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psnet.ahrq.gov/issue/design-reliability-barcoded-medication-administration
July 21, 2021 - June 10, 2018
Guidelines for timely medication administration: response to the CMS "30-minute
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psnet.ahrq.gov/issue/innovative-patient-safety-curriculum-using-ipad-game-passed-improved-patient-safety-concepts
November 16, 2022 - initially surveyed on baseline understanding of patient safety concepts, which was followed by a 20-minute
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psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside-intravenous-iv-pole
April 17, 2024 - January 23, 2019
Guidelines for timely medication administration: response to the CMS "30-minute
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psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
January 01, 2024 - • On examination, vital signs were as follows:
– Temperature 38.3o Celsius
– Pulse 143 beats per minute … (bpm)
– Respiratory rate 24 per minute
– Oxygen saturation 100%
• There were normal breath sounds and … Temperature 39.5o; Pulse markedly tachycardic at 205 bpm; Respiratory rate markedly
tachypneic at 36 per minute … was initially febrile to 38.3 o Celsius with tachycardia at 143 bpm and tachypnea at 24
breaths per minute … worsening illness, with fever to 39.5o Celsius, tachycardia to 205 bpm,
and tachypnea to 36 breaths per minute
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psnet.ahrq.gov/node/865419/psn-pdf
March 27, 2024 - On examination, vital signs were as follows: temperature 38.3
Celsius, pulse 143 beats per minute (bpm … ), respiratory rate 24 per minute, and oxygen saturation 100%. … temperature 39.5, pulse markedly tachycardic at 205 bpm, respiratory rate markedly
tachypneic at 36 per minute … was initially febrile to 38.3o Celsius with
tachycardia at 143 bpm and tachypnea at 24 breaths per minute … worsening illness, with fever to
39.5o Celsius, tachycardia to 205 bpm, and tachypnea to 36 breaths per minute
-
psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
March 27, 2024 - On examination, vital signs were as follows: temperature 38.3 Celsius, pulse 143 beats per minute (bpm … ), respiratory rate 24 per minute, and oxygen saturation 100%. … temperature 39.5, pulse markedly tachycardic at 205 bpm, respiratory rate markedly tachypneic at 36 per minute … was initially febrile to 38.3 o Celsius with tachycardia at 143 bpm and tachypnea at 24 breaths per minute … worsening illness, with fever to 39.5 o Celsius, tachycardia to 205 bpm, and tachypnea to 36 breaths per minute
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psnet.ahrq.gov/issue/scanner-beep-only-means-barcode-has-been-scanned
June 10, 2018 - June 10, 2018
Guidelines for timely medication administration: response to the CMS "30-minute
-
psnet.ahrq.gov/issue/medical-error-reporting-system-still-year
July 10, 2013 - April 20, 2022
Reliability and usability of a 7-minute chart review tool to identify
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psnet.ahrq.gov/issue/variation-patient-safety-outcomes-and-importance-being-informed
July 02, 2014 - September 12, 2012
Reliability and usability of a 7-minute chart review tool to identify
-
psnet.ahrq.gov/issue/getting-rid-never-events-hospitals
April 25, 2016 - December 19, 2017
The "Quality Minute"—a new, brief, and structured technique for quality
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psnet.ahrq.gov/issue/dtap-tdap-mix-ups-now-affecting-hundreds-patients
June 10, 2018 - June 10, 2018
CMS 30-minute rule for drug administration needs revision.
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psnet.ahrq.gov/issue/thats-way-we-do-things-around-here
June 10, 2018 - June 10, 2018
Guidelines for timely medication administration: response to the CMS "30-minute
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psnet.ahrq.gov/issue/human-factors-and-ergonomics-healthcare-delivery-special-issue-health-information-technology
June 02, 2010 - May 11, 2011
CMS 30-minute rule for drug administration needs revision.
-
psnet.ahrq.gov/issue/prescription-success-dont-bother-nurses
June 16, 2010 - April 17, 2024
Guidelines for timely medication administration: response to the CMS "30-minute
-
psnet.ahrq.gov/issue/patient-safety-and-satisfaction-state-american-hospitals
July 02, 2014 - October 25, 2013
Reliability and usability of a 7-minute chart review tool to identify
-
psnet.ahrq.gov/issue/implementing-safe-and-reliable-process-medication-administration
June 22, 2022 - June 27, 2018
Guidelines for timely medication administration: response to the CMS "30-minute
-
psnet.ahrq.gov/issue/meeting-challenge-patient-safety-ambulatory-care-setting
February 22, 2023 - July 15, 2020
Reliability and usability of a 7-minute chart review tool to identify pediatric
-
psnet.ahrq.gov/issue/automated-dispensing-cabinets-and-their-impact-rate-omitted-and-delayed-doses-systematic
October 12, 2022 - June 16, 2019
Guidelines for timely medication administration: response to the CMS "30-minute
-
psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
January 01, 2021 - IV) fluid
boluses and vasopressor support
– She received IV norepinephrine at a rate of 0.5 - 6 mcg/minute … 1: Norepinephrine Dosing
Initial Dose Typical Dosage Range
Weight-based Dosing 0.05-0.15 mcg/kg/minute … 0.05 to 0.4 mcg/kg/minute
Non-weight-based Dosing 5-15 mcg/minute 5 to 30 mcg/minute
ICU Medication
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psnet.ahrq.gov/issue/managing-near-miss-reporting-hospitals-dynamics-between-staff-members-willingness-report-and
March 30, 2016 - are incidents that could have resulted in patient harm but did not due to it being caught at the last minute