-
psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_mismanagement_of_acute_decompensated_heart_failure_slides_final.pptx
January 01, 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 … Were all ICU beds full at the time of admission, with administrative or clinical barriers to transferring … The Role of the Clinical Examination in Patients With Heart Failure.
-
psnet.ahrq.gov/node/49746/psn-pdf
October 01, 2015 - This case illustrates the difficulty in diagnosing a strangulating bowel obstruction on the basis of clinical … As this case illustrates, a patient can have strangulated bowel with no clinical or radiographic predictors … Here's a practice pearl: "Obstructions destined to
resolve nonoperatively generally do so within 72 … No clinical signs, symptoms,
laboratory values, or radiographic findings reliably identify patients … Usefulness of known computed tomography and clinical criteria for
diagnosing strangulation in small-bowel
-
psnet.ahrq.gov/node/49502/psn-pdf
February 01, 2006 - This practice would provide an additional safety measure to ensure that important clinical decisions … in actual patient care settings, followed by
cycles of re-design until the system works well in the clinical … such as the location of computers (eg, bedside portable terminals) and adapting
systems to particular clinical … Goldstein, MD, MS Professor of Medicine Geriatrics Research Education and Clinical Center, VA
Palo Alto
-
psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
August 01, 2006 - 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
-
psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
March 29, 2023 - The initial core bundles were focused on hypertension, hemorrhage, and other clinical scenarios. … Because of that, the focus of the clinical conditions bundles has expanded. … The optimal AIM team is multidisciplinary and includes physicians, midwives, other advanced practice … People may struggle to disclose their mental health challenges to clinical providers who have different … guidelines, developing robust processes for screening and follow-up are important in ensuring that appropriate
-
psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
March 28, 2023 - Selecting a screening tool for use in the clinical setting, as well as developing processes and protocols … guidelines, developing robust processes for screening and follow-up are important in ensuring that appropriate … The initial core bundles were focused on hypertension, hemorrhage, and other clinical scenarios. … Because of that, the focus of the clinical conditions bundles has expanded. … The optimal AIM team is multidisciplinary and includes physicians, midwives, other advanced practice
-
psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
March 01, 2011 - Clinical context is also very important. … Institute of Medicine] that helped inform the duty hours task force development of the current 2010 guidelines … residents and students to do handoffs, as well as how we monitor that such education is turning into better practice … The handover provides information about the patients' clinical course and condition, as well as what … This practice, however, fails to provide an adequate opportunity for verbal interaction, conveying goals
-
psnet.ahrq.gov/web-mm/when-psychiatric-symptoms-are-not
September 20, 2011 - As with most medical care, the best practice continues to rely on a careful history and physical examination … Eventually, the clinical team realized how atypical such complaints would be as haloperidol side effects … Perspective
Patient Safety: A Perspective from Office Practice
-
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 … PSNet primers are regularly
reviewed and updated to ensure that they reflect current research and practice
-
psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
March 22, 2009 - Building a Safe, Patient-Centered Health Practice
Addressing health literacy concerns as part of a … Hernandez LM; for Roundtable on Health Literacy, Board on Population Health and Public Health Practice … Medication safety in older adults: home-based practice patterns. J Am Geriatr Soc 2005;53:976-982. … We are very well trained to think about clinical practice guidelines. … When you talk to the average person in public health or clinical care, they're thinking of a much larger
-
psnet.ahrq.gov/node/865655/psn-pdf
April 24, 2024 - assessment and confirm clinical suspicion for CS. … The AAOS Clinical Practice Guideline Summary for the
Management of Acute Compartment Syndrome provides … adopt practices that consider handoff frequency and team
structure, including the roles of advanced practice … If compartment syndrome is suspected, clinical assessment alone is unreliable. … The clinical diagnosis of compartment syndrome of the lower leg: are clinical findings
predictive of
-
psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
November 25, 2020 - assessment and confirm clinical suspicion for CS. … The AAOS Clinical Practice Guideline Summary for the Management of Acute Compartment Syndrome provides … adopt practices that consider handoff frequency and team structure, including the roles of advanced practice … If compartment syndrome is suspected, clinical assessment alone is unreliable. … The clinical diagnosis of compartment syndrome of the lower leg: are clinical findings predictive of
-
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
-
psnet.ahrq.gov/sites/default/files/2022-04/final_spotlight_case_and_commentatry_io_line_extravasation-04.08.2022.pdf
January 01, 2022 - • Early recognition is critical to prevent irreversible damage.
• Compartment syndrome is a clinical … • As in adults, compartment syndrome remains a clinical diagnosis in
children.
32
Compartment … • Therefore, close attention to fluid dose and infusion rate is another
best practice to prevent … • Compartment syndrome is a clinical diagnosis. … Part 1: Executive Summary: 2020 American Heart Association Guidelines for Cardiopulmonary
Resuscitation
-
psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
March 01, 2018 - Had I been the CMO in this case, I would have quickly evaluated the clinical facts and confirmed that … It's highly unusual for a CMO to be asked to second-guess a surgeon's clinical judgment in matters directly … these educational offerings might include Conflict Management/Engagement, Engaging in Collaborative Practice … Our clinical departments are now required by The Joint Commission and the ACGME to regularly evaluate … February 27, 2019
Guidelines for prevention, diagnosis and treatment of ventilator-associated
-
psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
March 01, 2011 - The handover provides information about the patients' clinical course and condition, as well as what … This practice, however, fails to provide an adequate opportunity for verbal interaction, conveying goals … Clinical context is also very important. … Institute of Medicine] that helped inform the duty hours task force development of the current 2010 guidelines … residents and students to do handoffs, as well as how we monitor that such education is turning into better practice
-
psnet.ahrq.gov/web-mm/pca-overdose
April 01, 2017 - Finally, in the event of an adverse clinical event possibly related to PCA usage, nothing should be discarded … November 1, 2017
Compliance with guidelines to prevent surgical site infections: as simple … View More
See More About The Topic
Intensive Care Units
Emergency Departments
Clinical
-
psnet.ahrq.gov/web-mm/buprenorphine-and-medically-ill-patient
August 20, 2018 - In the current clinical scenario, an older man with a long history of opioid analgesic dependence sought … programs do not have embedded primary care so that substance abuse treatment must be received in one clinical … Clinical Textbook of Addictive Disorders. 3rd ed. New York, NY: Guilford Press; 2011. … Clinical guidelines for the use of buprenorphine in the treatment of opioid addiction: A treatment improvement … Clinical pharmacology of buprenorphine: ceiling effects at high doses.
-
psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
February 01, 2004 - , however, when the ball is dropped in the final step: the patient presents in a timely manner, the clinical … Proposed federal regulations would require clinical laboratories to release test results directly to … —should not matter per se, only the clinical implications. … Here too there are no specific rules or guidelines: the determination is made case by case. … by the available contact information, try other means including online sources as warranted by the clinical
-
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?