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Total Results: 2,105 records

Showing results for "including".

301. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867755/psn-pdf
     March 12, 2025 - Survey respondents also endorsed the importance of formal support programs, including peer support,

302. Hospital-Acquired Diabetic Ketoacidosis. | PSNet
     psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
     October 28, 2020 - Several factors can contribute to the development or recurrence of DKA, including housing and food insecurity … The most common reason for HADKA was related to inadequate insulin administration, including withholding … Various approaches are used to obtain the most accurate information, including use of at least two sources … Diabetes specialist teams should be consulted automatically for patients at high risk of DKA, including … implement ED-specific clinical decision support tools and standardized order sets for diabetes management, including

303. Misplaced Nasogastric Tube Resulting in Aspiration | PSNet
     psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
     August 01, 2009 - 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

304. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism | PSNet
     psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
     December 31, 2024 - maximize patient safety Develop an approach to managing patients diagnosed with pulmonary embolism including … Ongoing resuscitation, including administration of vasopressor therapy, continued overnight. … Achilles tendon rupture has been associated with a higher risk for venous thromboembolism (VTE), including … Unfortunately, D-dimer may be elevated in non-thrombotic conditions including pregnancy, malignancy, … Considering the potential harmful effects of CT overutilization--including contrast hypersensitivity

305. 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

306. Spotlight
     psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
     January 01, 2025 - this case, participants should be able to: Identify characteristics of “high-risk” abdominal pain, including … comport with the history, physical examination, and any abnormal labs, and consider additional testing—including … “High-risk” abdominal pain is characterized by clinical features including age greater than 65 years, … Although there were several red flags that were ignored or minimized in this case, including the history … a marker for tissue hypoperfusion and a reliable test for early diagnosis of abdominal catastrophe, including

307. Strategies to Improve Organizational Health Literacy. | PSNet
     psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
     August 30, 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 … paper 9 identifies and describes essential attributes of a health literate healthcare organization including

308. Antibiotic and Opioid Stewardship in Dentistry | PSNet
     psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry
     December 07, 2020 - This means dentists may not have access to the patient’s medical history, including antibiotic or opioid … states have recently passed legislation requiring that they complete substance use disorder training (including … use of prophylactic antibiotics in patients with orthopaedic implants undergoing dental procedures, including … So all the information they get on the patient's comorbidities or past medical history, including their … We also used behavioral nudges to influence prescribing, including posters provided by the CDC, targeting

309. In Conversation With... Katie J. Suda, PharmD, MS | PSNet
     psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms
     December 07, 2020 - So all the information they get on the patient's comorbidities or past medical history, including their … published a couple of years ago and now some states mandate checking the PDMP for many clinicians, including … a few examples of opioid stewardship and antibiotic stewardship that have been tested in dentistry, including … We also used behavioral nudges to influence prescribing, including posters provided by the CDC, targeting … This means dentists may not have access to the patient’s medical history, including antibiotic or opioid

310. Resilient Healthcare and the Safety-I and Safety-II Frameworks | PSNet
     psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
     December 14, 2022 - Adopted across various industries, including aviation and manufacturing, resilient engineering acknowledges … typical outcome of this analysis is to standardize and adjust a linear process to remove variability, including … When I refer to resources, my intention is a broad definition, including people, knowledge, equipment … However, the accuracy and the completeness of the medical record depends on many factors, including the … Failures get our attention, but we also have limitations when looking at failures, including the impact

311. Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome | PSNet
     psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
     April 27, 2022 - and David Barnes, MD, FACEP This patient had multiple risk factors for spinal epidural abscess (SEA) including … signs, direct visualization of the skin, palpation of painful areas, and thorough neurologic assessment including … Empiric intravenous antibiotic therapy should be broad-spectrum and should cover Staphylococci species (including … Many of these errors are best categorized as cognitive and relate to a clinician’s decision-making, including … subsequent visit despite worsening signs and symptoms Failure to recognize multiple risk factors for SEA including

312. Situational (Un)Awareness | PSNet
     psnet.ahrq.gov/web-mm/situational-unawareness
     August 01, 2009 - was admitted on a Tuesday evening with abdominal pain, jaundice, and elevated liver function tests, including … safety.( 4 ) Linking a CPOE system with an electronic health record (EHR) offers additional benefits, including … facilitate medication prescribing, but also aids in coordination of other steps of the medication process including … Research by Ash and colleagues found that implementation of CPOE can lead to overdependence on technology, including

313. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860390/psn-pdf
     January 10, 2024 - successful implementation of programs to support healthcare workers involved in patient safety incidents, including

314. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/855425/psn-pdf
     January 01, 2024 - Missed diagnosis prevents patients from receiving appropriate care, including newly FDA-approved medications

315. Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation | PSNet
     psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation
     March 27, 2024 - She was severely volume depleted and received intravenous hydration, including her home medications, … drug-induced QT prolongation include age, bradycardia, left ventricular failure, electrolyte abnormalities including … intravenous levofloxacin, the patient in this case was receiving medications for her bipolar disease including

316. Don’t Bite Your Tongue. | PSNet
     psnet.ahrq.gov/web-mm/dont-bite-your-tongue
     September 18, 2024 - Airway manipulation , including placement of an endotracheal tube or a supraglottic airway device, can … lip lacerations with 1 mandibular fracture. 11 Otherwise, he found no neuropsychological effects (including … anesthesia care providers should be vigilant regarding risks when this type of monitoring is utilized, including

317. Individual Clinician Performance Issues | PSNet
     psnet.ahrq.gov/primer/individual-clinician-performance-issues
     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

318. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39023/psn-pdf
     November 19, 2018 - suggests standards to ensure high-quality care for pediatric patients in the emergency department, including

319. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33798/psn-pdf
     January 01, 2015 - necessarily solved through systems approaches; they may require actions focused on individual performance (including … safety practices should be inviolable, and transgressions should result in penalties, potentially including … interest in recalibrating our traditional approach, a number of upcoming national meetings in 2016, including

320. Teamwork Training | PSNet
     psnet.ahrq.gov/primer/teamwork-training
     September 15, 2024 - TeamSTEPPS has been successfully implemented in a variety of clinical settings, including  intensive … Teamwork training programs have been implemented in a wide variety of clinical environments, including