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61. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73300/psn-pdf
    July 01, 2022 - Updates include expanded use by other organizations, expanded description of the innovation, additional … The eight risk factors for readmission (8Ps) include (1) problems with medications, (2) psychological … These include general clinical conditions since discharge, medication reconciliation, and follow-up … Selected elements of the planning and development process described by the guide include the following … Process measures might include patient/family caregiver understanding of treatments, follow-up care

62. Retained Surgical Items: Definition and Epidemiology. | PSNet
    psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
    September 15, 2024 - Examples include ingested batteries, dentures, safety pins, screws and other sharp objects, inserted … Surgical sponges include but are not limited to laparotomy pads (18”x18”), mini laps (12”x12”), baby … Sharps Metallic, pointed or cutting objects of various sizes that include but are not limited to suture … Examples include, but are not limited to clamps, needle holders, multi-component retractors, malleable … Devices include items such as staplers, drains, catheter insertion sets, needle localization sets, vessel

63. Project BOOST Increases Patient Understanding of Treatment and Follow-up Care | PSNet
    psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
    February 26, 2025 - Updates include expanded use by other organizations, expanded description of the innovation, additional … The eight risk factors for readmission (8Ps) include (1) problems with medications, (2) psychological … These include general clinical conditions since discharge, medication reconciliation, and follow-up plans … At a minimum, these rounds should include members of the immediate care team (e.g., physicians, bedside … Selected elements of the planning and development process described by the guide include the following

64. Hospital at Home℠ Care Reduces Costs, Readmissions, and Complications and Enhances Satisfaction for Elderly Patients. | PSNet
    psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications-and-enhances
    November 15, 2023 - Updates include expanded use by other organizations, additional results, revisions to innovation description … General resources required include: Staffing:  One team can manage a daily census of 5 to 8 patients … Additional diagnostic studies that are performed in the home include basic radiography such as chest … Eligible patients include those who require hospitalization for a condition such as community-acquired … Common reasons for medical ineligibility include uncorrectable hypoxemia (insufficient oxygen in the

65. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42548/psn-pdf
    December 29, 2014 - The studies had varying definitions of adverse events; for example, some did not include geriatric syndromes … The authors argue that the standard definition of adverse events affecting geriatric patients should include

66. Transition to Nowhere | PSNet
    psnet.ahrq.gov/web-mm/transition-nowhere
    March 21, 2009 - From the patient perspective, barriers to an effective care transition could include poor understanding … From the provider perspective, barriers to an effective care transition often include poor knowledge … most impactful in reducing hospital readmission rates.( 4 ) Transitional care models, which generally include … The need to include training to facilitate effective care transitions ( 12,13 ) is a critical and often … New models of care such as the Patient-Centered Medical Home that include new types of health care workers

67. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49853/psn-pdf
    February 01, 2019 - These include communication breakdowns, lack of assessment of patient pre- and post-intrahospital transfer … During the intrahospital transfer, the checklist may include checking and recording the patient's vital … After the intrahospital transfer, the checklist may include reassessment of patient condition, a reminder … it occurs across professions and support staff within a setting.(10) Barriers to speaking up might include … health care teams is often unclear.(11) Improving safety climate among all health care providers might include

68. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49808/psn-pdf
    October 01, 2017 - patients (25%) experienced 139 unexpected events.(6) The primary reasons for these adverse events include … For example, interdisciplinary communication to radiology might include critical medication issues, … Pretransfer activities should also include both the transfer coordination and the testing and use of … Relevant to this case, such information might include warnings on the pump display and in the EHR about … Interdisciplinary communication should be expanded to include critical patient safety information.

69. Spotlight (pdf file)
    psnet.ahrq.gov/sites/default/files/2022-04/final_spotlight_case_and_commentatry_io_line_extravasation-04.08.2022.pdf
    January 01, 2022 - • Critical situations where IO access is commonly utilized include cardiopulmonary arrest, shock, … – Other potential advantages of humeral IO placement include decreased pain, higher first attempt … – Other complications include osteomyelitis, skin abscess, bone fracture, and cellulitis, although … • Clinical signs of compartment syndrome include tenseness or firmness of the involved compartment … These errors include: – Incomplete penetration of the bone cortex – Penetration of the needle through

70. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33603/psn-pdf
    September 15, 2024 - The most common types of inpatient surgical procedures include obstetrical procedures (e.g., cesarean … Risk factors for SSI include patient factors (such as age, tobacco use, diabetes, and malnutrition) and … Key elements of successful organizational interventions to prevent SSIs (and HAIs in general) include … standardize safety assessment and improve teamwork and communication in surgical care, and also generally include

71. Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care Value and Quality of Care | PSNet
    psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
    July 23, 2024 - However, all projects seek to include a multidisciplinary team wherever possible. … However, all projects seek to include a multidisciplinary team wherever possible. … Include a social incentive. … Social incentives include collaboration, competition, and support and help to reinforce behavioral change … Examples of Nudge Unit projects with a patient safety component include: Using default options to

72. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49545/psn-pdf
    September 01, 2007 - Risk factors for suffering an acute MI during the procedure include recent unstable angina or non–Q-wave … Symptoms include urticaria, angioedema, bronchospasm, and hypotension. … Symptoms, signs, and laboratory abnormalities that should raise suspicion of retroperitoneal bleed include … Findings suggestive of pseudoaneurysm at the puncture site include pulsatile mass, extreme tenderness … Vascular complications are the most common, although other complications include procedure- associated

73. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49804/psn-pdf
    September 01, 2017 - 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

74. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49579/psn-pdf
    March 21, 2009 - 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 … EMS "runsheets" (EMS provider documentation of the patient encounter) are designed to include these … In addition, his commentary does not include information regarding investigational or off-label use

75. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867359/psn-pdf
    December 18, 2024 - Several other aspects of this case include the potential to give an exclusively breastfeeding mother … Recommended best practices include electronic scanning to validate and decrease errors.14 When performing … staff or nurses are recommended to be included in training on standardized processes for tasks that include … Best practices for communicating after patient safety errors have occurred may include the following: … 21 Preparing for the discussion, including considering where to have the conversation and who to include

76. High-Risk Medications, High-Risk Transfers | PSNet
    psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers
    December 21, 2017 - patients (25%) experienced 139 unexpected events.( 6 ) The primary reasons for these adverse events include … such as radiology, despite the fact that such departments also require robust clinical handoffs that include … Pretransfer activities should also include both the transfer coordination and the testing and use of … Relevant to this case, such information might include warnings on the pump display and in the EHR about … Interdisciplinary communication should be expanded to include critical patient safety information.

77. Patient Safety in Medical, Nursing, and Other Clinical Education | PSNet
    psnet.ahrq.gov/perspective/patient-safety-medical-nursing-and-other-clinical-education
    January 31, 2020 - Areas of focus include knowledge of common causes of errors and how to avoid them, attitudes towards … Include medical educators on sentinel event task forces or committees.  … Recommendations from these articles, as well as from adult learning theory and research, include: Wherever … Courses that include both didactic and “learn by doing” components are successful at teaching students … Examples of QIPS competencies include those that focus on: Improving individual safety practices, such

78. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60044/psn-pdf
    March 16, 2020 - Areas of focus include knowledge of common causes of errors and how to avoid them, attitudes towards … Recommendations from these articles, as well as from adult learning theory and research, include: Figure … Include medical educators on sentinel event task forces or committees.  … Courses that include both didactic and “learn by doing” components are successful at teaching students … Examples of QIPS competencies include those that focus on: Improving individual safety practices, such

79. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49626/psn-pdf
    May 01, 2011 - of universal precautions for HCWs to follow with all patients, regardless of HIV status.(4) These include … or aerosolized particles.(1,5) Accordingly, CDC guidelines for controlling risk of VZV transmission include … single patient rooms and a 3 feet minimum distance between all patients; airborne precautions include … Risk factors may include travel history, sick contacts, occupation, and results from diagnostic testing … Key infection control program components include HCW immunization verification, periodic immunity testing

80. PowerPoint Presentation (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.335_slideshow.ppt
    December 01, 2014 - Initial Evaluation in Suspected Stroke Rapid and focused assessment is key Primary elements should include … The elements help create a scoring system that guides assessment of neurologic impairment Elements include … to treatment with intravenous rtPA Strategies that can compress treatment time for eligible patients include … these same systems are needed when a patient develops a stroke during hospitalization Unique issues include … primary stroke centers as a mechanism to standardize and centralize stroke care in the US Basic elements include