Results

Total Results: 2,105 records

Showing results for "include".

61. A Loss of Trust and a Missed Diagnosis | PSNet
    psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
    October 31, 2023 - In addition, there are several diagnoses that require urgent evaluation and imaging; these include cauda … These include new urinary retention, fecal incontinence, saddle anesthesia, history of intravenous drug … Pain management includes analgesia but must also include a thorough diagnostic workup to ensure underlying … technological or organizational barriers Cognitive errors, which include inadequate knowledge, poor … Tactics to prevent pain management from becoming adversarial include early and frequent communication

62. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation | PSNet
    psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
    June 28, 2023 - Contraindications to blind NGT insertion include facial or skull base fractures; head, neck, or esophageal … insertion, and may experience worsening confusion. 8 Complications associated with blind NGT insertion include … NGTs should be routinely assessed every 2 to 4 hours for appropriate placement. 14,15 Assessments include … ability to observe patients, which may cause safety issues. 20 Methods to mitigate these problems include … evidence of SBO on imaging, an NGT is probably no longer needed. 2 Other reasons for discontinuation include

63. Safe handling of concentrated electrolyte products from outsourcing facilities during critical drug shortages. | PSNet
    psnet.ahrq.gov/issue/safe-handling-concentrated-electrolyte-products-outsourcing-facilities-during-critical-drug
    December 15, 2021 - Recommendations include use of barcode scanning and communicating with staff regarding drug shortages

64. Improving Usability, Safety and Patient Outcomes With Health Information Technology. | PSNet
    psnet.ahrq.gov/issue/improving-usability-safety-and-patient-outcomes-health-information-technology
    June 15, 2022 - Topics covered include usability, implementation , interoperability, and policy.

65. ISMP Survey provides insights into preparation and admixture practices OUTSIDE the pharmacy. | PSNet
    psnet.ahrq.gov/issue/ismp-survey-provides-insights-preparation-and-admixture-practices-outside-pharmacy
    December 02, 2020 - Safety issues documented include time pressures, lack of staff training, and unreliable adherence to

66. Ockenden Report. Emerging Fndings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury and Telford Hospital NHS Trust. | PSNet
    psnet.ahrq.gov/issue/ockenden-report-emerging-fndings-and-recommendations-independent-review-maternity-services
    April 27, 2022 - Recommendations for improvement drawn from the analysis include the use of expert opinion, ward rounding

67. Non-accidental Injuries in Infants Attending the Emergency Department. | PSNet
    psnet.ahrq.gov/issue/non-accidental-injuries-infants-attending-emergency-department
    May 31, 2023 - Themes identified as contributing to the problems include lack of information sharing, inconsistent guidance

68. Education is “predictably disappointing” and should never be relied upon alone to improve safety. | PSNet
    psnet.ahrq.gov/issue/education-predictably-disappointing-and-should-never-be-relied-upon-alone-improve-safety
    June 15, 2022 - Interventions to improve safety must include a range of tactics  to ensure success.

69. Implementing Optimal Team-Based Care to Reduce Clinician Burnout. | PSNet
    psnet.ahrq.gov/issue/implementing-optimal-team-based-care-reduce-clinician-burnout
    January 16, 2019 - Strategies to enhance teamwork and consequently clinician well-being include improvements in workflow

70. Implement strategies to prevent persistent medication errors and hazards. | PSNet
    psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards
    March 14, 2023 - Recommended areas of focus include reducing emphasis on the “Five Rights” to address system problems

71. Crisis in the Lakeshore Hospital ER. | PSNet
    psnet.ahrq.gov/issue/crisis-lakeshore-hospital-er
    March 15, 2022 - Factors contributing to the deaths discussed include nurse shortages , inconsistent oversight, and poor

72. No Place Like Home: Advancing the Safety of Care in the Home. | PSNet
    psnet.ahrq.gov/issue/no-place-home-advancing-safety-care-home
    January 09, 2019 - The document outlines five guiding principles to enhance safety of home care, which include a focus on

73. The Life and Death of Elizabeth Dixon: A Catalyst for Change. | PSNet
    psnet.ahrq.gov/issue/life-and-death-elizabeth-dixon-catalyst-change
    November 16, 2022 - The 12 recommendations stemming from the investigation include improvements in disclosure support ,

74. Think health care workers are tested often for the Coronavirus? Think again. | PSNet
    psnet.ahrq.gov/issue/think-health-care-workers-are-tested-often-coronavirus-think-again
    July 29, 2020 - Barriers inherent to a universal testing strategy include operational challenges, patient testing volume

75. Innovation in safety, and safety in innovation. | PSNet
    psnet.ahrq.gov/issue/innovation-safety-and-safety-innovation
    October 27, 2021 - Highlighted efforts include the National Surgical Quality Improvement Program , the WHO surgical safety

76. More can be done to alleviate errors associated with pharmaceutical product labeling and packaging. | PSNet
    psnet.ahrq.gov/issue/more-can-be-done-alleviate-errors-associated-pharmaceutical-product-labeling-and-packaging
    May 03, 2023 - Recommendations for improvement include partnerships with industry regarding the use of risk management

77. All in the History | PSNet
    psnet.ahrq.gov/web-mm/all-history
    February 28, 2011 - Opportunities for the receiver to review relevant patient historical data, which may include previous … Examples of such checklists include an inpatient signout template highlighted in a previous AHRQ WebM … These "ring downs" are necessarily brief, do not include identifying information (beyond patient age … In addition, his commentary does not include information regarding investigational or off-label use of … During the transition in care, verbal signout from ED providers to inpatient providers should include

78. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33567/psn-pdf
    June 15, 2024 - This can include a physician updating another at the change of shift, a nurse transitioning a patient … It has also been adapted to include patients and families.  … The Joint Commission does not recommend a specific handoff tool, but states the communication should include

79. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866395/psn-pdf
    July 23, 2024 - The resulting strengths of RIC go beyond a more traditional M&M model and include improvements to communication … Planning and Development Process Key steps in planning and implementing the innovation include: Identifying … Some recommendations include the vice chair of surgical quality, or any surgeon, anesthesiologist, or … At the innovating organization, all M&M reviews include the core principles of the RIC—namely, review

80. Transfusion Thresholds in Gastrointestinal Bleeding | PSNet
    psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
    November 26, 2014 - Common causes of upper GIB include erosive disease, ulcers, varices, and angioectasias.( 4 ) Common causes … The history should include color, volume, and frequency of bleeding, a review of comorbid conditions, … Laboratory evaluation should include a complete blood count, comprehensive metabolic panel, coagulation … Clinical factors that point to the upper track being the source of a GIB include melena, nasogastric … associated with higher mortality include advanced age, comorbidities, presentation with melena, onset