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Total Results: 9,165 records

Showing results for "including".

241. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33824/psn-pdf
     January 01, 2016 - patient-safety-and-opioid-medications Annual Perspective 2016 Opioid medications confer significant risks of harm, including … Some communities, including Baltimore, are promoting the distribution of naloxone in an effort to prevent … https://www.ncbi.nlm.nih.gov/pubmed/27077351 underway to broaden the evidence base for opioid safety, including … disabled Medicare beneficiaries did not find reductions in high-risk opioid prescribing practices (including … psnet.ahrq.gov/issue/addressing-opioid-crisis-united-states approaches to enhancing opioid safety, including

242. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49799/psn-pdf
     July 01, 2017 - with signs of infection such as fever and leukocytosis), providers might consider several strategies, including … Choosing Wisely recommendations.(7) Conversely, inadequate treatment of true positive blood cultures, including … of care for reporting of positive blood cultures is under one hour.(17) Reporting critical values, including … One could speculate causes for delay, including high clinical workload, competing demands, issues with … consultation should be sought if there is uncertainty about how to interpret microbiology test results, including

243. Hidden Heparins: HIT Happens | PSNet
     psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
     March 27, 2024 - Discuss the management of HIT, including use of direct thrombin inhibitors and extended anticoagulation … the appropriate initial management of the condition includes discontinuation of all forms of heparin (including … Such an approach is supported by several studies, including a randomized controlled trial of UFH versus … †ASR = acute systemic reaction, including hypertension, tachypnea, fever, following intravenous heparin … ‡Discontinue all forms of heparin, including vascular catheter heparin flushes and heparin-coated catheters

244. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35509/psn-pdf
     January 17, 2025 - This website provides resources for promoting patient safety during Patient Safety Awareness Week, including

245. 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 - This case also involves several safety topics related to infant feeding, including breastfeeding education … 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

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849661/psn-pdf
     June 28, 2023 - frequently used to help prevent venous thrombosis in pregnant patients with additional risk factors, including … performing the neuraxial procedure was not familiar with the patient's pertinent clinical history, including … Not including pertinent information about this patient’s anticoagulation in the standard preoperative … Implementation of team-based simulations including an emergency cesarean simulation involving obstetrics … Neuraxial analgesia for labor and delivery (including instrumented delivery). UpToDate.

247. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/857060/psn-pdf
     November 27, 2023 - Their responsibilities encompass a wide spectrum of care tasks that can impact safety, including administering … Curricula Several organizations have published educational standards related to undergraduate nursing, including … 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

248. Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
     January 01, 2023 - interval between LMWH and spinal needle placement in this case is not in line with national guidelines including … frequently used to help prevent venous thrombosis in pregnant patients with additional risk factors, including … Not including pertinent information about this patient’s anticoagulation in the standard preoperative … Take-Home Points (2) 29 • Implementation of team-based simulations including an emergency cesarean … Neuraxial analgesia for labor and delivery (including instrumented delivery). UpToDate.

249. Triaging Interhospital Transfers | PSNet
     psnet.ahrq.gov/web-mm/triaging-interhospital-transfers
     April 12, 2023 - The admitting physician was concerned that the patient might require subspecialty care, including dermatology … 44% of patients with acute myocardial infarction) ( 2,3 ), and those who are critically ill ( 4 ), including … As we know from other hospital-based care transitions, including patient discharge and intrahospital … Telemedicine, including teleconsultation, is one information exchange modality that has been used to … needed to direct the development of best practice guidelines with regard to interhospital transfer, including

250. Verbal Orders and Medication Overrides: A Dangerous Combination | PSNet
     psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
     September 27, 2023 - occur in the midst of high-stress situations coupled with the bypassing of available layers of safety including … the provider is performing a sterile procedure. 2 Verbal orders can result in error in several ways, including … should be included in verbal orders Guidance on clear and effective communication of verbal orders, including … However, similar scenarios are often loosely referred to as overrides, including removal of a medication … urine toxicology screening, blood alcohol level, metabolic panel including liver-associated enzymes,

