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psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling
February 01, 2019 - The operation was cancelled, and the patient was transferred from the OR to the ICU (Intensive Care Unit … The Critical Care Safety Study: The incidence and nature of adverse events and serious medical errors … in intensive care. … Crit Care Med . 2005;33(8):1694-1700. [ Available at ]
Valentin A, Capuzzo M, Guidet B, et al. … November 30, 2022
Crisis recovery in surgery: error management and problem solving in
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psnet.ahrq.gov/sites/default/files/2019-12/spotlight_code_status_dec_2019_powerpoint.pdf
January 01, 2019 - of patients
– Patients appropriate for POLST conversation are
those most likely to have a medical crisis … BMC palliative care. 2018 Dec;17(1):114. … Vital Talk: Address Goals of Care. … Serious Illness Care. … Coalition for Compassionate Care California: Advance Care Planning Tools: Decision Guides.
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psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
May 01, 2016 - Crying wolf: false alarms in a pediatric intensive care unit. Crit Care Med. 1994;22:981-985. … Intensive care unit alarms—how many do we need? Crit Care Med. 2010;38:451-456. … Poor prognosis for existing monitors in the intensive care unit. Crit Care Med. 1997;25:614-619. … Then the patient's crisis level alarm went off because his heart rate went below 40, and no one saw or … BD : I asked the nurse, "With all these level of alarms—we have crisis, warning, advisory, textual—what
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psnet.ahrq.gov/perspective/pharmacist-role-patient-safety
June 29, 2020 - Particularly in response to the opioid crisis , there are some clear opportunities for hospital and … Focusing on Longitudinal Patient Care From a healthcare policy and care delivery standpoint, there is … safety of care. … As patient care delivery evolves from episodic to longitudinal, organizations will restructure to care … This evolution will reinforce the need for team based care to ensure care coordination, patient safety
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psnet.ahrq.gov/web-mm/inadvertent-castration
October 27, 2010 - 3%-39% of all surgical admissions, with the operating room being the most common site for errors in care … An alternative strategy for studying adverse events in medical care. … Making health care safer: a critical analysis of patient safety practices. … Making health care safer: a critical analysis of patient safety practices. … March 10, 2011
Surgical crisis management skills training and assessment: a stimulation-based
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psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
November 16, 2022 - The Case A middle-aged man was admitted to the surgical intensive care unit (SICU) following a complex … Questions that confronted the staff and critical care director for this unit were how to restructure … In other health care professions, such as medicine, pharmacy, pastoral care, and physical therapy, standardized … In long-term care, only 22% of new RN graduates had a comprehensive transition program. … A crisis in critical thinking. Nurs Educ Perspect. 2005;26:278-282. [go to PubMed] 14.
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psnet.ahrq.gov/web-mm/xl-or-smaller
September 13, 2017 - 30 mg, to differentiate it from Procardia 5 mg, the instant-release formulation used in hypertensive crisis … Pediatr Emerg Care. 1999;15:1-4.[ go to PubMed ] 9. … About The Topic
General Hospitals
Emergency Departments
Children's Hospitals
Health Care … Providers
Non-Health Care Professionals
View More
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psnet.ahrq.gov/web-mm/cultural-dimensions-depression
September 01, 2018 - In the previous cited Australian study ( 5 ), only 1 in 10 Vietnamese with PTSD sought mental health care … Psychiatric care of Indochinese Americans. In: Gaw AC, ed. Culture, Ethnicity and Mental Illness. … Safe clinical practice for patients hospitalised in mental health wards during a suicidal crisis … September 23, 2020
Is it rational to pursue zero suicides among patients in health care … Providers
Mental Health Care (Psychiatry and Clinical Psychology)
Clinical Misdiagnosis
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psnet.ahrq.gov/web-mm/suicide-risk-hospital
November 01, 2011 - Finally, there are problems with the safety of the environment of care on this unit. … Sustained effectiveness of the mental health environment of care checklist to decrease inpatient suicide … Mental Health Environment of Care Checklist (MHEOCC). … March 18, 2020
Veterans Health Administration response to the COVID-19 crisis: surveillance … View More
See More About The Topic
Hospitals
Physicians
Mental Health Care
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psnet.ahrq.gov/node/60609/psn-pdf
June 24, 2020 - balance,
independence and objectivity in all its CME activities to promote improvements in health care … Additionally, more often given the opioid crisis, multi-modal pain control strategies are commonly utilized … Sleep hygiene Protocol to Improve Sleep and Delirium In a Surgical Intensive
Care Unit.
