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psnet.ahrq.gov/node/49690/psn-pdf
September 01, 2013 - psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
Case Objectives
Describe the appropriate initial assessment … and specifically reported the doses of opioids prescribed
and the nature of the prescribing. … disorders, and who was marginally housed and lacked support systems. … High-risk patients must be monitored frequently with repeat assessment in conjunction with
prescription … Take-Home Points
The initial assessment in managing patients with chronic non-cancer pain should involve
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psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
February 01, 2023 - In one study of risk factors for QT prolongation, EHR alerts were shown to increase assessment for QT … only 21% of EHR alerts led to physician action. 9
Systems Change Needed/Quality Improvement Approach …
In response to the Case above, several systems issues can be addressed. … a repletion dose of potassium. 10 The same systems intervention has been accomplished with improvement … A dietary consultation may have also been helpful to provide an assessment of the patient’s nutritional
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psnet.ahrq.gov/web-mm/all-history
February 28, 2011 - The 2008 Joint Commission Patient Safety Goal 2E requires all health care providers to "implement a standardized … The admitting ICU team evaluated the patient and agreed with the initial assessment (although they were … clinical inertia (failure of health care providers to initiate or intensify therapy when indicated) … Information transfer from prehospital to ED health care providers. … Care Providers
View More
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psnet.ahrq.gov/node/60220/psn-pdf
April 29, 2020 - care and communicated this assessment at bedside with
the interdisciplinary team. … (Situation,
Background, Assessment, Recommendation)? … healthcare
delivery that create interprofessional teams of healthcare providers, and using standardized … Racial/ethnic disparities in the assessment and treatment of pain:
Psychosocial perspectives.? … The natural history of recovery for
the health care provider "second victim" after adverse patient events
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psnet.ahrq.gov/web-mm/hypoxic-gas-supply-cross-connected-pipelines
February 05, 2020 - Aspiration for cytology assessment was performed with ultrasound guidance, under inhalation anesthesia … Health Memorandum 02-01: Medical gas pipeline systems. Department of Health. … Mandatory Testing of Medical Gas Systems. Plumbing & Mechanical . September 1, 2004. … pediatric health systems using novel metrics. … December 4, 2016
The need for closed-loop systems for management of abnormal test results
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psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-role-patients-family-reducing-harm
June 14, 2023 - The leadership of organizations—hospitals, health systems, long-term care communities, ambulatory practices … workers should be aware of limitations that families might have based on the situation at hand. … Systems and equipment were not in place to handle the situation safely. … It came so suddenly and overwhelmed health systems so fast. … A recent Cochrane Systematic review found that power imbalances between healthcare providers and patients
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psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers
December 21, 2017 - , during transfer, and posttransfer.( 4 ) Pretransfer preparation should include an assessment of the … Department of Health and Human Services. … Department of Health and Human Services. … December 21, 2017
The content and context of change of shift report on medical and surgical … review and analysis of the quality of the literature.
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
June 01, 2005 - I quickly realized that there was really a shortage of physician leaders who understood quality and systems … Then, perhaps the Center's job and my job will migrate simply to creating the data collection systems … For instance, computerized order entry systems and greater participation of pharmacists in clinical activities … Safety culture assessment: a tool for improving patient safety in healthcare organizations. … Role of computerized physician order entry systems in facilitating medication errors.
