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Total Results: 4,685 records

Showing results for "continues".

461. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34648/psn-pdf
     April 21, 2015 - Gaps in the continuity of care and progress on patient safety. April 21, 2015 Cook RI, Render M, Woods DD. Gaps in the continuity of care and progress on patient safety. BMJ. 2000;320(7237):791-4. https://psnet.ahrq.gov/issue/gaps-continuity-care-and-progress-patient-safety This commentary discusses the concept o…

462. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46159/psn-pdf
     May 31, 2017 - Despite technology, verbal orders persist, read back is not widespread, and errors continue. May 31, 2017 ISMP Medication Safety Alert! Acute Care Edition. May 18, 2017;22:1-4. https://psnet.ahrq.gov/issue/despite-technology-verbal-orders-persist-read-back-not-widespread-and- errors-continue Verbal orders are kno…

463. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44505/psn-pdf
     January 22, 2016 - Reducing continuous intravenous medication errors in an intensive care unit. January 22, 2016 O?Byrne N, Kozub EI, Fields W. Reducing Continuous Intravenous Medication Errors in an Intensive Care Unit. J Nurs Care Qual. 2016;31(1):13-16. doi:10.1097/NCQ.0000000000000144. https://psnet.ahrq.gov/issue/reducing-conti…

464. Inpatient Stroke Management in an Adolescent with Type 1 Diabetes and Home Insulin Pump | PSNet
     psnet.ahrq.gov/web-mm/inpatient-stroke-management-adolescent-type-1-diabetes-and-home-insulin-pump
     February 01, 2023 - SPOTLIGHT CASE Inpatient Stroke Management in an Adolescent with Type 1 Diabetes and Home Insulin Pump Citation Text: Bagley B, Zuidema D, Crossen S, et al. Inpatient Stroke Management in an Adolescent with Type 1 Diabetes and Home Insulin Pump . PSNet [internet]. Rockville (MD): Agency for Heal…

465. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45130/psn-pdf
     July 18, 2018 - Surgical fires: decreasing incidence relies on continued prevention efforts. July 18, 2018 Bruley ME, Arnold TV, Finley E, Deutsch ES, Treadwell JR. PA-PSRS Pa Patient Saf Advis. June 2018;15. https://psnet.ahrq.gov/issue/surgical-fires-decreasing-incidence-relies-continued-prevention-efforts Although surgical fir…

466. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-10/final_slides_oct_2020_spotlight_case_inpt_stroke_mngt_in_adolescent_with_type1_diabetes.pdf
     January 01, 2020 - Spotlight Spotlight Inpatient Stroke Management in a Patient with Type 1 Diabetes and Home Insulin Pump Source and Credits • This presentation is based on the October 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Berit B…

467. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47465/psn-pdf
     October 17, 2018 - Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. October 17, 2018 ISMP Medication Safety Alert! Acute Care Edition. October 4, 2018;23:1-4. https://psnet.ahrq.gov/issue/mix-ups-between-epidural-analgesia-and-iv-antibiotics-labor-and-delivery- units-continue-…

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853231/psn-pdf
     September 06, 2023 - Development of a proactive process to harmonize policy, infusion pump library, and electronic health record entries for continuous infusions at an academic medical center. September 6, 2023 Christensen SM, Andrews SR, Fox ER. Development of a proactive process to harmonize policy, infusion pump library, and elect…

469. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60324/psn-pdf
     May 13, 2020 - A systematic review of factors that enable psychological safety in healthcare teams. May 13, 2020 O’Donovan R, McAuliffe E. A systematic review of factors that enable psychological safety in healthcare teams. Int J Qual Health Care. 2020;32(4):240-250. doi:10.1093/intqhc/mzaa025. https://psnet.ahrq.gov/issue/syste…

470. Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. | PSNet
     psnet.ahrq.gov/issue/mix-ups-between-epidural-analgesia-and-iv-antibiotics-labor-and-delivery-units-continue-cause
     January 24, 2018 - Newspaper/Magazine Article Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. Citation Text: Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. ISMP Medication Safety Alert! Acut…

471. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36652/psn-pdf
     February 14, 2007 - Smart pumps: advanced capabilities and continuous quality improvement. February 14, 2007 Vanderveen T. https://psnet.ahrq.gov/issue/smart-pumps-advanced-capabilities-and-continuous-quality-improvement The author discusses high-risk intravenous infusions, smart pump technologies that support safe delivery of medic…

472. Health-Care–Associated Infections in Hospitals: Continuing Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on These Infections. | PSNet
     psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-continuing-leadership-needed-hhs-prioritize
     September 06, 2016 - Congressional Testimony Health-Care–Associated Infections in Hospitals: Continuing Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on These Infections. Citation Text: Health-Care–Associated Infections in Hospitals: Continuing Leadership Needed from HHS to…

473. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39128/psn-pdf
     December 01, 2009 - Rapid response teams and continuous quality improvement. November 25, 2009 Dailey MS, Durkin S, Gulczynski B, et al. Patient Saf Qual Healthc. Nov/Dec 2009;6:28-31. https://psnet.ahrq.gov/issue/rapid-response-teams-and-continuous-quality-improvement This study discusses how analysis of rapid response team calls id…

474. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40225/psn-pdf
     March 12, 2011 - As industry automates, adverse events continue to haunt caregivers. March 12, 2011 Wetzel TG. As industry automates, adverse events haunt caregivers. Health data management. 2011;19(2):86, 88, 90 passim. https://psnet.ahrq.gov/issue/industry-automates-adverse-events-continue-haunt-caregivers This article discusse…

475. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60328/psn-pdf
     May 27, 2020 - Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression May 27, 2020 Fazio S, Firestone R. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory- …

476. Late Anemia Following Rh Disease in a Newborn | PSNet
     psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
     June 17, 2010 - Generally, once the bilirubin peaks and begins to decline on its own, it continues to decline unless

477. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49547/psn-pdf
     October 01, 2007 - The current legal state is dynamic, but the 250-yard zone continues to apply when defining the hospital

478. Departure From Central Line Ritual | PSNet
     psnet.ahrq.gov/web-mm/departure-central-line-ritual
     October 13, 2018 - "( 1,2 ) Nevertheless, this error continues to occur in numerous hospitals annually with a relatively

479. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49676/psn-pdf
     February 01, 2013 - prescriber for order processing Dispensing Begins with a pharmacist's assessment of a medication order and continues

480. Wandering Off the Floors: Safety and Security Risks of Patient Wandering | PSNet
     psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
     August 21, 2007 - Patients not willing to comply with these policies should be counseled and, if their behavior continues