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Total Results: 9,169 records

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121. Psn-Pdf (pdf file)
     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.

122. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866528/psn-pdf
     August 14, 2024 - Tactics emphasized include caution regarding use of household spoons to dose liquid medications.

123. Psn-Pdf (pdf file)
     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

124. Psn-Pdf (pdf file)
     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

125. Psn-Pdf (pdf file)
     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

126. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867676/psn-pdf
     February 26, 2025 - Steps in responding to patient safety events include reporting, investigation, communication, remediation … As described in the CANDOR toolkit, components of an apology should include acknowledging the gaps in … Other improvement efforts include continuing education of health professionals through simulation, morbidity

127. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33590/psn-pdf
     September 15, 2024 - Quality and Safety Activities All hospitals are overseen by a board of directors, whose responsibilities include … These practices include structured use of data to enhance care by setting specific quality goals and … organizations that have transformed their practices and organizational culture to emphasize patient safety include

128. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49840/psn-pdf
     September 01, 2018 - Specific prophylactic approaches to reduce immunosuppression-related adverse effects include treatments … The most effective care transitions interventions span the entire transitional period and include elements … Common adverse effects with longer-term corticosteroid exposure include Cushingoid appearance, osteoporosis … The most common errors made in prescribing corticosteroids include issues with tapering, drug choice … In addition, the commentary does not include information regarding investigational or off-label use

129. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73902/psn-pdf
     September 29, 2021 - Stage II progresses to include stabbing or shooting radicular pain, nuchal rigidity/neck stiffness, and … Additional symptoms may include fever, chills, numbness, weakness, or bladder or bowel dysfunction. … At minimum, this should include complete vital signs, direct visualization of the skin, palpation of … Advanced neurologic deficits may include paraparesis and quadriparesis, but these are late-stage findings … : Failure to include SEA in the differential diagnosis at each visit, which may exemplify availability

130. Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome | PSNet
     psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
     April 27, 2022 - Stage II progresses to include stabbing or shooting radicular pain, nuchal rigidity/neck stiffness, and … Additional symptoms may include fever, chills, numbness, weakness, or bladder or bowel dysfunction. … At minimum, this should include complete vital signs, direct visualization of the skin, palpation of … Advanced neurologic deficits may include paraparesis and quadriparesis, but these are late-stage findings … : Failure to include SEA in the differential diagnosis at each visit, which may exemplify availability

131. Specimen Almost Lost | PSNet
     psnet.ahrq.gov/web-mm/specimen-almost-lost
     September 21, 2022 - This may include when specimens come from unusual locations, rare tests are ordered, or special care … Other risk factors for specimen loss or misprocessing include reliance on individuals to do the right … should be considered, including those that may be costly, such as an overhaul of the EHR and LIS to include … accessioned manually, risks associated with human error remain.( 6 ) Less costly systems solutions include … specimen time outs, which can be embedded into surgical or clinical checklists.( 7 ) The time out may include

132. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72587/psn-pdf
     December 23, 2020 - physical movement of critically ill patients is fraught with potential safety risks.1-4 These risks include … This team communication should, for example, include specifically asking “What might go wrong and what … Transport teams should include personnel with expertise in preventing perturbations in physiological … This process should include consideration of any available bedside alternatives.  … These activities should be supported by clear institutional guidelines and/or protocols that include

133. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47675/psn-pdf
     November 28, 2023 - Topics covered include organizational characteristics required for successful web-based distribution

134. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
     October 01, 2011 - www.ncbi.nlm.nih.gov/pubmed/18283429 * Role of Therapy Services Rehabilitation services often include … Physical Therapy in the ICU Interventions may include: Positioning Postural drainage Airway clearance … Interventions include patient-specific exercises that increase flexibility, teach new movement strategies … These benefits include fewer short- and long-term complications, and reduced length of stay.

135. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33895/psn-pdf
     April 01, 2024 - Updates to the survey include increased time allotted to complete computerized provider order entry

136. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36110/psn-pdf
     April 04, 2024 - The data and graphs are updated regularly and include a 10 year trend analysis and specific analysis

137. Psn-Pdf (pdf file)
     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

138. Psn-Pdf (pdf file)
     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

139. Mobility Lost in the ICU | PSNet
     psnet.ahrq.gov/web-mm/mobility-lost-icu
     August 01, 2018 - Interventions include patient-specific exercises that increase flexibility, teach new movement strategies … The resulting plan of care may include exercises that foster beneficial physical adaptations through … These benefits include fewer short- and long-term complications, and reduced length of stay. … In addition, the commentary does not include information regarding investigational or off-label use of … When patients can follow simple commands, interventions can include active-assisted and active range

140. A Room Without Orders | PSNet
     psnet.ahrq.gov/web-mm/room-without-orders
     September 01, 2011 - 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 … A well-designed system would also include a contingency plan for times of unanticipated stress such as