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Total Results: 2,105 records

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361. Hospital-Acquired Diabetic Ketoacidosis. | PSNet
     psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
     October 28, 2020 - The diagnostic criteria for DKA include severe hyperglycemia (i.e., glucose >250 mg/dl), metabolic acidosis … Specific suggestions include reminding caregivers about diabetes, wearing a diabetes identification tag … Specific suggestions include having your doctor explain what you can expect after leaving the hospital … Other system improvements may include alerting providers when patients have an increasing anion gap or

362. Management of Cardiac Arrest in Unconventional Locations. | PSNet
     psnet.ahrq.gov/web-mm/management-cardiac-arrest-unconventional-locations
     June 14, 2023 - Options include standard bag-mask ventilation versus the placement of an advanced airway such as an endotracheal … The skills required to run an effective code include effective multidisciplinary communication, familiarity … Root causes may include not formulating a plan that anticipates potential consequences, communication … These interventions include classes on emergency resuscitation, demonstrations of resuscitative equipment

363. Submit Your Training | PSNet
     psnet.ahrq.gov/submit-your-training-landing
     January 01, 2025 - Examples of types of entries appearing in the PSNet Training Catalog include Webinars (both upcoming

364. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care | PSNet
     psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
     June 28, 2023 - Tracheostomy Management  Adult tracheostomy tubes usually include inner and outer cannulas. … In the short term, emergent complications include tube decannulation, tube obstruction, and hemorrhage … suggesting physician presence for the first tracheostomy tube change. 6 , 10 , 12 Other recommendations include … These hand-offs should include a plan for the next tracheostomy change, an explanation of complications

365. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44263/psn-pdf
     November 06, 2015 - Recommendations to prevent such errors include standardizing practices and using whiteboards as communication

366. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46349/psn-pdf
     August 16, 2017 - Materials include health literacy assessments and guidance for prescription medicine instructions.

367. The Hidden Danger of Unseen Intravenous Catheters | PSNet
     psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
     October 04, 2023 - large-volume infusion of fluids is anticipated. 2 Common sites for large-bore catheters in infants include … 8   Common methods used to confirm the intravascular position of a peripheral intravenous catheter include … Signs of complications include evidence of dislodgment, redness, swelling, infiltration, induration,

368. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33585/psn-pdf
     March 15, 2025 - Several commonly used diagnostic imaging techniques include computed tomographic (CT) scans, fluoroscopy … Prominent national examples include the Image Wisely campaign and the pediatric initiative, Image Gently

369. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34638/psn-pdf
     December 23, 2008 - These include professional, economic, and political models, which, the authors argue, fail to serve an

370. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.344_slideshow.ppt
     April 01, 2015 - www.ncbi.nlm.nih.gov/pubmed/10685714 * Clinical Presentation (2) Common presentations of acute dissection can include … * Clinical Presentation (3) Less common presentations for dissection include: Pain that radiates … absence of pulse deficit and the absence of widened mediastinum on chest radiography Common misdiagnoses include

371. Treatment Challenges After Discharge | PSNet
     psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
     January 03, 2017 - Common problems surrounding the discharge process include adverse drug events, nosocomial infections, … These interventions include: Improving patient and family education by using the "Teach Back" method … Take-Home Points Adverse events after discharge are common and include adverse drug events, nosocomial … In addition, his commentary does not include information regarding investigational or off-label use of

372. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50610/psn-pdf
     October 30, 2019 - Risks of overuse include the transfusion-related sequelae, infections, excessive antibiotics, and most … Examples of this approach include eliminating unnecessary routine blood draws, judicious use of central

373. Falls | PSNet
     psnet.ahrq.gov/primer/falls
     October 27, 2021 - A successful program must include a combination of strategies: environmental measures , such as nonslip … They include: Multidisciplinary (rather than solely nursing) responsibility for intervention.

374. Postdischarge Follow-Up Phone Call | PSNet
     psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call
     May 19, 2021 - Possible partners include nurses, physicians, case management, home care, primary care physicians, and … It is important to include primary providers in any communications or changes stemming from the call. … In estimating the time for a follow-up phone call program, it is important to include the time pharmacists … In addition, the commentary does not include information regarding investigational or off-label use of

375. COVID-19: Team and Human Factors to Improve Safety | PSNet
     psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
     September 15, 2024 - for supporting team development, which should already be embedded in general healthcare processes, include … no knowledge of one another in comparison to established clinical teams, but many of these new teams include … reducing human errors that require relatively minimal resources to employ during the COVID-19 pandemic,  include

376. Root Cause Analysis Gone Wrong | PSNet
     psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
     August 28, 2024 - Striking problems in this case include compromises of objectivity, deference to hierarchy, and lack of … Examples include the Yorkshire Contributory Factors Framework ( 11 ) and the London Protocol, which is … automated activities, hardware, and software).( 13 ) Examples of approaches based on systems theory include

377. How Do Providers Recover From Errors? | PSNet
     psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
     May 22, 2024 - support may come informally from within a clinician's professional and social network but may also include … Suggested forums for processing errors include case reviews, which may occur informally in small groups … In addition, his commentary does not include information regarding investigational or off-label use of

378. Interdisciplinary teamwork | PSNet
     psnet.ahrq.gov/curated-library/interdisciplinary-teamwork
     April 17, 2025 - Strategies to enhance teamwork and consequently clinician well-being include improvements in workflow … These include transparency in disclosing errors and quality problems, integration of care across teams … Factors discussed include the role of the patient and family, the need for executive leadership, root

379. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72834/psn-pdf
     March 10, 2021 - support communication between patients and providers, but also to use that communication as a means to include … More discrete interventions include the use of discharge education programs and simplified discharge … Examples include:   https://psnet.ahrq.gov/issue/improving-end-rotation-transitions-care-among-icu-patients

380. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event | PSNet
     psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
     July 01, 2017 - transfusion services to have documented QMSs (Standard 1.2). 13 A hospital-based transfusion service QMS must include … contain two independent identifiers of the intended recipient. 5.11.2 All patient blood sample labels include … Pathologists (CAP), the response to a near-miss high-risk patient safety event in transfusion services must include … for this Case, but the general approach to the corrective and preventative action plan (CAPA) should include … This review may include re-educating the staff on the current SOP, evaluating other samples processed