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psnet.ahrq.gov/node/60168/psn-pdf
March 25, 2020 - (such as incorrect entry of new patient
information or failure to clear prior patient information) include … Revised ECG workflow to include barcoding technology and highlight
potential identification errors. … Some systems
only offer manual entry of patient and order information, while others include automatic … difficulty due to curvature around the wrist.12 Reasons for
variance in EKG systems within hospital systems include
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psnet.ahrq.gov/node/49871/psn-pdf
August 10, 2019 - These LUTS include those that this patient experienced: slowly progressive urinary
frequency, nocturia … (storage symptoms, which can also include urgency), and difficulty in starting the
urinary stream ( … voiding symptoms, which can also include a weak stream, intermittency, and incomplete
emptying).(1) … More serious complications of BPH include acute urinary retention and, in the case under discussion, … older man with lower urinary tract symptoms suspected to be due to benign
prostatic hyperplasia should include
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psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
June 07, 2023 - 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/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability
May 27, 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
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psnet.ahrq.gov/node/49865/psn-pdf
June 01, 2019 - https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
patient's allergy list often include … decision support tools to encourage
standardized approaches to penicillin allergy in inpatients might include … , order sets, or web-based
tools.(13) Alternative approaches to skin testing and test dose methods include … documentation is a priority.(6) Large-scale
efforts to improve the characterization of penicillin allergies include … Other harms of unverified penicillin allergy labels include increased risk of adverse events,
Clostridium
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psnet.ahrq.gov/node/842923/psn-pdf
February 01, 2023 - assessment of all hospital areas
pertaining to the case.16For this event, pertinent locations would include … The patient’s PICU room and bathroom require mold remediation, which would include deep cleaning and … It is important to clarify and optimize bedside and unit cleaning
protocols to include dusting walls … Such a team should include the unit manager and representatives
from units such as Environmental Services … These include limiting room traffic with only essential personnel present, using sterile trays with OR
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psnet.ahrq.gov/web-mm/sick-and-pregnant
August 25, 2021 - 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/34114/psn-pdf
September 20, 2023 - Topics covered include safe surgery, pain management,
medication safety, and most recently, how preventive
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psnet.ahrq.gov/node/47966/psn-pdf
May 29, 2019 - Featured tools include the Situation-Background-Assessment-Recommendation approach,
huddle agendas,
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psnet.ahrq.gov/node/72536/psn-pdf
December 02, 2020 - They include
automation failures, the role of the obstetric anesthesiologist in maternal safety, and
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psnet.ahrq.gov/node/50648/psn-pdf
November 06, 2019 - Systemic factors contributing to the
problem discussed include medications produced by a single supplier
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psnet.ahrq.gov/node/47915/psn-pdf
April 03, 2019 - The authors suggest that regulatory review of devices that employ machine learning
include an assessment
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psnet.ahrq.gov/node/60189/psn-pdf
April 01, 2020 - The recommendations include prescription review,
issue awareness, point-of-care information access,
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psnet.ahrq.gov/node/60311/psn-pdf
May 06, 2020 - Strategies discussed
to address the problem include medication, cognitive therapies and personal wellness
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psnet.ahrq.gov/node/42075/psn-pdf
February 27, 2020 - Areas of focus include leadership, medication safety expertise,
change management, research and education
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psnet.ahrq.gov/node/858325/psn-pdf
December 13, 2023 - Improvement strategies
discussed include patient education, practitioner coaching and interpreter services
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psnet.ahrq.gov/node/35088/psn-pdf
January 01, 2025 - Major focus areas include promoting surgical
safety, achieving health equity, and preventing hospital-acquired
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psnet.ahrq.gov/node/867639/psn-pdf
February 26, 2025 - Other important considerations include
data source (e.g., administrative claims, malpractice claims,
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psnet.ahrq.gov/node/867049/psn-pdf
October 30, 2024 - Areas for improvement include risk assessment and triage, recruitment and
retention of staff, estates
-
psnet.ahrq.gov/node/48132/psn-pdf
March 18, 2025 - Explicit objectives of the event include increasing awareness
worldwide of maternal and neonatal care