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psnet.ahrq.gov/node/866528/psn-pdf
August 14, 2024 - Tactics emphasized include caution
regarding use of household spoons to dose liquid medications.
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psnet.ahrq.gov/node/40460/psn-pdf
April 30, 2024 - Additional topics covered include patient communication, publication, and learning
management system
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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
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psnet.ahrq.gov/node/72618/psn-pdf
December 23, 2020 - Nudges may also include making the advantages of particular choices more apparent through how
the information … However, all projects
seek to include a multidisciplinary team wherever possible. … Include a social incentive. … Social incentives include collaboration, competition, and support and
help to reinforce behavioral change … Examples of Nudge Unit projects with a patient safety component include:
Using default options to decrease
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psnet.ahrq.gov/node/857260/psn-pdf
November 30, 2023 - estimated that 3% of admissions for DKA are consistent with eDKA.1
Precipitating factors for eDKA include … outcomes, the use of
SGLT2i is growing over time. 2,3,4
Risk factors for eDKA with these medications include … recommended for use in this patient population.6 Additional risk
factors for eDKA with SGLT2i use include … Components of this approach include:
1. … FDA revises labels of SGLT2 inhibitors for diabetes to include warnings
about too much acid in the blood
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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
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psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
January 01, 2023 - and Risk Factors of Tracheostomy (2)
The benefits of tracheostomy, compared with endotracheal tubes, include … obesity, short necks, tracheal deviation, or
impaired neck extension
Indications for tracheostomy include … progressive dilation of the trachea at the cuff site.9,10
• The description of this case does not include … broader
hospital standards.13,14
• Tracheostomy teams can be structured in different ways and often include … • Policy and staff education should include airway cuff pressure monitoring
technique and protocols
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psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
July 08, 2022 - Persons at risk often include the elderly, those who have a history of substance abuse, or those with … Additional structured assessment tools that can be used include the Aid to Capacity Evaluation (ACE … System barriers that must be overcome to appropriately address the question of mental capacity include … For example, teams that do not include a social worker or mental health professional may not have the … A complete history must include a thorough psychosocial history to identify any potential psychological
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psnet.ahrq.gov/node/836934/psn-pdf
March 12, 2025 - The top ten concerns for 2025 include poor response to patient and family concerns, oversight of artificial
-
psnet.ahrq.gov/node/866357/psn-pdf
July 24, 2024 - psnet.ahrq.gov/issue/peoples-experiences-diagnosis
The discussion of diagnostic safety has expanded to include
-
psnet.ahrq.gov/node/50581/psn-pdf
October 23, 2019 - Key concerns highlighted include inadequate surgical stapler use and lack of point-of-care ultrasound
-
psnet.ahrq.gov/node/50902/psn-pdf
February 12, 2020 - Gaps found in the mechanisms reviewed
include lack of effective application of data collected and sharing
-
psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
March 27, 2024 - 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 … Factors to consider include not only the size of the population, but also their level of physical and
-
psnet.ahrq.gov/node/47847/psn-pdf
July 10, 2024 - Sections of the report include high-level review of falls and inequities, medication safety issues, syphilis
-
psnet.ahrq.gov/node/867347/psn-pdf
December 11, 2024 - embedding artificial intelligence (AI) into daily care, this commentary
outlines recommendations that include
-
psnet.ahrq.gov/node/50677/psn-pdf
November 20, 2019 - The piece
recommends actions for patients and physicians to enhance diagnostic accuracy that include
-
psnet.ahrq.gov/node/50764/psn-pdf
December 18, 2019 - This article shares reasons for these biases and
shares tactics to minimize their impacts which include
-
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
-
psnet.ahrq.gov/node/860400/psn-pdf
January 10, 2024 - Educational mechanisms include
collaboratives, videos and "Safety Speaks" podcasts.
-
psnet.ahrq.gov/node/33895/psn-pdf
April 01, 2024 - Updates to the survey include increased time allotted to
complete computerized provider order entry