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psnet.ahrq.gov/web-mm/new-oral-anticoagulants
July 01, 2011 - Examples include prescribing TSOACs to a patient with severe renal insufficiency or using TSOACs for … Common errors related to TSOAC use include prescribing to inappropriate patients, recommending an inappropriate … In addition, the commentary does not include information regarding investigational or off-label use of
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psnet.ahrq.gov/web-mm/real-heartache
October 01, 2018 - Acute coronary syndromes (ACS) include acute myocardial infarction (AMI) and unstable angina and typically … The tools immediately available to assist clinicians in identifying ACS include the history, physical … This treatment may include percutaneous coronary intervention, fibrinolytic therapy, and antiplatelet
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psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus
June 24, 2010 - These include health care workers, dialysis patients, patients with diabetes, injection drug users, patients … These include compliance with hand hygiene, optimal management of central venous and urinary catheters … Infection control practices that have been demonstrated to reduce MRSA include: adherence to hand hygiene
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psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
June 01, 2005 - The top three (two of which existed in this patient) include (i) clinically critical or time-sensitive … In circumstances where an in-person evaluation is not feasible, the fallback position must include effective … Key recommendations include: Establish the urgency of the situation.
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psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
February 10, 2010 - For example, in cases involving regional anesthesia techniques, the discussion should include the implications … If a patient is discharged with residual effects following regional anesthesia, instructions must include … They should include that patients without full motor strength or cutaneous sensation must avoid driving
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psnet.ahrq.gov/node/49403/psn-pdf
June 01, 2003 - there is no
justification for CT scan or extended hospital observation, careful instructions must include … The safest ED systems include highly trained caregivers, both doctors and nurses, working as
a team, … In addition, his commentary does not include information
regarding investigational or off-label use
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psnet.ahrq.gov/issue/exploring-alternatives-malpractice-litigation
September 01, 2018 - October 31, 2014
Disclosure-and-resolution programs that include generous compensation
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psnet.ahrq.gov/web-mm/missed-appendicitis
March 13, 2013 - and there is no justification for CT scan or extended hospital observation, careful instructions must include … The safest ED systems include highly trained caregivers, both doctors and nurses, working as a team, … In addition, his commentary does not include information regarding investigational or off-label use of
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psnet.ahrq.gov/web-mm/inside-time-out
March 01, 2004 - This may include addressing what happens in physicians' offices as well as in radiology and laboratory … review of relevant radiologic images (if applicable).( 6 ) Furthermore, many institutions have begun to include … The so-called expanded time out ( 7 ) can include procedures to ensure the administration of prophylactic
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psnet.ahrq.gov/web-mm/result-stopped-here
December 01, 2006 - Structured sign-outs that include "to-do" lists (eg, follow-up on an important radiographic or laboratory … The fraction of institutions that include a positive test for C. difficile toxin on its list of panic … These procedures are limited in that they sometimes fail, and they include only a small subset of clinically
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psnet.ahrq.gov/web-mm/wrongful-resuscitation
October 12, 2012 - Electronic medical records can include appropriate "flags" that make sure that important information … For the nursing home resident, typical goals could include treatment to focus on extending life regardless … Key parts of this plan include taking steps to ensure that the goals of care are communicated across
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psnet.ahrq.gov/web-mm/harm-alarm-fatigue
February 14, 2018 - Committees charged with addressing alarm management should be formed and include all levels of the organization … Training should be provided upon employment and include periodic competency assessments. … The commentary does not include information regarding investigational or off-label use of products or
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psnet.ahrq.gov/web-mm/medication-mix-bad-worse
March 01, 2018 - Other contributing factors to LASA errors include incorrect selection from a drop-down menu; confusion … The name simulation studies also include practicing health care professionals, who evaluate the product … This process should include an assessment of the product's look-alike and sound-alike similarity compared
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psnet.ahrq.gov/web-mm/july-syndrome
July 01, 2011 - Possible drivers may include the type or severity of illness, the kind of treatment or procedure, role … Possible drivers may include the type or severity of illness, treatment or procedure, role of the trainee … Interventions include more robust and meaningful linkage of competence with level of supervision, orientation
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psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
March 07, 2012 - decision to biopsy is made, several different techniques may be used to obtain liver tissue.( 6 ) These include … Variations of this technique include transthoracic real-time image-guided and subcostal real-time image-guided … The latter include the type of needle used, the caliber of the needle, and whether image-assisted guidance
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psnet.ahrq.gov/web-mm/who-nose-where-airway
May 01, 2016 - Strategies to prevent complications associated with these events include both device modifications and … Modifications include attachments to the external portion of the NPA that would rest outside of the patient's … To prevent retained airway devices, handoff communications need to include a thorough accounting of invasive
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psnet.ahrq.gov/issue/start-using-checklist-pronto-recommendation-standard-review-process-chemotherapy-orders
March 04, 2015 - June 16, 2019
Design of hospital errors and omissions activities that include patient-specific
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psnet.ahrq.gov/issue/electronic-prescribing-reduced-prescribing-errors-pediatric-renal-outpatient-clinic
July 08, 2008 - Tool for Improving Patient Safety
March 29, 2023
How often do prescribers include
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psnet.ahrq.gov/web-mm/adolescent-diabetes-routine-visit
November 18, 2016 - Factors associated with T2DM in children and adolescents include the following: non-white, non-European … glucose level every 3 years, beginning at age 10 years or pubertal onset.( 17 ) Additional risk factors include … Principles that facilitate the history include confidentiality, clinician comfort, respect for sexual … In addition, the commentary does not include information regarding investigational or off-label use of
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psnet.ahrq.gov/webmm/submit-case
HIPAA Warning : Do NOT include any information in your submission that could identify the individuals