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psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
October 04, 2023 - Graduates of pediatric anesthesiology fellowships accredited by the Accreditation Council for Graduate Medical … A color-flow injection test, using ultrasound to detect changes in color-flow in proximal veins after … Introduction of color-flow injection test to confirm intravascular location of peripherally placed intravenous … postdischarge incidents after implementation of a hospital-to-home transition intervention for children with medical … September 21, 2016
Opioid prescribing patterns among medical providers in the United
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psnet.ahrq.gov/perspective/covid-19-and-built-environment
June 30, 2021 - severe COVID-19 symptoms. 3 However, the ED remains the setting of care for patients needing emergency medical … use of telehealth techniques to evaluate patients within the hospital, combined with transitioning medical … architecture and public health students, and some students from an interprofessional program at the Medical … This is an area where I think there is going to be greater focus thinking about what can be done to test … We're going to test our air.”
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psnet.ahrq.gov/web-mm/near-miss-neonate
August 15, 2018 - This test had been ordered at an office visit earlier in the patient's pregnancy. … have been due to a lack of knowledge on the part of the provider who performed the second screening test … Nurses typically conduct a review of medical records and a full patient assessment during admission for … Rates of medical errors and preventable adverse events among hospitalized children following implementation
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psnet.ahrq.gov/web-mm/missed-appendicitis
March 13, 2013 - to enhance patient safety in the ED
Case & Commentary: Part 1
A 37-year-old woman with no past medical … white blood cell (WBC) count will be elevated in 70%-90% of patients with acute appendicitis, this test … needed: widespread use of CT in low-risk patients will lead to significant numbers of false positive test … This cognitive error of “anchoring” is a common source of emergency department error, and error in medical … National hospital ambulatory medical care survey: 2000 emergency department summary.
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psnet.ahrq.gov/perspective/safety-radiology
October 01, 2013 - Less effort has been committed to justification—ensuring that the test is appropriate. … Justification of diagnostic medical exposures: some practical issues. … Exposure to low-dose ionizing radiation from medical imaging procedures. … So if you're looking at the overuse of CT, then radiation becomes a very concerning harm if that test … Some patients may become anxious knowing that the test exposes them to radiation, but the simple truth
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psnet.ahrq.gov/issue/anatomy-cyberattack-part-4-quality-assurance-and-error-reduction-billing-and-compliance
April 27, 2022 - March 30, 2022
Electronic medical record-based interventions to encourage opioid prescribing
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psnet.ahrq.gov/web-mm/watch-warfarin
December 01, 2013 - Case & Commentary—Part 1: A frail 80-year-old man with a past medical history of dementia, falls, and … The medical team correctly continued the patient's warfarin on admission; patients in whom warfarin is … For the case patient, who was chronically taking warfarin, the medical team could have scheduled an earlier … Although the patient's INR on discharge was therapeutic, the medical team should have anticipated that … The medical team probably should have also either spoken directly with the primary care doctor at the
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psnet.ahrq.gov/issue/unlocking-potential-free-text-electronic-health-records-large-language-models-llm-enhancing
October 01, 2014 - January 3, 2017
Reducing diagnostic error through medical home-based primary care reform … November 16, 2011
Management of test results in family medicine offices.
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psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
November 01, 2012 - One component of the growing health care bill may be the expenses associated with unnecessary medical … Defensive Medicine and Medical Malpractice. … Sethi MK, Aseltine RH Jr, Ehrenfeld JM, et al; Massachusetts Medical Society. … The cost of medical professional liability. JAMA. 1987;257:2776-2781. [go to PubMed]
10. … Waltham, MA: Massachusetts Medical Society; June 2007. [Available at]
15.
