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4281. The Forgotten Drip | PSNet
      psnet.ahrq.gov/web-mm/forgotten-drip
      April 01, 2014 - The patient was admitted to the intensive care unit (ICU). … Over the next 24 hours, the patient showed minimal improvement and remained unresponsive and comatose … A review of that day's laboratory data revealed that the patient had developed severe hypernatremia ( … Although the hemorrhage and cerebral edema were improved, the patient remained unresponsive and comatose … Access August 21, 2014 Perspective Quality and Safety

4282. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72614/psn-pdf
      March 01, 2021 - births.10   Improved task completion, medication administration, and response times for eclampsia patients … : A randomized controlled trial (RCT) focused on the care of patients with eclampsia found that PROMPT … Increased safety attitude: As measured by Safety Attitude Questionnaire, this same RCT found a significant … increase in teamwork, safety, and perception of management scores following staff PROMPT training.   … Innovation Patient Safety Focus This innovation uses core patient safety communication and teamwork

4283. In Conversation with…Thomas H. Gallagher, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md
      January 01, 2009 - safety efforts. … Recent presidential candidates have touted using disclosure as part of a centerpiece of patient safety … increase the rate of malpractice suits, more lawsuits could actually lead to greater efforts to improve safety … Making patient safety the centerpiece of medical liability reform. … The patient's right to safety--improving the quality of care through litigation against hospitals.

4284. Spinal Epidural Abscess | PSNet
      psnet.ahrq.gov/web-mm/spinal-epidural-abscess
      November 13, 2019 - The patient was taken to the operating room for drainage of the abscess. … Patients suspected of having spinal epidural abscess should be referred for timely imaging. … Spinal epidural abscess: a meta-analysis of 915 patients. Neurosurg Rev. 2000;23:175-204. … Advances in Patient Safety: From Research to Implementation, Vol 2. … safety.

4285. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865419/psn-pdf
      March 27, 2024 - Patient Safety Targets Recognition of Pediatric Sepsis Infections have been implicated in 25% of childhood … Approaches to Improving Safety Improved Detection of Pediatric Sepsis A potential intervention that … Michelle Hamline, MD, PhD, MAS Assistant Professor Associate Director of Quality and Safety Department … Safety Network (PSNet) Professor Department of Pediatrics Medical Director for Healthcare Quality … The impact of cognitive and implicit bias on patient safety and quality.

4286. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846769/psn-pdf
      March 29, 2023 - Patients may also report salt craving if mineralocorticoid production is affected. … Safety This case highlights the challenge of diagnosing a rare condition with non-specific presenting … symptoms, particularly during an isolated patient encounter. … safety in several ways. … Adrenal crisis: prevention and management in adult patients.

4287. Crossing the Line | PSNet
      psnet.ahrq.gov/web-mm/crossing-line
      December 01, 2012 - Importantly, patients generally find subclavian catheters more comfortable than the internal jugular … These can be divided into patient factors and operator factors. … The patient suffered permanent neurologic deficits, including left hemiplegia. … July 29, 2020 View More Related Resources Patient Safety … Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

4288. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49811/psn-pdf
      November 01, 2017 - A new hospitalist assumed care of the patient on the third hospital day. … The mortality rates for thyroid storm range from 10%–75% of hospitalized patients.(1) Myxedema coma … presents in older women—frequently in the winter months—but it can occur in both sexes and in younger patients … amiodarone-induced thyrotoxicosis or amiodarone-induced hypothyroidism may develop in 14% to 18% of all patients … Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain

4289. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49768/psn-pdf
      September 01, 2016 - Patient-specific risk factors for adverse outcomes include patients with multiple comorbidities and … enhance patient safety by mitigating drug discrepancies across the continuum of care. … Recommendations for Medication Management Resources to improve prescribing safety in older patients … The top patient safety strategies that can be encouraged for adoption now. … Yes/No Does the patient use multiple pharmacies? Yes/No Is the patient frail?

