-
psnet.ahrq.gov/web-mm/mismanagement-delirium
February 13, 2014 - The patient continued to experience nighttime agitation and was aggressive toward staff during nights … Ward staff extended the daytime visiting hours for the family, 8 AM–10 PM, but continued to refuse the … The patient continued to have constipation, mild dehydration, increased leg pain, and ingrown toenail … The patient continued to act out dreams, but having a family caregiver at the bedside prevented escalation … On his third day of hospitalization, he continued to show evidence of delirium (fluctuating cognition
-
psnet.ahrq.gov/node/40144/psn-pdf
September 29, 2017 - impact-implementing-alerts-about-medication-black-box-warnings-electronic-
health-records
Preventing overuse of potentially dangerous medications has continued
-
psnet.ahrq.gov/node/44834/psn-pdf
January 27, 2016 - The authors attribute their
continued success to establishing an enduring quality management infrastructure
-
psnet.ahrq.gov/node/37290/psn-pdf
February 15, 2011 - As the claims predate the introduction of
trainee work hour restrictions, the authors call for continued
-
psnet.ahrq.gov/node/41455/psn-pdf
June 13, 2012 - medical-center
Despite increased adoption of computerized provider order entry, medication errors are a continued
-
psnet.ahrq.gov/node/39365/psn-pdf
May 25, 2010 - ambulatory practices that adopted a commercial e-
prescribing system to those of 15 practices that continued
-
psnet.ahrq.gov/node/40052/psn-pdf
December 08, 2010 - electronic-health-records-and-adverse-drug-events-after-patient-transfer
Addressing handoffs in patient care is a continued
-
psnet.ahrq.gov/node/37514/psn-pdf
February 04, 2015 - The authors advocate for continued efforts to improve the business case for safety
interventions, partly
-
psnet.ahrq.gov/node/37945/psn-pdf
July 26, 2010 - prior research, such as lack of
physician engagement in QI and limited use of information technology, continued
-
psnet.ahrq.gov/node/36047/psn-pdf
September 28, 2010 - These include the lack of evidence to support continued work shifts of more
than 24 hours and a paucity
-
psnet.ahrq.gov/node/41031/psn-pdf
February 10, 2012 - The results of this study and other
recent literature provide continued urgency for the safety movement
-
psnet.ahrq.gov/node/44586/psn-pdf
June 21, 2016 - The remaining burden of
HACs suggests continued investment in this patient safety problem is needed.
-
psnet.ahrq.gov/node/49568/psn-pdf
September 01, 2008 - The infant's output continued to be marginal. … Breastfeeding continued to be difficult, and the parents scheduled a face-to-face visit with
the lactation … Continued milk production is
dependent upon regular and thorough milk removal, which does not occur … IBCLC follow-up after discharge to resolve nipple pain and ensure adequate infant weight gain and
continued
-
psnet.ahrq.gov/issue/drug-related-hospital-admissions
September 07, 2016 - The author highlights a continued need to document similar events and perform pharmacoeconomic analysis
-
psnet.ahrq.gov/issue/safety-and-quality-perioperative-anesthesia-care
June 15, 2011 - This special issue provides discussions on a variety of concerns that require continued effort , including
-
psnet.ahrq.gov/issue/safety-ii-and-resilience-way-ahead-patient-safety-anaesthesiology
October 08, 2016 - that focusing on resilience and ensuring that actions go as planned (i.e., safety II ) can provide continued
-
psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
November 21, 2021 - Antibiotics should have been continued to treat the infection, but the initial order was placed as a … A review of the inpatient orders revealed that IV antibiotics had not been continued since the initial … The delay in appropriate treatment of sepsis with continued antibiotic therapy on admission resulted
-
psnet.ahrq.gov/web-mm/collegiality-vs-competence
August 28, 2024 - The surgeon mechanically reinforced the anastomosis sites, but they continued to bleed. … The attending surgeon opted to give blood products and continued to attempt local control of the bleeding … The next morning, the patient continued to require multiple pressors and a bicarbonate drip and had fixed
-
psnet.ahrq.gov/issue/changing-cardiac-arrest-and-hospital-mortality-rates-through-medical-emergency-team-takes
March 13, 2024 - Despite continued debate on the impact of rapid response systems , they continue to be implemented
-
psnet.ahrq.gov/web-mm/missed-pneumonia
June 01, 2005 - The patient returned to the ED 3 days later reporting worsening pain and continued fever with new cough … A developing infectious process dictates the need for continued monitoring. … requires full evaluation of all serious abnormalities encountered, with processes put in place for continued