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3201. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49746/psn-pdf
      October 01, 2015 - This case illustrates the difficulty in diagnosing a strangulating bowel obstruction on the basis of clinical … As this case illustrates, a patient can have strangulated bowel with no clinical or radiographic predictors … Here's a practice pearl: "Obstructions destined to resolve nonoperatively generally do so within 72 … No clinical signs, symptoms, laboratory values, or radiographic findings reliably identify patients … Usefulness of known computed tomography and clinical criteria for diagnosing strangulation in small-bowel

3202. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49502/psn-pdf
      February 01, 2006 - This practice would provide an additional safety measure to ensure that important clinical decisions … in actual patient care settings, followed by cycles of re-design until the system works well in the clinical … such as the location of computers (eg, bedside portable terminals) and adapting systems to particular clinical … Goldstein, MD, MS Professor of Medicine Geriatrics Research Education and Clinical Center, VA Palo Alto

3203. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-04/final_spotlight_case_and_commentatry_io_line_extravasation-04.08.2022.pdf
      January 01, 2022 - • Early recognition is critical to prevent irreversible damage. • Compartment syndrome is a clinical … • As in adults, compartment syndrome remains a clinical diagnosis in children. 32 Compartment … • Therefore, close attention to fluid dose and infusion rate is another best practice to prevent … • Compartment syndrome is a clinical diagnosis. … Part 1: Executive Summary: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation

3204. Another Fall | PSNet
      psnet.ahrq.gov/web-mm/another-fall
      June 01, 2010 - usually determined by expert testimony) is that the patient, when taking into account all relevant clinical … Position Statement: Guidelines for Restraint Use. 1991. [ go to related site ] 2. JCAHO. … Physical restraints in the practice of medicine: current concepts. … A clinical trial to reduce restraints in nursing homes.

3205. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33739/psn-pdf
      October 01, 2012 - 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.

3206. The Role of Health Literacy in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
      March 22, 2009 - 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. … 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

3207. In Conversation with…Christopher P. Landrigan, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
      April 01, 2005 - If there was an immediate risk to the patient, then they could intervene immediately with the clinical … because the observers were seeing something that was evolving but simply because they were present when clinical … something—for example, once one of the observers noticed an x-ray hanging backwards—they pointed it out to clinical … whatever new ACGME guidelines are developed?

3208. Introducing the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet) | PSNet
      psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
      April 01, 2005 - If there was an immediate risk to the patient, then they could intervene immediately with the clinical … because the observers were seeing something that was evolving but simply because they were present when clinical … something—for example, once one of the observers noticed an x-ray hanging backwards—they pointed it out to clinical … whatever new ACGME guidelines are developed?

3209. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49816/psn-pdf
      January 01, 2018 - Management of postoperative pain: a clinical practice guideline from the American Pain Society, the

3210. In Conversation With… Jane Brice, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-jane-brice-md-mph
      May 01, 2019 - Three examples of governmental action include (i) the 2018 evidence-based guidelines for fatigue risk … Yealy, MD Professor (tenured) and Chair of Emergency Medicine Professor of Medicine and Clinical and … Emergency Medical Services: Clinical Practice and Systems Oversight. Vol 2. … Emergency Medical Services: Clinical Practice and Systems Oversight. Vol 2. … Evidence-based guidelines for fatigue risk management in emergency medical services.

3211. 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.

3212. 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.

3213. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33675/psn-pdf
      October 01, 2008 - of conditions that "could reasonably have been prevented through the application of evidence-based guidelines … Clear coding guidelines and oversight will be necessary to ensure accuracy of POA indicators.

3214. Don't Dismiss the Dangerous: Obstetric Hemorrhage | PSNet
      psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
      August 21, 2024 - routine and concealed obstetric hemorrhage as well as those obscured by confounding diagnoses and provide clinical … ACOG Practice Bulletin: Clinical Management Guidelines for Obstetrician-Gynecologists Number 76, October … Blood transfusion in contemporary obstetric practice. Obstet Gynecol. 1990;75:940-943. … WebM&M Cases Hurried Team Huddle and Poor Communication: Unsafe Practice

3215. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49774/psn-pdf
      November 01, 2016 - and concealed obstetric hemorrhage as well as those obscured by confounding diagnoses and provide clinical … ACOG Practice Bulletin: Clinical Management Guidelines for Obstetrician-Gynecologists Number 76, October … Blood transfusion in contemporary obstetric practice. Obstet Gynecol. 1990;75:940-943.

3216. Tacit Handover, Overt Mishap | PSNet
      psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
      August 01, 2006 - Standard guidelines dictate that systemic anticoagulant therapy or low-molecular-weight heparin thromboprophylaxis … Clinical Anesthesia Procedures of the Massachusetts General Hospital: Department of Anesthesia, Critical

3217. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
      April 01, 2008 - 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 … Confusion June 1, 2015 Readiness of US general surgery residents for independent practice

3218. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-296
      June 30, 2021 - Study eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical … Checklists are used in many clinical settings to improve patient safety. … physician claims into the models can improve predictive performance, as compared to the inclusion of guidelines … participants (health system leadership, managers, healthcare providers, and staff) about policies, practice

3219. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33742/psn-pdf
      December 01, 2012 - long as the person can tolerate that, since it has been demonstrated to be effective in controlled clinical … 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.

3220. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations | PSNet
      psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
      September 27, 2023 - “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.