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Showing results for "clinical practice guidelines".
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3041. A process for analysis of sentinel events due to health care–associated infection. | PSNet
      psnet.ahrq.gov/issue/process-analysis-sentinel-events-due-health-care-associated-infection
      January 22, 2014 - October 2, 2013 Surviving Sepsis Campaign: international guidelines for management of … August 8, 2012 Medication safety in primary care practice: results from a PPRNet quality … Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical … 15, 2021 The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical

3042. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/860015/psn-pdf
      September 01, 2024 - psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology Background Prudent medical practice … 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, 10th Revision, Clinical … These items are unretrieved because a clinical determination has been made by the provider that the … These observations suggest that there are opportunities for practice improvements in the environments

3043. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852808/psn-pdf
      August 30, 2023 - authors recommend providers follow the American College of Obstetricians and Gynecologists’ (ACOG) guidelines … Sarah Marshall, MD Health Sciences Clinical Professor Department of Family and Community Medicine … ACOG Practice Bulletin No. 201: Pregestational Diabetes Mellitus. … ACOG Practice Bulletin No. 189: Nausea and Vomiting Of Pregnancy.

3044. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49577/psn-pdf
      January 01, 2009 - 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 … continuous subcutaneous insulin infusion (insulin pump) therapy in the hospital setting: proposed guidelines

3045. Duty to Disclose Someone Else's Error? | PSNet
      psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
      June 01, 2004 - First, important standards and guidelines have been developed by organizations such as the National Quality … 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.

3046. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49418/psn-pdf
      October 01, 2003 - However, the best check of NG tube placement is chest x-ray; x-ray is standard practice in narrow-bore … of knowledge, training, and credentialing, but they can also be addressed in part by protocols or guidelines … Clinical procedures in emergency medicine. 2nd ed. Philadelphia: WB Saunders; 1991. 4.

3047. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-414
      October 31, 2023 - Most studies (11 out of 12) measured organizational or clinical outcomes. … qualitative study examined how situational awareness and team culture impact intraoperative handoff practice … Study The nature, causes, and clinical impact of errors in the clinical laboratory … Most studies (11 out of 12) measured organizational or clinical outcomes. … discusses other EHR-based documentation tools (such as dot phrases), the influence of new documentation guidelines

3048. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33735/psn-pdf
      August 01, 2012 - Unanticipated safety risks continue to emerge (10), and recent guidelines advise that these agents be … decision support systems that incorporate relevant clinical information. … Although computerized provider order entry with clinical decision support has been shown to improve … Computerized clinical decision support during medication ordering for long-term care residents with … Effect of computerized provider order entry with clinical decision support on adverse drug events in

3049. 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

3050. Operationalizing Patient Safety at Academic Medical Centers | PSNet
      psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
      August 01, 2010 - components of patient safety during a national consensus conference.( 6 ) In reviewing these educational guidelines … Chayan Chakraborti, MD Assistant Professor of Clinical Medicine Tulane University School of Medicine … Improving safety on the front lines: the role of clinical microsystems. … Assessing safety culture: guidelines and recommendations. Qual Saf Health Care. 2005;14:231-233. … Building a high reliability organization through a multi-method approach to monitoring the practice environment

3051. 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.

3052. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-448
      July 10, 2024 - This study used medical oncology examination questions from the American Society of Clinical Oncology … Accuracy varied by LLM, and many incorrect answers, if acted upon in practice, had the potential for … Patients and caregivers also highlighted the importance of patient-centered guidelines and resources … Review Lost, mislabeled, and mishandled surgical and clinical pathology specimens … The researchers identified several common factors supporting effective implementation, including clinical

3053. 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

3054. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33853/psn-pdf
      March 01, 2018 - Investment in an educated clinical staff is another, and an institutional commitment to quality and … We estimate that slightly more than 1-in-5 hospitals have substantially improved their clinical work … why safety interventions that have been shown to work under controlled circumstances don't work in practice … We tend to focus on clinical outcomes without making the business case for why these improvements are … We also saw huge variation in nurses' ratings of their practice environment, with around 40% of all

3055. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74251/psn-pdf
      January 26, 2022 - heart disease and complete mixing lesions.1,2 In this case, the patient was thrombocytopenic with clinical … Early identification of complications and timely intervention to mitigate them are central to surgical practice … View AHRQ Disclaimers https://www.asahq.org/standards-and-guidelines/asa-physical-status-classification-system

3056. The Hidden Danger of Unseen Intravenous Catheters | PSNet
      psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
      October 04, 2023 - Vadi, MD, MPH Health Sciences Associate Clinical Professor Department of Anesthesiology & Pain Medicine … Malkin, MD Health Sciences Associate Clinical Professor Department of Anesthesiology & Pain Medicine … A Practice of Anesthesia for Infants and Children .  Sixth Edition. … Infusion therapy standards of practice, 8 th edition. … WHO guidelines for safe surgery 2009: safe surgery saves lives [Report on the Internet].

3057. 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.

3058. Glossary | PSNet
      psnet.ahrq.gov/glossary
      January 01, 2003 - The criteria were intended to guide clinical practice, but also to inform quality assurance review and … Clinical Decision Support System (CDSS) Any system designed to improve clinical decision-making related … Most general guidelines require patients to be informed of the nature of their condition, the proposed … In practice, though, many omit key steps or do not perform sufficient cycles. … Another way in which practice deviates from theory for PDSA is the way in which the cycles play out.

3059. Glossary | PSNet
      psnet.ahrq.gov/glossary-0
      January 01, 2003 - The criteria were intended to guide clinical practice, but also to inform quality assurance review and … Most general guidelines require patients to be informed of the nature of their condition, the proposed … In practice, though, many omit key steps or do not perform sufficient cycles. … Another way in which practice deviates from theory for PDSA is the way in which the cycles play out. … In practice, this type of work involves frequent false starts, backtracking, regroupings, backsliding

3060. Technology as a Tool for Improving Patient Safety | PSNet
      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