251. When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy | PSNet
     psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
     March 18, 2020 - Surgical factors can also increase the risk of aspiration including head-down positioning and certain … Additional steps should be considered to confirm there are minimal contents in the stomach including … The emergency airway algorithm dictates that “alternative intubation approaches” be attempted, including … All attempts to secure an airway in an emergency must be made, including performing a surgical airway … Ventilate the patient who has aspirated with 100% oxygen, utilizing airway adjuncts including LMAs as

252. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865540/psn-pdf
     April 11, 2024 - of the NG tube into the trachea instead of the esophagus, which can lead to catastrophic outcomes, including … In one retrospective study, about 26% of mispositioned nasogastric tubes resulted in complications, including … x-ray is the most accurate way to verify the placement of NG tubes according to multiple guidelines, including … appropriate receiving physician.18 ANCR was designed to interact with multiple clinical applications including … program that trains medical professionals to synthesize and exchange patient information concisely, including

253. 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 - AHRQ in 2008, was retired in March 2021; AHRQ now offers select content from the Innovations Exchange, including … improvement (QI) facilitator, project manager, process owners (frontline staff involved in care transitions, including … hospitalized patients and their family members do not adequately understand their post-discharge care needs, including … improvement (QI) facilitator, project manager, process owners (frontline staff involved in care transitions, including … Establishing an organizational framework for quality improvement:  Several initial steps are required, including

254. When the Indications for Drug Administration Blur | PSNet
     psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur
     May 26, 2021 - The Commentary  By Julia Munsch, PharmD and Amy Doroy, PhD, RN   Benzodiazepines, including lorazepam … however, this class of drugs is frequently associated with errors that can result in adverse events including … hospital at legal risk by failing to follow several of the 8 “rights” of medication administration including … Multiple complicating factors exist at night, including the well documented effect of sleep disturbance … Reading the complete medication order, including “as needed” indications and administration instructions

255. Disruptive and Unprofessional Behavior | PSNet
     psnet.ahrq.gov/primer/disruptive-and-unprofessional-behavior
     September 15, 2024 - Commission requires that organizations have an explicit code of conduct policy for all staff and recommends including … systems-level approach to identifying, monitoring, and remediating poorly performing physicians, including … Current Context The Joint Commission's Leadership Standard went into effect in 2009, including mandates

256. Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. | PSNet
     psnet.ahrq.gov/issue/slow-progress-meeting-hospital-safety-standards-learning-leapfrog-groups-efforts
     May 13, 2020 - Quality standards for safe medication in nursing homes: development through a multistep approach including … Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including

257. Learning from patient safety incidents: The Green Cross method. | PSNet
     psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cross-method
     June 14, 2023 - postanaesthesia care unit: a qualitative study of the healthcare professionals' experiences after 3 years, including … postanaesthesia care unit: a qualitative study of the healthcare professionals' experiences after 3 years, including

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41808/psn-pdf
     October 08, 2024 - workshop will explore tactics for community and specialty pharmacies to ensure medication safety, including

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841566/psn-pdf
     December 14, 2022 - CCSQ works collaboratively across all centers in CMS including Medicare, Medicaid, the Marketplace and … The programs cover almost all facilities, including post-acute care from skilled nursing facilities, … Many people look to our websites, including the Care Compare sites, which provide performance measure … There are many explanations for these increases — including COVID-19 itself. … This also allows the transition from primarily chart- abstracted or claims-based measures to including

260. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60174/psn-pdf
     March 30, 2020 - The second edition of the report, published in 2013, reviewed 41 PSPs, including new evidence-based … sought to align with the strategic goals from the Department of Health and Human Services (HHS), including … data monitoring, audit, and feedback.[4] New harm-specific PSPs have also been added to this report, including