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psnet.ahrq.gov/web-mm/watch-warfarin
December 01, 2013 - He was on long-standing anticoagulation with warfarin for his atrial fibrillation, and this medication … Risk of thromboembolism with short-term interruption of warfarin therapy. … Meta-analysis: effect of patient self-testing and self-management of long-term anticoagulation on major … September 23, 2020
WebM&M Cases
Peripheral IV in Too Long
-
psnet.ahrq.gov/node/60865/psn-pdf
August 31, 2020 - I've been very fortunate to, for lack of a better
term, raise five CNOs throughout my career and I'm … So how long does that take to
evolve? … I'm okay with that as long as, on any given day, we
can have the conversation that yes, we're struggling … As long as our goal at the end of the day is zero harm, let’s have a healthy
conversation about where … We try not to use the
term “staff” or “employee.” Instead, everybody here is a care partner.
-
psnet.ahrq.gov/node/33766/psn-pdf
May 01, 2014 - Nevertheless, in the long term, I'm convinced that there will be systems to allow performance
feedback … have excellent results at the time of accreditation, but it doesn't tell you that on
average, year-long … will realize that from performance monitoring, that education and
institutional safety culture have a long … In the long term, I envisage that patients would play an important role in participating in
behavior
-
psnet.ahrq.gov/node/46238/psn-pdf
November 08, 2017 - psnet.ahrq.gov/issue/workarounds-are-routinely-used-nurses-are-they-ethical
Workarounds arise as short-term … are-workarounds-ethical-managing-moral-problems-health-care-systems
https://psnet.ahrq.gov/issue/reporting-and-second-order-problem-solving-can-turn-short-term-fixes-long-term-remedies
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psnet.ahrq.gov/primer/checklists
September 15, 2024 - Infections
September 15, 2024
Patient Safety Primers
Long-term
-
psnet.ahrq.gov/node/49571/psn-pdf
October 01, 2008 - It has long been appreciated that growth is a valuable marker of the socioeconomic conditions for a given
-
psnet.ahrq.gov/issue/building-culture-patient-safety-report-commission-patient-safety-and-quality-assurance
November 10, 2011 - October 23, 2013
I-PSI: short- and long-term efficacy of a comprehensive initiative to … View More
Related Resources
The Economics of Patient Safety Part III: Long-term … Care: Valuing Safety for the Long Haul.
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psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
July 31, 2023 - After nursing school, I worked as a staff nurse in a hospital, then as a director of nursing in a long-term … Every long-term care facility also has an infection prevention advisor from our team assigned to them … A few years later, an amendment was made to the act that required long-term care facilities to report
-
psnet.ahrq.gov/perspective/building-capacity-patient-safety
July 31, 2023 - After nursing school, I worked as a staff nurse in a hospital, then as a director of nursing in a long-term … Every long-term care facility also has an infection prevention advisor from our team assigned to them … A few years later, an amendment was made to the act that required long-term care facilities to report
-
psnet.ahrq.gov/node/49726/psn-pdf
March 01, 2015 - not necessarily mean that surgery was performed at the incorrect
level.(2) Wrong-site surgery has long … As noted previously, despite the decade-long
history with the protocol, wrong-site surgery remains the … Often used as a general term for wrong
level or part, wrong patient, and wrong
side surgery. … Generalized term to encompass all examples below.
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psnet.ahrq.gov/node/49784/psn-pdf
February 01, 2017 - She was sexually active
with one partner and expressed interest in long-term contraception. … and education should follow immediately,
accompanied by necessary changes in the testing plan for long-term
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psnet.ahrq.gov/node/853080/psn-pdf
August 30, 2023 - This exodus likely
has long-term impacts to the workforce because these nurses would not be in the profession … patient monitoring, however, it may support higher-quality care outside of its
original setting, as long
-
psnet.ahrq.gov/node/74021/psn-pdf
October 25, 2021 - I don't think we realized just how broad that term is and what it covers. … We often hear the term
“pharmacy hopping.” … But it is important to establish long-term relationships with one pharmacist, one
primary provider, … This brings continuity to your care and goes a long way in
preventing errors.
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psnet.ahrq.gov/node/72835/psn-pdf
March 10, 2021 - LH: It is a challenge, and we've been on this journey for a very long time. … improvement, but I think that consistency of approach where you look at PFE as a
strategy would go a very long
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psnet.ahrq.gov/web-mm/liver-failure-after-chemotherapy-did-we-forget-something
May 01, 2019 - viral loads quantified and aminotransferase testing to identify those patients who might benefit from long-term … Patients with chronic infection may qualify for long-term antiviral therapy and should have HBV viral
-
psnet.ahrq.gov/node/49529/psn-pdf
February 01, 2007 - In a setting of patients residing in an academically affiliated long-term care facility, alerts
directed … Prescribers' responses to alerts during medication ordering in the
long term care setting.
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psnet.ahrq.gov/web-mm/40-k
January 12, 2011 - 12, 2011
The VHA New England Medication Error Prevention Initiative as a model for long-term … December 30, 2014
WebM&M Cases
The Safety and Quality of Long … Term Care
September 1, 2011
WebM&M Cases
Workaround
-
psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
November 21, 2021 - The Case A 34-year-old near-term pregnant woman presented to the emergency department (ED) with abdominal … become increasingly aware of the danger posed by hospital-acquired sepsis, given the significant risk of long-term … For a long time, it was hoped that biomarkers would provide an accurate and specific tool for early identification
-
psnet.ahrq.gov/web-mm/privacy-gone-awry
February 24, 2011 - quality of life, between survival and morbidity when considering chemotherapy for cancer, or between long-term … and short-term survival when considering surgery (such as for aortic aneurysm in Marfan's syndrome). … Concerns about patient privacy have long been appreciated in health care.
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psnet.ahrq.gov/node/852807/psn-pdf
August 30, 2023 - consumption of beverages containing
concentrated caffeine or amphetamines,4,5,6 or cocaine, during long … shifts
Regular breaks can help to mitigate the adverse effect of long shifts. … Using amphetamines that are still advocated for short term use in the military
during combat conditions … Excessively long shifts should be avoided. … Can workplace rest breaks prevent work-related injuries related to long
working hours?