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  1. psnet.ahrq.gov/sites/default/files/2021-09/Battle%20Buddy%20Pocket%20Card%20-%20final%20(1).pdf
    January 01, 2021 - In order to mitigate these risks, we must develop cognitive and emotional resilience in ourselves and … to: 1) Validate your experiences; 2) Identify and address stressors early; 3) Keep work at work; 3) Develop
  2. psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
    December 18, 2024 - All healthcare settings should have a program to screen patients for fall risk and develop and implement … Despite the available evidence, hospital leaders still allow their clinical staff to develop their own … The leadership in healthcare organizations needs to adopt existing evidence and do research, develop … We wanted to develop something feasible that made sense for the patient. … That's when we got our first grant to develop a more patient-centered way of doing Fall TIPS.
  3. psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
    December 18, 2024 - Despite the available evidence, hospital leaders still allow their clinical staff to develop their own … The leadership in healthcare organizations needs to adopt existing evidence and do research, develop … We wanted to develop something feasible that made sense for the patient. … That's when we got our first grant to develop a more patient-centered way of doing Fall TIPS. … I was a site Principal Investigator (PI) for the Strategies to Reduce Injuries and Develop Confidence
  4. psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
    March 27, 2024 - Shortly after admission, this patient did develop signs of arterial insufficiency with right hand ischemia … Up to 10%–20% of patients receiving subcutaneous UFH or LMWH who develop HIT will first have erythematous … with persistent HIT antibodies, as our patient most likely had, who are re-challenged with heparin can develop … rapid-onset HIT , in which thrombocytopenia and thrombosis develop with alarming speed, sometimes as … •  50% of patients develop anti-drug antibodies that increase half-life; may necessitate a decrease
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845356/psn-pdf
    March 29, 2023 - (surgical technicians and circulating nurses) were invited to participate in the “RAS Olympics” to develop
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47530/psn-pdf
    June 19, 2019 - preventable harm remains significant and advocate for enhanced use of widely available electronic data to develop
  7. psnet.ahrq.gov/issue/institute-safe-medication-practices
    September 08, 2022 - 12, 2016 Building safer systems by ecological design: using restoration science to develop
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33803/psn-pdf
    January 01, 2015 - We spoke with him about AHRQ's efforts to develop measurements and implement improvements in patient … make progress in reducing diagnostic errors, and part of our interest is in funding work that will develop … We need further work to develop better measures, as well as to better understand inherent limits in … RK: Our goal is to develop and disseminate evidence to inform policy and practice related to how health … It is challenging to develop evidence that will be useful in actually leading to improvements in how
  9. psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
    March 27, 2024 - head CT showing intracranial hemorrhage after mTBI and who do not decompensate neurologically rarely develop … Overlap with Acute Concussion Most often, patients who develop DASH are initially diagnosed with concussion … If the expanding mass lesion is left untreated, the patient will eventually develop focal neurological … Take-Home Points Delayed acute subdural hematoma is a rare phenomenon that can develop in patients with … Predictive (subtle or overlooked) initial head CT findings in patients who develop delayed chronic subdural
  10. psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
    July 20, 2010 - We are striving to develop a culture that encourages safety awareness and reporting and stresses the … These teams meet regularly to discuss safety issues, prioritize safety concerns, develop and implement … Through these efforts, we are trying to develop a culture in which adverse events and near misses are
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49532/psn-pdf
    March 15, 2007 - predict.(5) An insulin-dependent (Type 1) patient with an initial basal requirement of 0.6 units/hr may develop … This same patient will then develop severe insulin deficiency leading to ketoacidosis. … Insulin-dependent patients develop uncontrolled ketone production, even if fasting, within minutes of
  12. psnet.ahrq.gov/issue/what-safety-science
    January 22, 2022 - View More Related Resources Achieving diagnostic excellence: roadmaps to develop
  13. psnet.ahrq.gov/web-mm/suicidal-man-gun
    May 01, 2005 - Unfortunately, they were not able to develop a clear pathway to removing the handgun. … It is also vital to review the psychiatric history and current life information to develop a systematic … However, when a severely depressed, suicidal patient rejects a contract, the patient is unlikely to develop … Removing the gun before initiating treatment might have allowed the therapeutic alliance to develop.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49525/psn-pdf
    December 01, 2006 - psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references Shortly after admission, this patient did develop … Up to 10%–20% of patients receiving subcutaneous UFH or LMWH who develop HIT will first have erythematous … persistent HIT antibodies, as our patient most likely had, who are re-challenged with heparin can develop … //psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references thrombocytopenia and thrombosis develop … •  50% of patients develop anti-drug antibodies that increase half-life; may necessitate a decrease
  15. psnet.ahrq.gov/issue/medical-errors-overcoming-challenges
    September 29, 2017 - October 8, 2013 Building safer systems by ecological design: using restoration science to develop
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49487/psn-pdf
    August 21, 2005 - were challenged to synthesize relevant literature—across a number of disciplines—and to frame and develop … Ideally, institutions and campuses will develop the capacity for safety-focused multidisciplinary instructional … It will simply not be feasible for investigators and teachers to independently develop and sustain the
  17. psnet.ahrq.gov/web-mm/back-basics
    July 13, 2010 - predict.( 5 ) An insulin-dependent (Type 1) patient with an initial basal requirement of 0.6 units/hr may develop … This same patient will then develop severe insulin deficiency leading to ketoacidosis. … Insulin-dependent patients develop uncontrolled ketone production, even if fasting, within minutes of
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49722/psn-pdf
    December 01, 2014 - A complementary and effective solution could be to develop a status indicator that makes it easy for … engineers identify the safety risks in these complex work systems early in the design process and develop … representatives from industry, regulators, clinicians, pharmacists, engineers, and human factors specialists to develop
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49739/psn-pdf
    August 21, 2015 - Each institution should develop and maintain policies and procedures to define and standardize tracheostomy … It is therefore incumbent upon health care systems to develop standardized care pathways that facilitate … Each institution should develop standard tracheostomy management protocols to enhance patient safety
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33669/psn-pdf
    May 01, 2018 - Develop a consensus-based approach to addressing the error (could be technical, educational, or process-oriented … If the technical approach is preferred, then develop the CDSS.

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