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3081. CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022. | PSNet
      psnet.ahrq.gov/issue/cdc-clinical-practice-guideline-prescribing-opioids-pain-united-states-2022
      September 23, 2020 - the emergency department or admitted to the hospital. … the Same Author(s) Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a multistate hospital network--13 academic medical centers, April-June 2020. … May 11, 2022 Opioid prescribing to US children and young adults in 2019. … in outpatient settings: clinical practice guideline.

3082. Complications and death at the start of the new academic year: is there a July phenomenon? | PSNet
      psnet.ahrq.gov/issue/complications-and-death-start-new-academic-year-there-july-phenomenon
      February 13, 2008 - Trauma patients admitted in the early weeks of the academic year were in fact more likely to experience … in-hospital complications than patients admitted at the end of the academic year, according to this … Related Resources From the Same Author(s) Measurable outcomes of quality improvement in … a multistate hospital network--13 academic medical centers, April-June 2020. … Stigmatizing language and the transmission of bias in the medical record.

3083. Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nurses, trainees, and patients. | PSNet
      psnet.ahrq.gov/issue/responding-clinicians-who-fail-follow-patient-safety-practices-perceptions-physicians-nurses
      February 24, 2011 - 27, 2016 Pragmatic insights on patient safety priorities and intervention strategies in … December 23, 2016 Culture and behaviour in the English National Health Service: overview … December 18, 2014 Use of an appreciative inquiry approach to improve resident sign-out in … hospitals. … July 28, 2010 View More See More About The Topic Hospitals Physicians

3084. Dedicated teams to optimize quality and safety of surgery: a systematic review. | PSNet
      psnet.ahrq.gov/issue/dedicated-teams-optimize-quality-and-safety-surgery-systematic-review
      October 27, 2021 - Implementation of dedicated surgical teams resulted in improved mortality rates, but no difference in … framework to identify and categorise patient-reported breakdowns related to the diagnostic process in … a paediatric hospital. … estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals … April 24, 2011 Communication failure in the operating room.

3085. Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. | PSNet
      psnet.ahrq.gov/issue/nature-and-timing-incidents-intercepted-surpass-checklist-surgical-patients
      September 20, 2011 - Study Nature and timing of incidents intercepted by the SURPASS checklist in surgical … Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. … As prior studies have shown that postoperative care quality likely contributes to hospital-level variations … April 17, 2013 The incidence and nature of in-hospital adverse events: a systematic review … September 20, 2011 Communication failure in the operating room.

3086. Hidden Heparins: HIT Happens | PSNet
      psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
      March 27, 2024 - On hospital day 8, the leukocyte count increased again, her respiratory status worsened, and she died … In our hospital (UCSF Medical Center), the electronic pharmacy profile (WORx, Mediware Information Systems … Unfortunately, in most hospitals, heparins (typically UFH) are stocked in more locations than simply … Hospital liable for allergic reaction to heparin used in injection flush. … Surprise Wire August 21, 2005 View More See More About The Topic Hospitals

3087. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49572/psn-pdf
      October 01, 2008 - hospital settings. … e.g., in a neonate), additional steps to ensure correct patient identity are warranted. … Wristbands for hospital patients improves patient safety. Safer Practice Notice 11. 2005:1-6. … Managing patients with identical names in the same ward. … Patient misidentification in the neonatal intensive care unit: quantification of risk.

3088. Antiseizure Medication Disorder | PSNet
      psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
      April 01, 2006 - , is emerging as a common first-choice agent in both hospital and ambulatory settings. … Two common approaches are either to (i) order an unbound phenytoin level to see whether it falls within … . hospitals is pharmacist-managed drug therapy.( 10,11 ) Given a national shortage of pharmacists in … Adverse drug reactions in United States hospitals. Pharmacotherapy. 2006;26:601-608. … Preparing Future Pharmacists to Promote a Culture of Safety April 1, 2006 AHRQ's Hospital

3089. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863649/psn-pdf
      February 28, 2024 - The program was initially implemented mainly in hospitals, and later it did spread to other healthcare … hospitals and other care settings, sometimes in response to a patient harm, and other times because … It is easy to talk about how communication should happen, for example, in a surgery unit in a hospital … Aside from training large medical centers and hospitals, a big emphasis will be put on training in various … seen frequently with virtual teams where a diagnosis isn’t communicated quickly enough, or something falls

3090. In Conversation With… Dave deBronkart | PSNet
      psnet.ahrq.gov/perspective/conversation-dave-debronkart
      June 01, 2014 - Among the organization's goals were publicly available hospital ratings, transparency in state medical … for reporting of hospital-acquired infections were the law in more than half the states.( 26 ) Online … involvement in driving down harm in hospitals, patients and patient groups found themselves being actively … Compare), in some states (hospital-acquired infection and sentinel events), and by private entities … Important topics like health care disparities, personal technology, and much of what falls under the

