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  1. psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
    September 29, 2021 - /min through a tibial IO line, respectively. 12 Other potential advantages of humeral IO placement include … For all patients, specific clinical signs of compartment syndrome include tenseness or firmness of the … In an awake and alert patient, reported symptoms include pain (often characterized as out of proportion … These errors include incomplete penetration of the bone cortex, penetration of the needle through the … At minimum, this should include a neurovascular exam and palpation of the limb’s compartment for the
  2. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.335_slideshow.ppt
    December 01, 2014 - Initial Evaluation in Suspected Stroke Rapid and focused assessment is key Primary elements should include … The elements help create a scoring system that guides assessment of neurologic impairment Elements include … to treatment with intravenous rtPA Strategies that can compress treatment time for eligible patients include … these same systems are needed when a patient develops a stroke during hospitalization Unique issues include … primary stroke centers as a mechanism to standardize and centralize stroke care in the US Basic elements include
  3. psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
    December 15, 2024 - Other well-documented patient-specific risk factors include limited  health literacy  and numeracy (the … These include medications that have dangerous adverse effects, but also include  look-alike and sound-alike … These  medications include  antidiabetic agents (e.g., insulin), oral anticoagulants (e.g., warfarin
  4. psnet.ahrq.gov/issue/common-formats-event-reporting-diagnostic-safety-version-10
    December 24, 2008 - This website provides access to tools supporting use of the Common Formats that include forms and a users
  5. psnet.ahrq.gov/issue/health-literacy-tools-providers-medication-therapy-management
    May 01, 2017 - Materials include health literacy assessments and guidance for prescription medicine instructions.
  6. psnet.ahrq.gov/issue/speak-initiative
    February 28, 2018 - Topics covered include safe surgery, pain management, medication safety, and most recently, how  preventive
  7. psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program
    May 01, 2017 - Areas of focus include change management and best practices .
  8. psnet.ahrq.gov/issue/decade-health-information-technology-usability-challenges-and-path-forward
    January 16, 2019 - Recommendations include instituting a national registry of usability issues , establishing design standards
  9. psnet.ahrq.gov/issue/using-social-and-behavioural-science-support-covid-19-pandemic-response
    March 02, 2022 - Topics include threat perception, leadership , individual and collective interests, science communication
  10. psnet.ahrq.gov/issue/patient-perceptions-safety-primary-care-qualitative-study-inform-care
    September 28, 2022 - Identified themes important to patient safety include communication with and between clinicians and
  11. psnet.ahrq.gov/issue/framing-diagnostic-error-epidemiological-perspective
    January 12, 2022 - Other important considerations include data source (e.g., administrative claims , malpractice claims
  12. psnet.ahrq.gov/issue/preventing-home-medication-administration-errors
    March 03, 2019 - This guideline suggests strategies to enhance medication safety at home that include focusing on health
  13. psnet.ahrq.gov/issue/safety-enhancements-every-hospital-must-consider-wake-another-tragic-neuromuscular-blocker
    June 19, 2019 - Recommendations for preventing similar incidents include use of barcoding verification, automated
  14. psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail
    March 03, 2021 - These mistakes include not establishing a great enough sense of urgency, not creating a powerful enough
  15. psnet.ahrq.gov/issue/transforming-healthcare-safety-imperative
    June 26, 2019 - These include transparency in disclosing errors  and quality problems, integration of care across teams
  16. psnet.ahrq.gov/issue/seips-30-human-centered-design-patient-journey-patient-safety
    September 11, 2019 - The authors propose a SEIPS 3.0 model which would include the patient journey, defined by the authors
  17. psnet.ahrq.gov/issue/improving-standardization-paging-communication-using-quality-improvement-methodology
    September 23, 2020 - This quality improvement study sought to standardize paging communication to include six critical elements
  18. psnet.ahrq.gov/issue/ashp-guidelines-minimum-standard-ambulatory-care-pharmacy-practice
    September 23, 2020 - Elements related to safety in this environment include leadership, patient care, distribution, and facility
  19. psnet.ahrq.gov/issue/patient-safety-palliative-care-end-life-perspective-complex-thinking
    October 05, 2022 - Adverse events in palliative care can include inappropriate pain management , preventable hospital
  20. psnet.ahrq.gov/issue/five-strategies-clinicians-advance-diagnostic-excellence
    June 22, 2022 - This article shares five strategies to enhance individual clinician diagnostic practices which include

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