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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
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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
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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/846769/psn-pdf
March 29, 2023 - 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
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psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - is satisfactory
Standardized Sedation Assessment (3)
• Other standardized sedation assessments include … (1)
• Additional factors to consider in the reassessment of a patient after
opioid administration include … Pharmacokinetics and “Dose Stacking” (3)
• Risk reduction strategies pertaining to opioid dose stacking
include … • Further steps in care include cardio-pulmonary resuscitation and
naloxone administration as soon … – Additional strategies that may be employed by nurses to aid in short-term
pain relief include mindfulness
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psnet.ahrq.gov/node/853773/psn-pdf
September 27, 2023 - The time out was done with the two residents and the bedside
nurse and did not include verification … Recognizable
examples include performing surgery on the patient’s wrong side or administering the wrong … systematic review exploring the best course of action after
adverse events for patients and their families include … They are performed before nearly all invasive operations or
procedures, and must include confirmation … There are expanded time-outs that include more extensive information depending on team needs and
clinical
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psnet.ahrq.gov/web-mm/aspergillus-mediastinitis-endocarditis-pediatric-patient-complicating-cardiac-surgery-and
November 16, 2022 - assessment of all hospital areas pertaining to the case. 16 For this event, pertinent locations would include … The patient’s PICU room and bathroom require mold remediation, which would include deep cleaning and … It is important to clarify and optimize bedside and unit cleaning protocols to include dusting walls, … Such a team should include the unit manager and representatives from units such as Environmental Services … These include limiting room traffic with only essential personnel present, using sterile trays with OR
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psnet.ahrq.gov/web-mm/when-taking-sglt2-inhibitor-remember-sstop-stop-sglt2-inhibitor-three-days-bef-o-re
February 01, 2023 - estimated that 3% of admissions for DKA are consistent with eDKA. 1 Precipitating factors for eDKA include … outcomes, the use of SGLT2i is growing over time. 2,3,4 Risk factors for eDKA with these medications include … recommended for use in this patient population. 6 Additional risk factors for eDKA with SGLT2i use include … Components of this approach include: 1. … FDA revises labels of SGLT2 inhibitors for diabetes to include warnings about too much acid in the blood
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psnet.ahrq.gov/web-mm/silent-pain-neck
August 19, 2020 - hemorrhage resulting in airway compromise can occur.( 6 ) Risk factors for postoperative hematoma after ACD include … reported to range from 1.4%-5.5%.( 13 ) Risk factors for development of post-CEA hematoma formation include … Signs and symptoms of an expanding neck hematoma may include respiratory-specific symptoms such as stridor … However, the key components of any effective neck hematoma monitoring protocol include close observation … unrecognized hematoma under a cervical collar has occurred ( 15 ), and a strategy for prevention should include
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psnet.ahrq.gov/node/73963/psn-pdf
October 13, 2021 - Identified themes
important to patient safety include communication with and between clinicians and
-
psnet.ahrq.gov/node/848383/psn-pdf
May 03, 2023 - Suggested
areas of focus include the reduction of documentation tasks, use of huddles and peer support
-
psnet.ahrq.gov/node/73575/psn-pdf
August 04, 2021 - Recommendations to improve imaging in the NHS include
use of previous analyses to enhance learning from
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psnet.ahrq.gov/node/60296/psn-pdf
May 06, 2020 - Suggested measures include developing an
“essential medicines” strategy, using allocation strategies
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psnet.ahrq.gov/node/60947/psn-pdf
September 23, 2020 - Recommendations to guide safe practice include use of standard order sets and
dosing clarifications.
-
psnet.ahrq.gov/node/33761/psn-pdf
February 01, 2014 - Sources for interruptions and distractions include noise, other people, or electronic
devices. … Noises may include alarms, ringing phones, and other clinicians. … Electronic distractions include
beepers, text messages, e-mails, or other communication technologies … These include: (i) establishing a no interruption
zone (NIZ); (ii) ensuring a do-not-disturb approach
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.84_slideshow.ppt
December 01, 2004 - recent audit, median delay between discharge and summary generation was 2 weeks
Summaries often do not include … problems and complications to watch for
Know the follow-up plan and who to call if things go wrong
Include … discharge
Specifically inform patient on side effects
Discharge summaries
Dictate in a timely fashion
Include … signs and what to do if things are not going well
Confirm that patient comprehends your instructions
Include
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psnet.ahrq.gov/node/34574/psn-pdf
March 07, 2005 - Topics
include assessing occupational exposure risks, engineering controls, work practice controls,
-
psnet.ahrq.gov/node/37197/psn-pdf
October 03, 2017 - medical-culture-about-errors-may-be-changing
This article describes how the culture around medical errors is evolving to include
-
psnet.ahrq.gov/node/35148/psn-pdf
June 13, 2011 - Topics covered include teamwork, engaging patients, medication
reconciliation, access to information