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Showing results for "emergency severity index".
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1. Delayed Evaluation of Abdominal Pain in an Elderly Patient. | PSNet
   psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
   February 26, 2020 - She was assigned an Emergency Severity Index (ESI) score of 3 and was triaged to the waiting room until … In the United States, 96% of EDs utilize the Emergency Severity Index (ESI), a triage tool that sorts … The resulting delays compromise safety for patients with time-sensitive emergencies. … Emergency Severity Index (ESI): a Triage Tool for Emergency Department Care, Version 4. 2020:1-114. [ … Accuracy of the Emergency Severity Index triage instrument for identifying elder emergency department

2. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care | PSNet
   psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
   November 25, 2020 - The triage nurse assigned Emergency Severity Index (ESI) category 2. … specific workflows and clinical pathways to improve the efficiency of care for patients with surgical emergencies … necessary for efficient, high quality health care, especially when treating complex medical or surgical emergencies … Emergency Severity Index (ESI): a Triage Tool for Emergency Department Care, Version 4. 2020:1-114. … Accuracy of emergency department triage using the Emergency Severity Index and independent predictors

3. Weight and size descriptors for drug dosing: too many options and too many errors. | PSNet
   psnet.ahrq.gov/issue/weight-and-size-descriptors-drug-dosing-too-many-options-and-too-many-errors
   April 06, 2022 - including reduction in reliance on estimated body weight, standardizing descriptor (e.g., body mass index … April 21, 2021 View More Related Resources Medication errors in emergency … departments: a systematic review and meta-analysis of prevalence and severity August 14, 2024 … December 30, 2014 View More See More About The Topic Hospitals Emergency … Departments Facility and Group Administrators Quality and Safety Professionals Emergency Medicine

4. Are teaching hospitals treated fairly in the Hospital-Acquired Condition Reduction Program? | PSNet
   psnet.ahrq.gov/issue/are-teaching-hospitals-treated-fairly-hospital-acquired-condition-reduction-program
   July 11, 2018 - They found that teaching institutions and hospitals with higher case-mix index, length of stay, and those … November 4, 2020 Prevalence, contributory factors and severity of medication errors associated … Application of failure mode effect analysis to improve the care of septic patients admitted through the emergency … September 18, 2019 Development of a trigger tool to identify adverse events and harm in emergency

5. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/33596/psn-pdf
   January 29, 2025 - response to deteriorating patients, including implementing agreed response times based on clinical severity … Stakeholders voiced concerns about counting deaths from complications that started before the index … procedure or before transfer to the index hospital, and questioned the inclusion of patients with very … Failure-to-rescue and disparities in emergency general surgery. J Surg Res. 2018;231:62-68. … Comparison of severity of illness scores and artificial intelligence models that are predictive of intensive

6. The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department. | PSNet
   psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-emergency-department
   September 27, 2023 - Triage and Medical Screening of Psychiatric Emergencies The case narrative, arguably incomplete, does … An EMC is “a medical condition manifesting itself by acute symptoms of sufficient severity (including … Severity Index (ESI) is the system that US hospitals use to categorize and prioritize care for emergency … We implemented the C-SSRS (Columbia Suicide Severity Rating Scale) at ED triage for a subset of patients … Take-Home Points Psychiatric emergencies are common reasons for referral from outpatient care settings

7. Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system. | PSNet
   psnet.ahrq.gov/issue/improved-safety-culture-and-teamwork-climate-are-associated-decreases-patient-harm-and
   January 15, 2014 - Over the course of 4 years, SAQ scores improved while all-hospital harm, serious safety events, and severity-adjusted … January 15, 2014 The Preventable Harm Index: an effective motivator to facilitate the … Patient Safety Innovations Suicide Prevention in an Emergency

8. Diagnostic Error | PSNet
   psnet.ahrq.gov/curated-library/diagnostic-error
   April 17, 2025 - Large malpractice claims databases are increasingly used as a proxy to assess the frequency and severity … This study sought to understand if patients with emergency department visits in the previous 30 days … Large malpractice claims databases are increasingly used as a proxy to assess the frequency and severity … 12-month period, 5.6% of readmissions were found to contain at least one diagnostic error during the index … These findings corroborate earlier research on closed malpractice claims in primary care and emergency

9. PSNet Curated Library (pdf file)
   psnet.ahrq.gov/print/pdf/node/74277
   January 01, 2021 - Adverse drug events after hospital discharge in older adults: types, severity, and involvement of Beers … MERP) coordinates a nationwide campaign for medication error reporting and prevention which includes a index … https://psnet.ahrq.gov/issue/adverse-drug-events-after-hospital-discharge-older-adults-types-severity-and-involvement … Color coded medication safety system reduces community pediatric emergency nursing medication errors. … Use of color-coded medications resulted in a reduction in medication errors in simulated pediatric emergency

10. The Worst Headache | PSNet
    psnet.ahrq.gov/web-mm/worst-headache
    July 01, 2016 - Since almost everyone has had a headache at some point, clinicians must carefully distinguish the index … In general, relevant questions include: Are the quality, duration, severity, and onset of pain the … However, almost all patients will describe their headache as unusual or distinctive in terms of severity … dissections Temporal arteritis Acute narrow angle closure glaucoma Hypertensive emergencies … May 3, 2017 Types of diagnostic errors in neurological emergencies in the emergency department

11. Think Like a Surgeon | PSNet
    psnet.ahrq.gov/web-mm/think-surgeon
    December 04, 2024 - His physical examination was unremarkable, but given the laboratory findings, the emergency physician … quite high because the presence of acalculous cholecystitis is usually a marker of overall illness severity … Definitive treatment for acute cholecystitis is cholecystectomy, and surgery should occur during the index … important feedback loop to improve patient safety. 20 Take-Home Points Clinicians should have a high index … Diagnostic errors related to acute abdominal pain in the emergency department.

