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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46855/psn-pdf
    February 21, 2018 - Areas of focus include the importance of modeling behaviors such as transparency, adopting just culture
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36372/psn-pdf
    February 24, 2011 - authors describe how they redesigned morbidity and mortality (M&M) conferences at their hospital to include
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44576/psn-pdf
    January 23, 2018 - Areas of emphasis include reducing health care–associated infections, enhancing care transitions, and
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46095/psn-pdf
    April 26, 2017 - Chapters will include discussions about second victims, improvements in medication safety, and the economic
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42843/psn-pdf
    January 22, 2014 - Key components of the program include hiring a medical director for patient safety, establishing a safety
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43453/psn-pdf
    November 21, 2016 - family-centered-rounds Family-centered rounds are multidisciplinary rounds that involve patients and their families, include
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47244/psn-pdf
    August 01, 2018 - Topics covered include patient-centered simulation, adaptive learning, and communities of practice.
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46385/psn-pdf
    October 23, 2018 - Strategies discussed include artificial intelligence, lessons learned initiatives, and data-tracking
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47647/psn-pdf
    January 23, 2019 - Recommendations include universal health coverage, coordination of efforts, and dissemination of effective
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33856/psn-pdf
    April 01, 2018 - 3 weeks after discharge, with 61% of those events regarded as preventable or ameliorable.(2) Risks include … patient safety around hospital discharge.(10) Hospital accreditation requires discharge planning to include … visit the emergency department.(12) Structured communication techniques to enhance patient education include … Contributing factors to this state—dubbed post-hospital syndrome by Krumholz—include derangement of
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49628/psn-pdf
    June 01, 2011 - children with recurrent infections that do not meet the above criteria but have modifying factors that include … to differ based on individual surgeon preference and experience, and the updated guidelines do not include … tonsillectomy are quoted at a rate of 1 in 16,000 to 1 in 35,000 procedures.( 1) Other complications to note include … Helpful questions may include whether the child is on daily bronchodilator or inhaled corticosteroid
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49727/psn-pdf
    March 01, 2015 - Laboratory Improvement Amendments (CLIA) of 1988 require that a clinical laboratory's procedure manual must include … Pathologists Laboratory Accreditation Program and the International Organization for Standardization include … While it may initially seem surprising, some laboratories have chosen to not include troponin on their … From an end-user perspective, EHRs could then be designed to include displays that automatically alert
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49609/psn-pdf
    October 01, 2010 - Instrumentation (AMMI), the same body setting the standards for dialysis unit water.(8) Reuse standards include … The quality indicators include identification of medical injuries and medical errors. … Increasingly, the dialysis unit medical director's responsibilities include leading the center's quality … In addition, the commentary does not include information regarding investigational or off-label use … Centers for Medicare & Medicaid Services (CMS) Conditions of coverage include specific quality indicators
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49693/psn-pdf
    October 01, 2013 - references https://psnet.ahrq.gov//#references Health system barriers for transgender individuals include … Adverse effects include hormone-related cancers (20) and increased weight, decreased insulin sensitivity … references https://psnet.ahrq.gov//#references demographic variables within the EHR; (ii) the EHR should include … Specific best practices include co-location of mental health services, peer support, and clinician training … In addition, the commentary does not include information regarding investigational or off-label use
  15. psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
    August 15, 2018 - Risk factors for preeclampsia include nulliparity, chronic hypertension, previous preeclampsia, gestational … labor or rupture of membranes ( Figure ).( 1,2 ) As seen in this case, common errors in management include … These would include appropriate safeguards, such as standardized techniques for measurements of weight … facilities providing care for obstetric or postpartum patients should also develop mechanisms that include … They should also include procedures for regularly monitoring both adherence to protocols and quality
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49470/psn-pdf
    December 01, 2004 - 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 … inform patient about side effects Discharge summaries         Dictate in a timely fashion         Include … do if things are not going well         Confirm that patient comprehends your instructions         Include
  17. psnet.ahrq.gov/web-mm/hold-order
    December 19, 2018 - ), the most common classes of medications involved in errors associated with the use of hold orders include … breakdowns that occur during the transcribing or data entry process, as documented by the PA-PSRS, include … not entered into the computer system ( 1 ) Errors that occur during the prescribing process include … Recommendations suggested in the literature include the following: Orders to hold a medication without … These summaries could include both active and recently discontinued medications.
  18. 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
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42907/psn-pdf
    August 02, 2015 - Highlighted efforts include the National Surgical Quality Improvement Program, the WHO surgical safety
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43348/psn-pdf
    July 16, 2014 - identifying-patient-safety-problems-during-team-rounds-ethnographic-study Although this direct observation study found that medical team rounds usually include

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