4290. One ACE Too Many | PSNet
      psnet.ahrq.gov/web-mm/one-ace-too-many
      June 21, 2016 - The patient had previously been receiving outpatient care from an ancillary clinic of the hospital. … The patient had two apparent indications for an ACE inhibitor: type 2 diabetes and congestive heart failure … Although we generally collect such information from the patient, any clinician will attest that doing … adverse events, which is characteristic of most drugs, highlights the importance of early monitoring for safety … A patient with left ventricular systolic dysfunction and diabetes who is receiving a maximal dose of

4291. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49683/psn-pdf
      April 01, 2013 - Acute Care Admission of the Behavioral Health Patient April 1, 2013 Weiss AP, Rosenbaum JF. … Acute Care Admission of the Behavioral Health Patient. PSNet [internet]. 2013. … Tragically, 2 weeks after discharge the patient committed suicide. … In part related to this perceived neurological safety profile, and in part related to studies showing … Risk of suicide should be considered in all hospitalized patients with mental illness.

4292. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33879/psn-pdf
      May 01, 2019 - We spoke with her about her experience working in emergency medical systems and safety concerns particular … to focus on what happens when they finally reach our door, what are some of the common mistakes or safety … And that's one thing that makes it really hard, because 1% of the patients they're going to see will … We talked about super sick patients going to the right place for their stroke and STEMI. … There's also the concept of getting the not really sick patients to the right place so that they get

4293. Dissecting the Presentation | PSNet
      psnet.ahrq.gov/web-mm/dissecting-presentation
      May 05, 2021 - and up to 70% in high-risk groups.( 2,4 ) As with the patient in this case, patients with AAD do not … While the absence of chest pain in this patient may seem unusual, it is not—fully one-third of patients … In this patient, a right hilar fullness was noted. … in older patients. … Safety July 1, 2018 WebM&M Cases Missing ECG

4294. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49395/psn-pdf
      April 01, 2003 - As a result, the patient received approximately three times the indicated dose. … Lest readers think this error represents a tragic “fluke,” another breast cancer patient received an … safety practices related to order writing. … Doctor's orders killed cancer patient. Boston Globe. March 23, 1995. 2. … Incidence of adverse events and negligence in hospitalized patients.

4295. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33792/psn-pdf
      September 01, 2015 - How does a patient do that? … RW: Let's turn to some of the safety issues, and one that readily comes to mind is patient self- management … Right now, I would not think that we have a whole lot of bragging rights to the safety that exists in … to help other patients. … RW: When a patient comes to see Dr.

4296. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.344_slideshow.ppt
      April 01, 2015 - . * Case: Dissecting the Presentation (2) The patient was diagnosed with a transient ischemic attack … Despite maximal resuscitation efforts, the patient could not be resuscitated and died. * Case: Dissecting … The dissection likely worsened while the patient was hospitalized, and its rupture into her chest cavity … pain in this patient may seem unusual, it is not — one-third of patients with a dissection do not present … Available at https://www.cmpa-acpm.ca/en/safety/-/asset_publisher/N6oEDMrzRbCC/content/aortic-dissections-tearing-apart-the-data

4297. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49703/psn-pdf
      March 01, 2014 - The summaries are either printed out for patients or provided electronically. … Patient portals are secure Web-based platforms that allow patients to view information about their ongoing … The impact of eHealth on the quality and safety of health care: a systematic overview. … Physicians, patients, and the electronic health record: an ethnographic analysis. … Patient web services integrated with a shared medical record: patient use and satisfaction.

4298. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49576/psn-pdf
      January 01, 2009 - The patient was discharged 2 days later. … The answer brings up several issues in patient safety for prehospital, ED, and hospital care: Issue … Policies are different when dealing with these patients than when dealing with stable patients with … For "unstable" patients, EMS policies are designed to match hospital capabilities with patient complaints … ), and the patient died shortly after ED arrival.

4299. Spotlight (pdf file)
      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 - Safety Targets 11 Recognition of Pediatric Sepsis (1) • Infections have been implicated in 25% … laboratory results, or environmental distractions or interruptions. 24 Approaches to Improving Safety … The Impact of Cognitive and Implicit Bias on Patient Safety and Quality. … Background Background (1) Patient Safety Targets Recognition of Pediatric Sepsis (1) Recognition … Errors (1) Diagnostic Errors (2) Diagnostic Errors (3) Diagnostic Errors (4) Approaches to Improving Safety

4300. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49389/psn-pdf
      February 01, 2003 - The patient had undesired fertility and was sure of her decision for permanent sterilization. … The patient had an uncomplicated postoperative course. … Serial Dopplers of distal arterial pulses were normal, and the patient was discharged home in stable … The patient was obese, which added somewhat to the complexity, but nevertheless the procedure was considered … Administration by manufacturers from 1993 through 1996, injuries occurred both with the use of a trocar with a safety