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3161. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33831/psn-pdf
      April 01, 2017 - Center for Transforming Healthcare, a center he began to promote high reliability and transformative practice … That's because the interventions recommended by available practice guidelines, best practices, stories … Today, because our clinical care processes are so fraught with weaknesses and failure points, most of … You can do it on clinical quality where the incentives align, and that might be different from somebody

3162. In Conversation with... Christie Allen about Maternal Safety and Perinatal Mental Health | PSNet
      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

3163. The Role of Bar Coding and Smart Pumps in Safety | PSNet
      psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
      September 01, 2008 - In part for this reason, nurses created numerous workarounds that resulted in potentially dangerous practice … or missed medications as well as links to drug reference information and medication administration guidelines … Examples of such unintended consequences are detailed in a recent study of workarounds or practice deviations … Medical School Carol Keohane, RN, BSN  Program Director The Center for Patient Safety Research and Practice … Clinical pharmacists and inpatient medical care: a systematic review.

3164. In Conversation with...Bradley T. Rosen, MD, MBA | PSNet
      psnet.ahrq.gov/perspective/conversation-withbradley-t-rosen-md-mba
      March 01, 2008 - time, this was not just a service provided to teaching physicians, but private physicians who also practice … But you have to know how to stop, and that's what takes the practice. … them to the concept of wide sterile barriers, get them familiar with the ultrasound, and get them to practice … intensive learning experience provides the resident multiple, condensed opportunities for deliberate practice … Table 2: Beth Israel Deaconess Internal Medicine Residency 2007–2008 Procedural Competency Guidelines

3165. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-436
      April 10, 2024 - report prolonged emotional impacts; organizational factors such as lack of organizational disclosure guidelines … Study Clinical reasoning of a generative artificial intelligence model compared … This study compared ChatGPT and physicians' clinical reasoning in a simulated case study. … Revised-IDEA (R-IDEA) framework, the LLM performed better than physicians did in processing medical data and clinical … provide suggestions for improvement that emphasize medication reconciliation, order set development, and clinical

3166. Maternal Safety and Perinatal Mental Health | PSNet
      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

3167. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49668/psn-pdf
      October 01, 2012 - 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.

3168. Good Night's Sleep Gone Wrong | PSNet
      psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong
      September 01, 2015 - Clinical judgment is needed to weigh the potential risks and benefits of utilizing such agents and to … Other comorbid conditions, such as dementia, may also cloud a patient's clinical picture and make it … Clinical decision-making can be improved through the use of insomnia order sets to prevent inappropriate … Degrado, PharmD Critical Care Clinical Pharmacy Specialist Department of Pharmacy Services Brigham and … practice guideline.

3169. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49705/psn-pdf
      January 01, 2020 - It is challenging to create clear concrete guidelines for when a PCP should refer to a neurologist given … The neurologic content of family practice. Implications for neurologists. … The neurological content of general practice. J Neurol Neurosurg Psychiatry. 1989;52:434-435.

3170. The Wrong Channel | PSNet
      psnet.ahrq.gov/web-mm/wrong-channel
      February 01, 2003 - pump, a heuristic (expert) evaluation was accomplished by 4 raters, who used 14 human factors design guidelines … inspection method.( 8 ) Human factors engineering experts use a set of principles or list of design guidelines … infusion pumps.( 9 ) In usability testing, 17 typical infusion pump users attempted several realistic clinical … An increasing number of people in industry, government, academia, and practice are applying HFE to infusion

3171. Creation of a Medical Procedure Service to Improve Patient Safety | PSNet
      psnet.ahrq.gov/perspective/creation-medical-procedure-service-improve-patient-safety
      March 01, 2008 - intensive learning experience provides the resident multiple, condensed opportunities for deliberate practice … Table 2: Beth Israel Deaconess Internal Medicine Residency 2007–2008 Procedural Competency Guidelines … time, this was not just a service provided to teaching physicians, but private physicians who also practice … But you have to know how to stop, and that's what takes the practice. … them to the concept of wide sterile barriers, get them familiar with the ultrasound, and get them to practice

