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psnet.ahrq.gov/node/860050/psn-pdf
January 04, 2024 - The sequences
included in fast MRI vary depending on the technology and resources available to institutions … If rapid MRI is included in a hospital’s child abuse protocol, the correct
indications for ordering
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psnet.ahrq.gov/curated-library/interdisciplinary-teamwork
April 17, 2025 - Included interventions, most commonly simulation training and video-reflexive ethnography, focused on … However, methodological limitations of included studies precluded the authors from drawing conclusions
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psnet.ahrq.gov/innovations
February 26, 2025 - The CIVIC Duty program included an educational session for nursing staff to improve their ability to … The CIVIC Duty program included an educational session for nursing staff to improve their ability to
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psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
November 27, 2023 - For example, the AACN included “Quality and Safety” as one of its 10 domains of competence, which is … The process included input from a wide variety of stakeholders, including input and engagement from clinical … Practice representatives were included in the development of the competencies. … if they have a learning strategy, or a resource, or an assessment strategy that they think should be included
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psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
November 27, 2023 - The process included input from a wide variety of stakeholders, including input and engagement from clinical … Practice representatives were included in the development of the competencies. … if they have a learning strategy, or a resource, or an assessment strategy that they think should be included … For example, the AACN included “Quality and Safety” as one of its 10 domains of competence, which is
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psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
April 01, 2015 - Muscle relaxants like cyclobenzaprine are included on the Beers list of PIM (see Table for a partial … medication, including the brand and generic name, as well as drug information from a pharmacist that included
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psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
February 01, 2014 - process for managing these medications.( 2 ) It is unknown whether the hospital in the current case had included … after the scheduled time.( 9 ) The hospital's policy on timing of medication administration should be included
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psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
July 02, 2011 - Neuromonitoring was included on the booking slip, and the neurosurgery resident called the Operating … in microsurgical technique, vessel branches that are not visible to the surgeon can inadvertently be included
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psnet.ahrq.gov/perspective/handoffs-and-transitions
February 01, 2007 - It included formal training, faculty development, and a remarkable effort to engage the primary users … Once again, despite a high-intensity set of interventions that included home visits and care coordination
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psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
November 01, 2016 - form, which serves as an order to care providers, regardless of setting.( 11 ) The form is often pink, included … Her last hours of life included intubation and CPR in the field, transfer to an emergency department … arrests, only 5% had a POLST form.( 16 ) Importantly, for those with POLST forms, the vast majority included
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psnet.ahrq.gov/web-mm/navigating-complications-unintended-journey-guidewire-during-dialysis-catheter-placement
February 23, 2022 - His past medical history included hypertension treated with lisinopril, diabetes treated with metformin … 7,8 AHRQ’s Brief Update Review of the use of ultrasound guidance during central line insertion, 9 included
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psnet.ahrq.gov/web-mm/discharging-our-responsibility
January 16, 2019 - studies, and randomized trials comparing conventional management to HF disease management programs that included … usual care versus a nurse-directed multidisciplinary intervention.( 7 ) The intervention in this study included
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psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
August 01, 2012 - The patient was discharged to a rehabilitation facility on day 74 with orders that included a surgery … detectable” 29 yet completely missed; history-related error , where the indications for the study only included … This information can be propagated through progress notes and included on discharge summaries, discharge … Specific follow-up plan details should be included in the consultant sign-off note and also in the primary
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psnet.ahrq.gov/perspective/ems-patient-safety-field
July 28, 2021 - improvement efforts by identifying areas where the medical protocols are lacking guidance or where included … Can provide interventions with basic equipment included on the ambulance. … Can provide interventions with basic and advanced equipment included on the ambulance. … Can provide interventions with basic and advanced equipment included on the ambulance.
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psnet.ahrq.gov/node/33569/psn-pdf
June 15, 2024 - For example, a recent controlled study reduced readmissions
through a program that included linkage
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psnet.ahrq.gov/node/33567/psn-pdf
June 15, 2024 - demonstrated that in a teaching hospital setting, implementation of a
standardized handoff bundle—which included
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psnet.ahrq.gov/primer/checklists
September 15, 2024 - similar level of success was achieved through implementation of a surgical safety checklist , which included
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psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
September 23, 2024 - Targeted gaps included the quantity of data collected, missing data, lack of clinical decision support … These improvements included lower next-day in-ICU mortality, lower next-day in-hospital mortality rates
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psnet.ahrq.gov/web-mm/double-trouble
August 01, 2012 - His medication regimen included Glucovance, a combination of metformin and glyburide. … The Institute of Medicine report “To Err is Human” included a recommendation that the Food and Drug Administration
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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - 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