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Total Results: 9,171 records

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221. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72608/psn-pdf
     December 23, 2020 - Recommendations for improvement include an emphasis on harm monitoring and incident reporting.

222. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/764411/psn-pdf
     March 02, 2022 - tracking hospital-acquired COVID-19 infections and reasons that control efforts may be lagging, which include

223. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46243/psn-pdf
     June 05, 2019 - Targeted areas of improvement include safety culture, teamwork skills, and partnering with patients.

224. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50644/psn-pdf
     November 06, 2019 - Strategies presented during testimony to remedy these situations include improving employee background

225. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72861/psn-pdf
     March 17, 2021 - recommends several strategies for gaining patient trust in the system to keep them safe from exposure which include

226. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865722/psn-pdf
     May 01, 2024 - Recommendations for improvement discussed in this article include daily review of medications, look-alike

227. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/855431/psn-pdf
     January 01, 2024 - including patients in patient safety event reporting, including broadening the understanding of harm to include

228. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860383/psn-pdf
     January 10, 2024 - Interventions include ensuring staff receive competitive compensation, work to the top of their license

229. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860731/psn-pdf
     January 17, 2024 - Topics covered include the importance of safety investigation and safety culture assessment.

230. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/847726/psn-pdf
     January 01, 2024 - The authors include recommendations for clinicians, educators and researchers for teaching, implementing

231. Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome | PSNet
     psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
     April 27, 2022 - Stage II progresses to include stabbing or shooting radicular pain, nuchal rigidity/neck stiffness, and … Additional symptoms may include fever, chills, numbness, weakness, or bladder or bowel dysfunction. … At minimum, this should include complete vital signs, direct visualization of the skin, palpation of … Advanced neurologic deficits may include paraparesis and quadriparesis, but these are late-stage findings … : Failure to include SEA in the differential diagnosis at each visit, which may exemplify availability

232. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73902/psn-pdf
     September 29, 2021 - Stage II progresses to include stabbing or shooting radicular pain, nuchal rigidity/neck stiffness, and … Additional symptoms may include fever, chills, numbness, weakness, or bladder or bowel dysfunction. … At minimum, this should include complete vital signs, direct visualization of the skin, palpation of … Advanced neurologic deficits may include paraparesis and quadriparesis, but these are late-stage findings … : Failure to include SEA in the differential diagnosis at each visit, which may exemplify availability

233. Medication Errors and Adverse Drug Events | PSNet
     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

234. Intraosseous Line Extravasation in a Pediatric Trauma Patient | PSNet
     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

235. Psn-Pdf (pdf file)
     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

236. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48043/psn-pdf
     October 01, 2023 - Investigation areas include medication delivery for older patients and safe maternity care.

237. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60669/psn-pdf
     July 08, 2020 - The authors suggest that prelicensure training include reinforcement of systems thinking principles

238. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50761/psn-pdf
     December 18, 2019 - Initial insights discussed include the lack of a safety culture at the Trust Hospital facilitating the

239. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72651/psn-pdf
     January 20, 2021 - The author reviews weaknesses of this approach which include a lack of emphasis on state- level analysis

240. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60186/psn-pdf
     April 01, 2020 - These recommendations include developing a culture of safety, improving the quality of clinical records