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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855435/psn-pdf
    November 15, 2023 - Topics covered include artificial intelligence, decision making and perioperative deterioration.
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33587/psn-pdf
    June 15, 2024 - The structural factors contributing to missed nursing care include: labor resources: number and types … The more routine consequences of missed nursing care can include delayed or omitted medications or treatments … Evaluation of organizational nurse staffing plans should include not just the average needs of nursing
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867450/psn-pdf
    January 08, 2025 - The elements include promoting transparency, supporting safe cultures through partnership, and encouraging
  4. Psn-Pdf (pdf file)

    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
  5. 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
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49388/psn-pdf
    February 01, 2003 - (Table 2) (1) The most common drugs that may lead to apnea include muscle relaxants or highly potent … Other interventions include discontinuation of anesthetics, determination of arterial blood gases, and … at least partially related to anesthesia, but those estimates are based on circumstantial data and include … Causes of wrong drug administration include failure to label medications, mislabeling of syringe or … In addition, his commentary does not include information regarding investigational or off-label use
  8. psnet.ahrq.gov/sites/default/files/2019-11/webmm_spotlight_suicide_risk_assessment.pdf
    January 01, 2019 - Medical History/ Problem List • Suicidal ideation or attempt should be entered on Problem List – Include … Planning (1) • Interventions for ED or medically hospitalized patients found to be high risk for suicide include … 31 Key Quality Improvement Actions (2) • Using ICAR2E as guide, quality improvement plan should include … acute, chronic, static, and modifiable risk factors • Evidence-based suicide prevention strategies include … and hot-spots for suicide by jumping • Aftercare treatment for suicidal ideation or attempt may include
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49575/psn-pdf
    November 01, 2008 - In caring for women, such a history should include height, weight, current and past medical history … Examples of SALAD associated with medication errors in women include the mix-up of Sarafem (fluoxetine … FDA proposed a new rule to remove the pregnancy categories and instead require that product labels include … clinical considerations, and a data section in the labeling.(9) Information in these three areas would include … The Joint Commission's 2008 National Patient Safety Goals (NPSGs) include improving communication between
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49574/psn-pdf
    November 01, 2008 - that have failed to demonstrate increases in adverse outcomes in morbidity or mortality in areas that include … These programs include externally mandated programs and content, such as HIPAA and blood-borne pathogen … iatrogenic pneumothorax from central line placement.(6) Other applications of simulation approaches include … team training in cardiac arrest teams.(7) The combination of re-creation of scenarios, which include … Furthermore, the protocolized portion does not always include guidance on the specific category for
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49709/psn-pdf
    May 01, 2014 - agents.(2) 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,
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49556/psn-pdf
    March 01, 2008 - , the most common classes of medications involved in errors associated with the use of hold orders include … breakdowns that occur during the transcribing or data entry process, as documented by the PA-PSRS, include … and are not entered into the computer system ( 1) Errors that occur during the prescribing process include … Recommendations suggested in the literature include the following: Orders to hold a medication without … These summaries could include both active and recently discontinued medications.
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49739/psn-pdf
    August 21, 2015 - common indication for tracheostomy in the United States.(1,2) The purported benefits of tracheostomy include … transition out of the intensive care unit.(3) Relative contraindications to tracheostomy placement include … Steps for tracheostomy wean include: i) wean from positive pressure ventilation, ii) demonstrate that … Major complications occur in less than 1% of patients and include major hemorrhage, airway obstruction … Signs of this complication include: gross device dislodgement, airway obstruction not relieved by suctioning
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49703/psn-pdf
    March 01, 2014 - The relational dyad between health care providers and patients alone is complex.(1) When you include … communication with patients possible.(4,5) These technologies, which are still largely works in progress, include … These summaries often include the patient's problem list, diagnostic test results, and updated medication … This would include situations such as how providers should attend to laboratory results and radiological … Take-Home Points E-health tools are becoming an increasing part of care delivery systems and include
  15. Psn-Pdf (pdf file)

    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
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50677/psn-pdf
    November 20, 2019 - The piece recommends actions for patients and physicians to enhance diagnostic accuracy that include
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861295/psn-pdf
    January 24, 2024 - Factors contributing to her death include delayed recognition of deterioration, and communication failures
  18. psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_delayed_symptomatic_subdural_hematoma_slides.pptx
    January 01, 2024 - These authors found that reformatting axial CT scans to include coronal and sagittal images improved … In this scenario, a false negative CT interpretation would result in a treatment plan that does not include … Acute concussion symptoms are often myriad, but include headache, diplopia, dizziness, nausea and emesis … several weeks. 20 20 Overlap with Acute Concussion (2) Red flags to monitor for after concussion include … repeat imaging in persistently symptomatic patients with risk factors for hemorrhagic expansion, which include
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38269/psn-pdf
    October 01, 2024 - nursing-home-survey-patient-safety-culture Challenges to establishing and sustaining a safety culture in a nursing home include
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867696/psn-pdf
    March 05, 2025 - Topics include the importance of understanding failure to rescue, the patient’s role in care escalation

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