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psnet.ahrq.gov/node/49865/psn-pdf
June 01, 2019 - site infections.(9,10) Infected hospitalized patients not treated with a beta-
lactam had a threefold increased … drug toxicities and Clostridium
difficile colitis.(11) Penicillin allergy reporters also had a 26% increased … risk of Clostridium difficile and a
69% increased incidence of methicillin-resistant Staphylococcus … Penicillin
Allergy Day (September 28).(16)
Take-Home Points
Unverified penicillin allergy leads to increased … Other harms of unverified penicillin allergy labels include increased risk of adverse events,
Clostridium
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psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication-program-reduce-medical
February 26, 2025 - This innovation standardized family-centered rounds and increased family and healthcare provider team … p=0.003). 4 There was no significant increase in duration of the rounds. 4 Family-centered rounds increased … from 72.2% preintervention to 82.8% postintervention (p=0.02). 4 Family engagement on rounds increased … from 55.6% preintervention to 66.7% postintervention (p=0.04). 4 Nurse engagement increased from 20.4% … preintervention to 37.7% postintervention (p=0.03). 4 Parent reporting of illness severity on rounds increased
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psnet.ahrq.gov/primer/burnout
November 20, 2024 - as a syndrome that is characterized by three dimensions: feelings of energy depletion or exhaustion; increased … While it is difficult to determine specific causal relationships, burnout has been associated with increased … to Patient Safety Clinicians who have been involved in errors or serious safety events may be at increased … The increased focus on addressing burnout and emotional distress in health care workers during the … pandemic has resulted in opportunities to intervene. 15-18 For example, there has been increased interest
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psnet.ahrq.gov/node/47750/psn-pdf
January 30, 2019 - The number of such deaths increased, but the US age-standardized
mortality rate for deaths due to AEMT … The authors noted
similar AEMT mortality rates for men as compared to women, significantly increased
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psnet.ahrq.gov/issue/quality-and-patient-safety-improvement-never-finished
September 18, 2024 - September 21, 2016
Increased risk of burnout for physicians and nurses involved in a … July 10, 2024
Visitor restrictions during the COVID-19 pandemic and increased falls with
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psnet.ahrq.gov/web-mm/hidden-mystery
December 01, 2011 - Increased width of subcutaneous fat, particularly the abdominal panniculus, interferes with auscultation … Bag-Valve-Mask ventilation is more difficult because of reduced pulmonary compliance, increased chest … wall resistance, increased airway resistance, abnormal diaphragmatic position, and increased upper airway … Drugs with a higher affinity for adipose tissue tend to have an increased volume of distribution. … Take-Home Points Given the increased prevalence of obesity in our society, and the risks posed by
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psnet.ahrq.gov/node/49474/psn-pdf
March 01, 2005 - Increased width of subcutaneous fat, particularly the abdominal panniculus, interferes with auscultation … Bag-Valve-Mask
ventilation is more difficult because of reduced pulmonary compliance, increased chest … wall resistance,
increased airway resistance, abnormal diaphragmatic position, and increased upper … Drugs
with a higher affinity for adipose tissue tend to have an increased volume of distribution. … Take-Home Points
Given the increased prevalence of obesity in our society, and the risks posed by obesity
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psnet.ahrq.gov/issue/information-and-power-women-colors-experiences-interacting-health-care-providers-pregnancy
June 18, 2020 - June 18, 2020
Use of unsolicited patient observations to identify surgeons with increased … failure to document key comorbid diseases in the anesthesia preoperative evaluation associates with increased
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psnet.ahrq.gov/node/49700/psn-pdf
February 01, 2014 - The Commentary
Patients with acute coronary syndromes (ACS) are at increased risk for multiple heart … automaticity in the infarct border zone (the myocardium immediately adjacent to the infarcted
tissue), and increased … conducted in the 1970s and 1980s suggested that NSVT after ACS is benign and is not
associated with increased … next year (incidence
2.9%–4.3%).(1) This finding creates a clinical conundrum: notwithstanding the increased … , each beat has a similar appearance and is termed monomorphic VT, which is usually due to scar or
increased
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psnet.ahrq.gov/node/49441/psn-pdf
March 01, 2004 - duty hours to 80 per week, with no more than 30 consecutive hours worked.(1) These mandates have
increased … In a survey at our institution, nearly half of residents
identified the increased numbers of signouts … the inpatient and outpatient setting, in-hospital signouts represent gaps in care and thus
demand increased … vigilance to avoid placing patients at increased risk for harm.(3) Although practitioners
are generally … inevitable increase in discontinuity and increase in
sign-outs, resulted in delayed test ordering and increased
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psnet.ahrq.gov/primer/opioid-safety
December 15, 2024 - Although this class of medications has always been considered high risk, prescribing of opioids increased … a pattern of opioid use that results in serious physical impairment or psychological distress) has increased … Additional research demonstrates potential harms associated with rapid tapering of opioids including increased … emergency department visits, increased risk of overdose , and mental health crisis .