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psnet.ahrq.gov/web-mm/nstemi-curbside-consultation
August 04, 2021 - see the patient or review the medical record. 33,34 Recent improvements in electronic medical record systems … Pharmacotherapy Self-Assessment Program, seventh edition (PSAP-VII) Cardiology.2020:179-99. … Assessment and Treatment of Patients With Type 2 Myocardial Infarction and Acute Nonischemic Myocardial … See More About The Topic
Health Professional Students
Residents
Emergency Departments
Health … Care Providers
Emergency Medicine
View More
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psnet.ahrq.gov/perspective/conversation-withpat-croskerry-md-phd
June 01, 2010 - computer systems and decision support? … costs of the various systems and should be adopted with caution. … cognitive errors; unique patient population characteristics; and the systems or environment of care. … Assessment of emergency physician workforce needs in the United States, 2005. … Care Providers
Quality and Safety Professionals
Emergency Medicine
Diagnostic Errors
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psnet.ahrq.gov/node/866826/psn-pdf
September 25, 2024 - Aspiration for cytology assessment was performed with ultrasound guidance, under
inhalation anesthesia … Health Memorandum 02-01: Medical gas pipeline systems. Department of Health. … Mandatory Testing of Medical Gas Systems. Plumbing & Mechanical. September 1, 2004. … Department of Health and Human Services. … rev=-1&hash=D47594FE18F456398C381789594148CA
https://www.pmmag.com/articles/86063-mandatory-testing-of-medical-gas-systems
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psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
June 01, 2005 - For instance, computerized order entry systems and greater participation of pharmacists in clinical activities … Safety culture assessment: a tool for improving patient safety in healthcare organizations. … Role of computerized physician order entry systems in facilitating medication errors. … I quickly realized that there was really a shortage of physician leaders who understood quality and systems … Care Providers
Risk Managers
Quality and Safety Professionals
Medication Safety
Error Analysis
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psnet.ahrq.gov/node/49579/psn-pdf
March 21, 2009 - The 2008 Joint Commission Patient
Safety Goal 2E requires all health care providers to "implement a … Many health care systems require EMS providers to radio the receiving ED prior
to arrival. … The admitting ICU team evaluated the patient and agreed with the initial assessment (although they were … clinical inertia (failure of health care providers to initiate or intensify
therapy when indicated) … Information transfer from prehospital to ED health care providers.
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psnet.ahrq.gov/node/73899/psn-pdf
September 29, 2021 - 90” OME or “carefully justify a
decision (to do so) based on individualized assessment of benefits and … As
healthcare systems strive to improve outcomes and safety, it is important to focus on the needs of … providers. … Pain Assessment and Management Initiative. Pain Management & Dosing Guide. November 2020. … Prescription Drug Monitoring Programs (PDMPS): What
Healthcare Providers Need to Know.https://www.cdc.gov
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psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
December 04, 2016 - light-linking systems. 17 While additional research will be required to determine which of these solutions … continuous medication to an intermittent one and delivery of inconsistent doses and rates outside of … Ontario health technology assessment series. 2014;14(5):1. … Ontario health technology assessment series. 2012;12(16):1. Furniss D, Back J, Blandford A. … December 4, 2016
The need for closed-loop systems for management of abnormal test results
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psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
January 01, 2018 - Here's what I see a lot: 14-point review of systems with negatives as follows, and 80 items are listed … If I see a student or a resident blatantly copying the intellectual assessment of someone else, I call … Part of the reason I'm pulling forward that neuro exam day after day or that review of systems is because … use of copying and pasting. … Association of Medical Directors of Information Systems consensus on inpatient electronic health record
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psnet.ahrq.gov/node/33614/psn-pdf
June 01, 2005 - We have relatively superficial understandings of the causes of even
common errors and adverse events … For instance, computerized order entry systems and greater participation of pharmacists in
https://psnet.ahrq.gov … Effects of a medical
emergency team on reduction of incidence of and mortality from unexpected cardiac … Safety culture assessment: a tool for improving patient safety in healthcare
organizations. … Role of computerized physician order entry systems in facilitating
medication errors.
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psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
August 01, 2015 - In contrast, many consumer electronic product designs include elegant human interfaces that mitigate … mockups of systems and workflows. … design and install their systems. … Use and characteristics of electronic health record systems among office-based physician practices: United … Systems, and Health Policy.
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psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
August 01, 2014 - All of these devices and tests must be tracked over months to years, and they all need tracking systems … of poor health literacy, and building in surveillance systems for problems with adherence, medication … Systems need to be able to track tests and procedures over the course of months or even years, helping … Development of a personalized bidirectional text messaging tool for HIV adherence assessment and intervention … The first one for me is consumer technology.
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psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
March 27, 2024 - Determine systems approaches that facilitate advance care planning between the healthcare team, patient … It is important for health care providers and the lay public alike to understand that DN(A)R increasingly … Health care providers may sometimes erroneously interpret DN(A)R status to mean that a patient wants … planning or goals-of-care conversations in medical school and postgraduate training along with systems-level … and other EHR systems to make code status a prominent and easily-seen entry near or at the top of the