12. … Perceptions and practices regarding sleep in the intensive
care unit. … A survey of 1,223 critical care providers.
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psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
November 25, 2020 - No ED physician or nurse was assigned to evaluate or care for the patient because the transfer of care … Over the last two decades, hospital crowding has emerged as a public health crisis. 4 This problem … found that 90% of EDs across the nation reported ED crowding to be an issue in their facility. 15 This crisis … has proven to have negative effects on patient care. … centers or primary care clinics, or do not require care at all.
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psnet.ahrq.gov/node/849592/psn-pdf
May 31, 2023 - Improving communication across the assessing nurse, care team, patient, and patient’s
most involved … produce a tailored plan of care with each patient. … that
they are grappling with how to ensure continuity in program implementation during periods of crisis … The poster serves as a communication tool with other members of the patient’s
care team. … planning for every patient
Consistent implementation of the tailored care plan across the care team
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psnet.ahrq.gov/perspective/conversation-amy-c-edmondson-phd-am
February 01, 2017 - Let's shift to health care. It sounds like health care was not your first gig. … Not just sick care, but health care—focused on keeping people healthy to lower the care burden and improve … Also, the recognition that it will be an overwhelming crisis if we don't find new ways, is motivating … deliver care. … October 11, 2017
Optimizing Crisis Resource Management to Improve Patient Safety and
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psnet.ahrq.gov/perspective/risk-management-and-patient-safety
December 01, 2010 - , why the care did or did not met that standard. … CRICO/RMF Breast Care Management Algorithm: Improving Breast Patient Safety. … His response was, "Why do you care? It's not your money." … June 14, 2017
Simulation-based trial of surgical-crisis checklists. … April 21, 2015
Crisis checklists for the operating room: development and pilot testing
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psnet.ahrq.gov/node/60652/psn-pdf
June 29, 2020 - We spoke
with her about how pharmacist care delivery services have been impacted by COVID-19.
Dr. … How has your
role at ASHP changed, if at all, with the COVID-19 crisis? … increases in demand due to the surge in COVID patients, especially those patients
that require ICU care … Things that were in place before (for example, team-based
care and the pharmacist being involved in … KH: In thinking about ambulatory care, I think there is some sense that people are postponing doctors
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psnet.ahrq.gov/node/49405/psn-pdf
June 01, 2003 - mg, to
differentiate it from Procardia 5 mg, the instant-release formulation used in hypertensive crisis … Pediatr Emerg Care. 1999;15:1-4.[ go to PubMed ]
9.
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psnet.ahrq.gov/node/49731/psn-pdf
April 01, 2015 - ignition sources, with most fires occurring in oxygen-enriched environments (e.g., the OR, intensive care … unit, neonatal intensive care unit).(8)
While most OR fires in the United States are on-the-patient … The type of ignition source may result in smoke in the
OR and potential harm to patients and health care … However, darkness is a potential safety hazard for patient care, since this makes it
harder for team … Crisis checklists for the operating room: development and pilot
testing.
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psnet.ahrq.gov/web-mm/wrongful-resuscitation
October 12, 2012 - In the midst of crisis, the physician did not realize that the patient was DNR and successfully resuscitated … continuity of the care plan. … should have been on the role of the acute care hospital. … Rather, health care providers need to be trained in a goal-based approach to advance care planning in … multiple chronic illnesses, formulates goals of care, and then develops a plan of care that outlines
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psnet.ahrq.gov/perspective/covid-19-and-built-environment
June 30, 2021 - Environment Moving Forward
As the healthcare community and healthcare architects look beyond the crisis … KH: I like this idea of the architecture being an adjunct to providing the care. … KH: Let’s move on to talking about alternative care sites. … Without the staff, nobody's getting care, so it's inherently a patient safety issue. … Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis
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psnet.ahrq.gov/perspective/what-does-simulation-add-teamwork-training
October 01, 2004 - It will be yet more difficult to develop such evidence in health care. … The future vision of simulation in health care. … The use of simulation for training teamwork skills in health care: how low can you go? … Qual Saf Health Care. 2004;13(suppl 1):i51-i56. [ go to PubMed ]
5. Gaba DM, DeAnda A. … Simulation-based training in anesthesia crisis resource management (ACRM): a decade of experience.