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psnet.ahrq.gov/web-mm/recurrent-appendicitis
January 15, 2020 - A well-known approach to ensuring identification of the base of the appendix is to follow the teniae … This case also brings up some important and timely issues regarding the training and credentialing of
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psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
March 07, 2012 - A patient who is not able to follow commands poses a risk to both the patient and the proceduralist. … February 7, 2024
Application of human factors methods to understand missed follow-up
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psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - Attitudes and practices related to clinical alarms: a follow-up survey. … January 18, 2012
Attitudes and practices related to clinical alarms: a follow-up survey
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psnet.ahrq.gov/node/838221/psn-pdf
September 28, 2022 - If effective, we scale up and provide training. … We had community health workers work with medical providers to come up with a care
plan that they went … In a scaled-up model, I do think that having a physician medical director and a nurse or [someone at … The patients that are showing up to the ER, and ending up in the hospital, are those that
aren’t getting … I think that that makes a lot of sense as a natural step in the process of
trying to scale up.
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psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
August 21, 2024 - oxytocin and fundal massage (direct massage of the uterus through the abdomen) can be used to try to firm-up … setting of preeclampsia, concealed hemorrhage can stretch our diagnostic skills, but having the back-up
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psnet.ahrq.gov/web-mm/mark-my-limb
February 10, 2015 - A follow-up review of wrong site surgery.
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psnet.ahrq.gov/node/49743/psn-pdf
September 01, 2015 - One month after placement, he received follow-up from a cardiologist and was informed he should remain
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psnet.ahrq.gov/curated-library/value-and-patient-safety
October 30, 2019 - Read More
Developing a high value care programme from the bottom up: a programme … organization’s reputation, efficiency, and medico-legal defensibility compensate for the sometimes high up-front … Study
Developing a high value care programme from the bottom up: a programme of … This follow-up study sought to establish the business case for CPOE through calculating the hospitals
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psnet.ahrq.gov/node/60268/psn-pdf
April 29, 2020 - Up to 21% of adult patients who undergo ECMO suffer intracranial hemorrhage with a
mortality of >80% … Any transport should be preceded by a time-out and follow a checklist.
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psnet.ahrq.gov/node/60652/psn-pdf
June 29, 2020 - ICU bed expansion,
members of the workforce that are working remotely or are furloughed, or keeping up … taken to allow for less
exposure within a traditional dispensing pharmacy, such as encouraging drive-up … To
enable competency development, we opened up a critical care certification course to members, non- … of members is a Business Recovery Toolkit, aimed at informing next steps as the nation opens back
up … We’re really pleased that we are able to open up all of these resources, not just for our members but
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psnet.ahrq.gov/web-mm/electronic-err
April 01, 2014 - encounters had no diagnosis recorded and 30% had no therapeutic agent recorded.( 3 ) In another study, up … Methods to encourage physicians to conscientiously maintain up-to-date medication lists have traditionally … Of course, the technology can help facilitate keeping accurate and up-to-date summary lists. … patient-safety policy that could be incorporated into routine practice with EHR systems would be to produce an up-to-date … Institute practices to provide patients with an up-to-date list of current medications and instructions
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psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia
March 31, 2021 - ischemia, and risk factors for each cause/mechanism
Explain how the differential diagnosis and work-up … None of these physicians followed up on the possibility of mesenteric ischemia, reportedly because they … WebM&M Cases
Procedure Complications – Who is Responsible for Follow … up?
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psnet.ahrq.gov/perspective/conversation-david-gruen-md
January 31, 2020 - practice to hospital-based practice, and the one common denominator has been that radiologists can’t keep up … DG: For the average clinical oncologist, for example, it is inconceivable that he or she can keep up … When they see a patient with a hip fracture they can pull up that three years ago the patient had metastatic … Or that when a patient’s CT or MRI is delivered, they can pull up the labs and say wait a minute, this … processes such as acquiring the image, processing the image, interpreting the findings, determining follow-up
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psnet.ahrq.gov/node/73146/psn-pdf
April 28, 2021 - patient support, and can
increase adherence to dialyzing schedules.9 Communication may include regular follow-up
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.137_slideshow.ppt
November 01, 2006 - The Case
The work-up revealed that the patient’s anticoagulation with warfarin was subtherapeutic, and
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psnet.ahrq.gov/web-mm/secured-not-always-safe
October 01, 2015 - Rare complications with any anesthetic technique may occur, mandating careful follow-up with patients
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psnet.ahrq.gov/node/49740/psn-pdf
August 21, 2015 - dose, frequency of administration, and type of the toxin used.(7) In typical clinical
settings, doses up
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psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph
November 01, 2008 - And so we all went on the other side of the bed, lifted up the sheet, and saw that there was a catheter … One other finding I'll just bring up is that we also found that in about 30% of the hospitals, there … On the one hand, we're trying to get patients up out of bed to prevent deconditioning, decubitus ulcers … pressure sores, but the urinary catheter is tethering them to the bed, preventing them from getting up … Issues where you have a numerator and a denominator and can come up with a rate lend themselves to an
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psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
November 01, 2008 - And so we all went on the other side of the bed, lifted up the sheet, and saw that there was a catheter … One other finding I'll just bring up is that we also found that in about 30% of the hospitals, there … pressure sores, but the urinary catheter is tethering them to the bed, preventing them from getting up … began to blossom, infection control professionals, the hospital epidemiologists, focused on coming up … Issues where you have a numerator and a denominator and can come up with a rate lend themselves to an
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psnet.ahrq.gov/node/865376/psn-pdf
March 27, 2024 - Grade II injury can be a subcapsular hematoma that is larger, up to 50% of the surface area; an
intraparenchymal … Grade IV injury is a parenchymal disruption involving 25-75% of one lobe of the liver (or up to 3
segments … An enlarged spleen takes up limited space and
adds another friable surface that can hemorrhage.