3172. Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. | PSNet
      psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
      January 29, 2021 - Christian Bohringer, MBBS Professor of Clinical Anesthesiology Department of Anesthesiology and Pain … Non-alcoholic fatty liver disease and obesity: biochemical, metabolic and clinical presentations. … Best practice in stabilisation of oral endotracheal tubes: a systematic review. … Free full text ] Thilen SR, Weigel WA, Todd MM, et al. 2023 American Society of Anesthesiologists Practice … Guidelines for Monitoring and Antagonism of Neuromuscular Blockade: A Report by the American Society

3173. Patient safety: engaging medical staff toward a common goal. | PSNet
      psnet.ahrq.gov/issue/patient-safety-engaging-medical-staff-toward-common-goal
      September 08, 2021 - February 4, 2009 Surgeons must tell patients of double-booked surgeries, new guidelines … March 5, 2014 Clinical ICT Systems in the Victorian Public Health Sector. … March 6, 2005 Medical errors: impact on clinical laboratories and other critical areas … June 8, 2011 Clinical alarms: complexity and common sense.

3174. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49490/psn-pdf
      September 01, 2005 - pump, a heuristic (expert) evaluation was accomplished by 4 raters, who used 14 human factors design guidelines … inspection method.(8) Human factors engineering experts use a set of principles or list of design guidelines … infusion pumps.(9) In usability testing, 17 typical infusion pump users attempted several realistic clinical … An increasing number of people in industry, government, academia, and practice are applying HFE to infusion

3175. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-314
      October 27, 2021 - Study Impact of clinical decision support therapeutic interchanges on hospital discharge … Clinical decision support (CDS) tools are intended to enhance care decision and delivery processes. … Study The relationship between high-reliability practice and hospital-acquired conditions … Organizational Policy/Guidelines A culture of safety in EMS systems. … Book/Report Digital Clinical Safety Strategy Share Facebook

3176. Elopement | PSNet
      psnet.ahrq.gov/web-mm/elopement
      July 14, 2010 - Patients who are able to make determinations about their own care should be given guidelines upon admission … Notification of security with a description of the missing patient and pertinent clinical information … midnight as the indicator.( 10,12 ) Providers should consult with organization policies for specific guidelines … Pleading and practice forms, hospitals. In: American Jurisprudence. 2nd ed. … December 21, 2014 Clinical deterioration and hospital‐acquired complications in adult

3177. In Conversation with…Vineet Arora, MD, MA | PSNet
      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

3178. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853772/psn-pdf
      September 27, 2023 - nearly-all-hospital-pharmacists-say-drug-shortages-are-negatively-impacting-care-third-say https://psnet.ahrq.gov//#8 https://psnet.ahrq.gov/issue/ashp-guidelines-managing-drug-product-shortages … Systems Change Needed Patient safety is an inherent responsibility of the clinical microsystem. … Improving patient safety within clinical microsystems begins with raising the work unit’s understanding … Hana Camarillo, PharmD, BCACP, CDCES Clinical Pharmacist, Endocrinology Department of Pharmacy UC … Clinical Microsystem Action Guide: Improving Health Care by Improving your Microsystem.

3179. The Missing Abscess: Radiology Reads in the Digital Era | PSNet
      psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
      January 01, 2009 - Even with such innovations, I'm "old school" enough to hope to see my clinical colleagues in the radiology … in-person communication has been a source of medical errors associated with radiologists receiving less in clinical … information, nonradiologists performing preliminary clinical interpretations without notifying radiologists … Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy: the clinical … practice guidelines of the European Association for Endoscopic Surgery (EAES).

3180. Spotlight
      psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
      January 01, 2025 - “High-risk” abdominal pain is characterized by clinical features including age greater than 65 years, … American College of Radiology (ACR) Appropriateness Criteria (AC) are annually updated “evidence-based guidelines … Based on certain clinical and testing parameters, the use of lactate levels can be considered in the … ACR guidelines are available to guide physician choice of appropriate imaging. … Don’t ignore abnormal clinical findings.