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3041. May I Have Another?—Medication Error | PSNet
      psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
      March 01, 2009 - Moreover, while many guidelines promote medication review and counseling, physicians receive limited … A pharmacy practice can also be very busy, and patients may not find it easier to ask for guidance there

3042. Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges | PSNet
      psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challenges
      August 30, 2023 - Interruptions to intensive care nurses and clinical errors and procedural failures: a controlled study … at the highest scope of their practice. … That’s the same with those of us in executive practice. … Lincoln, the physicians took the command center and would do rounds with patients because Medicare guidelines … Every state has different scope of practice laws for health professionals.

3043. In Conversation with... Kathleen Sanford and Sue Schuelke about Virtual Nursing | PSNet
      psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursing
      August 30, 2023 - at the highest scope of their practice. … VIC also enables us to use clinical roles that some of the hospitals had stopped using, such as licensed … That’s the same with those of us in executive practice. … Lincoln, the physicians took the command center and would do rounds with patients because Medicare guidelines … Every state has different scope of practice laws for health professionals.

3044. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74253/psn-pdf
      January 12, 2022 - Organization (PSO) Director Tennessee Hospital Association PSO Brentwood, TN Poonam Sharma, MD, MPH Senior Clinical … Surviving Sepsis Campaign: guidelines on the management of critically ill adults with Coronavirus Disease

3045. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843151/psn-pdf
      February 01, 2023 - Improvement Initiatives Researchers at the CDC led a quality improvement initiative using elements from the Practice … Addressing diversity in PTSD treatment: clinical considerations and guidance for the treatment of PTSD … Inclusion of sexual orientation and gender identity in stage 3 meaningful use guidelines: a huge step

3046. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846769/psn-pdf
      March 29, 2023 - https://psnet.ahrq.gov//#7 https://psnet.ahrq.gov/issue/how-doctors-think-common-diagnostic-errors-clinical-judgment-lessons-undiagnosed-and-rare … limit of normal is sufficient to diagnose primary AI, while a cortisol level between 5-14 ug/dl with clinical … to be in adrenal crisis, they should be treated with high dose steroids immediately to prevent poor clinical … Samantha Jimenez, MD Clinical Fellow Division of Pediatric Endocrinology UC Davis Children’s Hospital … Diagnosis and Treatment of Primary Adrenal Insufficiency: An Endocrine Society Clinical Practice Guideline

3047. In Conversation With... Dr. Michelle Schreiber on Measuring Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
      December 14, 2022 - Michelle Schreiber: I am the Deputy Director of the Center for Clinical Standards and Quality (CCSQ) … Michelle Schreiber: CCSQ is the clinical and quality center, to a large degree, of CMS. … We are focused on several key clinical areas in particular such as improving quality for maternal health … Last year, we introduced two new electronic clinical quality measures (eCQMs) for glycemic control. … guidelines and to clinical decisions and support and to ongoing and iterative quality improvement.

3048. Measuring Patient Safety | PSNet
      psnet.ahrq.gov/perspective/measuring-patient-safety
      December 14, 2022 - Michelle Schreiber, MD Deputy Director of Center for Clinical Standards and Quality (CCSQ) Director of … Michelle Schreiber: I am the Deputy Director of the Center for Clinical Standards and Quality (CCSQ) … Michelle Schreiber: CCSQ is the clinical and quality center, to a large degree, of CMS. … Last year, we introduced two new electronic clinical quality measures (eCQMs) for glycemic control. … guidelines and to clinical decisions and support and to ongoing and iterative quality improvement.

3049. The Dropped "No" | PSNet
      psnet.ahrq.gov/web-mm/dropped-no
      October 30, 2019 - Such timely and effective communication of urgent findings is the recommended practice.( 1,2 ) Errors … The crucial issue—and point of discrepancy relevant to the clinical management decision—was what the … Radiology and medical malpractice claims: a report on the practice standards claims survey of the Physician … ACR Practice Guideline for Communication of Diagnostic Imaging Findings.

3050. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837324/psn-pdf
      July 08, 2022 - Use of American College of Obstetricians and Gynecologists and Society for Maternal-Fetal Medicine guidelines … in use of the procedure across states and hospitals, and high rates could not always be linked to clinical … The variation is only partly attributable to clinical factors.11 In the context of rising maternal

3051. "Do You Want Everything Done?": Clarifying Code Status | PSNet
      psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
      March 27, 2024 - some certainly attempt to), it is critically important to identify an agent who will consider specific clinical … Other clinical skills are certainly important, but these conversations around advance care planning and … the Web at  https://www.vitaltalk.org/guides/transitionsgoals-of-care/ Ariadne Labs: Community of Practice … August 5, 2020 Handoffs and transitions of care: a systematic review, meta-analysis, and practice … January 25, 2012 Social aspects of clinical errors: a discussion paper.

