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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.
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psnet.ahrq.gov/node/35509/psn-pdf
January 17, 2025 - This website provides resources for promoting patient safety during Patient Safety Awareness Week,
including
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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
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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
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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
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psnet.ahrq.gov/node/41808/psn-pdf
October 08, 2024 - workshop will explore tactics for community and specialty pharmacies to ensure medication
safety, including
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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
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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.
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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
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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
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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
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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
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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
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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
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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.
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psnet.ahrq.gov/node/40303/psn-pdf
May 16, 2019 - safer-hospital-care-strategies-continuous-innovation
This publication provides various strategies to drive innovation in patient safety, including
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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
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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
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psnet.ahrq.gov/node/49730/psn-pdf
April 01, 2015 - support for this patient.(3) This tool incorporates information readily available at the point of
care, including … to
$343 with Coleman's Care Transitions Intervention.(5) Recent developments in health care policy, including … New models of care, including
the Patient-Centered Medical Home (PCMH), and new types of health care … case could have been supported by a hospital-based transition navigator (9) to
assist with functions including … models of care such as the Patient-Centered Medical Home that include new types of health
care workers (including
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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