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3061. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. | PSNet
      psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
      January 29, 2021 - 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 … Guidelines for Management of the Difficult Airway.

3062. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73412/psn-pdf
      August 01, 2022 - Addressing intimate partner violence with male patients: a review and introduction of pilot guidelines

3063. 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.

3064. Retained Surgical Items: Definition and Epidemiology. | PSNet
      psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
      September 15, 2024 - Background Prudent medical practice and federal and state laws require that any surgical item not intended … 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, 10 th Revision, Clinical … These items are unretrieved because a clinical determination has been made by the provider that the risk … These observations suggest that there are opportunities for practice improvements in the environments

3065. PSNet Curated Library (pdf file)
      psnet.ahrq.gov/print/pdf/node/74277
      January 01, 2021 - Clinical pharmacists retrospectively reviewed ambulatory records to identify adverse drug events following … Investigators studied a large population of Medicare enrollees in a single multispecialty group practice … This illustrated report provides guidelines for the packaging of pharmaceuticals along with an information

3066. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866343/psn-pdf
      December 31, 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 … Farrell MH, Foody JM, Krumholz HM. beta-Blockers in heart failure: clinical applications. … The role of the clinical examination in patients with heart failure.

3067. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49741/psn-pdf
      September 01, 2015 - in the differential and the presence of bands are abnormal and require further investigation.(8) If clinical … The use of the algorithm as well as the clinical outcomes of pregnant patients with abdominal pain should … ACOG Committee on Obstetric Practice. … ACOG Committee Opinion #299 (replaces #158, September 1995): guidelines for diagnostic imaging during … Appendicitis in pregnancy: new information that contradicts long-held clinical beliefs.

3068. 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.

3069. The Inside of a Time Out | PSNet
      psnet.ahrq.gov/web-mm/inside-time-out
      March 01, 2004 - the surgery or procedure regardless of where it is being performed.( 2 ) Despite the spirit of these guidelines … reason, New York State now requires that the time out take place immediately prior to the incision, a practice … behavior and apologized to the nurse, but was also told that the nursing staff would be establishing new guidelines … critical points prior to incision, such as just prior to placement of a spinal anesthetic, and this is a practice

3070. 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

3071. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866055/psn-pdf
      May 29, 2024 - Therefore, adoption in clinical settings remains challenging.7 Additionally, evidence suggests that … formed a multidisciplinary workgroup to perform an evidence review on RSIs and identify evidence- based guidelines … Two common themes and findings that emerged from the workgroup review were (1) intraorganizational guidelines … The chief clinical officer (CCO) plays a pivotal role in guiding the implementation, with assistance

3072. 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.

3073. Handoffs and Transitions | PSNet
      psnet.ahrq.gov/perspective/handoffs-and-transitions
      February 01, 2007 - Download Citation 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

3074. Suicide Risk in the Hospital | PSNet
      psnet.ahrq.gov/web-mm/suicide-risk-hospital
      November 01, 2011 - The next breakdown in the case was allowing the patient to be on her own without a clinical evaluation … patient transfers is a common root cause of suicide attempts and deaths throughout the hospital.( 10 ) Clinical … Practice guideline for the assessment and treatment of patients with suicidal behaviors. … Inpatient suicide prevention: promoting a culture and system of safety over 30 years of practice. … See More About The Topic Hospitals Physicians Mental Health Care (Psychiatry and Clinical

3075. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837785/psn-pdf
      August 05, 2022 - However, the absence of meaningful clinical evaluation for many of these apps2,3 raises potential patient … To function in a safe and effective manner, the clinical content of an app must be maintained to reflect … the most current evidence-based treatment guidelines. … More rigorous clinical evaluation of healthcare apps is needed. … Overall, clinical information provided by healthcare apps must be assessed from many angles to ensure

3076. Safety in Radiology | PSNet
      psnet.ahrq.gov/perspective/safety-radiology
      October 01, 2013 - A well-known practice mandate in radiology is ALARA: "as low as reasonably achievable." … After we looked into it more closely, it turns out that there were very few guidelines about what doses … It turns out those doses have very little resemblance to the doses used in clinical practice. … It's hard to change practice without having the evidence basis for doing that. … But a private practice radiologist at the end—during a very exciting question and answer and comment

3077. The Physical Environment: An Often Unconsidered Patient Safety Tool | PSNet
      psnet.ahrq.gov/perspective/physical-environment-often-unconsidered-patient-safety-tool
      November 21, 2018 - In: Facility Guidelines Institute, ed. 2010 Guidelines for Design and Construction of Health Care Facilities … Systematic review of studies on compliance with hand hygiene guidelines in hospital care. … Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316:1154-1157. … Polypharmacy May 1, 2013 Anesthesia workspaces for safe medication practices: design guidelines

3078. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33701/psn-pdf
      October 01, 2010 - Fortunately, guidelines for checklist design are available. … The following guidelines capitalize on knowing the users to ensure good communication via the checklist … Adhere to basic usability guidelines. … Basic usability guidelines improve human perception and expectancy of the task steps. … Standardize these terms as much as possible across clinical units and sites of care.

3079. Premature Closure: Was It Just Syncope? | PSNet
      psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
      February 10, 2021 - One of the first studies of medical checklists involved the World Health Organization’s (WHO) Guidelines … Journal of Clinical Neuroscience . 2015;22:1959-1962. Levis J. … Monitor Patients Receiving Direct Oral Anticoagulants for Stroke Prevention in Atrial Fibrillation: A Practice … Cognitive forcing strategies in clinical decisionmaking. … Assessment of a Best Practice Alert and Referral Process for Preprocedure Antithrombotic Medication Management

3080. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
      January 01, 2022 - • Risk reduction strategies pertaining to opioid dose stacking include incorporating institutional guidelines … – Standardizing opioid prescribing patterns via order sets and institutional guidelines allows everyone … American Society for Pain Management Nursing Guidelines on Monitoring for Opioid- Induced Advancing Sedation … Neurology in Clinical Practice, 5th Edition. Philadelphia, PA: Elsevier/Saunders; 2008. 8. … https://doi.org/10.1213/ane.0000000000004788 https://cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines