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221. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33737/psn-pdf
     September 01, 2012 - conducted research to improve model parameters and scenarios and engaged nursing stakeholder groups (including … Projection results (including state-by-state demand) and description of projection models should be … The Center is working closely with leading national organizations in 13 professions, including the National … Similarly, the Community Health Center program has added more than 3000 nursing positions since 2009, including

222. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41967/psn-pdf
     May 10, 2013 - This review explores patient safety initiatives for health IT systems across six countries, including … Significant gaps in health IT safety initiatives were identified, including inadequate regulatory oversight

223. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/863641/psn-pdf
     February 28, 2024 - inception, TeamSTEPPS training has been widely implemented across a variety of healthcare settings, including … AHRQ sought input from several sources to inform the updates, including a technical expert panel composed … lectures).6 The TeamSTEPPS 3.0 curriculum aims to provide a variety of teaching and learning options, including … update to the TeamSTEPPS 3.0 website content is the addition of new video-based training resources, including … The welcome guides are adapted to fit the needs of various TeamSTEPPS roles, including patients and

224. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39425/psn-pdf
     September 20, 2011 - the American Heart Association reviews the specific types of medication errors in these patients, including … specific, evidence-based recommendations for preventing medication errors in this patient population, including

225. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45302/psn-pdf
     November 28, 2016 - patients or family members teach error disclosure and prevention to interprofessional clinician learners, including … A related editorial discusses the challenges of including patients in safety efforts.

226. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40232/psn-pdf
     February 23, 2011 - where a $1.2 million investment was made in each to secure improvements across a wide range of aims, including … The robust program, including this independently requested evaluation, demonstrated a few improvements

227. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867359/psn-pdf
     December 18, 2024 - https://psnet.ahrq.gov//#19 This case also involves several safety topics related to infant feeding, including … being given to the wrong baby, These processes generally include best practices for EBM collection, including … Labeling - utilize labels that can be scanned electronically, including infant, mother, and milk labels … other staff in a hospital may be asked to assist with tasks such as feeding due to multiple factors, including … after patient safety errors have occurred may include the following:21 Preparing for the discussion, including

228. WebM&M: Case Studies | PSNet
     psnet.ahrq.gov/webmm-case-studies
     March 25, 2025 - was initially stable upon arrival, though with signs of fluid overload and electrolyte abnormalities including … Despite treatment including heparin, amiodarone, and metoprolol for atrial fibrillation, and interventions … Three weeks later, he presented with ongoing symptoms including worsening cognition and increased headache … emergency department (ED) who suffered falls during their care, despite recognition of risk factors including … The commentary discusses the importance of preoperative discussions about post-operative care, including

229. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39617/psn-pdf
     February 18, 2011 - for Medicare and Medicaid Services (CMS) eliminated reimbursement for certain preventable errors, including … The impact of the policy was debated, including the ability of providers and systems to accurately identify

230. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33723/psn-pdf
     December 01, 2011 - The causes of falls are complex, with the risk factors most frequently found in hospital patients including … Simple methods of doing this, including a spreadsheet to automatically calculate predictive values, … A focus on prevention, detection, and treatment of delirium, including dip-testing urine for indications … A postfall review used as an opportunity to plan secondary prevention, including a careful history to … Continence management, including routines of offering frequent assistance to use the toilet.

231. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care | PSNet
     psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
     June 28, 2023 - This commentary will discuss tracheostomy function, proper care, risks and complications, including how … 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 … for tracheostomies should be trained in the emergency management of patients with tracheostomies, including

232. Wrong-side Bedside Paravertebral Block: Preventing the Preventable | PSNet
     psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
     August 10, 2019 - the correct (right) side to control the pain, increasing her chances of postprocedure complications, including … 3,11 ) The wrong-sided bedside paravertebral block in this case may have resulted from many factors, including … Site verification and marking should occur by reconciling all critical information including history, … This case of wrong-side bedside paravertebral block exemplifies why multiple steps and processes including … Universal Protocol principles.( 13 ) Providers should be aware of factors that reduce human performance (including

233. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33598/psn-pdf
     June 15, 2024 - More than one-third of in-hospital falls result in injury, including serious injuries such as fractures … Continence management, including routines of offering frequent assistance to use the toilet. … A postfall review used as an opportunity to plan secondary prevention, including a careful history to

234. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50699/psn-pdf
     November 26, 2019 - they have a chronic medical condition that necessitates higher utilization of the healthcare system, including … for complications associated with polypharmacy.3 Further, the natural progression of usual aging, including … stressors, putting them at an increased risk of experiencing poor health outcomes and safety events, including … Several tools and questionnaires exist to help providers identify frailty, including the Groningen Frailty

235. In Conversation with... Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
     November 27, 2023 - In that capacity, I have served on numerous education initiatives, including the recent re-envisioning … Under this initiative, AACN offered 12 learning modules, including six focused on undergraduate education … The competencies are relevant for any area of practice, including the patient safety-related and quality … It includes multiple resources, including learning and assessment strategies for programs. … Case studies, including both one-time and unfolding scenarios, present students with complex patient

236. The Role of Undergraduate Nursing Education in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
     November 27, 2023 - Their responsibilities encompass a wide spectrum of care tasks that can impact safety, including administering … Classroom Instruction In the classroom, educators use a plethora of pedagogical strategies, including … Case studies, including both one-time and unfolding scenarios, present students with complex patient … In that capacity, I have served on numerous education initiatives, including the recent re-envisioning … It includes multiple resources, including learning and assessment strategies for programs.

237. Spotlight-Slides-Wright-Schiff (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-04/spotlight-slides-wright-schiff.pdf
     January 01, 2020 - The hospitalist had appropriately entered the prescriptions in the electronic health record, including … Recommendations for Safe Prescribing (2) 18 • Improve testing of CPOE to pharmacy system linkages, including … • Improvements to computerized provider order entry systems, including indication-based ordering (

238. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49758/psn-pdf
     April 01, 2016 - 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 … daily decisions regarding insulin doses.(3) In the above case, given the patient's comorbidities, including … These groups typically involve participants from pharmacy, nursing, IT, physician groups (including … Order sets can be designed for many scenarios, including transition from intravenous to subcutaneous

239. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860050/psn-pdf
     January 04, 2024 - The patient underwent a non-accidental trauma evaluation including a comprehensive metabolic panel, … Background Child maltreatment, including neglect, endangerment, and physical and or sexual abuse, is … Without obvious external signs of trauma, recognizing NAT, including milder forms of AHT, can be especially … A consensus statement supported by multiple international professional societies including the American … Take-Home Points NAT, including neglect, endangerment, and physical or sexual abuse, is widespread and

240. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33653/psn-pdf
     June 01, 2007 - Many hospital departments (including the ED, radiology, and the catheterization area) lack pharmacy … Unfortunately, because of the many medications that are introduced each year (including the numerous … Several of these ideas have been long-standing suggestions of groups concerned with medication safety, including