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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41832/psn-pdf
    November 26, 2012 - managing patients with complex conditions, this review recommends strategies to improve team training, including
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41922/psn-pdf
    December 12, 2012 - commentary discusses areas of risk in the intensive care unit along with interventions to mitigate them, including
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46415/psn-pdf
    February 21, 2018 - This patient safety organization provides data analysis, annual reports, and publications including
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38398/psn-pdf
    February 11, 2009 - literature on bile duct injury during cholecystectomy focuses on cognitive errors made by surgeons, including
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43437/psn-pdf
    August 13, 2014 - incidence and developing solutions, this commentary outlines methods to augment diagnostic safety including
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47472/psn-pdf
    October 24, 2018 - This online course offers three modules designed to build awareness of key patient safety topics, including
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37672/psn-pdf
    April 09, 2008 - laterality errors (transposition of left and right eyes in documenting abnormalities or treatments), including
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37888/psn-pdf
    July 02, 2008 - commentary discusses goals for medication safety along with strategies to prevent medication errors including
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42616/psn-pdf
    September 25, 2013 - Safety Reporting System, this article reviews the unintended consequences of automated default values, including
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37602/psn-pdf
    July 03, 2013 - The authors discuss the implications of this problem and potential solutions, including the establishment
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43800/psn-pdf
    August 02, 2016 - patient-safety-culture-theory-methods-and-application This publication covers patient safety culture including
  12. 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
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49406/psn-pdf
    June 01, 2003 - psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references including … psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references would alert any member of the treatment team (including … Of course, training for all staff (including nonclinical personnel) regarding what “Continuous Observation … Visitors should be supervised to ensure no transfer of potentially lethal means including prescriptions
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49838/psn-pdf
    August 01, 2018 - After another week of conversations with the ICU team, including consultation from the palliative care … ) Medical care that is inconsistent with patient preferences is associated with negative outcomes, including … other common ICU interventions.(9) Checklists have improved clinical practice in the ICU setting, including … of the patient, and all the involved teams are expected to have at least one member in attendance, including
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49461/psn-pdf
    September 01, 2004 - On further inquiry, including an exhaustive review of all of the patient's allergies, he stated that … For example, severe reactions, defined as reactions that require treatment, including dyspnea, hypotension … (5,7) When interviewing patients prior to contrast material injection, many health care providers, including … They must also inquire about any "allergies" (including to contrast material) and about the nature of … Cardiorespiratory arrest should be treated with basic and advanced cardiac life support, including defibrillation
  16. psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
    August 21, 2007 - 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 patients … 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
  17. psnet.ahrq.gov/web-mm/reaction-dye
    March 01, 2007 - On further inquiry, including an exhaustive review of all of the patient's allergies, he stated that … For example, severe reactions, defined as reactions that require treatment, including dyspnea, hypotension … 5,7 ) When interviewing patients prior to contrast material injection, many health care providers, including … They must also inquire about any "allergies" (including to contrast material) and about the nature of … Cardiorespiratory arrest should be treated with basic and advanced cardiac life support, including defibrillation
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49609/psn-pdf
    October 01, 2010 - Common errors in dialysis units (Table 1) may involve the dialysis procedure, including errors in patient … Potential sources for errors exist throughout this system, including contamination of the dialysate … standards for dialysis unit water.(8) Reuse standards include protocols to reduce the risk of errors, including … director's responsibilities from implementation of policies and procedures to assurance that the staff (including … An annual yearly report is published including special studies examining morbidity and mortality of
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49402/psn-pdf
    June 01, 2003 - 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 … reduce 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
  20. 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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