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Total Results: 2,105 records

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321. Delayed Diagnosis of Mesenteric Ischemia | PSNet
     psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia
     March 31, 2021 - nonocclusive mesenteric ischemia. 2  Risk factors for developing mesenteric ischemia vary by etiology but include … Most arterial emboli are cardiac in origin – risk factors include severe cardiac disease such as arrythmias … ischemia due to atherosclerosis and peripheral artery disease. 3,4  Risk factors for venous thrombosis include … hypoperfusion, as this would increase clinical suspicion for this disorder. 8  Accompanying symptoms include … Extraintestinal causes of diffuse abdominal pain are also important to consider and can include cardiac

322. Teamwork Training | PSNet
     psnet.ahrq.gov/primer/teamwork-training
     September 15, 2024 - Although originally developed for hospitals, the TeamSTEPPS program has been expanded to include  long-term … Other examples of teamwork training programs include the Veterans Affairs  Medical Team Training program

323. Nursing and Patient Safety | PSNet
     psnet.ahrq.gov/primer/nursing-and-patient-safety
     September 15, 2024 - However, the key findings in a recent integrative review include fewer pressure ulcers and urinary tract … evaluating cause and prevention of missed nursing care, the most consistent predictors of omission errors include … These characteristics are identified by Magnet as a pathway to excellence and include items such as professional … Types of data provided to consumers relevant to nursing care include patient experience, timely and effective

324. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47913/psn-pdf
     April 10, 2019 - This quality improvement study sought to standardize paging communication to include six critical elements

325. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47738/psn-pdf
     February 06, 2019 - Recommended approaches include avoidance of error-prone abbreviations, use of Tall Man lettering, and

326. Discharge Fumbles | PSNet
     psnet.ahrq.gov/web-mm/discharge-fumbles
     September 09, 2009 - As illustrated in these cases, ADEs, which include outcomes where an error in drug ordering or prescription … However, ADEs more commonly include reactions typically associated with a medication's known pharmacologic … In addition, his commentary does not include information regarding investigational or off-label use of … effects Discharge summaries         Dictate in a timely fashion         Include … going well         Confirm that patient comprehends your instructions         Include

327. A Tale of Two Falls | PSNet
     psnet.ahrq.gov/web-mm/tale-two-falls
     March 27, 2024 - Intrinsic risk factors include advanced age, deconditioning or decreased mobility, and conditions contributing … to cognitive impairment (e.g., dementia, stroke, brain injury, delirium). 5,6 Extrinsic factors include … Fall prevention strategies as in Case #1, however, must include more than fall risk identification bracelets … Interventions commonly used to reduce fall risk for someone with cognitive impairment include increased … Proactively ensuring environmental safety for patients who are not able to call for assistance would include

328. Medication Safety Events Related to Diagnostic Imaging | PSNet
     psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
     January 26, 2022 - Subjective assessments include the patient’s ability to respond purposefully to verbal commands, the … Common sedation assessments used in practice include the Richmond Agitation and Sedation Scale (RASS) … Risk factors for oversedation in the setting of opioid administration include obesity; hepatic, renal … medications, which can lead to potential complications such as oversedation. 13,15 Risk reduction strategies include

329. Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents? | PSNet
     psnet.ahrq.gov/web-mm/managing-care-challenges-group-home-setting-staffing-adequate-unplanned-incidents
     April 27, 2022 - and supervision as the other residents and the licensee is able to meet their needs. 1 Staff in RCFEs include … usually staffed with three CNAs during weekdays) and are responsible for meeting resident needs that include … administrator should know the risks of side effects associated with medications such as laxatives that include … waiver and admit residents that need basic nursing care, they are obligated to plan for that care to include

330. Wrong Catheter in the Right Patient | PSNet
     psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
     May 16, 2022 - Verbal Orders Verbal orders (VO) include all telephonic and face-to-face patient care orders that are … Examples of different VO content characteristics include order complexity, order urgency, abbreviations … Some examples include prohibiting verbal orders for high-risk medications such as chemotherapy agents … The three key components of the Protocol include: having a preoperative verification process, marking

331. Breakage of a PICC Line | PSNet
     psnet.ahrq.gov/web-mm/breakage-picc-line
     June 21, 2023 - These include injury to vessels or organs during insertion, catheter migration or malposition with extravasation … The challenges with preterm interventions include those related to access, maintenance of homeostasis … PICC complications include injury to other vessels or organs during insertion, catheter migration or … In addition, the commentary does not include information regarding investigational or off-label use of

332. Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care | PSNet
     psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
     December 23, 2020 - Other examples of costly palliative interventions include transfusions, home inotrope therapy, and paracentesis … healthcare professionals not only assess patient understanding and overall health literacy, but also include … model, allowing veterans on hospice to continue to receive disease-directed therapies. 7 Examples include … leaders in the field have developed several models of early care intervention 16 (“upstreaming”) to include … Permission, Invitation, Knowledge, Emotion, and Support/Summary), to guide a conversation that may include

333. Prolonged DKA in Pregnancy: A Case of Communication Breakdown. | PSNet
     psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
     June 28, 2023 - Precipitating factors for DKA include infections, new-onset diabetes, insulin pump failure or missed … Medication Prescribing in Pregnancy-Associated Nausea and Vomiting Choice of medications in pregnancy should include … Key behaviors to emphasize in a patient safety culture include the following: Encourage questions (for … When pregnant patients are hospitalized with acute medical illnesses, primary providers can include midwives

334. A Statewide Collaborative to Support Vaginal Birth and Reduce Unnecessary Cesarean Deliveries | PSNet
     psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
     July 23, 2024 - may be the safest option in certain births, in others, the risks associated with the procedure, which include … Risks to maternal health that are associated with cesarean births include infection, anesthesia-related … Skills Needed Resources to implement and operate a large-scale initiative in support of vaginal birth include … Skills Needed Resources to implement and operate a large-scale initiative in support of vaginal birth include … Innovation The CMQCC believes the keys to sustaining the collaborative and the vaginal birth innovation include

335. A Complicated Course: Severe Alcohol Withdrawal with Dexmedetomidine Infusion | PSNet
     psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
     June 14, 2023 - withdrawal history, when obtainable, is also helpful. 8 Other considerations supporting ICU level of care include … the Joint Commission has required institutions to have policies for continuous infusion orders that include … as Richmond Agitation Sedation Scale (RASS) score). 27 The creation of titration order sets should include … In this patient’s case, it may have been beneficial for the CDS system to include AWS-specific clinical … Methods that have been implemented to assist this include developing and implementing order sets that

336. Care Managers Use Software-Aided Medication Review Protocol for Frail, Community-Dwelling Seniors, Leading to More Appropriate Medication Use | PSNet
     psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-community-dwelling
     September 13, 2023 - Updates include expanded use by other organizations, current program costs, additional results, considerations … Costs: Program costs include a modest one-time setup and training fee, along with a $260-per-month subscription … Key elements of the system include the following:  Collection of client information: Home care … now includes more drug classes, using a national database, and the fall protocol has been expanded to include … Costs: Program costs include a modest one-time setup and training fee, along with a $260-per-month subscription

337. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845473/psn-pdf
     March 15, 2023 - These benefits include patient engagement in their medical care, patient adherence to their treatment … Patient Safety Considerations for RPM Implementation Patient safety concerns when implementing RPM include … Education should include setting clear expectations with patients about how abnormal values will be

338. Wrong-Time Error With High-Alert Medication | PSNet
     psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
     February 01, 2014 - At the time of admission, complete medication reconciliation should include documentation of the timing … For example, verification of a dofetilide order should include checking the patient's dose, renal function … known or potential serious risk associated with certain medications.( 10 ) The elements of an REMS can include … For providers and health care systems, they also include Elements to Assure Safe Use, which may require

339. Order Interrupted by Text: Multitasking Mishap | PSNet
     psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
     August 21, 2015 - Typical clinical information system applications used on mobile devices include reviewing results, reading … For example, consumer devices may include convenience functions to store and replay passwords; if lost … Relevant to this case, technology solutions to reduce interruption risks include building automated reminders … At present, our mobile device policies include requirements to encrypt all data, to comply with specific … In addition, the commentary does not include information regarding investigational or off-label use of

340. What Happened on Telemetry? | PSNet
     psnet.ahrq.gov/web-mm/what-happened-telemetry
     January 18, 2012 - Other risks related to remote telemetry monitoring include the potential mesmerizing effect of viewing … Take-Home Points Risks of remote telemetry monitoring include the mesmerizing effect of multiple … The commentary does not include information regarding investigational or off-label use of products or … 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?