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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
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psnet.ahrq.gov/node/836976/psn-pdf
April 27, 2022 - when IV access fails or
is not feasible.1 Critical situations where IO access is commonly utilized 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
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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
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psnet.ahrq.gov/primer/handoffs
October 18, 2023 - 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/import/webmm.ahrq.gov.194_slideshow.ppt
March 01, 2009 - read-back techniques
Opportunities for the receiver to review relevant patient historical data, which may include … face-to-face verbal report on the patient should be required of EMS providers
This verbal report should include … Commission Patient Safety guidelines
ED-to-inpatient provider signout should be brief but thorough and include … Information to Include in ED-to-Inpatient Handoff
Presenting complaint and history of present illness … Take-Home Points (2)
The handoff between the ED and inpatient teams should be brief but standardized to include
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psnet.ahrq.gov/node/49812/psn-pdf
November 01, 2017 - 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 … and 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
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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
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psnet.ahrq.gov/node/867347/psn-pdf
December 11, 2024 - embedding artificial intelligence (AI) into daily care, this commentary
outlines recommendations that include
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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
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psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
June 28, 2023 - 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 … NGTs should be routinely assessed every 2 to 4 hours for appropriate placement. 14,15 Assessments 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/848110/psn-pdf
April 26, 2023 - 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/853976/psn-pdf
September 27, 2023 - Recommendations for improvement include the development of organizational policies
that support error
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psnet.ahrq.gov/node/855435/psn-pdf
November 15, 2023 - Topics covered
include artificial intelligence, decision making and perioperative deterioration.
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psnet.ahrq.gov/node/860400/psn-pdf
January 10, 2024 - Educational mechanisms include
collaboratives, videos and "Safety Speaks" podcasts.
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psnet.ahrq.gov/node/856640/psn-pdf
November 29, 2023 - Data reviewed include cesarean and pediatric regional anesthesia incidents submitted to
webAIRS over
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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
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psnet.ahrq.gov/node/867450/psn-pdf
January 08, 2025 - The elements include promoting transparency, supporting safe cultures through
partnership, and encouraging
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psnet.ahrq.gov/node/866641/psn-pdf
September 04, 2024 - Key takeaways include the challenges associated with an ever-increasing amount of data, limited
resources
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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
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psnet.ahrq.gov/node/50677/psn-pdf
November 20, 2019 - The piece
recommends actions for patients and physicians to enhance diagnostic accuracy that include