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3601. Delayed Symptomatic Subdural Hematoma Following an Initially Normal CT Head | PSNet
      psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
      March 27, 2024 - The Case A man in his mid-50’s presented to the hospital for a persistent headache after a sledding injury … However, about two weeks later, the patient’s wife insisted that he go back to the hospital for worsening … In this scenario, of course, a false negative CT interpretation would result in a treatment plan that … the community after hospital discharge. … A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital

3602. In Conversation With... David Gruen, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-david-gruen-md
      January 31, 2020 - In Conversation With... … to hospital-based practice, and the one common denominator has been that radiologists can’t keep up. … a hospital, you don’t know if they’ve had a CT scan at the outpatient imaging center last week. … Ultimately, hospitals will be forced to harmonize this data. … If a patient has a CT scan for a kidney stone two days ago across the street, that hospital is not going

3603. Artificial Intelligence and Diagnostic Errors | PSNet
      psnet.ahrq.gov/perspective/artificial-intelligence-and-diagnostic-errors
      January 31, 2020 - Use of AI in diagnostic imaging can be included in processes such as acquiring the image, processing … to hospital-based practice, and the one common denominator has been that radiologists can’t keep up. … a hospital, you don’t know if they’ve had a CT scan at the outpatient imaging center last week. … Ultimately, hospitals will be forced to harmonize this data. … If a patient has a CT scan for a kidney stone two days ago across the street, that hospital is not going

3604. The NSTEMI Curbside Consultation | PSNet
      psnet.ahrq.gov/web-mm/nstemi-curbside-consultation
      August 04, 2021 - with a known history of coronary artery disease and ischemic cardiomyopathy, who was admitted to the hospital … In a patient like the one in this case, with known CAD, rising cardiac biomarkers, and a new drop in … Under-treatment: Women are less likely to be treated by a cardiologist during hospital admission … addition, pilot results from a study on a cardiac “curbside” initiative at Massachusetts General Hospital … Patient Safety Innovations Enhancing Support for Patients’ Social Needs to Reduce Hospital

3605. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73104/psn-pdf
      January 04, 2021 - Healthcare providers and hospitals have observed a decline in patients seeking emergency care for serious … COVID-19 in a hospital setting, it is very rare for patients to develop hospital-acquired COVID-19 … Surge planning has become even more important for hospital operations in an effort to take into consideration … 'I'm smiling under here': Masks, plexiglass and questions the norm as hospitals lure patients back in … Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in

3606. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840256/psn-pdf
      November 16, 2022 - In Conversation With... … and its role in patient safety. … My focus has been in primary care, the hospital, ICUs [intensive care units], ED [emergency department … While I was an intern at Johns Hopkins Hospital and worked with the human factors engineer, I realized … people are in the system.

3607. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_delayed_symptomatic_subdural_hematoma_slides.pptx
      January 01, 2024 - to the hospital for a persistent headache after a sledding injury with his son 4 days earlier.  … Case Details (3) However, about two weeks later, the patient’s wife insisted that he go back to the hospital … the patient described in this report. … In this scenario, a false negative CT interpretation would result in a treatment plan that does not include … the older population, in the setting of antiplatelet or anticoagulation use, or in the presence of a

3608. New Insights About Team Training From a Decade of TeamSTEPPS | PSNet
      psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
      February 01, 2017 - from one floor of a hospital to another in a leading academic medical center, drugs would be labeled … It's always been remarkable to me, compared with other or business organizations how hospitals have three … less likely to just show up in the clinic or hospital with an acute condition that could be treated … major urban hospital emergency department. … About The Topic Hospitals Health Care Providers Facility and Group Administrators Medicine

3609. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
      January 01, 2024 - On POD 25, the wound appeared to have dehisced, and the patient was readmitted to the hospital for advanced … Rates of incidental durotomy have been reported in the literature to occur from 0.5% in lumbar discectomy … Detection of beta-2 transferrin in otorrhea and rhinorrhea in a routine clinical laboratory setting. … In the autologous category, the options typically used in spinal surgery include fascia lata and muscle … Detection of beta-2 transferrin in otorrhea and rhinorrhea in a routine clinical laboratory setting.

3610. In Conversation with... Kathleen Sanford and Sue Schuelke about Virtual Nursing | PSNet
      psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursing
      August 30, 2023 - a second unit in another hospital. … hospital settings. … We’re going to scale VIC across 142 hospitals in the next five years. … In the initial VIC model, patient rooms in medical-surgical units at two different community hospitals … some rural hospitals.