3052. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49699/psn-pdf
      February 01, 2014 - prescribing criteria for and restriction of concentrated oxycodone, the lack of a standard dispensing practice … Medication-Use System.(4)   KEY ELEMENT DESCRIPTION Patient information • Pertinent demographic and clinical … references, protocols, order sets, computerized drug information systems, patient profiles, and regular clinical

3053. Microsoft PowerPoint - Spotlight Case_Postop Cervical Hematomas_12.15.2022 FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-01/spotlight_respiratory_distress_after_neck_surgery_two_cases_of_postoperative_cervical_hematoma.pdf
      January 01, 2023 - comorbidities, appropriate and sufficient preoperative education, a team approach to education and clinical … can be difficult to distinguish from benign postoperative swelling, appropriate education of all clinical … • To successfully manage this life-threatening complication, appropriate patient, caregiver and clinical … • All clinical staff caring for patients undergoing neck surgery should be trained to recognize and … The American Association of Endocrine Surgeons guidelines for the definitive surgical management of thyroid

3054. A Statewide Collaborative to Support Vaginal Birth and Reduce Unnecessary Cesarean Deliveries | PSNet
      psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
      July 23, 2024 - The variation is only partly attributable to clinical factors. 11 In the context of rising maternal morbidity … Use of American College of Obstetricians and Gynecologists and Society for Maternal-Fetal Medicine guidelines … variation in use of the procedure across states and hospitals, and high rates could not always be linked to clinical

3055. Complications of ECMO During Transport | PSNet
      psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
      January 27, 2021 - transfers (12.3%), all of which were considered minor complications that did not result in significant clinical … location, e.g. ward, computed tomography (CT) or operating room. 12,13 Staff training and education Guidelines … it appears that only the perfusionist had the knowledge necessary to diagnose the issue, leading to clinical … Cardiothoracic Intensive Care Unit: A Review of Handoffs in Perioperative Cardiothoracic and Vascular Practice … Simulation-Based Assessment of ECMO Clinical Specialists. Simul Healthc . 2016; 11(3):194–199.

3056. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33708/psn-pdf
      March 01, 2011 - Clinical context is also very important. … Sleep research has done a very good job defining what clinical tasks are most sensitive to sleep deprivation … who admitted a patient versus a well-rested covering intern who admitted a patient for a variety of clinical … Institute of Medicine] that helped inform the duty hours task force development of the current 2010 guidelines … and students to do handoffs, as well as how we monitor that such education is turning into better practice

3057. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73336/psn-pdf
      May 26, 2021 - may be infected with congenital syphilis, since the fifteenth century or earlier.1 Given that the clinical … In that first clinical visit, a thorough history may have revealed that the patient did not recall a … The clinical manifestations of syphilis are myriad but occur in a stepwise fashion. … for patients allergic to penicillin, but these therapies should be used in conjunction with close clinical … Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep.

3058. Multifactorial Medication Mishap | PSNet
      psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
      September 01, 2016 - prescribing criteria for and restriction of concentrated oxycodone, the lack of a standard dispensing practice … ( 4 )   KEY ELEMENT DESCRIPTION Patient information • Pertinent demographic and clinical … references, protocols, order sets, computerized drug information systems, patient profiles, and regular clinical … November 8, 2023 Preventing potential patient harm through clinical content interventions … during oncology clinical trial implementation.

3059. EHR Copy and Paste and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
      January 01, 2018 - notes for decision making, suggesting that progress notes are still considered the primary source of clinical … 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. … Do you struggle with that at all in terms of the actual clinical value of the exercise?

3060. Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue. | PSNet
      psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
      October 28, 2020 - limit of normal is sufficient to diagnose primary AI, while a cortisol level between 5-14 ug/dl with clinical … to be in adrenal crisis, they should be treated with high dose steroids immediately to prevent poor clinical … Samantha Jimenez, MD Clinical Fellow Division of Pediatric Endocrinology UC Davis Children’s Hospital … Diagnosis and Treatment of Primary Adrenal Insufficiency: An Endocrine Society Clinical Practice Guideline