3091. 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 … .(2) Since then, there have been numerous terms given to this condition—phagedena gangrenosum (3), hospital … First, in NF, the margins of involvement are often indistinct and poorly defined (in contrast to erysipelas … Terence Goh, MBBS Department of Plastic Surgery Singapore General Hospital Singapore Lee Gan Goh, … Investigation upon the nature, causes, and treatment of hospital gangrene, as it prevailed in the confederate

3092. Pitfalls in Diagnosing Necrotizing Fasciitis | PSNet
      psnet.ahrq.gov/web-mm/pitfalls-diagnosing-necrotizing-fasciitis
      March 24, 2021 - The Case A 49-year-old previously healthy man presented to the emergency department (ED) after falling … 2 ) Since then, there have been numerous terms given to this condition—phagedena gangrenosum ( 3 ), hospital … NF as the pathology is in the deep fascia and not in the dermis.( 32 ) A multiparametric approach … Terence Goh, MBBS Department of Plastic Surgery Singapore General Hospital Singapore Lee … Investigation upon the nature, causes, and treatment of hospital gangrene, as it prevailed in the confederate

3093. Delirium or Dementia? | PSNet
      psnet.ahrq.gov/web-mm/delirium-or-dementia
      September 27, 2023 - hospitals or long-term care facilities. … Delirium in the Hospital In the inpatient setting, any change in mental status should be considered … In fact, the diagnosis of delirium carries a mortality risk equivalent to that of sepsis or an in-hospital … In: Comprehensive Accreditation Manual for Hospitals. The Joint Commission; 2008: PC-25-26. … hospitals: can the federal mandate be met?

3094. Becoming a Certified Professional in Patient Safety—A Pharmacist's Perspective | PSNet
      psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
      June 01, 2016 - When a patient falls victim to a medication error, the employees may experience heightened emotions and … With limited resources and personnel in most hospitals, the poster session equips attendees with essential … Heparin overdose in three infants revisits hospital error issues. MedPage Today. … When I first came back to the provider organization side as a medical director in a large hospital, about … terms of the type of jobs that hospitals and health care organizations are offering.

3095. Home | PSNet
      psnet.ahrq.gov/
      March 25, 2025 - Results show that even a small amount of medical misinformation in the training dataset can result in … Commentary A framework for the analysis of communication errors in health care. … Falls and delays in diagnosis, treatment, or surgery were the most common adverse events related to communication … The largest category was delays in care, and 90% of incidents resulted in no harm. … Areas Children's Health Emergency Medicine Hospital

3096. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33874/psn-pdf
      February 01, 2019 - Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems … some areas such as hospital-acquired infections.(3,4) However, the magnitude of improvement has not … of these patient safety concerns, many studies have suggested the United States health care system falls … A decade of reports calling for change in medical education: what do they say? … Increase funding for research in patient safety and implementation science 5.

3097. A "Reflexive" Diagnosis in Primary Care | PSNet
      psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
      April 01, 2008 - Due to these symptoms, he had multiple falls and an inability to grasp simple objects. … the patient returned 2 more times to the same clinic with worsening symptoms, including more frequent falls … He was admitted to the hospital and underwent urgent neurosurgical decompression. … April 1, 2010 WebM&M Cases EMS Perils from Hospital … the Hospital With Advanced Dementia December 1, 2017 WebM&M Cases

3098. Misplaced Nasogastric Tube Resulting in Aspiration | PSNet
      psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
      August 01, 2009 - year-old woman presented to the Emergency Department (ED) for evaluation of “altered mental status” after falling … Depending on the culture and practices in the hospital, nursing staff should expect either a brief physician … hospitals. 19 One approach to improving handoffs between medical professionals involves using a standardized … 9 different hospitals. 20 I-PASS is a handoff program that trains medical professionals to synthesize … December 30, 2014 View More See More About The Topic Hospitals Hospital

3099. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. | PSNet
      psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
      January 29, 2021 - Language barriers have been identified as a cause of adverse events and it has been suggested that hospitals … TeamSTEPPS® Enhancing Safety for Patients With Limited English Proficiency Module , which recommends that hospitals … For this reason, the responsibility of obtaining such details falls on both the surgical and anesthesia … Interpreting services should be scheduled prior to admission in order to prevent delays in the operating … A comparison of the influence of hospital-trained, ad hoc, and telephone interpreters on perceived satisfaction

3100. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49587/psn-pdf
      May 01, 2009 - Blunt injuries are the result of falls, motor vehicle or motorcycle crashes, bicycle accidents, pedestrians … Third in line is circulation (C). … In fact, survival rates in modern urban trauma centers for patients with stab wounds to the heart who … For example, many injuries are discovered in a delayed evaluation after 24-48 hours in the hospital, … The "ABCs" of trauma assessment and resuscitation hold as true in the field as they do in the ED.