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4321. Neurological Red Flags: A Missed Stroke after Intermittent Episodes of Dizziness and Headache | PSNet
      psnet.ahrq.gov/web-mm/neurological-red-flags-missed-stroke-after-intermittent-episodes-dizziness-and-headache
      February 08, 2023 - Thus, this patient likely had a spontaneous EVS. … Safety As the above background suggests, misdiagnosis of patients with acute dizziness is common 6 , … An approach to the dizzy patient. … February 7, 2024 The safety of outpatient health care: review of electronic health records … May 15, 2024 The safety of inpatient health care.

4322. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49638/psn-pdf
      January 01, 2012 - In post-event debriefings, staff identified several issues in the care of this patient. … cohorting also discovered procedures where aggregation of patients offered no discernable benefit.( … Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review. … A qualitative study of expert and team cognition on complex patients in the pediatric intensive care … Jt Comm J Qual Patient Safety. 2008;34:333-341. [go to PubMed] 14.

4323. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49806/psn-pdf
      September 01, 2017 - The emergency physician assessed the patient as having either new onset congestive heart failure or an … The patient was admitted for workup of his hypoxemia. … However, this patient was only empirically treated for one of the two potential diagnoses. … case, the patient remained afebrile even as he developed sepsis and progressed to septic shock. … Murphy, MD, PhD Patient Safety Officer, Emory Healthcare Director of Quality, Emory Critical Care Center

4324. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_intraoperative_awareness_during_rhinoplasty_slides_final.pptx
      January 01, 2024 - safety when anesthetizing patients with significant cardiopulmonary disease. 10 10 Background … Memory of this type of event after the operation is uncommon because patients usually start moving in … Patients with a previous history of awareness during general anesthesia are also at increased risk. … This is important because many patients think that they had a stroke when they are not able to move. … SAFETY 20 Increase the amount of anesthetic for physically active patients (1) Young patients who

4325. Coming Up Short | PSNet
      psnet.ahrq.gov/web-mm/coming-short
      May 20, 2020 - The patient has since begun thyroid replacement therapy and is likely to grow and develop with thyroid … Related Resources From the Same Author(s) Apparent cause analysis: a safety

4326. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49417/psn-pdf
      October 01, 2003 - safety and quality has catalyzed the creation of teams (often physician-led) that can focus on improving … The days in which a single physician can be responsible for patients in all settings will live on only … Patients will constantly be moving from setting to setting and from provider to provider. … The incidence and severity of adverse events affecting patients after discharge from the hospital. … The impact of follow-up telephone calls to patients after hospitalization.

4327. A Lot of Pain (Medications) | PSNet
      psnet.ahrq.gov/web-mm/lot-pain-medications
      September 23, 2020 - Embedded in this question are issues relating to efficacy and safety; specifically, finding the right … Achieving adequate analgesia in patients on chronic opioid therapy is challenging. … analgesia in an alert patient. … Acute pain management in opioid-tolerant patients: a growing challenge. … safety, systems design and ergonomics.

4328. Hemolysis Holdup | PSNet
      psnet.ahrq.gov/web-mm/hemolysis-holdup
      July 03, 2016 - safety. … Doe and the EHR October 30, 2019 Disclosing harmful mammography errors to patients … 2011 Stepping out further from the shadows: disclosure of harmful radiologic errors to patients … February 15, 2012 Improving departmental psychological safety through a medical school-wide … Safety Problem September 1, 2014 View More Related Resources

4329. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49570/psn-pdf
      October 01, 2008 - encounter, would provide additional safety. … viewable, managed, and shared by patients. … Features that support patient involvement include the ability for patients to review after-visit instructions … patients such as the one described in this case. … The more potent layer is the involvement of people who know the patient best—patients themselves and

4330. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49760/psn-pdf
      May 01, 2016 - Timely and accurate evaluation is critical in caring for patients with dementia. … Behavioral symptoms provide insight into the experience of patients with dementia. … Families provide critical knowledge about patients' preferences, habits, and routines, as well as how … This information is especially important for patients with dementia. … ' safety and well-being.(12) The outcomes in this case might have been dramatically improved if clinical

