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psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
August 01, 2012 - previous authors have described for polytrauma 47 or traumatic brain injured patients. … Safety of percutaneous endoscopic gastrostomy in high-risk patients. … Evaluation of 644 percutaneous endoscopic gastrostomy patients in a single center. … Ipswich experience. … Opportunities to improve clinical summaries for patients at hospital discharge.
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psnet.ahrq.gov/web-mm/preventable-transfer-hospital
March 31, 2022 - The plan was to transition the patient to hospice the following day. … Hospitalizations have become progressively shorter despite the increasing complexity of patients, and … as a result, patients are often discharged with ongoing care needs. … The patient in the described case was an unfortunate victim of discontinuity of care. … Preventability and causes of readmissions in a national cohort of general medicine patients.
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psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
February 28, 2024 - Second, the patients getting PICCs were fundamentally different from hospitalized patients in that they … that of cancer patients—about 13%. … Second, thrombosis can often cause a lot of patient discomfort. … We are actively looking to diffuse that so everyone can experience the Michigan MAGIC! … And if you choose patient, information on what patients need to know about their PICCs—what questions
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psnet.ahrq.gov/web-mm/hard-swallow
April 26, 2023 - In addition, risk managers are duty-bound not only to protect patients from injury, but also to protect … Having a standard order to allow speech therapists to place patients on NPO status when necessary is … A study of patients and relatives taking legal action. … Communication with patients and other customers: the ultimate loss control tool. … : perceptions of physicians, nurses, trainees, and patients.
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psnet.ahrq.gov/web-mm/reconciling-doses
August 14, 2017 - Many patients can and do provide accurate medication histories. … The patient should be at the center of this work. … be different from that for patients admitted through the ED or a nursing home. … National Patient Safety Goals for 2006 and 2005. … OSF Healthcare’s journey in patient safety.
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psnet.ahrq.gov/node/49566/psn-pdf
July 01, 2008 - As soon as a patient is suspected of receiving a bacterially contaminated platelet unit, the transfusion … Clinical patient management will depend on the extent of the
clinical findings but should begin without … Clinicians and nurses caring for patients undergoing platelet transfusion therapy should monitor
patients … for up to 24
hours or even longer (especially in those contaminated with gram-positive organisms), a patient … Transfusion errors in New York state: an analysis of
10 years' experience.
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psnet.ahrq.gov/perspective/conversation-abraham-verghese-md
November 01, 2012 - And, to arrive in America was to have this wonderful experience of actually using all the technology … we as physicians make contact with patients. … important event in the patient–physician encounter. … The patient in the bed can seem almost as an icon for the "real" patient who's in the computer—who I … AV : I think clinicians still enjoy their time with patients.
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psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations
September 27, 2023 - foreign body is in superficial (as opposed to deep) tissue and is highly dependent on operator skill and experience … antibiotic treatment (termed “prophylactic” by the authors) for patients with non-bite wounds. … Ideally, all patients with high-risk wounds should have close follow up, usually within 24-48 hours. … Alternatively, patients should be instructed to return to the index ED for re-evaluation. … Take-Home Points Evaluate all patients for their risk of wound infection and poor wound healing.
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psnet.ahrq.gov/node/33656/psn-pdf
September 01, 2007 - It's still the bottom line that "The secret in caring for the patient is caring for the patient," as … I am nearly positive that miniscule numbers of patients will shift their care. … We have patients who die. We have patients in pain. … We have
patients suffering difficulties with great bravery. … Sometimes my patients will ask, "Am I going to be a case to write about?"
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psnet.ahrq.gov/web-mm/preventable-rash
October 01, 2012 - The patient was treated with penicillin in the urgent care clinic. … STDs is the only way to detect infection in many patients. … For patients diagnosed with reportable diseases, clinicians can help by telling their patients that their … This public health investigation may improve patient care by locating difficult-to-find patients (those … AIDS Patient Care STDS. 2001;15:243-53. [ go to PubMed ] 4.
