-savitz-about-learning-health-systems-patient-safety https://psnet.ahrq.gov/issue/fifth-discipline-art-practice-learning-organization-revised-updated-edition … delivery systems and answer the question: No, you are not harming your patients if you follow these guidelines … Intermountain had something they called the clinical program infrastructure. … Dissemination and implementation of evidence based best practice across the High Value Healthcare Collaborative … A life cycle model of continuous clinical process innovation.

2954. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60242/psn-pdf
      March 01, 2021 - program are described below: The support team: Trained, certified nurse practitioners and licensed clinical … These individuals are employed by the primary care practice. … guidelines developed by various professional and specialty organizations and agencies. … In a randomized clinical trial evaluation, GRACE enrollment was associated with 7.1% fewer emergency … Identifying landmark articles for advancing the practice of geriatrics.

2955. On the Other Hand | PSNet
      psnet.ahrq.gov/web-mm/other-hand
      December 12, 2012 - 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: American

2956. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846935/psn-pdf
      March 29, 2023 - Selecting a screening tool for use in the clinical setting, as well as developing processes and protocols … Adverse Events Related to Perinatal Mental Health As highlighted by the patient safety bundles and clinical … guidelines, developing robust processes for screening and follow-up are important in ensuring that

2957. In Conversation with…Eric G. Poon, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-witheric-g-poon-md-mph
      September 01, 2008 - In part for this reason, nurses created numerous workarounds that resulted in potentially dangerous practice … or missed medications as well as links to drug reference information and medication administration guidelines … Examples of such unintended consequences are detailed in a recent study of workarounds or practice deviations … Medical School Carol Keohane, RN, BSN  Program Director The Center for Patient Safety Research and Practice … Clinical pharmacists and inpatient medical care: a systematic review.

2958. The Role of Bar Coding and Smart Pumps in Safety | PSNet
      psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
      September 01, 2008 - In part for this reason, nurses created numerous workarounds that resulted in potentially dangerous practice … or missed medications as well as links to drug reference information and medication administration guidelines … Examples of such unintended consequences are detailed in a recent study of workarounds or practice deviations … Medical School Carol Keohane, RN, BSN  Program Director The Center for Patient Safety Research and Practice … Clinical pharmacists and inpatient medical care: a systematic review.

2959. Don't Dismiss the Dangerous: Obstetric Hemorrhage | PSNet
      psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
      August 21, 2024 - routine and concealed obstetric hemorrhage as well as those obscured by confounding diagnoses and provide clinical … ACOG Practice Bulletin: Clinical Management Guidelines for Obstetrician-Gynecologists Number 76, October … Blood transfusion in contemporary obstetric practice. Obstet Gynecol. 1990;75:940-943. … WebM&M Cases Hurried Team Huddle and Poor Communication: Unsafe Practice

2960. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49604/psn-pdf
      June 01, 2010 - Standard guidelines dictate that systemic anticoagulant therapy or low-molecular-weight heparin thromboprophylaxis … Clinical Anesthesia Procedures of the Massachusetts General Hospital: Department of Anesthesia, Critical