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psnet.ahrq.gov/node/40042/psn-pdf
June 09, 2015 - annual-conference
This Web site provides videos of plenary addresses from the 2010 AHRQ Annual Conference, including
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psnet.ahrq.gov/node/39666/psn-pdf
April 16, 2018 - teamwork-and-communication
Articles in this special supplement outline tactics to improve communication including
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psnet.ahrq.gov/node/33999/psn-pdf
March 07, 2005 - center-consumer-health-care-information-patient-safety-center
The Center's efforts for patient safety are highlighted, including
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psnet.ahrq.gov/node/36320/psn-pdf
June 11, 2013 - macarthur-fellows
This Web site highlights the accomplishments of the 2006 MacArthur Fellowship honorees, including
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psnet.ahrq.gov/perspective/response-failure-report-march-2007
June 01, 2007 - Many hospital departments (including the ED, radiology, and the catheterization area) lack pharmacy support … Unfortunately, because of the many medications that are introduced each year (including the numerous … Several of these ideas have been long-standing suggestions of groups concerned with medication safety, including
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psnet.ahrq.gov/node/42549/psn-pdf
August 28, 2013 - issue/patient-safety-threats-and-solutions
This commentary provides an overview of patient safety, including
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psnet.ahrq.gov/node/42242/psn-pdf
September 06, 2018 - psnet.ahrq.gov/issue/world-sepsis-day
This website provides resources to raise awareness of sepsis, including
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psnet.ahrq.gov/node/37282/psn-pdf
September 27, 2016 - describes the causes of medication errors in the operating room and discusses prevention
strategies, including
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psnet.ahrq.gov/node/35973/psn-pdf
August 13, 2010 - follow-tips-safe-efficient-practice
This article provides suggestions for physicians to ensure reliable follow-up on test results, including
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psnet.ahrq.gov/node/41681/psn-pdf
January 01, 2013 - patient-safety-plastic-surgery
This commentary outlines tactics to prevent complications in plastic surgery, including
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psnet.ahrq.gov/node/35567/psn-pdf
December 14, 2005 - recommendations developed by United States Pharmacopeia (USP) to improve
the safety of using medical gas, including
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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/sites/default/files/import/webmm.ahrq.gov.383_slideshow.ppt
September 01, 2016 - 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 … Background: Medications in Geriatric Patients
Older adults are at risk for adverse events from medications, including
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psnet.ahrq.gov/node/49711/psn-pdf
June 01, 2014 - their assigned ward or unit without assistance place themselves at risk for specific
complications, including … Reducing the risk
There are a range of options for reducing the risk of patient wandering including … Some HCFs take added measures including issuing a specially colored "Patient Off Unit" hall pass to … The VHA Directive also provides excellent recommended search procedures
including assigning one individual … Patients who wander may experience harm (including death) due to a weakened condition or their
underlying
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psnet.ahrq.gov/node/49668/psn-pdf
October 01, 2012 - oxycodone dependence presented to a substance abuse
detoxification program with acute withdrawal symptoms, including … be based on current substance use
disorder(s), prior treatments, and response to those treatments (including … as the treatment for opioid addiction, there are multiple medication
approaches to this procedure including … Psychosocial treatment modalities, including group, individual, and family therapy, are equally important … All opioid-addicted individuals seeking substance abuse treatment must have a medical evaluation
including
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.407_slideshow.ppt
May 01, 2017 - relatively high doses of intravenous morphine.
5
Case Part 1: Diagnostic Delay (3)
Blood test results (including … process breakdowns in diagnostic errors in the ED, most commonly involving:
Patient−provider encounter (including … in This Case
In this case, issues occurred in at least two dimensions:
Patient−provider encounter (including … of diagnostic tests
22
22
Causes of Diagnostic Errors
Many factors can cause diagnostic errors, including … to encourage deliberate reasoning and differential diagnoses as well as system-based improvements, including
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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/node/41308/psn-pdf
April 18, 2012 - health-care-associated-infections-hai-portal
This Web site provides resources on infection prevention and control, including
-
psnet.ahrq.gov/node/42072/psn-pdf
August 03, 2016 - innovation-perioperative-patient-safety
Articles in this special issue discuss strategies to improve safety in anesthesia, including