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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
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psnet.ahrq.gov/node/851664/psn-pdf
July 26, 2023 - Topics covered in the presented cases include work-life integration, gender
discrimination and clinical
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psnet.ahrq.gov/node/853077/psn-pdf
August 30, 2023 - The 2022 award recipients coved here include Jason S.
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psnet.ahrq.gov/node/844793/psn-pdf
September 11, 2019 - Actions for improvement include patient risk
assessment for conditions at admission and role-specific
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psnet.ahrq.gov/node/50744/psn-pdf
December 18, 2019 - Improvement strategies discussed include practice restrictions for EMT
personnel and use of less invasive
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psnet.ahrq.gov/node/48075/psn-pdf
June 19, 2019 - Improvement strategies include the development and
adoption of a national identification program and
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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
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psnet.ahrq.gov/node/42264/psn-pdf
May 25, 2022 - Improvements suggested include tall-man lettering use, look-alike / sound alike avoidance and abbreviation
-
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
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psnet.ahrq.gov/node/47872/psn-pdf
March 27, 2019 - Interventions
identified include automated alerting to primary care providers when patients are hospitalized
-
psnet.ahrq.gov/node/72772/psn-pdf
February 24, 2021 - They include surveys, patient record reviews, incident reporting systems, interviews,
and checklists
-
psnet.ahrq.gov/node/74015/psn-pdf
October 27, 2021 - Areas of focus include post-discharge follow-up,
admissions, and family engagement.
-
psnet.ahrq.gov/node/72582/psn-pdf
December 16, 2020 - Recommendations
for improvement include enhanced training for weekend and holiday staff, standardized
-
psnet.ahrq.gov/node/60038/psn-pdf
March 11, 2020 - Five areas of concern identified include
prescribing, look alike/sound alike packaging, preparation,
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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
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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
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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
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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?
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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
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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