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psnet.ahrq.gov/node/865984/psn-pdf
May 29, 2024 - secondary to vasospasm or variant/Prinzmetal angina, other patients with conditions that
predispose to increased … demand, such as sleep apnea with hypoxic
episodes, may indeed have obstructive coronary disease.2 The increased … Patients with elevated HEART scores of 4 or greater have markedly increased of a major adverse
cardiac … discussed earlier,
interval changes in the electrocardiogram should prompt investigation given the increased … of abnormalities in the electrocardiogram, such as right bundle branch block,
are associated with increased
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psnet.ahrq.gov/node/861880/psn-pdf
January 31, 2024 - This
innovation standardized family-centered rounds and increased family and healthcare provider team … psnet.ahrq.gov//#4
https://psnet.ahrq.gov//#4
postintervention (p=0.02).4 Family engagement on rounds increased … from 55.6% preintervention to 66.7%
postintervention (p=0.04).4 Nurse engagement increased from 20.4% … Adherence to key communication behaviors, including families expressing
concerns at the start of rounds, increased … preintervention to 37.7% postintervention (p=0.03).4
Parent reporting of illness severity on rounds increased
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psnet.ahrq.gov/node/49610/psn-pdf
October 01, 2010 - in
fewer than half of elderly patients and an incorrect admitting diagnosis was associated with an increased … such misdiagnoses can be associated with a significant delay in operative
intervention and subsequent increased … One approach to decreasing technical errors
for emergency general surgery procedures in the era of increased … Elderly patients are at increased risk of missed and delayed diagnosis of appendicitis, leading to
higher … Elderly patients are at markedly increased risk of morbidity and mortality following appendectomy
and
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psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
November 25, 2020 - Increasing maternal age is strongly correlated with increased risk of maternal death; 27% of maternal … These alterations include increased blood volume, increased cardiac output, decreased vascular resistance … (with lower blood pressure), increased pulse, increased respirations, increased minute ventilation, … decreased functional residual capacity, increased glucose metabolism, and others. 7 Altered pregnancy … Because of the increased blood volume and decreased vascular resistance seen late in pregnancy, blood
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psnet.ahrq.gov/curated-library/covid-19-pandemic-impact-healthcare-associated-conditions
September 15, 2025 - Long-term care and skilled nursing facilities are particularly vulnerable to COVID-19 infection; this increased … Adverse events were more likely to occur in nursing homes with higher bed capacities, increased use of
-
psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
January 12, 2022 - Visitor restrictions increased the burden on staff related to communication of patient status, as well … That led to other staff members having to take the increased workload, further adding to staff fatigue … There was an ongoing need for increased vigilance in patient monitoring. … There was an influx of less experienced workers to meet staffing demands, so some hospitals increased … risk of infection may, in part, be due to increased device utilization and prolonged hospitalization
-
psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
January 12, 2022 - risk of infection may, in part, be due to increased device utilization and prolonged hospitalization … Visitor restrictions increased the burden on staff related to communication of patient status, as well … That led to other staff members having to take the increased workload, further adding to staff fatigue … There was an ongoing need for increased vigilance in patient monitoring. … There was an influx of less experienced workers to meet staffing demands, so some hospitals increased
-
psnet.ahrq.gov/issue/medical-malpractice-litigation-and-daylight-saving-time
March 24, 2019 - November 18, 2020
Does increased schedule flexibility lead to change? … September 23, 2020
Increased patient safety-related incidents following the transition
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psnet.ahrq.gov/issue/missed-acute-coronary-syndrome-during-telephone-triage-out-hours-primary-care-lessons-case
March 11, 2020 - Related Resources From the Same Author(s)
Patient-related factors associated with an increased … September 23, 2020
COVID-19 increased the risk of ICU-acquired bloodstream infections