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281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844756/psn-pdf
     September 18, 2019 - emerging-concepts-patient-safety This publication presents patient safety concepts for anesthesia practice, including

282. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867646/psn-pdf
     January 01, 2022 - toolkit includes materials and presentations to support clinical decision-making in opioid therapy, including

283. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838197/psn-pdf
     September 28, 2022 - lines carry the potential for increased mortality and morbidity related to serious complications, including … lines can: (i) remain in place for prolonged periods,1,3 (ii) accommodate a large variety of fluids, including … have been associated with an increased risk of infection or thrombus in patients with a PICC line, including … administration of intermittent fluids, parenteral nutrition, chemotherapy, and other therapies, including … Good communication, including “closing the loop” between caregivers and patients, is vital to promoting

284. About Us | PSNet
     psnet.ahrq.gov/about-psnet
     September 01, 2015 - AHRQ PSNet also hosts all previous AHRQ WebM&M (Morbidity and Mortality Rounds on the Web) content, including … These resources come in a variety of formats, including literature, research, tools, and Web sites. … They come from a wide range of disciplines and sources, including clinical medicine, health care administration

285. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50948/psn-pdf
     February 26, 2020 - Patient Safety Consortium with a focus on the effect patient partnerships on initiative priority areas including

286. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72770/psn-pdf
     February 24, 2021 - errors with patients and families and the importance of disclosure education in medical training, including

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47639/psn-pdf
     March 04, 2019 - They highlight factors contributing to the error including those related to use of the electronic health

288. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61102/psn-pdf
     November 04, 2020 - This discussion examines complexities associated with defining negligence in AI including potential

289. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850357/psn-pdf
     June 14, 2023 - This report sets out the government’s response to each recommendation, including the agency responsible

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45990/psn-pdf
     August 24, 2022 - certificate program presents key concepts that support organizational efforts to augment medication safety, including

291. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50455/psn-pdf
     October 09, 2019 - literacy is the capacity of patients and their families to process and understand health information including

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72811/psn-pdf
     September 01, 2022 - &R®), this program generates prompts based on more than 40 algorithms and real-time clinical data, including … program reduced overall medical errors, along with the incidence of several specific types of mistakes, including … in 2008, was retired in March 2021; AHRQ now offers select content from the Innovations Exchange, including … high-stress situations with a large number of variables have reduced human errors in other industries, including … The team is also evaluating expanded features of the system, including a Heads-Up Display and integration

293. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/73848
     July 01, 2022 - Many organizations, including The Joint Commission and the National Partnership for Maternal Safety, … Researchers interviewed health care professionals, including frontline nurses and physicians, chief medical … obstetric emergencies, this review discusses strategies to augment clinical outcomes in this setting, including … Researchers interviewed health care professionals, including frontline nurses and physicians, chief medical … Many organizations, including The Joint Commission and the National Partnership for Maternal Safety,

294. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60362/psn-pdf
     April 13, 2018 - The program has enhanced access to specialty perinatal care, including maternal-fetal medicine consultations … in 2008, was retired in March 2021; AHRQ now offers select content from the Innovations Exchange, including … Arkansas, especially those living in rural areas, have limited access to specialty prenatal care, including … HIV telemedicine: Implemented in 2012 to improve patient HIV care, including care for newly diagnosed … Evidence Rating Moderate: The evidence consists of before-and-after comparisons of key outcomes, including

295. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49630/psn-pdf
     July 01, 2011 - There were no changes made to any of the medications he was taking before the hospitalization, including … United States alone.(1) When taken correctly, it effectively reduces the risk of thromboembolism, including … period.(5) Warfarin is responsible for 8% of all adverse drug events following hospital discharge, including … There have been many efforts directed at improving the safe use of warfarin, including the use of point-of … For many patients, however, including the patient in this case, the new anticoagulants will present

296. Transition to Nowhere | PSNet
     psnet.ahrq.gov/web-mm/transition-nowhere
     March 21, 2009 - support for this patient.( 3 ) This tool incorporates information readily available at the point of care, including … $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

297. Patient Safety and Opioid Medications | PSNet
     psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
     January 01, 2015 - Citation 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 … Healthcare Research and Quality has several efforts underway to broaden the evidence base for opioid safety, including … disabled Medicare beneficiaries did not find reductions in high-risk opioid prescribing practices (including … This year also saw the emergence of some promising approaches to enhancing opioid safety, including widespread

298. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49722/psn-pdf
     December 01, 2014 - features integrated into the product.(6) Second, environments in which any medical devices are used, including … patient bed and SCD [sequential compression device] tubes) (7) and other components of a work system, including … Another, safer design could involve consolidating all bed status information, including lock status, … Introducing any new technology into these systems, including medical devices, can result in both anticipated … Stakeholders (including clinicians, patients, engineers, device manufacturers) should collaborate for

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49736/psn-pdf
     June 01, 2015 - GI recommended sending stool studies, including for Clostridium difficile infection (CDI), and suggested … disease is the second most common.(1) Crohn disease is associated with extraintestinal manifestations, including … severity and rule out CMV.(1) In patients with increasing diarrhea or abdominal pain, stool studies including … formation and reduced efficacy.(15) There are several unique risks associated with anti-TNF therapies, including … Other risks, including other infections, acute and delayed infusion reactions, and lupus-like syndromes

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33705/psn-pdf
     January 01, 2011 - mistakes, it was not until 1999, when the Institute of Medicine highlighted the New York state data (including … Many organizations, including the National Patient Safety Foundation, the Leapfrog Group, and the Institute … 1976, Risk Management Foundation (RMF) has created a robust program of risk management activities, including … malpractice claims in 2001–2006, which identified and analyzed patterns of risk factors in several key areas including … care unit (ICU) Unplanned intubation or ventilatory support Cardiac arrest Hemodynamic instability (including