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  1. 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
  2. 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
  3. psnet.ahrq.gov/issue/promethazine-hcl-marketed-phenergan-information
    May 04, 2015 - Related Resources From the Same Author(s) Benzocaine sprays marketed under different names, including … September 30, 2015 Benzocaine sprays marketed under different names, including Hurricaine
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854393/psn-pdf
    October 11, 2023 - This article describes the impacts of pharmacist involvement, including lower hospital readmissions
  5. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2019-12/spotlight_code_status_dec_2019_powerpoint.pdf
    January 01, 2019 - “ (2) In the morning, the admitting resident presented the case to the daytime medical team, including … status in the absence of specific orders to the contrary is always to provide the most aggressive care, including … interventions, failure to enter a DN(A)R order could resulted extreme and unfortunate consequences including … Helpful Tools • VITALTalk and Ariadne Labs’ Serious Illness Program provide tools for clinicians including … 18 Advance Care Planning • Discussions should include the patient and interested family members including
  6. 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
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846127/psn-pdf
    March 15, 2023 - injury or associated with underlying diseases such as malignancy.1 Radiation therapy to the pelvis including … compromised integrity and impaired wound healing, which dramatically increases the risk for complications including … There were clear signs that the initial course was potentially unsuccessful, including persistent or … Initial percutaneous drain placement for source control is appropriate in some cases, including in the … The common practice of simply including clinic referral and contact information for follow-up in the
  8. psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
    August 31, 2020 - Communication throughout a patient’s interaction with the health care system, including during diagnosis … , treatment, and transitions to other settings of care including the home, helps to ensure patients and … discharge, and one-quarter of those patients did not understand the next steps after leaving the ED, including … This type of inadequate communication at handoffs contributes to adverse events, including medication … These practices have been shown to have a positive impact on outcomes, including readmissions.
  9. psnet.ahrq.gov/issue/adverse-events-rehabilitation-hospitals-national-incidence-among-medicare-beneficiaries
    January 09, 2019 - Nearly half of the events were considered preventable, with the most common types of events including … Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including
  10. psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
    January 01, 2024 - She was managed supportively – as is the evidence-based approach – for acute idiopathic pancreatitis, including … Upon readmission, her neurological status, including profound weakness and encephalopathy, had continued … much of this updated problem representation is the same, new information has been added to the frame, including … severe malnutrition.16 Fortunately, the modern environment also has enabling factors for teamwork, including … an electronic health record to which all team members – including patients and their families – can
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854849/psn-pdf
    October 31, 2023 - team’s progress notes documented identical examinations, each autopopulated from a previous note, includingIncluding the entire MRI report in a note is undesirable as it leads to note ‘bloat.’ … The practice of copying previous notes, including physical examination findings that may not have been … is not yet a consensus on how to define high-quality notes, given that notes serve many purposes, including … Take-Home Points EHRs provide powerful tools, including copy/paste and autopopulated text features,
  12. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.365_slideshow.ppt
    January 01, 2016 - workload of patient admissions Discuss poor communication as a potential underlying cause of safety risks, including … nursing care Identify strategies for improving communication to facilitate direct patient admissions, including … Contributor to Error Inadequate communication is a well-established cause of safety issues in the hospital—including … admitting provider for orders The treatment plan should have been communicated clearly to the patient, including
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72513/psn-pdf
    November 25, 2020 - This special issue covers a variety of clinical topics including optimal diagnostic methods, near misses
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42737/psn-pdf
    November 20, 2019 - hanys-report-report-cards This publication assessed 12 widely disseminated hospital report cards by criteria including
  15. psnet.ahrq.gov/issue/nurses-perceptions-patient-safety-climate-intensive-care-units-cross-sectional-study
    April 14, 2021 - postanaesthesia care unit: a qualitative study of the healthcare professionals' experiences after 3 years, including … April 27, 2019 Effects of a multimodal program including simulation on job strain among
  16. psnet.ahrq.gov/innovation/assessing-impact-virtual-medication-history-technicians-medication-reconciliation
    December 01, 2021 - In response to resource limitations, this multi-center study including five Ascension hospitals assessed … the impact of a telepharmacy pilot program including virtual pharmacy technicians (vCPhT) to obtain
  17. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.134_slideshow.ppt
    September 01, 2006 - responsibility and patient information is transferred from one practitioner to another All care providers, including … Average number of times a resident signs out per month: 300 Estimated total number of signouts per day (including … Goal 2E: All health care providers must “implement a standardized approach to handoff communications including … Computerized Written Signout: “Synopsis”* Can import data from the EMR, including administrative information … systems Patients are at risk for errors due to discontinuity and signouts Structured sign-out systems, including
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49649/psn-pdf
    March 01, 2012 - These people were often rural and less educated and had endured many hardships, including torture experiences … There should be a thorough consideration of multiple diagnoses, including PTSD, which we have found … that incorporated Vietnamese concepts of depression (10) and specifically cultural-related symptoms including … Appropriate education and information, including medical and psychiatric possibilities, need to be provided … and requires information about past experiences and current stressors, as well as current symptoms (including
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49791/psn-pdf
    April 01, 2017 - 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
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49755/psn-pdf
    February 01, 2016 - At 11:20, the nurse noted acute changes in mental and neurological status, including severe drowsiness … Poor sleep among inpatients has multiple causes, including underlying illness(es), diagnostic and therapeutic … during hospital stays and on discharge.(4) A wide variety of medication classes are used as sleep aids, including … anticholinergic adverse effects, such as urinary retention and xerostomia, from some sleep aid medications including … Patients should be encouraged to utilize relaxation techniques, including massage, meditation, and drinking

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