3611. Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges | PSNet
      psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challenges
      August 30, 2023 - In the initial VIC model, patient rooms in medical-surgical units at two different community hospitals … some rural hospitals. … a second unit in another hospital. … hospital settings. … We’re going to scale VIC across 142 hospitals in the next five years.

3612. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
      January 01, 2021 - • After being called at home, the patient returned to the hospital and was admitted with a presumptive … of intravenous antibiotic therapy, the patient developed worsening neurologic symptoms on his third hospital … and cord ischemia. 14 Background (2) • The incidence of SEA has increased from 0.5-2 per 10,000 hospital … admissions in 1970-1990 to 2-8 per 10,000 hospital admissions in 2000-2015. – This increase is multifactorial … The Nature of Adverse Events in Hospitalized Patients.

3613. Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome | PSNet
      psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
      April 27, 2022 - After being called at home, the patient returned to the hospital and was admitted with a presumptive … of intravenous antibiotic therapy, the patient developed worsening neurologic symptoms on his third hospital … admissions in 1970-1990 to 2-8 per 10,000 hospital admissions in 2000-2015. 6–8 This increase is multifactorial … An estimated 40,000 to 80,000 preventable hospital deaths attributed to medical errors occur annually … Little Shuteye July 1, 2003 View More See More About The Topic Hospitals

3614. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73902/psn-pdf
      September 29, 2021 - After being called at home, the patient returned to the hospital and was admitted with a presumptive … of intravenous antibiotic therapy, the patient developed worsening neurologic symptoms on his third hospital … leading to thrombosis and cord ischemia.3,5 The incidence of SEA has increased from 0.5-2 per 10,000 hospital … admissions in 1970-1990 to 2-8 per 10,000 hospital admissions in 2000-2015.6–8 This increase is multifactorial … An estimated 40,000 to 80,000 preventable hospital deaths attributed to medical errors occur annually

3615. In Conversation With… Sigall K. Bell, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-sigall-k-bell-md
      February 26, 2025 - In Conversation With… Sigall K. … We've ended up in this peculiar place in medicine today. … Medical Center in Seattle, an urban safety net hospital. … Anecdotally, an elderly patient receiving care at our hospital was travelling with family, got sick in … August 22, 2018 View More See More About The Topic Hospitals Physicians

3616. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33796/psn-pdf
      January 01, 2016 - In Conversation With… Mark L. Graber, MD January 1, 2016 In Conversation With… Mark L. … More importantly, I was the Chief of Medicine at a VA Hospital, and in our peer review program, we were … one—but they generally assume it's the other guy who's not as good or not as careful, or it's the other hospital … For example, if I don't diagnose something correctly in clinic, that patient may go on into the hospital … The second is the oral exam, which I think is still done in the UK but is long gone in medicine in the

3617. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857061/psn-pdf
      November 27, 2023 - In Conversation with... … In Conversation with.. … specific things, like the safety harm scenarios that nurses commonly experience related to things like falls … or hospital acquired infections? … a clinical area, in a simulation, or in a classroom.

3618. In Conversation With… Thomas J. Nasca, MD, MACP | PSNet
      psnet.ahrq.gov/perspective/conversation-thomas-j-nasca-md-macp
      July 10, 2024 - In Conversation With… Thomas J. … This was the model in the VA under Jim Bagian's leadership, and it resulted in significant engagement … in the critical care setting. … The medical community in general and ACGME in particular was criticized by the IOM in their report … MS, MS August 1, 2009 View More See More About The Topic Hospitals

3619. Syringe Swap During Regional Block: A Case of Medication Error and Recovery | PSNet
      psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
      July 22, 2020 - the future. 1 Background Medication errors in the perioperative period are common 2 and occur in … In a review from 2017, Wahr and colleagues reported that medication errors in the operating room are … By standardizing concentrations of high alert medications, hospital pharmacies can provide ready-to-use … in the same tray. … The providers involved in this incident should be credited for their vigilance in rapidly identifying

3620. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867022/psn-pdf
      October 30, 2024 - The Case A man in his mid-50’s presented to the hospital for a persistent headache after a sledding … However, about two weeks later, the patient’s wife insisted that he go back to the hospital for worsening … the patient described in this report. … In this scenario, of course, a false negative CT interpretation would result in a treatment plan that … the older population, in the setting of antiplatelet or anticoagulation use, or in the presence of