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3181. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841566/psn-pdf
      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. … Last year, we introduced two new electronic clinical quality measures (eCQMs) for glycemic control. … Electronically is important for a number of reasons; one is the robust clinical information from an … guidelines and to clinical decisions and support and to ongoing and iterative quality improvement.

3182. In Conversation With… Sharon K. Inouye, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-sharon-k-inouye-md-mph
      December 01, 2012 - The newer atypical antipsychotic agents, the only ones that have really been tested in clinical trials … Are delirium guidelines in place at the hospital? Are there delirium pathways? … We're going to have national guidelines for delirium within 2 years. … As with these other important end-organ injuries, delirium is a clinical event for which prevention and … Valley Geriatric Research, Education and Clinical Center (GRECC).

3183. What Have We Learned About Safe Inpatient Handovers? | PSNet
      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

3184. In Conversation with...Dean Schillinger, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withdean-schillinger-md
      March 01, 2009 - 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 … 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.

3185. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49538/psn-pdf
      June 01, 2007 - participant.(3,4) An ongoing debate also exists around researchers' obligation to offer individual clinical … participants' expressed interest.(9-12) Moreover, few institutional review boards maintain specific guidelines … Informing clinical trial participants about study results. JAMA. 2002;288:363- 365. … Disclosing individual results of clinical research: implications of respect for participants. … Offering participants results of a clinical trial: sharing results of a negative study.

3186. Spotlight
      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.

3187. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49688/psn-pdf
      August 21, 2013 - subsequent postop visits, in part because the surgeon never explained specifically how the rehabilitation guidelines … To meet the literacy needs of diverse populations, health care systems and providers should practice … opportunities to review, such as a teach- back, which have been shown to improve patient adherence and clinical … inpatient projects can serve as meaningful models for the enhancement of discharge processes in other clinical

3188. Lap Burn | PSNet
      psnet.ahrq.gov/web-mm/lap-burn
      March 01, 2018 - ) All surgeons who perform minimally invasive laparoscopic procedures should be aware of these guidelines … AORN. 2004 Standards, recommended practices, and guidelines. Denver, Co: AORN; 2004:248,270. 9. … October 21, 2020 Clinical predictors for unsafe direct discharge home patients from intensive

3189. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-279
      February 10, 2021 - These findings suggest inadequate adherence to guidelines intended to help identify patients with high … Study Renal medication-related clinical decision support (CDS) alerts and overrides in … Early warning systems (EWS) can aid in early detection of clinical deterioration and assist rapid response … integration of health information systems supports decision making and treatment coordination across practice … Given a recent history of mobility limitations and continued clinical decompensation, a computed tomography

3190. Urinary Retention Dilemma | PSNet
      psnet.ahrq.gov/web-mm/urinary-retention-dilemma
      March 01, 2013 - for an indwelling urethral catheter and antibiotics that may cause side effects.( 10 ) However the clinical … keystroke is now possible.( 11 ) For patients with history of BPH and difficulty voiding, "pop up" clinical … Since there are no guidelines to assist health care providers with decision making in regard to BPH patients … of the patient's ability to void, as well as documentation of that ability, should be part of best practice … Joseph, RN, MSN, CURN Clinical Nurse Specialist VA San Diego Heathcare System References 1.

3191. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications | PSNet
      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

3192. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49549/psn-pdf
      December 06, 2007 - 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.

3193. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867672/psn-pdf
      February 26, 2025 - Avoid premature diagnostic closure when the clinical history and the results of imaging studies are … “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 … ACR guidelines are available to guide physician choice of appropriate imaging. … Don’t ignore abnormal clinical findings.

3194. Buprenorphine and the Medically Ill Patient | PSNet
      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.

3195. In Conversation With… Michelle Mello, MPhil, JD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
      July 01, 2017 - acquaintance with physicians and understanding their narratives of how legal pressures affected their clinical … practice. … process by which experienced and skilled adjudicators are assisted by precedent, written opinions, guidelines … would be recorded in a database as a guidepost, or we can get together and have some commission develop guidelines … One set of questions relates to their clinical practice trajectory.

3196. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836892/psn-pdf
      April 07, 2022 - than six hours from arriving at the ED to transfer to the ICU have longer hospital stays and worse clinical … In addition to providing clinical care, EC3 serves as a training site for medical students, residents … to all ED patients with UGIB before EC3 opened.4 EC3 leaders report that there are other promising clinical … education Dedicated care team members on each shift (i.e., doctors, nurses, house staff, advanced practice … Managing ICU surge during the COVID-19 crisis: rapid guidelines.

3197. In Conversation With… Robert Hirschtick, MD | PSNet
      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

3198. In Conversation With… Mark Chassin, MD, MPP, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
      April 26, 2023 - 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

3199. WebM&M Cases & Commentaries | PSNet
      psnet.ahrq.gov/Webmm
      May 01, 2021 - (1) Computerized Decision Support (27) Quality Improvement Strategies (27) Practice … Guidelines (107) Critical Pathways (20) Reminders (12) Audit and Feedback (11) … ) Technologic Approaches (27) Bar Coding and Radiofrequency ID Tagging (20) Clinical … Missed or Critical Lab Results (17) Missed Care (3) Diagnostic Errors (59) Clinical … The patient was discharged in stable clinical condition but was advised to quarantine for 14 days.

3200. Webmm
      psnet.ahrq.gov/webmm
      May 01, 2021 - (1) Computerized Decision Support (27) Quality Improvement Strategies (27) Practice … Guidelines (107) Critical Pathways (20) Reminders (12) Audit and Feedback (11) … ) Technologic Approaches (27) Bar Coding and Radiofrequency ID Tagging (20) Clinical … Missed or Critical Lab Results (17) Missed Care (3) Diagnostic Errors (59) Clinical … The patient was discharged in stable clinical condition but was advised to quarantine for 14 days.