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Total Results: 2,105 records

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381. Dying in the Hospital With Advanced Dementia | PSNet
     psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
     November 01, 2016 - POLST forms include preferences about code status, as well as general level of medical interventions … Such standards could include the completion and filing of POLST forms for patients at high risk of mortality … When provided in the context of serious illness, palliative care services include pain management, symptom … This could include support and further development of state registries for cataloguing POLST forms, public … In addition, the commentary does not include information regarding investigational or off-label use of

382. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49673/psn-pdf
     December 01, 2012 - 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

383. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49632/psn-pdf
     July 01, 2011 - Effective strategies include a letter from the outgoing clinician notifying the patient of their new … These may include specialized transition curricula, training in communication skills for giving and … Additional educational topics may include how outgoing residents prepare patients for the transfer or

384. Flying Object Hits MRI | PSNet
     psnet.ahrq.gov/web-mm/flying-object-hits-mri
     September 01, 2005 - We believe some moderately useful interventions for this particular case would include: Restrict … professional societies have developed lists and procedures that are well worth considering.( 2,6,7 ) These include … Since hospital equipment tends to “migrate,” hospitals might need to expand this purchase pattern to include

385. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44513/psn-pdf
     September 23, 2015 - Longer-term recommendations include establishing a work system and safety culture that foster timely

386. Swiss Cheese Model | PSNet
     psnet.ahrq.gov/glossary/swiss-cheese-model
     September 13, 2021 - For example, if the hazard were wrong-site surgery, slices of the cheese might include conventions for

387. Pre-analytical pitfalls: Missing and mislabeled specimens | PSNet
     psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
     April 18, 2018 - pre-analytical phase with the majority happening before any specimen arrives at laboratory. 3,4 These include … Sources of testing error occur during the post-analytic phase include transcription errors, delayed reporting … accessioning/aliquoting/centrifugation, or when relabeling specimens. 6-8 Other contributing factors include … Future directions may include the use of advance informatic tools and RFID could significantly reduce

388. Near Miss with Bedside Medications | PSNet
     psnet.ahrq.gov/web-mm/near-miss-bedside-medications
     February 01, 2006 - The most common methods include direct reporting by health care workers and also less obtrusive methods … These might include paper-based reporting, online reporting, email reporting, and even phone calls to … therapeutics committee was charged with modifying the ordering template for bedside medications to include … In addition, the commentary does not include information regarding investigational or off-label use of

389. The Unfamiliar Catheter | PSNet
     psnet.ahrq.gov/web-mm/unfamiliar-catheter
     November 01, 2006 - The many varieties and brands of CVCs include disposable single-, double-, triple-, and quad-lumen catheters … Methods may include test taking, return demonstration, or the use of simulation. … maintenance for CVCs for which they have been trained and obtained experience.( 7,8,12 ) Such training might include … Post-incident activities should include a thorough incident review and a positive intervention to help

390. The Deadly Duo | PSNet
     psnet.ahrq.gov/web-mm/deadly-duo
     April 28, 2021 - that reach a health care facility result in death.( 23 ) Factors that increase the risk of toxicity include … SSRI-related side effects include increased depression or suicidality ( 25 ), excessive activation (including … Situations that merit referral to psychiatrists include: when the first-line drug cannot be tolerated … The major predictors of suicide include a history of suicide attempts, anxiety, depressed mood, recent

391. In Conversation with... Christie Allen about Maternal Safety and Perinatal Mental Health | PSNet
     psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
     March 29, 2023 - The perinatal mental health conditions in the bundle include but are not limited to depression, anxiety … These teams can include state health departments, state Medicaid agencies, community-based groups, advocacy … In our readiness element, we include providing training and education to address racism, healthcare team … These outcomes can include a higher likelihood of neglecting medical care, worsening of pre-existing … Follow-up care should be personalized to the patient's needs and may include regular check-ins, medication

392. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis | PSNet
     psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
     March 09, 2022 - Sutures Four commonly used suture materials include nylon, polypropylene, polytetrafluoroethylene, and … In the autologous category, the options typically used in spinal surgery include fascia lata and muscle … These non-conservative options include epidural blood patch, CSF diversion measures, and reoperation … Non-conservative therapies include epidural blood patch and lumbar subarachnoid drain placement. … If these measures fail, escalate care promptly to include interventions such as an epidural blood patch

393. In Conversation with Elizabeth Salisbury-Afshar about Harm Reduction Strategies to Improve Safety for People Who Use Substances | PSNet
     psnet.ahrq.gov/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
     October 30, 2024 - This broader approach and philosophy include using non-stigmatizing language, treating people who use … Some of the challenges in patients with substance use disorder face include undertreated pain, undertreated … Specific strategies can include screening for substance use disorders (SUD) in all patients, educating … Specific strategies include managing pain and withdrawal symptoms during the hospitalization, offering … preventing the establishment of sanctioned SSPs. 24 On the federal level, significant policy changes include

394. Harm Reduction Strategies to Improve Safety for People Who Use Substances | PSNet
     psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-who-use-substances
     October 30, 2024 - Specific strategies can include screening for substance use disorders (SUD) in all patients, educating … Specific strategies include managing pain and withdrawal symptoms during the hospitalization, offering … preventing the establishment of sanctioned SSPs. 24 On the federal level, significant policy changes include … This broader approach and philosophy include using non-stigmatizing language, treating people who use … Some of the challenges in patients with substance use disorder face include undertreated pain, undertreated

395. Failure to Rescue the Mother | PSNet
     psnet.ahrq.gov/web-mm/failure-rescue-mother
     September 23, 2020 - antepartum exposure to blood increase the risk of RBC alloimmunization.( 11 ) Routine prenatal care should include … In the interim, options for emergent transfusion include selection of another unit of O-negative blood … Standardized hospital-specific protocols for massive transfusion should include packed red blood cells

396. Training Education | PSNet
     psnet.ahrq.gov/training-education
     October 01, 2025 - Spotlight Cases include interactive learning modules available for CME (Continuing Medical Education)

397. Missed Opportunities for Suicide Risk Assessment | PSNet
     psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
     September 27, 2023 - 15.01.01 for medical hospitals and behavioral health care organizations. 3,4 Elements of these programs include … or medically hospitalized patients who are found to be at high risk for suicide within the hospital include … Evidence-based suicide prevention strategies include restricting access to firearms, lethal medications … Aftercare treatment for suicidal ideation or attempt may include a continuum of services offered through

398. Critical Echocardiogram Result Lost to Follow-up | PSNet
     psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
     July 31, 2023 - Typical tasks might include identifying the needs and barriers to care of individual patients, educating … policies that categorize different diagnoses as critical, important but non-urgent, and routine, and include … For echocardiograms, critical findings may include large pericardial effusion with tamponade physiology … ensure that there is adequate communication with the patient and/or their caregivers, which should include

399. Double Dosing, by the Rules | PSNet
     psnet.ahrq.gov/web-mm/double-dosing-rules
     February 03, 2010 - Latent Failures Latent failures are weaknesses in the structure of an organization and often include … Examples of such latent failures include the following: (i) lack of adequate drug information—no medication … Must include input from end-users. Must be examined for risk and pilot-tested for workability.

400. Rethinking Root Cause Analysis | PSNet
     psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
     August 21, 2016 - and periodically reviewing the status of actions, understanding what a thorough RCA2 report should include … The team should include process experts as well as other individuals drawn from all levels of the organization … Teams should not include individuals who were involved in the event or close call being reviewed, but