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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46486/psn-pdf
    January 01, 2020 - This survey study found that common barriers to speaking up include fear of being wrong and fear of
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851664/psn-pdf
    July 26, 2023 - Topics covered in the presented cases include work-life integration, gender discrimination and clinical
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853077/psn-pdf
    August 30, 2023 - The 2022 award recipients coved here include Jason S.
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844793/psn-pdf
    September 11, 2019 - Actions for improvement include patient risk assessment for conditions at admission and role-specific
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50744/psn-pdf
    December 18, 2019 - Improvement strategies discussed include practice restrictions for EMT personnel and use of less invasive
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48075/psn-pdf
    June 19, 2019 - Improvement strategies include the development and adoption of a national identification program and
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850167/psn-pdf
    June 07, 2023 - Through a series of cases that include all, some, or none of the safety attributes, the authors illustrate
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42264/psn-pdf
    May 25, 2022 - Improvements suggested include tall-man lettering use, look-alike / sound alike avoidance and abbreviation
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60589/psn-pdf
    June 23, 2020 - pandemic-what-have-we-learned-united- states The COVID-19 pandemic response is creating a need for care delivery adjustments that include
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47872/psn-pdf
    March 27, 2019 - Interventions identified include automated alerting to primary care providers when patients are hospitalized
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72772/psn-pdf
    February 24, 2021 - They include surveys, patient record reviews, incident reporting systems, interviews, and checklists
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74015/psn-pdf
    October 27, 2021 - Areas of focus include post-discharge follow-up, admissions, and family engagement.
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72582/psn-pdf
    December 16, 2020 - Recommendations for improvement include enhanced training for weekend and holiday staff, standardized
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60038/psn-pdf
    March 11, 2020 - Five areas of concern identified include prescribing, look alike/sound alike packaging, preparation,
  15. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
    January 01, 2021 - – These include diabetes mellitus, distal site of infection, a history of undergoing a procedure … – Stage II progresses to include stabbing or shooting radicular pain, nuchal rigidity/neck stiffness … – At minimum, this should include complete vital signs, direct visualization of the skin, palpation … – Early neurologic deficits include muscle weakness, urinary incontinence or retention, and sensory … – Advanced neurologic deficits may include paraparesis and quadriparesis, but these are late-stage
  16. psnet.ahrq.gov/web-mm/e-prescribing-e-error
    February 03, 2021 - intended to replace writing out, faxing, or calling in prescriptions, and its many proposed benefits include … Three prescription fields commonly requiring manual manipulation include medication name, quantity, and … Other recommendations include providing additional physician training and developing best practices to … care summaries at transitions of care as a requirement for meaningful use incentives should extend to include … In addition, the commentary does not include information regarding investigational or off-label use of
  17. psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
    January 01, 2023 - The obstetric preoperative huddle and time-out checklist were rushed and probably did not include review … Her risk factors for VTE include pregnancy and obesity. … • Facilitating simulation sessions after updating the preoperative check list to include pertinent … pre-incision time out checklists should be implemented on all labor and delivery wards and should include … Topics should include drug name, dose of medication, and timing of last administration of anticoagulation
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49858/psn-pdf
    April 01, 2019 - Other risks related to remote telemetry monitoring include the potential mesmerizing effect of viewing … Each hospital has standards of care, which include frequency of checking a patient's vital signs or … Take-Home Points Risks of remote telemetry monitoring include the mesmerizing effect of multiple monitor … Will monitor screens be provided on unit and/or will telemetry boxes include waveforms? … Will monitor screens be provided on unit and/or will telemetry boxes include waveforms?
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73549/psn-pdf
    July 28, 2021 - cardiotoxic compared to lidocaine, for example, which has a ratio of 7.3 Predisposing factors for LAST include … Patient characteristics include age, low weight, pregnancy, or renal, hepatic or cardiac disease. … Drug factors include the drug administered, dose administered, use of vasoconstrictors (e.g., epinephrine … There are also notable differences to standard ACLS resuscitation protocols, which include reduced doses
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836812/psn-pdf
    March 30, 2022 - Tools covered in this primer include incident reporting systems, Root Cause Analysis (RCA), and Failure … Barriers to incident reporting include an organizational culture of blame, health care staff's fear … is wide variation in how RCA is employed in organizations to improve patient safety, common steps include

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