12. Pitfalls in Diagnosing Necrotizing Fasciitis | PSNet
    psnet.ahrq.gov/web-mm/pitfalls-diagnosing-necrotizing-fasciitis
    March 24, 2021 - suppurative bacterial or fungal invasion of the epidermis, dermis, or subcutaneous tissues and can range in severity … An expert panel ( 1 ) has classified skin infections into four classes of severity to help guide treatment … some have recommended empiric antibiotics that treat MRSA.( 22 ) Challenges in Diagnosis A high index … patients.( 29 ) Broad-spectrum antibiotics are often given for suspected infection and can mask the severity … This stresses the importance of updating the frontline staff and having a high index of suspicion if

13. Failure to Rescue | PSNet
    psnet.ahrq.gov/primer/failure-rescue
    September 15, 2024 - response to deteriorating patients, including implementing agreed response times based on clinical severity … Stakeholders voiced concerns about counting deaths from complications that started before the index procedure … or before transfer to the index hospital, and questioned the inclusion of patients with very high-risk … Failure-to-rescue and disparities in emergency general surgery. … Comparison of severity of illness scores and artificial intelligence models that are predictive of intensive

14. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49714/psn-pdf
    August 21, 2014 - The Case A 49-year-old previously healthy man presented to the emergency department (ED) after falling … An expert panel (1) has classified skin infections into four classes of severity to help guide treatment … SSTIs, some have recommended empiric antibiotics that treat MRSA.(22) Challenges in Diagnosis A high index … This stresses the importance of updating the frontline staff and having a high index of suspicion if … Necrotizing fasciitis: a surgical emergency. Updates Surg. 2010;62:83-87. [go to PubMed] 14.

15. Handoffs and Transitions | PSNet
    psnet.ahrq.gov/perspective/handoffs-and-transitions
    February 01, 2007 - Situation-Background-Assessment-Recommendation) and ANTICipate (Administrative data, New clinical information, Tasks, Illness severity … The tool was known as I-PASS, which stands for Illness severity, Patient summary, Action list, Situational … in readmission rates between the support program and usual care groups, and a trend toward increased emergency … Schoonover and colleagues found that complex regimens (as identified with the Medication Regimen Complexity Index … Use of the NSQIP complication risk index may allow prospective identification of patients at high risk

16. Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation | PSNet
    psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
    November 25, 2020 - The Case A 56-year-old woman was brought to the emergency department (ED) by her husband for “shaking … pathology and critical care literature. 10-12 A recent meta-analysis found that the Delta Neutrophil Index … Stercoral colitis requires a high index of suspicion in patients with chronic constipation and abdominal … Delta neutrophil index (DNI) as a novel diagnostic and prognostic marker of infection: a systematic review … Physicians Emergency Medicine Gastroenterology Clinical Misdiagnosis View More

17. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33582/psn-pdf
    September 15, 2024 - chance of detecting such failure, and its impact are combined numerically to produce a criticality index … that independent groups can reach widely differing opinions about the failure modes and criticality index … Another, https://psnet.ahrq.gov/primer/detection-safety-hazards https://psnet.ahrq.gov/issue/prevalence-severity-and-nature-preventable-patient-harm-across-medical-care-settings … (In the emergency department, naloxone use would more likely represent treatment of a self-inflicted

18. Ruptured Heterotopic Pregnancy | PSNet
    psnet.ahrq.gov/web-mm/ruptured-heterotopic-pregnancy
    August 16, 2023 - documented transient loss of consciousness and difficulty recording blood pressures en route to the emergency … If emergency department physicians are to be the first line of defense in recognizing ectopic pregnancies … The initial level of ß-hCG and its early pattern of rise may further raise the index of suspicion and … Emergency physicians should have added training in early pregnancy ultrasound. … Operating Room Health Care Providers Emergency Medicine Obstetrics View More

19. Chest Pain in a Rural Hospital | PSNet
    psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
    June 02, 2021 - Regionalized implies that hospitals, emergency medical services, and other agencies provide emergency … Rural emergency department staffing and participation in emergency certification and training programs … Emergency department workplace interruptions: are emergency physicians "interrupt-driven" and "multitasking … Emergency department telemedicine shortens rural time-to-provider and emergency department transfer times … Emergency Severity Index (ESI): A Triage Tool for Emergency Department Care.

20. Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture. | PSNet
    psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
    November 25, 2020 - Pain out of proportion to injury severity is a hallmark sign of CS and should have been investigated … Because of the spectrum of severity of CS, resolved pain may indicate that an opportunity to intervene … Take-Home Points In patients at risk for compartment syndrome, maintain a high index of suspicion and … The incidence and severity of adverse events affecting patients after discharge from the hospital. … Departments Critical Care Emergency Medicine Pediatric Emergency Medicine View More