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Total Results: 2,105 records

Showing results for "include".

241. Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. | PSNet
     psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2010-user-comparative-database-report
     November 30, 2016 - Notable findings include widespread concern about a persistent culture of individual blame when errors

242. Eleven basic procedures/practices for dental patient safety. | PSNet
     psnet.ahrq.gov/issue/eleven-basic-procedurespractices-dental-patient-safety
     March 27, 2013 - These recommendations include developing a culture of safety , improving the quality of clinical records

243. Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. | PSNet
     psnet.ahrq.gov/issue/closing-loop-guide-safer-ambulatory-referrals-ehr-era
     July 12, 2017 - Recommendations to improve this process include interoperability between primary care and subspecialty

244. Barriers to speaking up about patient safety concerns. | PSNet
     psnet.ahrq.gov/issue/barriers-speaking-about-patient-safety-concerns
     September 01, 2018 - This survey study found that common barriers to speaking up include fear of being wrong and fear of retaliation

245. What is accountability in health care? | PSNet
     psnet.ahrq.gov/issue/what-accountability-health-care
     April 19, 2013 - These include professional, economic, and political models, which, the authors argue, fail to serve an

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867845/psn-pdf
     February 26, 2025 - Planning and Development The keys to success of any patient safety innovation or intervention include … The resources and skills used to support implementation of this innovation include: Adequate number … Sustaining the changes made because of CPRA could include an ongoing quarterly review of data by different

247. Missed Nursing Care | PSNet
     psnet.ahrq.gov/primer/missed-nursing-care
     September 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

248. Unexplained Apnea Under Anesthesia | PSNet
     psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
     December 01, 2005 - administered, and if so, which drug.( Table 2 ) ( 1 ) The most common drugs that may lead to apnea include … 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 … System checks that could be implemented here to avoid inadvertent drug swaps include color-coded labeling … In addition, his commentary does not include information regarding investigational or off-label use of

249. Miscommunication During the Interhospital Transport of a Critically Ill Child | PSNet
     psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
     March 27, 2024 - Interfacility transfers inherently include a handoff of care among healthcare providers who are physically … Previously demonstrated safety risks associated with interfacility transfer include communication deficits … It is possible that the handoff communication between these physicians did not adequately include the … Components of these transfer procedures include having a defined process for initiating a transfer as … Other key attributes include collaboration, empowerment, respect, individualized care, and support. 41,42

250. Transition Coaches® Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs | PSNet
     psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
     March 27, 2024 - Updates include expanded adoption both nationally and internationally, additional results that include … Key elements of the program include the following: Target population:  There are multiple approaches … Self-care skills include medication self-management and increased awareness of symptoms, and recognizing … Key activities during this visit include the following: Medication reconciliation:  The Transitions … Planning and Development Process Key steps in the planning and development process include the following

251. Maternal Safety | PSNet
     psnet.ahrq.gov/primer/maternal-safety
     January 10, 2024 - 11 Pregnancy, childbirth, and the postpartum year present a complex set of safety challenges which include … These include maternal hemorrhage , preeclampsia , sepsis , and cardiac dysfunction. … by the CMQCC in 2009) and the AHRQ SPPC Hypertension in Pregnancy and Obstetric Hemorrhage toolkit include … These goals, while not exhaustive, are illustrative and may include: Eliminate racial and ethnic disparities … These integrated tools include clinical case scenarios, electronic education modules, slide sets, and

252. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33608/psn-pdf
     February 01, 2024 - .11 Pregnancy, childbirth, and the postpartum year present a complex set of safety challenges which include … These include maternal hemorrhage, preeclampsia, sepsis, and cardiac dysfunction. … by the CMQCC in 2009) and the AHRQ SPPC Hypertension in Pregnancy and Obstetric Hemorrhage toolkit include … These goals, while not exhaustive, are illustrative and may include: 1. … These integrated tools include clinical case scenarios, electronic education modules, slide sets, and

253. Toolkits | PSNet
     psnet.ahrq.gov/toolkits
     March 01, 2025 - The elements include promoting transparency, supporting safe cultures through partnership, and encouraging … Challenges to establishing and sustaining a safety culture in a nursing home include insufficient staffing … The data and graphs are updated regularly and include a 10 year trend analysis and specific analysis … recommended practices has been reviewed and updated every two years since it was first developed in 2014 to include

254. Responding to Patient Safety Events | PSNet
     psnet.ahrq.gov/primer/responding-patient-safety-events
     October 18, 2023 - Steps in responding to patient safety events include reporting, investigation, communication, remediation … As described in the CANDOR toolkit, components of an apology should include acknowledging the gaps … Other improvement efforts include continuing education of health professionals through simulation, morbidity

255. Statewide Telehealth Program Enhances Access to Care, Improves Outcomes for High-Risk Pregnancies in Rural Area | PSNet
     psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-high-risk
     November 13, 2024 - Updates include updating the name of the innovation, additional programs and services offered under the … Key elements of the program include the following: Call center:  The call center, staffed by women's … Sessions include live sessions, interactive videos, teleconferencing, and continuing education modules … The maternal safety bundles currently being implemented in the state include bundles for hypertensive … Other accomplishments:  Other accomplishments include the following: Transports for maternal care

256. Verbal Orders and Medication Overrides: A Dangerous Combination | PSNet
     psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
     September 27, 2023 - using this practice less than 50% of the time. 1 Barriers to recording and reading back verbal orders include … determine the appropriateness of requests for addition to the override list. 8 Institutional policy should include … least annually. 7 Medications that should be assessed for inclusion in an institution’s override list include … pain relief) 8 Medication criteria that may warrant exclusion from an organization’s override list include … Broadly speaking, relatively common presentations of psychotic symptoms to emergency care settings include

257. Routine Goes Awry | PSNet
     psnet.ahrq.gov/web-mm/routine-goes-awry
     September 23, 2020 - children with recurrent infections that do not meet the above criteria but have modifying factors that include … to differ based on individual surgeon preference and experience, and the updated guidelines do not include … are quoted at a rate of 1 in 16,000 to 1 in 35,000 procedures.( 1 ) Other complications to note include … Helpful questions may include whether the child is on daily bronchodilator or inhaled corticosteroid

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74713/psn-pdf
     January 26, 2022 - when or if a subsequent opioid dose is safe to administer.2 Other standardized sedation assessments include … Stacking” Additional factors to consider in the reassessment of a patient after opioid administration include … Risk reduction strategies pertaining to opioid dose stacking include incorporating institutional guidelines … Further steps in care include cardio-pulmonary resuscitation and naloxone administration as soon as … Additional strategies that may be employed by nurses to aid in short-term pain relief include mindfulness

259. Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue. | PSNet
     psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
     October 28, 2020 - Common symptoms of AI include anorexia, weight loss, nausea, abdominal discomfort, fatigue, postural … Symptoms of acute adrenal crisis may include vomiting, diarrhea, severe abdominal pain (which can mimic … Laboratory findings may include hyponatremia with or without hyperkalemia, metabolic acidosis, hypoglycemia … prescription drug use, and other endocrine conditions. 8 The initial work-up for chronic fatigue should include … Treatment of adrenal crisis should include prompt administration of intravenous or intramuscular hydrocortisone

260. The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy | PSNet
     psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
     April 08, 2019 - So the ONC certification program requires developers of health IT systems to include this capability … These include optimal user experiences to facilitate the reconciliation processes above, which would … ideally include semantic assistance. … The barriers to using transmitted information between hospitals include accurate patient identification … The barriers to rapid and seamless transmission of patient care data include financial incentives that