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psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
February 26, 2025 - unit (PICU) and a primary care setting. … Am J Manag Care. 2014;20(5):418-423. PMID: 25181570.
Zwaan L, Staal J. … Accuracy of the Safer Dx Instrument to identify diagnostic errors in primary care. … Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis … Ambulatory Care
Health Care Providers
Quality and Safety Professionals
Primary Care
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psnet.ahrq.gov/node/49455/psn-pdf
July 01, 2004 - When her symptoms remained severe, she returned the following day to the urgent care center. … An appointment was made for her to
follow-up with her primary care physician 3 days later in case symptoms … Systemic infection: flu, gastroenteritis, viral syndrome
Stroke or cerebral ischemia
Hypertensive crisis
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psnet.ahrq.gov/node/49858/psn-pdf
April 01, 2019 - A second risk is the potential for fragmented care. … assignments that were reviewed each change of shift, and (iii) direct mobile phone for
nurses as well as a crisis … Am J Crit Care. 2018;27:114-123. [go to PubMed]
5. … Crit Care Med. 2015;43:1036-1042. [go to PubMed]
7. … Dimens Crit Care Nurs.
2015;34:10-18. [go to PubMed]
10.
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psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-intensive-care
October 30, 2024 - The University of Michigan Emergency Critical Care Center (EC3) Provides Timely Intensive Care to Critically … Traditionally, emergency care and critical care are separate specialties. … care unit admissions. … Managing ICU surge during the COVID-19 crisis: rapid guidelines. … care unit admissions.
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psnet.ahrq.gov/node/841305/psn-pdf
January 27, 2023 - I started my career as a pediatric otolaryngologist
and provided patient care for about 20 years. … All patient care events happen in the context of other people and
other parts of the system. … What went well during that patient care event?” … That secondary affective lesson in simulation is very relevant for clinical care. … Over time, the
unrelenting crisis wore more people down.
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psnet.ahrq.gov/node/73899/psn-pdf
September 29, 2021 - A middle-aged Black woman presented to the Emergency Department (ED) with sickle cell crisis and a … shown in Table 3 above, the patient was readmitted
for abdominal pain secondary to sickle cell pain crisis … patient between settings, services, practitioners or levels of care.7 Settings of
care may include … hospitals, ambulatory primary care practices or specialty care practices, long-term care
facilities, … UNC Health Care Guideline.
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psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
December 01, 2005 - Anaesth Intensive Care. 1993;21:596-601.[ go to PubMed ] 11. Russell WJ. … Medication errors at the administration stage in an intensive care unit. … Intensive Care Med. 1999;25:353-359.[ go to PubMed ] 14. Gaba DM, Maxwell M, DeAnda A. … Crisis Management in Anesthesiology. New York, NY: Churchill Livingston; 1994. 20. Bates, DW. … Providers
Non-Health Care Professionals
Anesthesiology
Surgery
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psnet.ahrq.gov/primer/simulation-training
September 15, 2024 - Background Clinical training for health care professionals has historically relied heavily on learning … Because of the potential risks to patient and staff safety in the clinical environment, special care … immersed in a highly realistic digital clinical environment, such as an operating room or intensive care … study in which non-clinician leadership and management had to respond to a simulated patient safety crisis … AACN Adv Crit Care . 2016;27(1):56-61. [ Free full text ] Sheen JJ, Goffman D.
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psnet.ahrq.gov/node/49388/psn-pdf
February 01, 2003 - Qual Health Care. 2001;10:ii21-ii25.[ go to PubMed ]
10. Currie M, Mackay P, Morgan C, et al. … Anaesth Intensive Care. 1993;21:596-601.[ go to PubMed ]
11. Russell WJ. … Medication errors at the administration stage in an intensive care
unit. … Intensive Care Med. 1999;25:353-359.[ go to PubMed ]
14. Gaba DM, Maxwell M, DeAnda A. … Crisis Management in Anesthesiology. New York, NY: Churchill
Livingston; 1994.
20. Bates, DW.
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psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
March 19, 2019 - Acute care edition. 2020;25(12).
Al-Ahmadi RF, Al-Juffali L, Al-Shanawani S, Ali S. … Int J Qual Health Care . 2007;19(4):203-209. doi:10.1093/intqhc/mzm018
Improving Medication Safety … Academy of Managed Care Pharmacy. Medication Errors. … Available at: https://www.amcp.org/about/managed-care-pharmacy-101/concepts-managed-care-pharmacy/medication-errors … Related Resources From the Same Author(s)
Measuring the teamwork performance of teams in crisis
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psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures
November 27, 2019 - Her initial point-of-care hemoglobin was 7 mg/dl, and a “massive transfusion protocol” was initiated. … The FAST is a point of care ultrasound examination performed by the providers assessing the patient in … Caitlin Loseth, MD Surgical Critical Care Fellow Department of Surgery Division of Trauma, Acute Care … J Trauma Acute Care Surg . 2019;87(2):350-355. [ Available at ] Brigode W, Adra A, Capron G, et al. … in crisis: rapid creation and implementation of a digital support tool for COVID-19.
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psnet.ahrq.gov/node/33734/psn-pdf
August 01, 2012 - perspective/conversation-nicholas-g-castle-mha-phd
Editor's note: The topic of patient safety in long-term care … that is most representative of
the culture, it has to be nurse aides because they give most of the care … It was sort of tentative evidence that patient safety culture seems to be
related to quality of care … Others have sub-acute care, with very distinct dynamics and types of staff that work in
them. … I would want to hope that
it would get better, but typically when you have a crisis like that a response
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psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - Care for the patient began appropriately with radiographic imaging and an intraoperative consultation … or a clinical encounter or procedure is imminently scheduled, the physician managing the patient’s care … to pick up the phone and call.” 11 Active, timely communication among all members of the clinical care … Clarity in Patient Care Handoffs All pathology groups must have clear policies and procedures surrounding … Related Resources
WebM&M Cases
Myasthenia Crisis
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psnet.ahrq.gov/web-mm/reaction-dye
March 01, 2007 - much smaller.( 5,7 ) When interviewing patients prior to contrast material injection, many health care … Myasthenic crisis after intravenous administration of iodinated contrast agent. … 1, 2003
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See More About The Topic
Hospitals
Health Care
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psnet.ahrq.gov/web-mm/e-cigarette-explosion-patient-room
March 15, 2023 - This resulted in a prolonged hospitalization for burn care and extensive pain management. … have quit using NRT or other forms of pharmacotherapy.( 6 ) Regardless of location, however, no health care … Keeping those former smokers from relapsing to smoking is a priority of good medical care. … Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis … Providers
Health Care Executives and Administrators
Engineers
Policy Makers
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psnet.ahrq.gov/node/836892/psn-pdf
April 07, 2022 - The University of Michigan Emergency Critical Care
Center (EC3) Provides Timely Intensive Care to Critically … Traditionally, emergency care and critical care are separate specialties. … care unit admissions. … Managing ICU surge during the COVID-19 crisis: rapid
guidelines. … care unit admissions.
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psnet.ahrq.gov/node/49690/psn-pdf
September 01, 2013 - His primary care physician (PCP) had been
prescribing high doses of long-acting morphine (MS Contin) … Thus, communication among health care professionals can be crucial. … Opioids for back pain patients: primary care prescribing patterns
and use of services. … Facing up to the prescription opioid crisis. BMJ. 2011;343:d5142. [go
to PubMed]
8. … Institute of Medicine (US) Committee on Advancing Pain Research, Care, and Education.
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psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
June 01, 2003 - 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. … in the neonatal intensive care unit.
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psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adverse-events-during-transitions-care
September 09, 2013 - Multiple providers were involved in her care (oncologist, radiation oncologist, primary care provider … The patient lived far away from the hospital where she was receiving care. … effects, or tapering too rapidly, resulting in flares of chronic disease or precipitation of adrenal crisis … Arthritis Care Res (Hoboken). 2010;62:1515-1526. [go to PubMed]
13. … discharge and primary care follow-up.
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psnet.ahrq.gov/web-mm/do-not-disturb
February 03, 2011 - In short, physicians must be at the top of their game when they are responsible for patient care. … that ensures the physical and emotional well being of the health care team. … These are more serious risks to quality patient care than failing to provide continuous care to patients … Burnout and self-reported patient care in an internal medicine residency program. … Work and Integrity: The Crisis and Promise of Professionalism in America. 2nd ed.