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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/852806/psn-pdf
February 24, 2025 - Series contributions include
discussions on medical error statistics, systemic failures in addressing
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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
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psnet.ahrq.gov/node/48132/psn-pdf
March 18, 2025 - Explicit objectives of the event include increasing awareness
worldwide of maternal and neonatal care
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psnet.ahrq.gov/node/866324/psn-pdf
July 17, 2024 - The
areas of focus include organizational culture, leadership, patient/family engagement, workforce
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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/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/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/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/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/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/33581/psn-pdf
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/innovation/rescue-improvement-conference-innovation-summary
September 23, 2024 - The resulting strengths of RIC go beyond a more traditional M&M model and include improvements to communication … Planning and Development Process
Key steps in planning and implementing the innovation include: Identifying … Some recommendations include the vice chair of surgical quality, or any surgeon, anesthesiologist, or … At the innovating organization, all M&M reviews include the core principles of the RIC—namely, review
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psnet.ahrq.gov/innovation/enhancing-support-patients-social-needs-reduce-hospital-readmissions-and-improve-health
February 26, 2025 - team report that to lead and implement the initiative organizations need multidisciplinary teams that include … Important strategies include identifying early the social determinants of health risk factors, identifying … team report that to lead and implement the initiative organizations need multidisciplinary teams that include … Important strategies include identifying early the social determinants of health risk factors, identifying
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psnet.ahrq.gov/node/851927/psn-pdf
August 02, 2023 - Topics covered include information accuracy, teamwork science, and artificial intelligence.
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psnet.ahrq.gov/node/74249/psn-pdf
January 12, 2022 - This alert highlights safety considerations with an oral antiretroviral COVID treatment that include
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psnet.ahrq.gov/node/72713/psn-pdf
February 03, 2021 - psnet.ahrq.gov/issue/empowered-patient-coalition
https://psnet.ahrq.gov/issue/disclosure-and-resolution-programs-include-generous-compensation-offers-may-prompt-complex