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psnet.ahrq.gov/web-mm/monitoring-fetal-health
September 08, 2010 - monitoring.( 9 ) At present, however, there are no agreed upon standards for comparing computerized and clinical … Andrews Professor & Chairman Associate Dean for Clinical Affairs Department of Obstetrics and Gynecology … workshop report on electronic fetal monitoring: update on definitions, interpretation, and research guidelines … WebM&M Cases
Hurried Team Huddle and Poor Communication: Unsafe Practice
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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
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psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
January 29, 2021 - The exact pressure that requires fasciotomy depends on the clinical circumstances and the evolution over … Christian Bohringer, MBBS Consulting Editor, AHRQ's Patient Safety Network (PSNet) Professor of Clinical … Guidelines. … Complicated Central Line Insertion Leads to Cardiac Arrest
January 26, 2022
Clinical … surgical patient safety system and the World Health Organization's checklists in surgery: a nonrandomized clinical
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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
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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.
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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?
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psnet.ahrq.gov/node/33597/psn-pdf
April 10, 2024 - infection preventionists
AHRQ infection control training
Detailed instructions, policies and procedure guidelines … These
require SNFs to have measures in place to prevent specific clinical harms (such as falls, pressure … PSNet primers are regularly
reviewed and updated to ensure that they reflect current research and practice
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psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
November 15, 2023 - A prevalent health care practice is to "name, blame" and hold accountable the person closest to the error … 0.00064 per liter of breast milk ingested and 0.00028 per day of breastfeeding.( 7 ) Developed countries practice … Nonetheless, the recommended practice is to provide immunoglobulin and HBV vaccine after birth to the … Robbins ST, Beker LT, Pediatric Nutrition Practice Group. … Infant Feedings: Guidelines for Preparation of Formula and Breastmilk in Health Care Facilities.
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psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself
August 21, 2024 - However, even those physicians who do have their own doctor often register with a personal friend or a practice … Elin Olaug Rosvold, MD, PhD
Assistant Professor
Department of General Practice and Community Medicine … Oslo, Norway: Institute of General Practice and Community Medicine, University of Oslo; 2002. … Doctors as patients: postal survey examining consultants and general practitioners adherence to guidelines … An analysis of the practice of physicians' treating their own families.
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psnet.ahrq.gov/node/73153/psn-pdf
April 28, 2021 - been placed, usually by a physician, retention typically results from a
concatenation of errors in practice … A “best practice” process has been designed whereby the
nurse circulator places a specifically designed … It is difficult to know what barriers
interfere with this practice and there is little literature on … The hospital’s culture should support nurses to raise
scope of practice questions when they are asked … Aggression in clinical settings: nurses' views, a follow study.
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psnet.ahrq.gov/node/74242/psn-pdf
January 07, 2022 - biopsy for breast cancer: a
suitable alternative to routine axillary dissection in multi-institutional practice … WHO Guidelines for Safe Surgery 2009: Safe Surgery Saves Lives.
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psnet.ahrq.gov/node/866261/psn-pdf
July 10, 2024 - The exact pressure that requires fasciotomy depends on the clinical
circumstances and the evolution … Christian Bohringer, MBBS
Consulting Editor, AHRQ's Patient Safety Network (PSNet)
Professor of Clinical … compartment syndrome after prolonged pelvic surgery: launch of
United Kingdom and Ireland Multidisciplinary Clinical … Guidelines.
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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.
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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
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psnet.ahrq.gov/periodic-issue/periodic-issue-382
March 15, 2023 - Organizational Policy/Guidelines
Crowding in the Emergency Department: Challenges
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.170_slideshow.ppt
March 01, 2008 - history, physical examination, and erythrocyte sedimentation rate in diagnosing low back pain in general practice … Clinical and laboratory characteristics of infective endocarditis when associated with spondylodiscitis … of low back pain in the acute setting can follow useful, highly relevant algorithms available in the Clinical … Practice Guideline on “Acute Low Back Problems in Adults”
See Notes for References.
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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
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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
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psnet.ahrq.gov/node/60268/psn-pdf
April 29, 2020 - psnet.ahrq.gov//#10
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 … of an improvement of
experience and training in extracorporeal membrane oxygenation management on clinical … Simulation-Based
Assessment of ECMO Clinical Specialists. Simul Healthc. 2016;11(3):194–199.
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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