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9121. Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes | PSNet
      psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
      April 10, 2024 - Most NHs accept post-acute patients from the hospital requiring highly skilled nursing care that is covered … “ Care Compare ” webpages provide current data available to the public on its website, which allows patients … primary training was in infection control; qualified through education, training, certification, or experience … As Coronavirus patients skew younger, tracing task seems all but impossible”. Kaiser Health News.  … August 17, 2022 Patient Safety Primers Nursing and Patient

9122. A framework for assessing reasoning about controversial end-of-life clinical decisions. | PSNet
      psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
      November 30, 2023 - Intuitively, unless a patient desires or consents otherwise, patients must be treated according to prevailing … The complexity of health care can be a source of risk or harm to patients in other ways as well. … For example, healthcare delivery can be a source of bad moral luck for patients; this term refers to … Capacity for Preferences: Respecting Patients with Compromised Decision-Making. … New clinical-practice guidelines for the management of pain in patients with cancer.

9123. Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing | PSNet
      psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
      August 21, 2005 - dose to prevent stroke in patients with atrial fibrillation. … of action, described in patient-friendly terms  Dosing instructions for the patient-specific indication …  go a step further and provide that service to DOAC patients.  … Warfarin in high-risk patients with antiphospholipid syndrome. … Patient Safety Network. Lethal Cap. https://psnet.ahrq.gov/web-mm/lethal-cap . March 2004.

9124. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60267/psn-pdf
      March 01, 2021 - Innovation Patient Safety Focus The SASH program personalized care coordination services successfully … Additionally, the program saw residences experience a decrease in the number of falls.

9125. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74830/psn-pdf
      June 01, 2022 - currently includes 62 non-governmental hospitals in Michigan, aims to improve the safety of hospitalized patients … based on use of single lumens, length of placement greater than five days, and avoidance of use in patients … HMS has also focused on risk assessment and therapies for patients at risk for venous thromboembolism … Inpatient venous access practices: PICC culture and the kidney patient. … Patient Safety Network. December 1, 2012. Accessed November 17, 2021.

9126. In Conversation with...Lucian Leape, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
      August 01, 2006 - You're not going to be able to take care of your patients. … Looking at 30,000 patients gives you some clout. … But we were, shall we say, dismayed to find that 4% of patients had adverse events. … patient safety began in 1972. … This focus on safety led to significant decreases in risks to patients.

9127. In Conversation with…Jack Barker, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withjack-barker-phd
      January 01, 2006 - Beforehand, they just went along and processed their patients, with no open communication about how to … team training skills—communication, support, use of checklists, and more—without any risk of harming patients … lifesaving task of evacuating more than 300 panicking individuals faster than I could ever evacuate 30 patients … also may result in reporting systems that are more responsive and relevant to the local providers, patients … Patient Safety and Quality Improvement Act of 2005, Pub L No. 109-41, 119 Stat 424.

9128. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60241/psn-pdf
      February 24, 2022 - Most NHs accept post-acute patients from the hospital requiring highly skilled nursing care that is … “Care Compare” webpages provide current data available to the public on its website, which allows patients … primary training was in infection control; qualified through education, training, certification, or experience … and Drug Administration (FDA) approval had stated that their rapid antigen tests were designed for patients … As Coronavirus patients skew younger, tracing task seems all but impossible”. Kaiser Health News. 

9129. Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents? | PSNet
      psnet.ahrq.gov/web-mm/managing-care-challenges-group-home-setting-staffing-adequate-unplanned-incidents
      April 27, 2022 - On weekends, patients in this group home are allowed to sleep up to two hours later than on weekdays, … The CNA showers and fully dresses the patient, but in the process, the patient has another bowel accident … The CNA pivots the patient, who is now weak and disoriented, to the toilet, but the patient sits down … It is not uncommon for patients taking polyethylene glycol daily to be constipated one day and have extremely … August 17, 2022 Patient Safety Primers Nursing and Patient