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Total Results: 2,105 records

Showing results for "included".

321. Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training | PSNet
     psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork-training
     February 28, 2024 - Revising TeamSTEPPS In 2014, AHRQ released TeamSTEPPS 2.0, which included updates for measuring and quantifying … First, we consulted a technical expert panel (TEP) that included experienced TeamSTEPPS trainers, TeamSTEPPS … Some of the top priorities we identified included the transition to virtual teams and how changes in … We included patient representatives in the TEP to gain insights on the ways healthcare professionals

322. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk | PSNet
     psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
     January 31, 2024 - The patient’s family was included in a discussion to disclose the error, creating a safe space for questions … any breastfeeding and exclusive rates of breastfeeding in both native and migrant women; this study included … Therefore, all potential staff or nurses are recommended to be included in training on standardized processes

323. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50756/psn-pdf
     December 18, 2019 - His symptoms included some fatigue in the week after chemotherapy, but his abdominal and bony pain due … In 2016, the CDC published guidelines on prescribing opioids for chronic pain and included a recommendation

324. Adverse Event During Intrahospital Transport | PSNet
     psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
     June 16, 2021 - intrahospital transfers varies across studies.( 1 ) Alarmingly, one prospective observational study that included … Notably, most interventions that facilitate communication across hierarchies have not included health

325. Are We Pushing Graduate Nurses Too Fast? | PSNet
     psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
     November 16, 2022 - His current treatment included vasoactive drugs, intravenous fluids and nutrients, sedation, continuous … Providing feedback and opportunities for reflection should also be included.

326. Syringe Swap During Regional Block: A Case of Medication Error and Recovery | PSNet
     psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
     July 22, 2020 - The heightened level of care required, which included intraoperative mechanical ventilation and extended … One study found that a multimodal system that included the first five of these features with automated … Prudence would dictate that vecuronium should not have been included in the regional block preparation

327. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/867461
     January 31, 2024 - Factors hindering effective engagement included... … Factors hindering effective engagement included...

328. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-469
     December 31, 2024 - One-quarter of incidents included two to four errors, and wrong dose or omission were the most common … Challenges included independence and fit within the wider system, the selection and scope of investigations

329. Patient and Family Engagement in Long Term Care | PSNet
     psnet.ahrq.gov/curated-library/patient-and-family-engagement-long-term-care
     April 10, 2024 - Factors hindering effective engagement included insufficient communication between residents, families … This sociotechnical approach included checklists, care team education, leadership engagement, communication

330. Pregnant With Danger | PSNet
     psnet.ahrq.gov/web-mm/pregnant-danger
     January 12, 2011 - Of more than 1,000 patients with aortic dissection included in a large registry, 76% of patients had … Some examples of presenting complaints in pregnant women are included in Table 1 and may help guide … Case Examples These cases are included to test how an institution’s ED triage policy would handle

331. A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings. | PSNet
     psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-support-deprescribing-interventions-across-veterans
     April 24, 2018 - August 21, 2024 Intervention of pharmacist included in multidisciplinary team to reduce

332. Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample. | PSNet
     psnet.ahrq.gov/issue/missed-diagnosis-stroke-emergency-department-cross-sectional-analysis-large-population-based
     April 08, 2018 - initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included

333. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33559/psn-pdf
     December 15, 2024 - A 2022 multi-pronged transitional pharmaceutical care program which included medication reconciliation

334. Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation | PSNet
     psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation
     March 27, 2024 - severely volume depleted and received intravenous hydration, including her home medications, which included

335. Long-term Care and Patient Safety | PSNet
     psnet.ahrq.gov/primer/long-term-care-and-patient-safety
     February 24, 2022 - patients are often chronically or critically ill, most commonly recovering from a hospitalization that included … 2023, the Biden-Harris administration initiated steps to improve patient safety in nursing homes that included

336. Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient. | PSNet
     psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
     February 21, 2020 - No hospital notes reflected this positive result, and all subsequent daily progress notes included the … Though the laboratory results were not yet available at the time of transfer, that handoff should have included

337. Misdiagnosis of a Pelvic Mass versus Pregnancy | PSNet
     psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy
     November 25, 2020 - In this case, the patient-related factors included limited health literacy and obesity. … One systematic review identified 43 articles that included 6 tested interventions and 37 suggestions

338. Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and facility characteristics. | PSNet
     psnet.ahrq.gov/issue/missed-diagnoses-acute-myocardial-infarction-emergency-department-variation-patient-and
     April 08, 2018 - initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included

339. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33609/psn-pdf
     March 15, 2025 - of 2009 incentivized health care organizations to implement health information technology, and it included

340. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33572/psn-pdf
     December 15, 2024 - ahrq-patient-safety-project-reduces-bloodstream-infections-40-percent implementation of a surgical safety checklist, which included