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psnet.ahrq.gov/web-mm/outbreak
January 29, 2015 - of universal precautions for HCWs to follow with all patients, regardless of HIV status.( 4 ) These include … aerosolized particles.( 1,5 ) Accordingly, CDC guidelines for controlling risk of VZV transmission include … single patient rooms and a 3 feet minimum distance between all patients; airborne precautions include … Risk factors may include travel history, sick contacts, occupation, and results from diagnostic testing … Key infection control program components include HCW immunization verification, periodic immunity testing
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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/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/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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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psnet.ahrq.gov/node/849679/psn-pdf
June 28, 2023 - The indications
for tracheostomy include upper airway obstruction (e.g., obstructive sleep apnea; stridor … endotracheal tubes before tracheostomy.8 Modifiable care-related risk factors for tracheal fistulas include … dilation of the trachea at
the tracheostomy tube cuff site.9,10 The description of this case does not include … psnet.ahrq.gov//#12
https://psnet.ahrq.gov//#12
https://psnet.ahrq.gov//#13
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/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
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psnet.ahrq.gov/node/35633/psn-pdf
January 16, 2024 - government organization supports patient safety efforts in Manitoba by supporting activities that
include
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psnet.ahrq.gov/node/861760/psn-pdf
January 31, 2024 - risk of mistakes.4
Preventing medication errors in anesthesia demands a concerted effort that may include … designed around ease of use,
speed of use and functionality, standardization, technical support to include … Ensuring a safety culture starts from
the time a provider joins the department and should include education … safety culture, error prevention and recovery programs are well developed, updated regularly,
and include … Include simulation training in clinical education
Simulation is an interactive educational tool that
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psnet.ahrq.gov/node/49859/psn-pdf
April 01, 2019 - quitting or replacing smoking with a
less harmful nicotine delivery system.(3,4) The potential risks include … the US, the use of e-
cigarettes is prohibited wherever smoking tobacco is not allowed, which would include … Public Health
England recommendations include the use of e-cigarettes to support tobacco control policies … Most hospitals in the United States include e-cigarettes in smoke-free policies that were developed … Where smoke-free policies include banning the use of e-cigarettes, all cigarette smokers and e-
cigarette
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psnet.ahrq.gov/node/60745/psn-pdf
October 01, 2020 - ,
with up to one-third of these errors leading to observed patient harm.2,3 The most common errors include … five rights, with some organizations
suggesting up to nine total rights.10 These additional rights include … Common strategies to differentiate between products (i.e. look-alike
sound-alike medications) include … Solutions may vary but can
include documenting waste via automated dispensing cabinets or directly in … Challenges include
but are not limited to16
Decreased access to clinical decision support tools for