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psnet.ahrq.gov/sites/default/files/2022-10/trocar_injury_final.pdf
January 01, 2022 - SAFETY
24
Surgical Maneuvers to Increase Safety (1)
• For Veress needle access and trocar insertion … down to
fascia and use a clamp to grab and elevate the fascia itself.
25
Surgical Maneuvers to Increase … • Unintended access injuries that go undetected increase perioperative
morbidity and mortality in … safety
Surgical Maneuvers to Increase Safety (1)
Surgical Maneuvers to Increase Safety (2)
Surgical … Maneuvers to Increase Safety (3)
Approaches to improving patient safety:�Recognizing injury
Recognizing
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psnet.ahrq.gov/node/73873/psn-pdf
September 29, 2021 - After the mobile application was launched, there was a significant increase
in the number of reported … //psnet.ahrq.gov/primer/reporting-patient-safety-events
https://psnet.ahrq.gov/issue/novel-approach-increase-residents-involvement-reporting-adverse-events
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psnet.ahrq.gov/node/867475/psn-pdf
February 26, 2025 - mg, concomitant benzodiazepine prescription, or history of opioid use
disorder, reported a 28-fold increase … in naloxone co-prescribing.10 Another hospital reported an increase in
naloxone prescribing and a decrease … chronic pain to determine
whether the patient is receiving opioids in dosages or combinations that increase … Appropriate naloxone prescribing and education can increase the availability of the medication in
outpatient … Electronic advisories increase naloxone prescribing across health
care settings.
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psnet.ahrq.gov/node/33815/psn-pdf
September 01, 2016 - subject to even closer scrutiny because the absence of the traditional face-to-face
encounter could increase … Suggestions to
increase patient safety in telemedicine include: (i) patient safety awareness should … settings; (iii) use the latest data security and
encryption systems to protect patient privacy; (iv) increase … clinicians to document telemedicine services and
integrate them as part of regular workflow; and (vii) increase … Therefore, there is a need to increase research efforts
evaluating the impact of telemedicine on patient
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psnet.ahrq.gov/node/33606/psn-pdf
December 15, 2024 - Deaths from prescription opioid use
began to rise shortly thereafter, and as prescribing continued to increase … Both of these factors led to an increase in opioid
prescribing (and relative underuse of nonopioid therapies … The
increase in inappropriate prescribing may also be considered an unintended consequence of quality … overall death rate from opioids
(including both prescription and nonprescription drugs) continues to increase
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psnet.ahrq.gov/web-mm/compare-and-contrast
July 16, 2019 - with baseline renal dysfunction can result in contrast nephropathy (CN), most commonly defined as an increase … N-Acetylcysteine produced a relative risk of 0.1 in the incidence of CN (defined as increase of 0.5 mg … The incidence of CN (defined as a 25% increase in serum creatinine within 2 days of exposure) was 1.7% … However, severe or repeated episodes of acute kidney injury may increase the risk of progressive chronic … Medications – Stop drugs that may increase contrast nephrotoxicity: diuretics and non-steroidal agents
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psnet.ahrq.gov/issue/detection-analysis-and-significance-physician-clustering-medical-malpractice-lawsuit-payouts
June 22, 2022 - April 14, 2021
Improving communication and response to clinical deterioration to increase … July 9, 2018
Do written disclosures of serious events increase risk of malpractice claims
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psnet.ahrq.gov/issue/establishing-multidisciplinary-taskforce-improve-anticoagulation-safety-large-health-system
July 08, 2020 - January 8, 2020
Using failure mode and effects analysis to increase patient safety in … December 30, 2014
A performance improvement plan to increase nurse adherence to use of
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psnet.ahrq.gov/issue/minimising-treatment-associated-risks-systemic-cancer-therapy
December 22, 2021 - Related Resources From the Same Author(s)
Using failure mode and effects analysis to increase … August 25, 2021
A narrative review of strategies to increase patient safety event reporting
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psnet.ahrq.gov/node/867035/psn-pdf
October 30, 2024 - Advanced age along with multiple medical conditions or medications can increase the risk for
a bone … Additionally, changes in hearing, vision, and reflexes
can increase the risk of falls in older adults … https://psnet.ahrq.gov//#7
https://psnet.ahrq.gov//#10
dizziness or sedation or promote diuresis increase … Conditions such as osteoporosis
and medications that increase bone mineral loss (e.g., glucocorticoids … ) increase the risk of fractures.
