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psnet.ahrq.gov/node/49472/psn-pdf
March 01, 2005 - The urgent care provider reviewed his lab results and
discovered that his tests for rapid plasma reagin … Specific steps to reduce errors include:
Ensure there is a mechanism for rapid identification and follow-up … Assure that there is a mechanism for rapid identification and follow-up on positive screening tests.
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psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia
April 01, 2003 - The result of these forces has been the rapid growth of office-based surgical procedures, with an estimated … surgery, for example, performed in office-based surgery facilities in 2001.( 4 )
Unfortunately, this rapid
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psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
October 02, 2013 - The patient underwent resection and adjuvant chemotherapy followed by rapid clinical decline. … However, the apparent response to therapy with steroids and cyclophosphamide may have been overvalued … It is psychologically unavoidable (and often reasonable) for physicians to view response to treatment … effect is insensitive (i.e., sub-optimally effective, with many true cases having a partial or no response … to treatment), then the absence of a therapeutic response implies very little about the incorrectness
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psnet.ahrq.gov/node/49417/psn-pdf
October 01, 2003 - The
quantitative PCR test for HIV viral load, however, is usually used to monitor response to therapy … illustrates the one situation in which the test is used diagnostically rather than
to follow therapeutic response … This modification
represents an admirable example of a systems change in response to an error. … transfers of care.(17) In our department, we
recently initiated a computerized sign-out system in response
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psnet.ahrq.gov/web-mm/infused-not-ingested
February 01, 2017 - when confronted that constituted an indefensible breach of the ethical obligation.( 9 )
The ideal response … still be evaluated as a potential root cause of the entire event or, at the least, the nurse’s initial response … Refused Medication Error
February 1, 2017
Leading successful rapid … response teams: a multisite implementation evaluation.
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psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
September 22, 2010 - to narrow the antibiotic coverage as soon as possible.( 6 ) Physicians should evaluate the patient’s response … antibiotic therapy and is also associated with less use of unnecessary broad-spectrum antibiotics, more rapid … Antibiotic use should be evaluated frequently in each patient to determine the response to therapy and … March 27, 2024
Patient Safety Innovations
Remote Response
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psnet.ahrq.gov/primer/responding-patient-safety-events
October 18, 2023 - Addressing professional suffering by developing an infrastructure for robust and rapid individual and … Combining this response to patient safety events with a proactive approach, Safety-II , where aspects
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psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
October 01, 2013 - RSB : I would say that the response from my community has been mixed. … "( 3,4 )
The radiology procedure that has seen the most rapid growth, and raised the most concerns,
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psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
April 28, 2021 - The anesthesiologist then noted a rapid decrease in the patient’s blood pressure and increasing tachycardia … In an anonymous, electronic audience-response survey of 1,958 gynecologists, 4% reported they had injured
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psnet.ahrq.gov/node/49858/psn-pdf
April 01, 2019 - communication protocol that identifies backup coverage and ensures
notification of other staff—for example, a rapid … response team—when the patient's bedside nurse is not
available is essential. … Each facility is responsible for identifying the response process. … Patient load effects on response time to critical arrhythmias in
cardiac telemetry: a randomized trial … Communication strategies and timeliness of response to life
critical telemetry alarms.
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psnet.ahrq.gov/issue/hospital-governance-and-quality-care
May 05, 2010 - Study
Hospital governance and the quality of care.
Citation Text:
Jha AK, Epstein AM. Hospital governance and the quality of care. Health Aff (Millwood). 2010;29(1):182-7. doi:10.1377/hlthaff.2009.0297.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML…
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psnet.ahrq.gov/issue/plan-quality-improve-patient-safety-point-care
February 01, 2017 - August 26, 2020
Patient safety initiatives in obstetrics: a rapid review.
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psnet.ahrq.gov/web-mm/surprise-wire
July 15, 2020 - November 16, 2022
Rapid response teams seen through the eyes of the nurse.
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psnet.ahrq.gov/node/74713/psn-pdf
January 26, 2022 - The
rapid response team was called immediately. … nonopioid, such as acetaminophen or a NSAID, if not
contraindicated.
4 Somnolent, minimal or no
response … As a drug class, opioids are associated with wide interindividual variability in response and a
narrow
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psnet.ahrq.gov/web-mm/local-anesthesia-induced-coma-during-total-knee-arthroplasty
October 27, 2021 - concentration levels of local anesthetic due to direct injection into a blood vessel or, more commonly, due to rapid … Intercostal, caudal, epidural, and penile blocks tend to have relatively rapid absorption whereas peripheral … The rapid infusion of 100 milliliters of 20% intralipid (or 1.5 ml/kg if less than 70 kg) is required … appears that these important discussions did not take place in this case, although the anesthesiologist’s rapid
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psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
May 01, 2008 - depression, anxiety, and sleep disturbance that can affect the severity of pain, coping behaviors, and response … nonpharmacologic therapies may help improve pain control and reduce opioid requirements.( 3 ) Close monitoring and rapid … Epidemiology of and risk factors for coronavirus infection in health care workers: a living rapid
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psnet.ahrq.gov/node/33756/psn-pdf
October 01, 2013 - RSB: I would say that the response from my community has been mixed.
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psnet.ahrq.gov/node/863308/psn-pdf
February 28, 2024 - to the authors of this study, MAC is preferred if procedures are short, diagnostic,
and allow for rapid … If the case is
emergent/urgent and there is insufficient fasting time, then rapid sequence intubation … ventilation was deemed not possible and the patient was unresponsive or
rapidly deteriorating, then rapid … Rapid sequence induction: its place in modern anesthesia. … The influence of different patient positions during rapid
induction with severe regurgitation on the
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psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
March 18, 2020 - If the case is emergent/urgent and there is insufficient fasting time, then rapid sequence intubation … ventilation was deemed not possible and the patient was unresponsive or rapidly deteriorating, then rapid … this case represented a respiratory arrest, as opposed to a cardiac event (given known aspiration), rapid … Rapid sequence induction: its place in modern anesthesia. … The influence of different patient positions during rapid induction with severe regurgitation on the
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psnet.ahrq.gov/node/49828/psn-pdf
May 01, 2018 - Improving Your Office Testing Process: A Step by Step Guide for Rapid-Cycle Patient Safety and
Quality … A Toolkit for Rapid-Cycle Patient Safety and Quality
Improvement.