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psnet.ahrq.gov/issue/appropriate-use-medical-interpreters-breast-imaging-clinic
October 16, 2024 - April 7, 2022
Rapid expansion of the Healing Emotional Lives of Peers program during … July 18, 2018
E-prescribing and medication safety in community settings: a rapid scoping
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psnet.ahrq.gov/issue/were-not-ready-i-dont-think-youre-ever-ready-clinician-perspectives-implementation-crisis
September 23, 2020 - prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: rapid
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psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
January 01, 2024 - • Rapid anticoagulation with heparin would have been necessary and the activated
clotting time would
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psnet.ahrq.gov/issue/patient-safety-what-really-issue
October 18, 2017 - March 15, 2023
The I-READI quality and safety framework: a health system’s response
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psnet.ahrq.gov/node/837659/psn-pdf
July 08, 2022 - The rapid response team was called, and
naloxone and flumazenil were administered. … Sedation11
Minimal
Sedation
Moderate Sedation Deep Sedation General
Anesthesia
Responsiveness Normal response … to verbal
stimulation
Purposeful response
to verbal/tactile
stimulation
Purposeful response
to … effects of benzodiazepines tend to be predictable, opioids have significant
interpatient variability in response
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psnet.ahrq.gov/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability
May 27, 2020 - Systemic inflammatory response syndrome developed with associated abdominal pain and worsening distention … What barriers might impede rapid communication if help is needed during the transport?
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psnet.ahrq.gov/node/33763/psn-pdf
March 01, 2014 - implants, hemodialysis) and surgical site infections; implementing outbreak and
infectious exposure response … infection prevention
Annual infection prevention training for staff
Communicable disease alerts
Response
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.161_slideshow.ppt
October 01, 2007 - The patient was noted to be lethargic, opening her eyes and mumbling incoherently in response to vigorous … Sleep Deprivation
Sleep inertia
Confusion and dysfunction that occurs upon awakening during deep non-rapid … last from 10 minutes to 2 hours after arousal
Disorientation may include periods of amnesia
Initial response … Unsatisfied with this response, the RN, who had already stopped the PCA, called the surgeon to express
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psnet.ahrq.gov/node/74253/psn-pdf
January 12, 2022 - providers and their patients.5 Second, PPE and
isolation requirements can create delays in provider response … https://psnet.ahrq.gov//#_edn14
https://psnet.ahrq.gov//#_edn15
https://psnet.ahrq.gov//#_edn16
In response … Another example of the initiative of frontline staff is the implementation of rapid-
cycle tests of … articles/PMC7862742/
https://psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
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psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
February 23, 2022 - The repeat laboratory results showed that the sodium had risen to 130 mEq/dL, a rapid increase that put … Given this rapid correction, the nephrologist asked what medications had been administered and noticed … In patients in this state, administering solute via either isotonic or hypertonic saline leads to rapid … The severity of this patient’s hyponatremia and his significant alcohol intake made rapid correction … Risk factors and outcomes of rapid correction of severe hyponatremia.
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psnet.ahrq.gov/print/pdf/node/866419
March 27, 2024 - The rapid expansion of digital health technologies, particularly in response to the COVID-19 pandemic … The rapid expansion of digital health technologies, particularly in response to the COVID-19 pandemic
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psnet.ahrq.gov/curated-library/artificial-intelligence-system-level-considerations
March 27, 2024 - The rapid expansion of digital health technologies, particularly in response to the COVID-19 pandemic … The rapid expansion of digital health technologies, particularly in response to the COVID-19 pandemic
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psnet.ahrq.gov/web-mm/inpatient-stroke-management-adolescent-type-1-diabetes-and-home-insulin-pump
February 01, 2023 - higher rates at younger ages (e.g. 51% of those <6 years of age). 5 Insulin pumps deliver continuous rapid-acting … and employ automated algorithms (called “hybrid closed-loop systems”) to adjust insulin delivery in response
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psnet.ahrq.gov/web-mm/dangerous-dialysis
June 12, 2024 - Organizational perspectives of nurse executives in 15 hospitals on the impact and effectiveness of rapid … response teams.
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psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
August 21, 2016 - Improving the RCA Process
In response to these problems with the RCA process, the National Patient … An earlier study described the development and adoption of a rapid approach to RCAs, referred to as "
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psnet.ahrq.gov/primer/fatigue-sleep-deprivation-and-patient-safety
September 15, 2024 - deprivation has long been known to impair various cognitive functions, including mood, motivation, response
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psnet.ahrq.gov/issue/safe-electronic-health-record-use-requires-comprehensive-monitoring-and-evaluation-framework
May 22, 2015 - July 31, 2023
Patient Safety Innovations
Remote Response
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psnet.ahrq.gov/node/44039/psn-pdf
December 23, 2016 - The introduction of information technology (IT) has transformed health care, but it is clear that the rapid
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psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
November 30, 2021 - A SIRS (systemic inflammatory response syndrome) alert occurred later in the afternoon due to hypotension … styles used by nurses and physicians, especially in critical situations as commonly encountered by Rapid … Response teams. … It makes expectations for recommended action explicit and requires a direct response. … Recommendation: “I would like to trigger a SIRS alert and have the Rapid Response Team come evaluate
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psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
July 20, 2016 - The intraosseous route can also provide rapid access when peripheral IVs are not available.( 6 ) Once … A complete ban on the use of peripheral vasopressor infusion, as was done by the hospital in response … Such peripheral infusion can allow the rapid stabilization of the patient and facilitate the orderly