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2941. A nurse-led approach to developing and implementing a collaborative count policy. | PSNet
      psnet.ahrq.gov/issue/nurse-led-approach-developing-and-implementing-collaborative-count-policy
      January 18, 2012 - March 19, 2018 Implementation of the I-PASS handoff program in diverse clinical environments … The impact of computerized provider order entry on medication errors in a multispecialty group practice … Retained Surgical Items: Causation and Prevention February 26, 2025 Guidelines … in Practice: prevention of unintentionally retained surgical items. … September 12, 2012 Surgical count practice variability and the potential for retained

2942. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-430
      March 27, 2024 - Advanced practice nurses (APN) such as nurse practitioners, certified registered nurse anesthetists, … and clinical nurse specialists can improve patient outcomes and quality of life. … Advanced practice nurses (APN) such as nurse practitioners, certified registered nurse anesthetists, … and clinical nurse specialists can improve patient outcomes and quality of life. … Pharmacy Practice News ; February 2024: Suppl 1-12.

2943. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49655/psn-pdf
      June 01, 2012 - 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. … 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].

2944. What is accountability in health care? | PSNet
      psnet.ahrq.gov/issue/what-accountability-health-care
      April 19, 2013 - April 19, 2013 Predicting the future—big data, machine learning, and clinical medicine … September 12, 2016 Obstetric practice guidelines: labor's love lost? … Physician and nurse well-being and preferred interventions to address burnout in hospital practice … July 19, 2023 Implementation of the I-PASS handoff program in diverse clinical environments … November 2, 2018 The practice of respect in the ICU.

2945. Computerized physician order entry in the critical care environment: a review of current literature. | PSNet
      psnet.ahrq.gov/issue/computerized-physician-order-entry-critical-care-environment-review-current-literature
      September 19, 2012 - August 6, 2008 Surviving Sepsis Campaign: international guidelines for management of … November 21, 2021 Changes in practice and organisation surrounding blood transfusion … 27, 2021 Assessing diagnostic reasoning: a consensus statement summarizing theory, practice … Related Resources Impact of commercial computerized provider order entry (CPOE) and clinical … The effect of computerized physician order entry on medication prescription errors and clinical

2946. Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system. | PSNet
      psnet.ahrq.gov/issue/defining-incidence-cardiorespiratory-instability-patients-step-down-units-using-electronic
      September 04, 2013 - to the radiology department: risk for adverse events, nursing surveillance, utilization of a MET and practice … Opioid prescribing for acute pain management in children and adolescents in outpatient settings: clinical … practice guideline. … September 30, 2010 Society of Critical Care Medicine Guidelines on Recognizing and Responding … to Clinical Deterioration Outside the ICU: 2023.

2947. 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

2948. Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx (pdf file)
      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

2949. 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.

2950. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization | PSNet
      psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
      September 01, 2012 - Unfortunately, this technique is still commonly performed in practice for multiple reasons, including … Medicine, Division of Cardiovascular Medicine UC Davis Health taipham@ucdavis.edu Surabhi Atreja, MD Clinical … October 11, 2023 The role of bias in clinical decision-making of people with serious … May 30, 2016 ASHP–PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals

2951. A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis | PSNet
      psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
      January 13, 2010 - no single physician or nurse is likely to have access in real time to the full complement of dynamic clinical … However, the clinical team must anticipate and counter these challenges by adhering to frequent and targeted … in electronic health records, clinicians must be both vigilant regarding managing large volumes of clinical … Prevention of venous thromboembolism: American College of Chest Physicians Evidence-Based Clinical Practice … Guidelines (8th Edition).

2952. Are Two Insulin Pumps Better Than One? | PSNet
      psnet.ahrq.gov/web-mm/are-two-insulin-pumps-better-one
      March 01, 2005 - inevitably provide care to patients with an insulin infusion pump in place—our institution has published its guidelines … The guidelines were developed by a team of endocrinologists, diabetes nurse educators, and representatives … of continuous subcutaneous insulin infusion (insulin pump) therapy in the hospital setting: proposed guidelines … March 1, 2013 American College of Endocrinology and American Association of Clinical … Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines

2953. Learning Health Systems for Patient Safety | PSNet
      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.

2954. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety | PSNet
      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

2955. Treatment Challenges After Discharge | PSNet
      psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
      January 03, 2017 - Comprehensive discharge planning for the hospitalized elderly: a randomized clinical trial. … Reducing office practice risks. Forum. 2000;20:1-21. [Available at]   13. … Communicating critical test results: safe practice recommendations. … January 3, 2017 ASHP guidelines on preventing medication errors with chemotherapy and … December 22, 2021 Implementation of the I-PASS handoff program in diverse clinical environments

2956. One ACE Too Many | PSNet
      psnet.ahrq.gov/web-mm/one-ace-too-many
      June 21, 2016 - The best answer is probably, "More often than clinical trials suggest." … Finally, patients enrolled in RCTs are typically monitored far more closely than those in clinical practice … With regard to drug-induced hyperkalemia, the disconnect between clinical trials and the real world is … fewer adverse events than those in real world practice. … Juurlink BPhm, MD, PhD Staff Physician, Divisions of General Internal Medicine and Clinical Pharmacology

2957. Accreditation and Regulation: Can They Help Improve Patient Safety? | PSNet
      psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
      April 01, 2009 - continually improving quality and safety goals ( 7 ), but board leadership works best by recruiting clinical … mortality, as had been hoped, primarily because of the difficulty of definitive diagnosis in actual clinical … do a better job of meaningfully involving the actual clinicians who will be affected by new rules, guidelines … Clinical Alarms Task Force. … Impact of clinical alarms on patient safety: a report from the American College of Clinical Engineering

2958. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841139/psn-pdf
      December 14, 2022 - These strategies “include strengthening interpreter services, improving coordination of clinical services … airway notification service is now recommended in the latest American Society of Anesthesiologists “Practice … Guidelines for Management of the Difficult Airway.”17 The patient sometimes only remembers that there … Christian Bohringer, MBBS Professor of Clinical Anesthesiology Department of Anesthesiology and Pain … Apfelbaum JL, Hagberg CA, Connis RT, et al. 2022 American Society of Anesthesiologists Practice Guidelines

2959. 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

2960. How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user experience. | PSNet
      psnet.ahrq.gov/issue/how-can-patient-held-lists-medication-enhance-patient-safety-mixed-methods-study-focus-user
      February 16, 2022 - February 16, 2022 User-testing guidelines to improve the safety of intravenous medicines