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psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
October 30, 2024 - of the patient’s condition and/or align the care plan with the goals of the patient. … goals of care using a supportive care team. … Intra‐hospital transfers to a higher level of care: contribution to total hospital and intensive care … care. … Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis
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psnet.ahrq.gov/perspective/conversation-anjali-joseph-phd-edac-and-molly-m-scanlon-phd-faia-facha
June 30, 2021 - 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. … Environment Moving Forward
As the healthcare community and healthcare architects look beyond the crisis … Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis
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psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
March 27, 2024 - This is crisis leadership, and they are going to have to make decisions that the FBI is not going to … In law enforcement, whenever there is an operational issue or crisis, we create an after-action report … IT allows the clinical staff to deliver patient care efficiently. … Cyber Insecurity in Healthcare 2023: The Cost and Impact on Patient Safety and Care . … of a communication and optimal resolution program in acute care hospitals.
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psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
March 27, 2024 - Cyber Insecurity in Healthcare 2023: The Cost and Impact on Patient Safety and Care . … Ransomware attacks can impact any component of care delivery and operational functions. … This is crisis leadership, and they are going to have to make decisions that the FBI is not going to … In law enforcement, whenever there is an operational issue or crisis, we create an after-action report … IT allows the clinical staff to deliver patient care efficiently.
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psnet.ahrq.gov/node/50756/psn-pdf
December 18, 2019 - They diagnosed the patient as having developed a
pain crisis due to the effects of the naloxone and … advised him to come to the urgent care center, where
intravenous opioids were administered for uncontrolled … Unfortunately, this case scenario illustrates that an alert alone does not ensure optimal care and may … A recent systematic review indicated that common barriers to prescribing naloxone in
primary care settings … Acceptability and feasibility of naloxone prescribing in primary care
settings: a systematic review.
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psnet.ahrq.gov/web-mm/bowel-prep
March 01, 2017 - Her primary care physician referred her to a gastroenterologist whose practice consists of ambulatory … Most patients are referred for colonoscopy by their primary care physician, who should assess whether … Deprescribing as a Patient Safety Strategy
October 27, 2021
Crisis … View More
See More About The Topic
Ambulatory Clinic or Office
Health Care
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psnet.ahrq.gov/node/49462/psn-pdf
October 01, 2004 - Case & Commentary: Part 2
The patient was transferred to intensive care and died the next day of overwhelming … There are a variety of examples of these forcing functions
in health care.(5)
In addition to the indexing … In the heat of a crisis, or at the end of an anesthetic, the anesthesiologist might reach back to turn … One solution
is to eliminate air flowmeters in most patient care settings. … Qual Saf Health Care. 2002;11:352-4.[ go to
PubMed ]
6. Petty C. The anesthesia machine.
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psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
January 19, 2016 - room in order to fix the perforation, and postoperatively required a lengthy stay in the intensive care … Postoperative care should be protocol-based and there should be triggers to escalate care. … Med Care. 1992;30:615-629. [go to PubMed] 6. Ghaferi AA, Birkmeyer JD, Dimick JB. … Qual Saf Health Care. 2009;18:109-115. [go to PubMed] 13. … March 3, 2011
Surgical crisis management skills training and assessment: a stimulation-based
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psnet.ahrq.gov/web-mm/premature-extubation
May 25, 2011 - She was then transferred to the intensive care unit (ICU). … Am J Respir Crit Care Med. 1998;158:489-493. [go to PubMed] 6. … J Crit Care. 2004;19:23-28. [go to PubMed] 10. … Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis … Units
Health Care Providers
Critical Care
Pulmonology
Nonsurgical Procedural Complications
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psnet.ahrq.gov/node/846563/psn-pdf
March 21, 2023 - of safety, health systems understand and acknowledge the
high-risk and complex nature of providing care … High stakes patient care must be provided despite complex patient conditions, incomplete information, … underinvestment in public
health infrastructure, and moral injury from being unable to provide the care … Healthcare workers generally enjoy
challenges and take pride in providing the best patient care, these … Healthcare worker burnout is
