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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/web-mm/seasonal-care-transition-failure
June 01, 2016 - 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 receiving … Additional educational topics may include how outgoing residents prepare patients for the transfer or
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psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
October 13, 2018 - significant role in the error and highlighted an opportunity for future enhancement of the CPOE system to include … Although EHR certification criteria include a requirement for EHR vendors to attest to using a user-centered … March 21, 2018
How often do prescribers include indications in drug orders?
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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - recent systematic review indicated that common barriers to prescribing naloxone in primary care settings include … This education should include how to recognize the signs and symptoms of overdose, in addition to how … These could include leveraging electronic medication ordering systems to emphasize need for pharmacist
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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/next-step-use-pre-operative-checklist-prevent-missteps
April 24, 2018 - These include anaphylaxis, hematoma, seroma, and a 5-9% risk of lymphedema. 6 Additionally, the lack … should be conducted in the presence of an awake patient prior to the induction of anesthesia and should include … the opportunity for communication errors
Pre-operative checklist protocols should be designed to include
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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/submit-your-toolkit-landing
Examples of types of resources in our current toolkits section include Fact Sheets, Measurement Tools
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psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
August 30, 2023 - Errors in care and adverse events associated with health literacy include mistakes in diabetes management … Improve Spoken Communication: Organizations’ health literacy plans include processes to ensure clear
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psnet.ahrq.gov/issue/diagnostic-blood-loss-phlebotomy-and-hospital-acquired-anemia-during-acute-myocardial
March 14, 2022 - March 5, 2025
How often do prescribers include indications in drug orders?
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psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
December 23, 2020 - Personal health records that include interactive messaging offer patients continuous engagement with … Features that support patient involvement include the ability for patients to review after-visit instructions … In addition, his commentary does not include information regarding investigational or off-label use of
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psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
December 22, 2018 - ACP may include communication about these values and wishes with an individual, his or her loved ones … Such an approach would include: (i) ongoing audits of communication, decision-making, and documentation … In addition, the commentary does not include information regarding investigational or off-label use of
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psnet.ahrq.gov/web-mm/right-left-neither
November 16, 2022 - Examples of such defenses include training programs; safety protocols, policies, and procedures; and … wrong-side, and wrong-person procedures.( 7 ) The Universal Protocol clearly delineates these steps, which include … In addition, their commentary does not include information regarding investigational or off-label use
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psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
August 31, 2020 - Types of errors can include missed or delayed diagnoses in patients with respiratory problems, missed … These include recommendations for establishing spaces for resident isolation, testing of residents and … As identified by one scoping review , under-studied areas include supply-chain safety and occupational … Health IMPAQ International Columbia, MD Appendix: Published Resources The below hyperlinks include … The need to include assisted living in responding to the COVID-19 pandemic.
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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - While I think it is important to include those staff members, we should consider the effect it will have … Jessica Behrhorst: Strong actions tend to include human factors considerations, adding things like forcing … People are sometimes uncomfortable with changing the process of who to include and how we share the findings … Jessica Behrhorst: The newly released patient safety structural measures 4 include initiatives like … CANDOR. 5 And if we think about some of the cultural elements of RCA 2 , how can we include those in
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - While I think it is important to include those staff members, we should consider the effect it will have … Jessica Behrhorst: Strong actions tend to include human factors considerations, adding things like forcing … People are sometimes uncomfortable with changing the process of who to include and how we share the findings … Jessica Behrhorst: The newly released patient safety structural measures 4 include initiatives like … CANDOR. 5 And if we think about some of the cultural elements of RCA 2 , how can we include those in
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psnet.ahrq.gov/node/865418/psn-pdf
March 27, 2024 - Specific downtime procedures could include calling pharmacies
to retrieve medication information, using … https://psnet.ahrq.gov//#_edn12
https://psnet.ahrq.gov//#_edn10
practices to ensure patient safety include
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psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
December 15, 2024 - Examples include patients who may be on medications that could increase their risk of falls or bleeding … implementation of a huddles in new setting, attention needs to be paid to mitigating potential challenges, which include