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psnet.ahrq.gov/primer/opioid-safety
December 15, 2024 - Deaths from prescription opioid use began to rise shortly thereafter, and as prescribing continued to increase … Both of these factors led to an increase in opioid prescribing (and relative underuse of nonopioid therapies … The increase in inappropriate prescribing may also be considered an unintended consequence of quality … overall death rate from opioids (including both prescription and nonprescription drugs) continues to increase
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psnet.ahrq.gov/node/73146/psn-pdf
April 28, 2021 - ensures the care team is receiving important physiological data, facilitates patient support, and can
increase … The objective of this initiative is to improve the lives of patients with kidney disease, increase their … However, as the scale and scope of these programs increase, it will be critical to ensure that patients … Transitional dialysis care units: a new approach to increase home
dialysis modality uptake and patient
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psnet.ahrq.gov/node/50844/psn-pdf
January 29, 2020 - healthcare teams to share information, review their performance, proactively
flag safety concerns, increase … hand hygiene, unrecognized clinical deterioration, serious safety events, and near
misses.2,3 Huddles increase … Examples include patients who may be on medications that could
increase their risk of falls or bleeding … Huddles are recommended as a teambuilding tool in
TeamSTEPPS to increase situational awareness-- the
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psnet.ahrq.gov/node/49636/psn-pdf
October 01, 2011 - Interventions
include patient-specific exercises that increase flexibility, teach new movement strategies … (e.g., following a
stroke or learning to use crutches), or increase capacity for activity (e.g., in … Interventions
include patient-specific exercises that increase flexibility, teach new movement strategies … , or
increase capacity for activity. … Patients with respiratory failure increase
ambulation after transfer to an intensive care unit where
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psnet.ahrq.gov/issue/medical-liability-new-ideals-making-system-work-better-patients
May 18, 2011 - May 1, 2015
Examining the Increase in Drug Shortages. … September 6, 2016
Examining the Increase in Drug Shortages.
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psnet.ahrq.gov/web-mm/pain-relief-risk-case-suspected-opioid-overdose-pediatric-patient
October 04, 2023 - mg, concomitant benzodiazepine prescription, or history of opioid use disorder, reported a 28-fold increase … in naloxone co-prescribing. 10 Another hospital reported an increase in naloxone prescribing and a … chronic pain to determine whether the patient is receiving opioids in dosages or combinations that increase … Appropriate naloxone prescribing and education can increase the availability of the medication in outpatient … Electronic advisories increase naloxone prescribing across health care settings.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
October 01, 2011 - interventions to restore mobility and function
Patient-specific flexibility and movement strategies
Increase … than 65 mm Hg
New administration of pressor or antiarrhythmic agent
Change in ventilator setting for increase … Interventions include patient-specific exercises that increase flexibility, teach new movement strategies … , or increase capacity for activity.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.17_slideshow.ppt
June 01, 2003 - Challenge of Diagnosing Appendicitis
Classic signs of appendicitis increase likelihood of disease
Epigastric … and for women in whom pelvic pathology may mimic appendicitis
CT in low-risk population will lead to increase … in false positive readings
Potential increase in unnecessary surgery
Ege G. et al. … provide doctors with post-discharge feedback
Encourage providers to use ED patient safety resources
Increase
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psnet.ahrq.gov/issue/medication-errors-pediatric-anesthesia-report-wake-safe-quality-improvement-initiative
October 14, 2020 - Related Resources
Improving safety in the operating room: medication icon labels increase … events by pediatric anesthesiologists at a tertiary children's hospital: targeted interventions to increase
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psnet.ahrq.gov/issue/hospital-implementation-computerized-provider-order-entry-systems-results-2003-leapfrog-group
November 21, 2021 - October 4, 2020
Performance-based payment incentives increase burden and blame for hospital … November 26, 2014
A novel approach to increase residents' involvement in reporting adverse