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3221. Abnormal Volunteer Results | PSNet
      psnet.ahrq.gov/web-mm/abnormal-volunteer-results
      July 18, 2016 - must be prepared to direct participants to appropriate resources if they are not able to interpret or follow … up on the findings because such findings may have both physical and emotional ramifications, as they … April 13, 2022 Outpatient insulin-related adverse events due to mix-up errors: findings

3222. Delirium or Dementia? | PSNet
      psnet.ahrq.gov/web-mm/delirium-or-dementia
      September 27, 2023 - Up to 25% of geriatric general ward patients and as many as 80% of intensive care unit patients experience … September 16, 2015 Improving anesthesiologists' ability to speak up in the operating

3223. Post-Acute Transitional Services: Safety in Home-Based Care Programs | PSNet
      psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
      April 24, 2024 - medically complex homebound or home-limited patients, those who typically have difficulty attaining follow-up … Starting up a hospital at home program: facilitators and barriers to implementation. … Safety Innovations Project BOOST Increases Patient Understanding of Treatment and Follow-up

3224. Emerging Safety Issues in Artificial Intelligence | PSNet
      psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence
      February 20, 2019 - conclusions, but of the small number of atrial fibrillation alerts produced, only 34% were confirmed by follow-up … Bottom Up June 1, 2012 Perspective The Comprehensivist

3225. Defensive Medicine: "Glowing" with Pain | PSNet
      psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
      November 01, 2012 - Nonetheless, implementing such guidelines within health care systems may allow providers to follow clear … emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage … of Cancer July 31, 2023 WebM&M Cases Coming up

3226. To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room | PSNet
      psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
      July 28, 2021 - Drawing up and diluting medications is a standard but error-prone practice in the OR. … medication errors or near-misses. 1 , 5 , 9 Staff should be encouraged to report these occurrences and a follow-up

3227. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49609/psn-pdf
      October 01, 2010 - time may all reduce the potential for errors.(9) At the peak of reprocessing programs for dialyzers, up … event in dialysis units.(2,4) In one study, 47% of dialysis patients fell over 190.5 person-years of follow-up

3228. Don't Pick the PICC | PSNet
      psnet.ahrq.gov/web-mm/dont-pick-picc
      December 01, 2011 - The delivery of safe and effective test result communication, management and follow-up … Complication July 1, 2018 WebM&M Cases Picking Up

3229. In Conversation with...Sorrel King | PSNet
      psnet.ahrq.gov/perspective/conversation-withsorrel-king
      March 01, 2007 - But it's also because there were bad errors that were embarrassing and ended up in the media. … That tension comes up a lot, where hospitals will often say leave us alone because if it's too public … SK: When the media reports about some hospital that screwed up, it's really, "here's the story." … came to us a year or two after Josie died, and it was a story about a hospital that really screwed up … They need to trust the doctors and the nurses and they cannot put up this wall of animosity in front

3230. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49558/psn-pdf
      April 01, 2008 - Her work up revealed profound anemia due to brisk autoimmune hemolysis. … adverse effects, ranging from common problems like antibiotic- associated diarrhea (which can occur in up … Clinicians should follow evidence-based treatment guidelines for sinusitis.

3231. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49400/psn-pdf
      May 01, 2003 - aspiration of the central venous catheter, ideally with the patient positioned with the right side up … Once DVT or pulmonary embolism is recognized in a young child, anticoagulation and close follow-up are

3232. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851568/psn-pdf
      July 31, 2023 - Administration Errors Medication errors are common in the hospital setting and can cause adverse drug events.25 Up … may have been beneficial for the CDS system to include AWS-specific clinical parameters for interval up-titration … abuse treatment programs, other psychiatric care when needed, social interventions and primary care follow-up

3233. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866055/psn-pdf
      May 29, 2024 - They did this by making the process steps clear and easy to follow. … After they determined a simple plan for providers to follow in highly complex procedures, they knew … When people speak up, the organization must respond by either making adjustments or by explaining the

3234. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49467/psn-pdf
      December 01, 2004 - After advising the patient to stop the hydrochlorothiazide and to follow blood pressure measurements … Moments later, I had a high-quality image of what looked like a squamous cell carcinoma and set up a

3235. In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls | PSNet
      psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
      December 18, 2024 - Their immediate reaction might be to avoid getting up or to stay seated more frequently, but that's not … For example, if there's a spill, you clean it up. … If a patient is going to get up and walk around, you ensure a clear path to walk to the bathroom and … the most common reason patients on the intervention unit fell in the hospital was that they did not follow … Nurses reinforce the risk factors, plan with the patient, and hang the tool back up each day.

3236. The Ongoing Journey to Prevent Patient Falls | PSNet
      psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
      December 18, 2024 - Socks , which contain pressure sensors that notify healthcare staff when the patient tries to stand up … For example, if there's a spill, you clean it up. … If a patient is going to get up and walk around, you ensure a clear path to walk to the bathroom and … the most common reason patients on the intervention unit fell in the hospital was that they did not follow … Nurses reinforce the risk factors, plan with the patient, and hang the tool back up each day.

3237. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49482/psn-pdf
      May 01, 2005 - Pregnancy has been considered by many to be a risk factor, and some have estimated up to half of all … the integrity of one of the branches of the aorta is compromised, ischemic manifestations usually follow … : Apply surgical mask to patient upon arrival to ED L&D services REQUIRED (If imminent delivery, follow

3238. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49416/psn-pdf
      September 01, 2003 - Believing the patient required a rapid saline infusion, she opened the IV up, and the solution infused … Second, IV pumps used to control the rate of administration can fail to operate properly or can be set up

3239. Artificial Intelligence and Diagnostic Errors | PSNet
      psnet.ahrq.gov/perspective/artificial-intelligence-and-diagnostic-errors
      January 31, 2020 - processes such as acquiring the image, processing the image, interpreting the findings, determining follow-up … 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

3240. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33846/psn-pdf
      November 01, 2017 - Technologies that engage patients to report their care experience, outcomes, and follow-up activities