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psnet.ahrq.gov/node/862983/psn-pdf
February 28, 2024 - The rapid availability of an intraoperative CXR was very important in this case because it helped to … nerve injury, esophageal perforation, airway compression, and even cerebral ischemia.6,7
In this case, rapid-cycle
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psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
September 01, 2012 - patient acuity going up, and nursing not increasing to reflect the higher demands associated with more rapid … and through the last decade in articles and studies specifically looking at nursing care has been in response … For more than a decade, HRSA had maintained models projecting RN supply and demand, but rapid changes
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psnet.ahrq.gov/web-mm/preventable-rash
October 01, 2012 - 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 … Assure that there is a mechanism for rapid identification and follow-up on positive screening tests.
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psnet.ahrq.gov/issue/distractions-operating-room-survey-healthcare-team
November 16, 2022 - Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid
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psnet.ahrq.gov/issue/coworker-abuse-healthcare-voices-mistreated-workers
March 22, 2023 - Medication safety incidents associated with the remote delivery of primary care: a rapid
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psnet.ahrq.gov/issue/hospital-and-system-wide-interventions-health-care-associated-infections-systematic-review
January 12, 2022 - Epidemiology of and risk factors for coronavirus infection in health care workers: a living rapid
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psnet.ahrq.gov/issue/characteristics-and-contributing-factors-diagnostic-error-surgery-analysis-closed-medico
April 16, 2019 - Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid
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psnet.ahrq.gov/issue/application-human-factors-improve-usability-clinical-decision-support-diagnostic-decision
May 11, 2022 - May 11, 2022
Streamlining care in crisis: rapid creation and implementation of a digital
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psnet.ahrq.gov/issue/role-morbidity-and-mortality-rounds-medical-education-scoping-review
July 03, 2016 - Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid
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psnet.ahrq.gov/issue/lessons-learned-reducing-negative-impact-adverse-events-patients-health-professionals-and
September 19, 2016 - Study
Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations.
Citation Text:
Mira JJ, Lorenzo S, Carrillo I, et al. Lessons learned for reducing the negative impact of adverse events on patients, health profession…
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psnet.ahrq.gov/issue/fighting-common-enemy-catalyst-close-intractable-safety-gaps
June 30, 2021 - adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid
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psnet.ahrq.gov/issue/inappropriate-prescribing-opioids-patients-undergoing-surgery
June 30, 2021 - Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid
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psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications
January 22, 2014 - align payment incentives and stimulate improvements in quality and reduce costs, they caution against rapid
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psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
September 25, 2019 - dilation presents with nausea, vomiting, and ongoing inability to tolerate oral intake with significant, rapid … upper endoscopy and dilation admitted with nausea, vomiting, and inability to tolerate oral intake with rapid … 2011
Nurses' perceptions of simulation-based interprofessional training program for rapid … response and code blue events.
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psnet.ahrq.gov/node/49573/psn-pdf
January 01, 2009 - the patient had not yet been transferred and, after an initial evaluation, immediately
called the rapid … response team. … People adapt procedures over time in response to
feedback. … Policies heavily slanted toward safety goals will
likely change over time in response to feedback to
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psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_a_cognitive_and_communication_blind_spot_slides.pptx
January 01, 2024 - documented that the patient withdrew his lower extremities (LE) to stimuli, but then documented no LE response … detract from available time to examine patients.7
19
19
EHRs and Cognitive Processes (2)
EHRs allow rapid … Multiple Injured Patient (3)
Additionally, patients with traumatic injuries have variability in their response … amounts, presumably due to variable levels of antithrombin during the post-injury systemic inflammatory response
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psnet.ahrq.gov/web-mm/communication-failure-whos-charge
April 01, 2018 - implications of recognizing the severity of the situation and not being able to mobilize an appropriate response … June 9, 2011
Retrospective review of emergency response activations during a 13-year … reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid … response system.
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psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
September 01, 2007 - 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.
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psnet.ahrq.gov/web-mm/insert-omission
May 09, 2014 - Because bleeding can be present during pregnancy, some clinicians require a rapid urine pregnancy (HCG … To avoid IUC insertion during pregnancy, performing sensitive, rapid urine pregnancy tests and waiting … Testing women for chlamydia with rapid amplified DNA tests can reduce this risk, since current chlamydia
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psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
July 08, 2022 - The rapid response team was called immediately. … 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