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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73905/psn-pdf
    October 06, 2021 - These measures primarily include assessment of maternal mortality and morbidity, including outcomes … These include concordance of patient-clinician race and ethnicity; the timing, methods, and pace of … These areas include eliminating language barriers and implementing sensitive approaches to education … Interventions to support this reengineering include guidelines for centering patient perspectives; revision
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33567/psn-pdf
    June 15, 2024 - This can include a physician updating another at the change of shift, a nurse transitioning a patient … It has also been adapted to include patients and families.  … The Joint Commission does not recommend a specific handoff tool, but states the communication should include
  3. psnet.ahrq.gov/issue/multiobserver-study-effects-including-point-care-patient-photographs-portable-radiography
    March 04, 2015 - March 4, 2015 Improvement in detection of wrong-patient errors when radiologists include … June 1, 2019 Improvement in detection of wrong-patient errors when radiologists include
  4. psnet.ahrq.gov/web-mm/raise-bar
    May 29, 2024 - Regional anesthetic nerve blocks are commonly used in outpatient settings.( 3,4 ) Advantages include … They include teaching patients not get up without assistance, using stabilizing devices for ambulation … These include knowledge and competency, clarity of role and responsibilities, handoff communication, … Fall prevention strategies in perianesthesia include teaching patients about precautions, bed alarms, … Safety measures in ambulatory surgery should include checks on competency; clear procedures, roles, and
  5. psnet.ahrq.gov/web-mm/finding-fault-default-alert
    August 28, 2024 - Examples of ways to increase specificity include classifying medications as individual agents (rather … Include only high-level (severe) alerts in an alert set. … Other strategies include presenting pregnancy alerts only for patients who are pregnant, not all female … implementing the entire suite of alerts available in an EMR/CPOE initially, a more sensible approach is to include … implementing the entire suite of alerts available in an EMR/CPOE initially, a more sensible approach is to include
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35633/psn-pdf
    January 16, 2024 - government organization supports patient safety efforts in Manitoba by supporting activities that include
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50767/psn-pdf
    August 12, 2024 - Topic tracks for the session include workforce and patient safety, leadership and equity.
  8. psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
    August 14, 2024 - These include internal individual patient factors and external factors, such as the physical environment … and culture of care in the community. 4-6 Internal functional factors include gait changes, and loss … Additional internal factors include mental health issues such as fear of falling, cognitive impairment … External factors include the culture of safety —described as the positive and negative ways safety is … incorporate input from all members of the interdisciplinary team. 11,12 These approaches generally include
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49750/psn-pdf
    January 01, 2016 - These actions usually include verifying admission orders, obtaining an admission history, performing … Responsibilities include ensuring adequate staffing to meet day-to-day care demands and facilitating … Potential strategies include: (i) establishing routine shift-to-shift communication about admissions … If nurses are changing shift during an admission, an ideal system would include standardized handoff … In addition, the commentary does not include information regarding investigational or off-label use
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866395/psn-pdf
    July 23, 2024 - The resulting strengths of RIC go beyond a more traditional M&M model and include improvements to communication … Planning and Development Process Key steps in planning and implementing the innovation include: Identifying … Some recommendations include the vice chair of surgical quality, or any surgeon, anesthesiologist, or … At the innovating organization, all M&M reviews include the core principles of the RIC—namely, review
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72760/psn-pdf
    September 30, 2024 - Topics covered include electronic health records documentation, patient partnership and rural health
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/84413/psn-pdf
    February 23, 2022 - In addition, there are several diagnoses that require urgent evaluation and imaging; these include cauda … These include new urinary retention, fecal incontinence, saddle anesthesia, history of intravenous drug … Pain management includes analgesia but must also include a thorough diagnostic workup to ensure underlying … technological or organizational barriers Cognitive errors, which include inadequate knowledge, poor … Tactics to prevent pain management from becoming adversarial include early and frequent communication
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73128/psn-pdf
    July 01, 2022 - Features of the program include: Patient eligibility and consent: Patients who present in an emergency … Eligible patients include those who require hospitalization for a condition such as community-acquired … Common reasons for medical ineligibility include uncorrectable hypoxemia (insufficient oxygen in the … General resources required include: Staffing: One team can manage a daily census of 5 to 8 patients … Additional diagnostic studies that are performed in the home include basic radiography such as chest
  14. psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
    January 01, 2023 - and culture of care in the community.4-6 Internal functional factors include gait changes, and loss … functional capability. 14 Falls in Nursing Home Communities (3) • Additional internal factors include … opioids or psychotropic medications 15 Falls in Nursing Home Communities (4) • External factors include … to Fall Prevention and Improving Patient Safety (2) • These approaches to fall prevention generally include … certain medications, facilitating an exercise program, or addressing sensory defects, or it might include
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846171/psn-pdf
    July 26, 2022 - standard” for confirmation of appropriate tube placement in adults.5-7 Alternate NGT insertion methods include … Contraindications to blind NGT insertion include facial or skull base fractures; head, neck, or esophageal … insertion, and may experience worsening confusion.8 Complications associated with blind NGT insertion include … ’ ability to observe patients, which may cause safety issues.20 Methods to mitigate these problems include … evidence of SBO on imaging, an NGT is probably no longer needed.2 Other reasons for discontinuation include
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60267/psn-pdf
    March 01, 2021 - Updates include increased use by other organizations, slight modifications to the description of the … innovative activity, additional results that include Medicare and Medicaid expenditures and additional … Using evidence-based practices, key services include an initial assessment by the SASH staff team, creation … Key elements of the program include the following: Enrollment and initial interview: As part of the … Factors to consider include not only the size of the population, but also their level of physical and
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49695/psn-pdf
    October 01, 2013 - Examples of ways to increase specificity include classifying medications as individual agents (rather … Include only high-level (severe) alerts in an alert set. … Other strategies include presenting pregnancy alerts only for patients who are pregnant, not all female … implementing the entire suite of alerts available in an EMR/CPOE initially, a more sensible approach is to include … implementing the entire suite of alerts available in an EMR/CPOE initially, a more sensible approach is to include
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866569/psn-pdf
    September 01, 2024 - Topics covered include medication safety, safe patient handling and safe surgical attire. 
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40460/psn-pdf
    April 30, 2024 - Additional topics covered include patient communication, publication, and learning management system
  20. psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
    October 31, 2023 - In addition, there are several diagnoses that require urgent evaluation and imaging; these include cauda … These include new urinary retention, fecal incontinence, saddle anesthesia, history of intravenous drug … Pain management includes analgesia but must also include a thorough diagnostic workup to ensure underlying … technological or organizational barriers Cognitive errors, which include inadequate knowledge, poor … Tactics to prevent pain management from becoming adversarial include early and frequent communication

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