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Total Results: 9,169 records

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161. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60242/psn-pdf
     March 01, 2021 - These successes have been across a variety of health system contexts, including: a VA medical center … in 2008, was retired in March 2021; AHRQ now offers select content from the Innovations Exchange, including … Different replications of the program have served different populations, including adults of all ages … Integrate with primary care: Although any organization, including a health plan, could adopt the GRACE … Under traditional reimbursement systems, providers, including both hospitals and physician practices

162. Long-term Care and Patient Safety | PSNet
     psnet.ahrq.gov/primer/long-term-care-and-patient-safety
     February 24, 2022 - These facilities provide services very similar to acute care hospitals, including the ability to care … Subsequent OIG reports have also found many patient safety problems and adverse events including well … pandemic, despite several safeguards and prevention programs put in place by the federal government including … AHRQ has also developed a number of resources to examine and address safety in long-term care, including … Subsequent studies have identified a multitude of longstanding and ongoing challenges including poor

163. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/866984
     January 01, 2020 - This review summarizes the evidence regarding teamwork, including strategies to measure team performance … This book explores teamwork, including barriers to effective teamwork and tactics to enhance professional … at Brigham and Women’s Hospital in Boston, the authors discuss development of a patient safety team, including … This review summarizes the evidence regarding teamwork, including strategies to measure team performance … This book explores teamwork, including barriers to effective teamwork and tactics to enhance professional

164. Weekly Resource | PSNet
     psnet.ahrq.gov/periodic-issue/weekly-resource
     March 25, 2025 - PSNet highlights the latest patient safety literature, news, and expert commentary, including … study identified several important factors for improving medication safety in nursing home settings, including … Survey respondents also endorsed the importance of formal support programs, including peer support, education … This article highlights the effect that unprofessional behavior, including more subtle forms such as … PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly

165. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-472
     February 26, 2025 - PSNet highlights the latest patient safety literature, news, and expert commentary, including … These tools evaluated 71 dimensions of patient safety, including teamwork, safety climate, and communication … Bias, including bias in clinical documentation, negatively impacts care of marginalized patients. … This study sought to understand staff perspectives on including in situ simulation as a component of … PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly

166. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_stable_airway_slides_final.pptx
     January 01, 2024 - This commentary will discuss tracheostomy function, proper care, and complications, including how tracheostomy … adequate body temperature and minute ventilation.3 HMEs have additional limitations, including added … the patients with tracheostomies who may be at increased risk for greater morbidity and mortality, including … during transitions of care between ICU and lower levels of care, and especially between institutions including … and occluded tubes.20 Clinicians should have an appropriately sized tracheostomy tube replacement, including

167. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49750/psn-pdf
     January 01, 2016 - Discuss poor communication as a potential underlying cause of safety risks, including missed nursing … Identify strategies for improving communication to facilitate direct patient admissions, including reducing … nurse supervisor, responsible on a shift-by-shift basis for overseeing hospital-wide patient flow including … Off-going staff nurse communicates possible arrival of planned admission to oncoming nurse, including … Bedside shift handoff improves completion rates of nursing care including medication administration.

168. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44885/psn-pdf
     April 22, 2016 - Clinicians often feel pressured to work while sick or fatigued because of cultural and system factors, including … The authors recommend strategies and policies to address this problem, including promoting professionalism

169. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-469
     December 31, 2024 - PSNet highlights the latest patient safety literature, news, and expert commentary, including … This cross-sectional study, including general practitioner practices in 37 European countries and Israel … Using data (including from the Hospital Survey on Patient Safety Culture™ [SOPS®]), this cross-sectional … Despite treatment including heparin, amiodarone, and metoprolol for atrial fibrillation, and interventions … PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly

170. Patient Safety Indicators | PSNet
     psnet.ahrq.gov/primer/patient-safety-indicators
     June 15, 2024 - inform healthcare providers in efforts to develop systems and processes to prevent harm to patients, including … Outcome measures of patient safety, including hospital acquired infections, hospital acquired conditions … concerns by developing a set of indicators to measure patient safety for post-acute care facilities , including … hospitals “that could have been potentially prevented by implementing evidence-informed practice,” including … reporting, the Organization for Economic Cooperation and Development has adapted 6 of AHRQ’s PSIs, including

171. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39959/psn-pdf
     December 21, 2014 - are now required to report adherence to measures intended to prevent post-surgical complications, including … These measures are being publicly reported by groups including the Centers for Medicare and Medicaid

172. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865411/psn-pdf
     March 27, 2024 - The emergent nature of the patient’s cesarean delivery increased her risk for complications including … Background Worldwide, including the United States, obstetric hemorrhage is the leading cause of severe … Abnormal findings should trigger more thorough bedside evaluation, including history-taking and physical … , it is important to acknowledge and address large racial disparities in maternal health outcomes, including … /Systems Learning A growth mindset should prevail when analyzing the response to an adverse event, including

173. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49700/psn-pdf
     February 01, 2014 - She underwent cardiopulmonary resuscitation including chest compressions and defibrillation. … Patients with acute coronary syndromes (ACS) are at increased risk for multiple heart rhythm disorders, including … common following ACS, affecting more than 50% of patients.(1) NSVT can have many causes following ACS, including … have been expected, the increasing frequency should have raised concern and more in-depth evaluation, including … patients (such as the one described above) need to be proficient in responding to sustained VT/VF, including

174. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73905/psn-pdf
     October 06, 2021 - These measures primarily include assessment of maternal mortality and morbidity, including outcomes … importance of safety as a positive concept and the impact that structural and social determinants, including … root causes of disparities in maternal safety has become an increasing priority in the United States, including … parents, their infants, and their dyadic relationships.7 Through their PSLL’s mixed-methods study, including … limited English proficiency; patient-centered quality metrics, timing, and process; and more solutions, including

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/857260/psn-pdf
     November 30, 2023 - and the patient was discharged the next day with instructions to resume all his prior medications, including … class of medications has been shown to improve glycemic control with a favorable cardiorenal profile, including … However, these medications can have adverse events, including genitourinary infections and eDKA.4,5 … the most appropriate and safe medication regimens.14 This approach involves multiple stakeholders, including … audit the medication management process to identify areas for improvement and ensure patient safety, including

176. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46920/psn-pdf
     August 08, 2018 - identification-and-characterization-failures-infectious-agent-transmission- precaution Infection control precautions including … This direct observation study observed frequent failures in use of PPE, including entering rooms without

177. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44334/psn-pdf
     November 20, 2015 - The authors advocate for including photographs with portable radiographs to prevent patient mislabeling … wrong-site-wrong-procedure-and-wrong-patient-surgery https://psnet.ahrq.gov/issue/multiobserver-study-effects-including-point-care-patient-photographs-portable-radiography

178. In Conversation with... Christie Allen about Maternal Safety and Perinatal Mental Health | PSNet
     psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
     March 29, 2023 - Could tell us about how the AIM Program aligns with AHRQ’s maternal health initiatives, including the … The MMRC data identified that mental and behavioral health conditions, including substance use disorders … The bundle is focused on best practices, including transitions of care, screening, and referral. … Healthcare providers should routinely screen for perinatal mental health problems, including depression … A variety of mental health screening tools is available, including the Edinburgh Postnatal Depression

179. A Room Without Orders | PSNet
     psnet.ahrq.gov/web-mm/room-without-orders
     September 01, 2011 - Discuss poor communication as a potential underlying cause of safety risks, including missed nursing … Identify strategies for improving communication to facilitate direct patient admissions, including reducing … a nurse supervisor, responsible on a shift-by-shift basis for overseeing hospital-wide patient flow including … Off-going staff nurse communicates possible arrival of planned admission to oncoming nurse, including … Bedside shift handoff improves completion rates of nursing care including medication administration.(

180. Dropping to New Lows | PSNet
     psnet.ahrq.gov/web-mm/dropping-new-lows
     December 18, 2024 - to (i) prevent hyperglycemia and hypoglycemia, both of which are associated with adverse outcomes (including … Patients often have contraindications to their use while hospitalized, including NPO status (taking nothing … daily decisions regarding insulin doses.( 3 ) In the above case, given the patient's comorbidities, including … 2: The endocrinologist believed there were multiple reasons for the hard-to-control blood sugars including … Order sets can be designed for many scenarios, including transition from intravenous to subcutaneous