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psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
August 06, 2014 - The REMS program is designed to inform the health care team, including the patient, about particular … REMS information can be found in a variety of places, including the drug manufacturer website and tertiary … Designing and implementing comprehensive safety systems, including those embedded in clinical decision … decision support into computerized prescriber order entry systems
Forcing Functions and Fail-Safes
Including
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psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
July 02, 2011 - hallmark symptom of rupture. 4 The headache is often accompanied by other signs of meningeal irritation including … the brain is enclosed within the rigid skull, large-volume hemorrhages produce more severe symptoms including … This process leads to arrythmias including ST and T wave changes, neurogenic pulmonary edema, hypertension … A range of other intraoperative techniques including doppler ultrasound, intraoperative indocyanine green
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psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
September 01, 2012 - conducted research to improve model parameters and scenarios and engaged nursing stakeholder groups (including … Projection results (including state-by-state demand) and description of projection models should be released … The Center is working closely with leading national organizations in 13 professions, including the National … Almost all prior work, including work my colleagues and I did, was cross-sectional, comparing high-staffed … JN : I've been looking at the literature on the impact of the California ratios, including some papers
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psnet.ahrq.gov/primer/covid-19-and-dentistry-challenges-and-opportunities-providing-safe-care
February 24, 2022 - for aerosol-generating dental procedures. 5 , 25
Follow standard, contact, and airborne precautions including … can support both real-time streaming of videos and “store and forward” of clinical data collected, including … These conditions may create several challenges, including the desire to limit exposure to patients, fatigue … are accelerating or peaking." 75 A series of practical resources are available on the ADA website including … The COVID-19 pandemic may also hasten the adoption of innovative dental workforce models, including dental
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psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
June 14, 2023 - potential contributing medication was valproic acid, which can cause hyperammonemia with delirium, including … metabolites) following a symptom-based protocol does not increase the risk of severe complications including … In alcohol withdrawal syndrome, it is used off-label, including as monotherapy. … mechanisms, which are helpful in AWS, it has a narrow therapeutic window and important side effects including … causes patients to have relatively immunocompromised systems by impaired cellular and innate immunity including
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psnet.ahrq.gov/node/73281/psn-pdf
May 19, 2021 - the available safety measures used for
quality monitoring and improvement in older adult care homes, including
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psnet.ahrq.gov/node/33570/psn-pdf
June 15, 2024 - The committee made several recommendations to
improve diagnosis, including promoting teamwork among … The report also
recommended health care system reforms, including establishing a work system and safety
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psnet.ahrq.gov/node/33577/psn-pdf
September 15, 2024 - Reviews including data since the 2011 regulations were
implemented have reached similar conclusions. … The study found no
significant differences in patient outcomes, including death and serious complications
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psnet.ahrq.gov/innovation/project-nurture-engages-pregnant-people-substance-use-disorder-improves-maternal-and
September 23, 2024 - that patients with an SUD during their pregnancy have worse outcomes than patients without an SUD, including … patients in Project Nurture half as likely to need additional care after birth (AOR 0.46, p = 0.01), including … prepared to identify and make changes to their existing systems of care to accommodate the intervention, including
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psnet.ahrq.gov/web-mm/collegiality-vs-competence
August 28, 2024 - The patient’s abdomen was re-explored, at which time he began bleeding profusely from multiple sites, including … never formally restricted; rather, it was informally requested that he not perform certain procedures, including … circumstance, such a check would have shown a surgeon still holding his vascular surgery privileges, including
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psnet.ahrq.gov/print/pdf/node/838351
July 01, 2024 - Articles in this special issue cover efforts to reduce diagnostic errors, including patient engagement … Thematic analyses identified strategies clinicians use to enhance test result
management including paper-based … Thematic analyses identified strategies clinicians use to enhance test result
management including paper-based … Articles in this special issue cover efforts to reduce diagnostic errors, including patient engagement
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psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
April 17, 2025 - successful implementation of programs to support healthcare workers involved in patient safety incidents, including … World Health Organization surgical checklist to identify factors that drive and sustain improvement, including … This Web site provides information related to the dangers of purchasing medical products online, including … He outlines a number of critical steps for implementation, including committing resources, organizing
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psnet.ahrq.gov/curated-library/diagnostic-safety-improvement
April 17, 2025 - Articles in this special issue cover efforts to reduce diagnostic errors, including patient engagement … Thematic analyses identified strategies clinicians use to enhance test result management including paper-based … Articles in this special issue cover efforts to reduce diagnostic errors, including patient engagement … diagnostic team must expand beyond the focus on physicians and involve a wide range of professionals, including
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psnet.ahrq.gov/node/845473/psn-pdf
March 15, 2023 - individualized for
each patient.9
Program infrastructure is paramount in ensuring patient safety, including … may be difficult to obtain, its implementation is limited by
technological infrastructure barriers, including … Some requirements were relaxed by these waivers, including the need for existing
physician–patient relationships
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psnet.ahrq.gov/node/73110/psn-pdf
April 07, 2021 - organizations should
offer support programs to second victims, they stated that several barriers exist, including
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psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
January 01, 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 … (with
basal rate)
• Inadequate monitoring and handoff
communication
• PACU respiratory events (including
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psnet.ahrq.gov/web-mm/signout-fallout
November 16, 2022 - frequently.( 2 ) Several developments in the health care system have exacerbated handoff problems, including … specialties, and disciplines;
Determine the scope of implementation and develop an implementation plan, including … Multiple strategies have been shown to improve the quality of handoff communication including mnemonics … The implementation of a bundled intervention including multiple handoff improvement strategies in the
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psnet.ahrq.gov/node/42620/psn-pdf
April 04, 2018 - diagnostic-error-medicine-0
Articles in this special issue cover efforts to reduce diagnostic errors, including
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psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
January 01, 2014 - The observed physicians were volunteers from institutions representing 11 different CPOE systems, including … Cost is also a barrier to CPOE implementation, with implementation costs (including software, consultants … directions in CPOE research should include more data on usability and errors from real-world settings, including
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psnet.ahrq.gov/web-mm/double-dose-transfer
November 01, 2012 - communication is a very common factor in medication error events.( 9 ) Clear communication at key handoffs, including … Key stakeholders, including the medical staff, nursing, and pharmacy leadership, should determine those … implementing any solution, leadership also must be cognizant of the possibility of unintended consequences, including