4331. Preventable Rash | PSNet
      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 … April 29, 2020 Differences in safety report event types submitted by graduate medical

4332. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49451/psn-pdf
      June 01, 2004 - large part because the patient was receiving vancomycin. … He asked why he was never notified and why the patient was not being treated. … Understanding medical error and improving patient safety in the inpatient setting. … outpatient) and patient populations (oncology patients, pediatrics) Hematocrit   >60% Inpatient settings … populations (oncology patients, pediatrics) Prothrombin Time Not applicable International Normalized

4333. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72563/psn-pdf
      December 07, 2020 - I've also worked with specific patient populations as well as some national groups to try to provide … As a result, dentists are not only in charge of providing patient care, they’re also the boss. … medical doctors to provide infection prophylaxis patients prior to dental visits, such as for patients … KH: Has anybody looked at what the safety culture is within dental practices and how that correlates … My team randomized a cohort of patients to look at the impact of a brief pre-visit intervention in patients

4334. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49440/psn-pdf
      March 01, 2004 - The patient nodded his assent throughout his mother's account. … safety literature, concerns the role of the autopsy as a tool for detecting important errors in clinical … No matter how advanced diagnostic technology may have become, the vast majority of patients do not undergo … up on) Inability to access necessary medical information (eg, outpatient records for hospitalized patients … and inpatient records for ambulatory patients) http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?

4335. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49585/psn-pdf
      May 01, 2009 - Up to 25% of geriatric general ward patients and as many as 80% of intensive care unit patients experience … Delirium poses several risks to the patient. … requests, too busy to see patient, etc.)? … Additionally, family may be willing to participate in the care of the patient, which may reduce patient … Elements of the hospital environment can contribute to delirium and expose patients to safety risk.

4336. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/842919/psn-pdf
      February 01, 2023 - The patient was placed in the ED hallway waiting for COVID-19 test results, as asymptomatic testing is … No nurse was assigned to the patient in the hallway, and the patient was given a multitude of small … The patient was started on a continuous insulin infusion and transitioned to subcutaneous insulin as … Case #2: A 49-year-old male patient with history of poorly controlled type 1 diabetes, homelessness, … obtaining-best-possible-medication-history-hospital-admission-description-pharmacy-technician Approach to Improving Safety

4337. In Conversation With… David Meltzer, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-david-meltzer-md-phd
      November 01, 2018 - When you did have a patient in the hospital, it was a big disruption to your schedule. … yet, what can you tell us about the key outcomes with a particular focus on anything you know about safety … We haven't measured patient safety outcomes in the way you might imagine—like errors and things like … Finally, growing pressures to improve quality and safety created a new paradigm which emphasized systems … Response to David Meltzer's paper "Hospitalists and the doctor-patient relationship."

4338. A Stroke of Error | PSNet
      psnet.ahrq.gov/web-mm/stroke-error
      February 01, 2016 - The safety and efficacy of rtPA in routine clinical use has been subsequently confirmed in a large cohort … rtPA, and admit patients to a stroke unit. … Gaze is testable in all aphasic patients. … If patient is blind from any cause, score 3. … Safety at Academic Medical Centers August 1, 2010 Complexity and challenges

4339. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863308/psn-pdf
      February 28, 2024 - Other factors commonly found in patients presenting for ECRP with an increased aspiration risk include … recovery.5 MAC may also offer benefit if patients have cardiorespiratory risk factors such as recent … MAC can include all levels of sedation and patients may need airway intervention if deep sedation is … Safety and sedation-associated adverse event reporting among patients undergoing endoscopic cholangiopancreatography … Procedural sedation for adult patients: an overview.

4340. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49624/psn-pdf
      May 01, 2011 - Furthermore, disclosure of medical errors to patients has several benefits. … Disclosure allows patients to make informed health care decisions. … Several ongoing projects, funded by the Agency for Healthcare Research and Quality (AHRQ) Patient Safety … Disclosing harmful medical errors to patients: tackling three tough cases. … • Tell the patient how the event will be treated or managed • Tell the patient how the event may impact