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psnet.ahrq.gov/issue/efficiency-and-thoroughness-trade-offs-high-volume-organisational-routines-ethnographic-study
June 14, 2017 - role of informal dimensions of safety in high-volume organisational routines: an ethnographic study of test … June 14, 2017
Between demarcation and discretion: the medical-administrative boundary
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psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
April 04, 2018 - Due to some odd behavior and suspicion for substance abuse, a urine toxicology test was sent on admission … Yet, it seems from the case that the patient may have been using his prescribed opioids for non-medical … The algorithm involves a 10-step process with diagnosis, determination of medical necessity, establishment … Laxmaiah Manchikanti, MD Medical Director, Pain Management Center of Paducah, Paducah, Kentucky Clinical … February 27, 2019
Performance of large language models on medical oncology examination
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psnet.ahrq.gov/web-mm/getting-root-matter
September 01, 2005 - After 8 hours, arterial blood gas test revealed a pH 7.23, Pco 2 23 mm Hg, Po 2 161 mm Hg and base … The magnitude of medical error, the relative contribution of errors to adverse patient outcomes, and … provider contact with the patient (from physician to patient transport personnel), every order, every test … , and every response to a test should be charted. … Effect of reducing interns' work hours on serious medical errors in intensive care units.
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psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
August 15, 2018 - Review of her medical records revealed that the patient had a history of chronic hypertension, which … at onset, severity of disease process, presence of multifetal gestation, and presence of preexisting medical … population-based study of all maternity units in the Netherlands, errors in diagnosis and management by medical … obstetric or postpartum patients should also develop mechanisms that include assessment of competency of medical … Introduction of an obstetric-specific medical emergency team for obstetric crises: implementation and
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psnet.ahrq.gov/web-mm/2-week-itch
June 16, 2019 - Since mix-ups between Zyprexa and Zyrtec are potentially serious, nurses, medical staff (including psychiatrists … American Medical News. November 22/29, 1999. [ go to related site ] 8.
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psnet.ahrq.gov/perspective/update-patient-engagement-safety
January 01, 2017 - population-based study in Iowa, 20% of participants shared that they or someone close to them had experienced a medical … offered patients unprecedented access to their health information, including the ability to review test … In a 2018 study, most patients who viewed their online test results did not receive explanations of
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psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
April 01, 2005 - incorporate recommendations to repeat testing and consider consultation with an obstetrician if the repeat test … In addition, the electronic medical record (EMR) features an order set to assist clinicians in ordering … example may include harmful medication interactions or potentially missed diagnoses, such as abnormal test … Kanter, Michael.H.Kanter@kp.org , Southern California Permanente Medical Group and Kaiser Permanente … Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical
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psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - As a field, POCUS was initially led by emergency medicine, but now many medical specialties use POCUS … The emergency department POCUS was a reasonable first test, and its findings correctly reassured the … (e.g., radiographs, electrocardiograms, etc.), providers need to recognize when the findings of the test … Accreditation Council for Graduate Medical Education. [Available at]
3. … Chicago, IL: American Medical Association; 1999. Resolution 802. [Available at]
5.
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psnet.ahrq.gov/web-mm/autopsy-revelation
December 01, 2007 - Internal bleeding: the truth behind America's terrifying epidemic of medical mistakes. … Medical error and outcomes measures: where have all the autopsies gone? … The value of the autopsy in three medical eras. … Misdiagnosis at a university hospital in 4 medical eras. … Diagnostic errors in three medical eras: a necropsy study.
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psnet.ahrq.gov/issue/vanishing-nonforensic-autopsy
February 09, 2011 - February 22, 2011
Patient safety in emergency medical services: a systematic review of … December 21, 2011
Computerised provider order entry and residency education in an academic medical
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psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
July 02, 2011 - potential (SSEP) monitoring and motor evoked potential (MEP) monitoring provided the best diagnostic test … Take Home Points
The urgency of emergent surgical conditions influences medical decision making and … injury during adult aneurysm clipping surgery: a systematic review and meta-analysis of diagnostic test … May 20, 2009
Impact of the Accreditation Council for Graduate Medical Education work-hour