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psnet.ahrq.gov/primer/maternal-safety
January 10, 2024 - receive adequate information about their care, which may negatively impact their experiences of care, including … per 100,000 live births. 2 Includes deaths for race and Hispanic-origin groups not shown separately, including … Two important facets of high reliability are standardization and effective teamwork, including "mindful … SPPC Hypertension in Pregnancy and Obstetric Hemorrhage toolkit include tools to improve outcomes including … Act on your strategies , discusses important considerations for implementation, including assessing potential
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psnet.ahrq.gov/node/33608/psn-pdf
February 01, 2024 - receive adequate information about their care, which may
negatively impact their experiences of care, including … per 100,000 live births.
2Includes deaths for race and Hispanic-origin groups not shown separately, including … Two important facets of high reliability are standardization and effective teamwork,
including "mindful … SPPC Hypertension in Pregnancy and Obstetric
Hemorrhage toolkit include tools to improve outcomes including … Act on your strategies, discusses important considerations for implementation, including assessing
potential
-
psnet.ahrq.gov/web-mm/cultural-dimensions-depression
September 01, 2018 - 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 in … 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
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psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong
September 01, 2015 - 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 … 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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psnet.ahrq.gov/information/Terms
directors, employees, and affiliates for any and all claims, damages, losses, or causes of action (including … nor its staff, directors, employees, or affiliates are responsible or liable for any loss, damage (including
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psnet.ahrq.gov/node/33715/psn-pdf
July 01, 2011 - Being a component of a professional organization confers several advantages, including the following: … industry.1 While we can benefit from the experiences of other health care
incident reporting systems, including … collaborate and achieve our mutual goals in patient safety, while maintaining our other
responsibilities—including … The PSO must have appropriately qualified workforce members, including licensed or certified
medical
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psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
August 21, 2016 - The patient underwent a non-accidental trauma evaluation including a comprehensive metabolic panel, lipase … 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/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
July 23, 2024 - Develop infrastructure to support the innovation, including using online courses that are live but also … verification and resolution of incorrect counts; a brief summary of the procedure and key elements, including … It is used as to track surgical items (including sponges, gauze, needles, and instruments throughout … Ascension innovation team created tools and materials for dissemination across their organization, including … Develop infrastructure to support the innovation, including using online courses that are live but also
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psnet.ahrq.gov/node/867749/psn-pdf
March 12, 2025 - This article highlights the effect that
unprofessional behavior, including more subtle forms such as
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psnet.ahrq.gov/web-mm/pill-organizing-plight
June 19, 2018 - resident visited one of his patients—an 80-year-old, Spanish-speaking woman with multiple medical problems including … Her family was advised that she would require ongoing assistance to manage complex tasks including organizing … The patient's medical record revealed that she was supposed to be taking eight medications daily, including … The resident identified several errors in the pill organization system, including empty slots for upcoming … Medication access interventions, including unit dose packaging, have demonstrated an increase in medication
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psnet.ahrq.gov/node/867757/psn-pdf
March 12, 2025 - study identified several important factors
for improving medication safety in nursing home settings, including
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psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
September 22, 2010 - During the hospitalization, she developed additional complications of SLE including cerebritis, hemolytic … Enterococcus increased from 1) Multiple factors may contribute to increasing antibiotic resistance, including … Fever can have many causes in hospitalized patients, including non-infectious etiologies such as drug … antibiotic resistance have recently been summarized.( 3 ) Educational programs for all physicians, including … These guidelines can be supplemented with informatics support including prescribing reminders, formulary
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psnet.ahrq.gov/web-mm/forgotten-drip
April 01, 2014 - Multiple therapies were initiated to reduce the intracranial pressure and swelling, including intubation … Management of increased ICP in patients with ICH should always begin with simple but effective measures including … reduce the chances of renal failure.( 7 ) In patients with preexisting oliguric or anuric renal failure, including … initial simple measures outlined above and osmotic therapy, a variety of third-line approaches are used including
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psnet.ahrq.gov/node/33602/psn-pdf
March 15, 2025 - technically
proficient—or even outstanding—but provide unsafe care for a variety of other reasons, including … malpractice
and patient complaint databases have also identified some predictors of performance concerns, including … It seems likely that the
emergence of new approaches to health care delivery and documentation (including
-
psnet.ahrq.gov/print/pdf/node/866419
March 27, 2024 - This article summarizes malpractice liability risks associated with
digital health technologies, including … Artificial intelligence (AI) is currently used to assist with many healthcare practices, including
diagnosing … This article summarizes malpractice liability risks associated with
digital health technologies, including … Artificial intelligence (AI) is currently used to assist with many healthcare practices, including
diagnosing
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psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation
April 24, 2024 - Skin cool to touch
Blanching effects even from the non-vasopressor extravasation
Breakdown of skin including … Since each episode of extravasation is unique, many factors can influence the extent of tissue injury, including … Health care providers, including physicians, nurses, and pharmacists, should be familiar with institutional … Training modules covering these policies and procedures, including appropriate approaches to infiltration
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psnet.ahrq.gov/node/849660/psn-pdf
May 31, 2023 - Therefore, taking health literacy universal precautions means organizations should
structure healthcare, including … Communication: Organizations’ health literacy plans include processes to
ensure clear communication, including … paper9 identifies and describes
essential attributes of a health literate healthcare organization including
-
psnet.ahrq.gov/node/60328/psn-pdf
May 27, 2020 - Smoker
Confirmed or
suspected obstructive
sleep apnea (OSA)
Renal disease
Pulmonary disease
(including … COPD)
Cardiac disease
(including CAD, CHF,
arrhythmias)
Diabetes mellitus
Obesity (BMI > 30
kg … /m2)
Hypertension
Neurologic disease
(including stroke,
dementia)
Liver disease
First 24 hours … Several important policy changes were made at an institution level in response to this fatal event, including … receiving intravenous opioid PCA, vital signs, pain level,
sedation status, and respiratory status, including
-
psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
May 26, 2021 - Confirmed or suspected obstructive sleep apnea (OSA)
Renal disease
Pulmonary disease (including … COPD)
Cardiac disease (including CAD, CHF, arrhythmias)
Diabetes mellitus
Obesity (BMI > 30 kg … /m 2 )
Hypertension
Neurologic disease (including stroke, dementia)
Liver disease
First … Several important policy changes were made at an institution level in response to this fatal event, including … receiving intravenous opioid PCA, vital signs, pain level, sedation status, and respiratory status, including
-
psnet.ahrq.gov/node/38938/psn-pdf
July 26, 2023 - Reporting Program, this fact sheet
provides a comprehensive list of commonly confused medication names, including