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psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
August 01, 2014 - patients safe, where the world of health care meets the real world of patients' everyday lives. … RW : Talk about the role of patients. What happens to patients when they're out of the office? … In terms of patients introducing errors, this concept is still fairly new to the patient safety literature … A lot of my patients won't use our Internet-based patient portal when it becomes available because it … We really need to work on our patient experience.
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psnet.ahrq.gov/node/49528/psn-pdf
January 01, 2015 - Interestingly, when clinicians hold their tongue and
allow patients to finish, patients complete expressing … Often,
patients express dissatisfaction borne of unmet expectations. … ensure that decisions respect patients'
wants, needs, and preferences and that patients have the education … and collaboration with patients. … Prevalence and sources of
patients' unmet expectations for care.
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psnet.ahrq.gov/web-mm/moving-pains
August 17, 2017 - in acute medical wards, the issues surrounding patient safety for transport for non-ICU patients have … ill patients. … Guidelines for the inter- and intrahospital transport of critically ill patients. … To which locations are most patients transported? … Transport personnel Who transports patients (unlicensed and licensed personnel)?
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psnet.ahrq.gov/node/866839/psn-pdf
September 25, 2024 - foreign body is in superficial (as opposed to deep) tissue and is highly dependent on
operator skill and experience … In a meta-analysis of 7 randomized trials inclusive of 1734 patients, there
was no benefit to early … For some patients, probably
including the one in this case, even delayed closure is not feasible or … Alternatively, patients should be instructed to return
to the index ED for re-evaluation. … Take-Home Points
Evaluate all patients for their risk of wound infection and poor wound healing.
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psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
September 28, 2022 - If I see patients five times a year, rather than three times a year, then I can’t see as many patients … safety on behalf of our patients. … Patient and family engagement Use of shared decision making Providing most patients’ healthcare needs … with lower health literacy are more likely to experience medication-related safety events. … By working directly with patients, community health workers can establish customized, patient-centered
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psnet.ahrq.gov/node/49547/psn-pdf
October 01, 2007 - Upon arrival minutes later, they found the patient apneic and pulseless. … The nurses on the inpatient
psychiatry ward had placed an oxygen mask on the patient, but the patient … The efforts were stopped, and the patient died moments later. … Treatment
and Active Labor Act (EMTALA), a federal statute best known for governing the transfer of patients … According to EMTALA, hospitals are required to provide emergency medical services to all
patients "within
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psnet.ahrq.gov/node/61078/psn-pdf
October 28, 2020 - the medical team and the
patient/family. … Shared decision making with the patient is imperative.13 Assessment of patient
ability is also important … Patient Self-Management of Diabetes Care in the Inpatient Setting: Con. … The Dilemma of the Hospitalized
Insulin Pump Patient. … Continuous glucose monitoring in insulin-treated patients in non-ICU
settings.
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psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
February 26, 2025 - Many patients prefer a trial of nonoperative management when it is an option, but these patients must … Arranging post-discharge follow-up can be challenging for both patients and providers. … There can be a large gap in care coordination when patients are readmitted, particularly if patients … satisfaction, and ultimately better patient outcomes. … Nationwide comparison of the medical complexity of patients by surgical specialty.
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psnet.ahrq.gov/node/49584/psn-pdf
April 01, 2009 - She noted the results and went to see other patients. … tests, and prevent errors;
Epidemiological analysis of data from targeted or broad populations of patients … Clinicians are also inventive creators of workarounds when faced with system barriers—their need to help
patients … EMR system available to different
departments and labs would be far outweighed by the benefits to patients … ) the challenges of accurately entering clinical data while directly
caring for (and talking with) patients
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psnet.ahrq.gov/node/49516/psn-pdf
August 01, 2006 - At times, it
almost seems as if the patient in the bed is an icon for the real patient who exists in … Done well, it earns trust, patient
confidence, and perhaps increasing patient compliance. … The practice of "handing off" patients necessitated by the 80-hour work week imposed on physicians in … training might compound the risk of patients like this falling through the cracks. … Patients may have impairments that make them unable to voice what is bothering them.