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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/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
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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/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/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/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
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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
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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
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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
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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,
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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.
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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
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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
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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
-
psnet.ahrq.gov/node/861295/psn-pdf
January 24, 2024 - Factors contributing to her
death include delayed recognition of deterioration, and communication failures
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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
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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
-
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