a national crisis and is caused by many different factors, including moral
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psnet.ahrq.gov/node/850675/psn-pdf
June 14, 2023 - Impact of Families on Safe Patient Care
As essential members of the care team, families play a critical … shift report and planning for care transitions from hospital to home. … index.html
https://psnet.ahrq.gov//#2
https://psnet.ahrq.gov//#2
https://psnet.ahrq.gov/issue/how-safe-your-care-measurement-and-monitoring-safety-through-eyes-patients-and-their-care … With the CARE Act, patients are asked to
provide a family member or other care partner name for listing … planning efforts could help
hospitals to adapt quickly to the changing conditions of this type of crisis
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psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
May 01, 2011 - Third, patients want to know how the physician, other health care workers, and the health care system … However, health care workers may hesitate to provide this information to patients. … The relationship with malpractice claims among primary care physicians and surgeons. … The medical malpractice 'crisis': recent trends and the impact of state tort reform. … Providers
Non-Health Care Professionals
Primary Care
View More
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psnet.ahrq.gov/node/49588/psn-pdf
August 01, 2009 - Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care. … The practicing nurse needs to focus on the care of patients. … Over time, if
overcrowding in any venue of care persists, all care providers become overtaxed and anxious … approach to unplanned staffing deficits is to proactively define the action steps to take prior to the
crisis … In: Measuring the Quality of Care. Willis LD,
Linwood ME, eds.
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psnet.ahrq.gov/node/49450/psn-pdf
June 01, 2004 - Third, patients want to know how
the physician, other health care workers, and the health care system … However, health care workers may hesitate to provide this information to patients. … Physician and public opinions on quality of health care and
the problem of medical errors. … The
relationship with malpractice claims among primary care physicians and surgeons. … The medical malpractice 'crisis': recent trends and the impact of state tort reform.
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psnet.ahrq.gov/node/49501/psn-pdf
February 03, 2006 - Commands, readbacks, and monitoring help bridge authority gradients and ensure the
crisis-resistant … Care must be
customized. … Transitions in care: studying safety in emergency department signovers. … Profiles in patient safety:
emergency care transitions. … Emergency care transitions.
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psnet.ahrq.gov/primer/failure-rescue
September 15, 2024 - promote the capacity to detect and respond to evolving and unpredictable situations through improved crisis … Failure to rescue in surgical patients: a review for acute care surgeons. … Failure to rescue: a quality indicator for postoperative care. … Med Care . 1992;30(7):615-629. [ Free full text ] Ward ST, Dimick JB, Zhang W, et al. … Crit Care Explor . 2022;4(9):e0744. [ Free full text ] Barboi C, Tzavelis A, Muhammad LN.
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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - They diagnosed the patient as having developed a pain crisis due to the effects of the naloxone and advised … him to come to the urgent care center, where intravenous opioids were administered for uncontrolled … Unfortunately, this case scenario illustrates that an alert alone does not ensure optimal care and may … Acceptability and feasibility of naloxone prescribing in primary care settings: a systematic review. … May 27, 2011
Vital signs: maternity care experiences — United States, April 2023.
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psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur
May 26, 2021 - during the night shift
The Case
A 55-year-old woman was admitted to the intensive care unit … 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. … 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/perspective/impact-system-failures-healthcare-workers
August 30, 2023 - Impact of System Failures on Healthcare Workers
Healthcare workers deliver care as part of complex … High stakes patient care must be provided despite complex patient conditions, incomplete information, … Healthcare workers generally enjoy challenges and take pride in providing the best patient care, these … Healthcare worker burnout is a national crisis and is caused by many different factors, including moral … Providers
Health Care Executives and Administrators
Non-Health Care Professionals
Psychological
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psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
May 29, 2024 - She was then transferred to the intensive care unit. … team interfaced with the outpatient care team. … Improving Diagnosis in Health Care. … A prospective, mixed methods study in primary care. … Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis