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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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www.ahrq.gov/sites/default/files/2024-04/singer-report.pdf
January 01, 2024 - Anesthesia Crisis Resource Management simulation
developers refer to making inquiries and assertions … Quality and Safety in Health Care, 13(suppl 1), i33–i40. … Anesthesia crisis resource management: Real-life simulation training in operating room
crises. … Anesthesia crisis resource management training:
teaching anesthesiologists to handle critical incidents … Quality and Safety in Health Care, 12(2), 112–118.
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effectivehealthcare.ahrq.gov/sites/default/files/frazee-presentation.pdf
May 29, 2025 - You go th rough this period of time of crisis
where you're thinking out it a lot.
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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
View More
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hcup-us.ahrq.gov/db/nation/nrd/stats/MaskedStats_NRD_2022_Core_Weighted.PDF
January 01, 2022 - . : Missing 9,376 0.03%
.A: Invalid 566 0.00%
1 : Discharged to home or self care 22,500,556 68.42% … short-term hospital 257,383 0.78%
5 : Transfer: other type of facility 4,037,708 12.28%
6 : Home health care … WITHOUT STERILIZATION WITHOUT CC/MCC 552,461 1.68%
789: NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE … AND COAGULATION DISO
6,155 0.02%
809: MAJOR HEMATOL/IMMU DIAG EXC SICKLE CELL CRISIS AND COAGUL DISO … WITH CC 33,091 0.10%
809: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS
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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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digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-improving-management-of-individuals-with-complex-health-care-needs-through-health-it-grant-initiative.pdf
February 20, 2014 - Patients often do
not seek services until a crisis occurs, a crisis that may
have been avoidable had … care. … Ambulatory care settings included both primary
care and specialty care. … may avoid
the need for placement in emergency protective
custody or an inpatient admission during a crisis … Chronic care: making the case for
ongoing care.
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effectivehealthcare.ahrq.gov/sites/default/files/tech-brief-37-opiod-use-adults-comments.pdf
November 03, 2020 - They were also the
group more likely to be in their 40s/50s when the
opioid crisis was ramping up. … A compelling case
can be made for the finding that our US “opioid
crisis” is not and never was the … This phenomenon has been discussed
under the designation “a Crisis of Despair.” … [Ref 7] Richard A Lawhern, PhD, “Over-
Prescribing Did Not Create America’s Opioid
Crisis”, Understanding … BUT that is
just why you created this crisis YOU WERE NOT
MAKING ENOUGH MONEY FROM OLDER
PEOPLE, FROM
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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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www.ahrq.gov/workingforquality/events/webinar-best-practices-to-improve-community-health.html
November 01, 2016 - At the very center, it's showing you better care, affordable care, healthy people. … people, healthy communities, and affordable care. … very iconic surgeon general—wrote a letter to all physicians in America at the height of the HIV/AIDS crisis … calling upon them to take it upon themselves as a profession to do something to stop the crisis around … We have very close partnerships with the asthma care team in our hospital-based primary care outpatient
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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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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015054-keenan-final-report-2008.pdf
January 01, 2008 - mind about care. … mind about care. … care. … Organizational responses to crisis:
The role of mutual trust and top management teams. … Organizational responses to crisis-
The centrality of trust.
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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
View More
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
View More
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/main-apps-surv-rept-1-acute-pain.pdf
May 01, 2022 - KQ8: Sickle Cell Crisis
• No new evidence was found. … exp OR
'tooth pain'/exp OR 'postoperative pain'/exp OR (('sickle cell anemia'/exp OR 'sickle cell
crisis … (surgical and nonsurgical)
KQ7: Kidney stones (including inpatient management)
KQ8: Sickle cell crisis … Sickle cell crisis (episodic pain)
*Special populations:
General adult
Older populations > … Usual care
h.
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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.