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psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
April 03, 2024 - had not been prescribed the drug during the hospital stay, and the last patch had been placed more than … The BPMH is more comprehensive than a routine medication history and involves two steps: (i) a systematic … going through the motions" when completing a routine medication history at transitions of care, but rather … These criteria most commonly include older patients, polypharmacy, and/or having more than three comorbid
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psnet.ahrq.gov/node/49643/psn-pdf
December 01, 2011 - risks of plasmapheresis with the physician and asked him to follow the recommended
treatment course rather … than treating the patient as he had treated the previous Guillain-Barré syndrome
patient, who had received … This means that a focus on the harms rather than the costs of
unnecessary, non–evidence-based care may … Similarly, performance measures
that focus more on outcomes and overuse than on processes and underuse … 2 weeks (17)
Use outside of selected
high-risk group or for too
long than known benefit
Used in
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psnet.ahrq.gov/perspective/conversation-wanda-pratt-phd
November 01, 2017 - we can study people and their needs and come up with solutions that blend the best of both worlds, rather … than creating technology that makes the problem worse. … patients need and how can we understand their needs and perspectives and develop tools to support them, rather … WP : I see that as an opportunity more than a threat. … promise to help improve patient safety and outcomes, it can only serve as an enabler for better care, rather
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psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
June 01, 2005 - events are often intrinsically complex and must be implemented in the messy setting of routine care, rather … than the highly controlled environments of most clinical trials. … Rather than attempting to compress this comprehensive series into a brief commentary, the discussion … than changing care? … Rather than resting on our laurels and saying well, we're great, those were just rare events, people
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psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
July 10, 2024 - It was around that time that the term patient safety began to be used in the UK other than in terms of … It's had some adverse consequences because there is an enormous amount of rather disorganized regulation … There's another form of reporting, which is rather different from this voluntary reporting system, the … You spend a little less than 10%. … This is a rather crude response, and it's very hard still to make an argument to senior managers and
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psnet.ahrq.gov/node/49802/psn-pdf
August 01, 2017 - likelihood of bleeding
following a procedure as "low risk," where the likelihood of bleeding is less than … This is why
combining checklists with teamwork training may be more effective than either intervention … Unfortunately, the process was not led by a physician and was treated as a "check box" exercise rather … than an opportunity for a team discussion; thus, it was ineffective. … Procedural checklists often require team involvement, rather than just checking the box, to be
effective
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psnet.ahrq.gov/web-mm/comanagement-whos-charge
July 01, 2011 - hospitalist) increased authority, responsibility, and accountability for the care of surgical patients.( 1 ) Rather … than simply offering advice to the referring surgeon on a specific question, comanaging physicians have … The chances that a surgical patient would be comanaged grew by more than 11% per year between 2001 and … more common in non-teaching hospitals, where surgical patients are often admitted to the hospitalist rather … than the surgeon.
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psnet.ahrq.gov/web-mm/which-end-which
February 09, 2011 - return to the OR for laparotomy, it became apparent that the diversion had involved the transverse colon rather … than the descending colon. … A second confirmatory test consists of instilling air or water (rather than a colonoscope) into the distal … On average, patients have an ileus that is much shorter with the laparoscopic procedure than with open … It is important to note that mechanical obstruction can occur for reasons other than the error described
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psnet.ahrq.gov/node/33646/psn-pdf
February 01, 2007 - RW: Now when you were talking about what was different in 1999 than 1980, most of your answer
emphasized … envision a day when
these systems actually do begin to replace physicians because they'll be better than … they're much more digitally native
than we are. … Outcomes-based
connections rather than knowledge- and textbook-based connections? … Rather than looking at the prior probability of conditions within the pages of a textbook, it would actually
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psnet.ahrq.gov/node/33730/psn-pdf
June 01, 2012 - It was around that time
that the term patient safety began to be used in the UK other than in terms … It's had some adverse consequences because there is an
enormous amount of rather disorganized regulation … There's another form of reporting, which is rather different from this voluntary reporting system, the … You spend a
little less than 10%. … This is a rather crude response, and it's very hard still to make an
argument to senior managers and
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psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
March 01, 2017 - Third, enacting culture refers to performing work in ways that embody the desired culture, rather than … The evolutionary model of culture implies that culture change doesn't happen through one big fix, but rather … than personal flaws. … than encouraging it. … than a simply organizational change.
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psnet.ahrq.gov/node/33736/psn-pdf
September 01, 2012 - One is that nurses tend to be
viewed as a cost center, rather than a core service line of the hospital … that patients being discharged from hospitals, nursing homes, and rehabilitation units are
sicker than … It cost more than was saved in costs, and given the current reimbursement
https://psnet.ahrq.gov/issue … the New York Times recently about how the physician
work force is changing as they become employees rather … than individual entrepreneurs.
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psnet.ahrq.gov/node/49550/psn-pdf
December 01, 2007 - Cardiac Risk Index instrument, implying a risk for all major complications (not just death) of less than … This is a far more efficient method of
identifying potential safety problems than most other methods … hospitals to investigate publicly reported patient safety
indicators with high false-positives rates, rather … importance
The cases identified involve safety problems that carry a high risk for substantial
morbidity, rather … than relatively unimportant problems (e.g., missed doses of minor
medications).
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.167_slideshow.ppt
January 01, 2008 - However, after 2 days and a net output of more than 2.7 liters, he continued to be dyspneic, requiring … more supplemental oxygen than baseline. … discussion with colleagues and family members
Appreciate that need for support after an error is normal rather … than a sign of weakness
Disclose error to patient and apologize if appropriate
See Notes for References … Promote open discussion of errors in a manner designed to foster personal and institutional growth rather
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psnet.ahrq.gov/node/72837/psn-pdf
September 01, 2022 - Further, data has demonstrated that patients with an SUD during their pregnancy have worse
outcomes than … mentoring needs.4 Critically, peer recovery
mentors are not traditional community health workers, but rather … In recent years, the program has focused resources on patient care rather than on data collection. … The program has
succeeded in increasing the likelihood that patients will have more than seven prenatal
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psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
May 01, 2007 - , the history of quality and safety in the National Health Service (NHS) until recently has been a "rather … Rather, they concerned incompetent or poorly performing doctors, whose colleagues were covering up for … you expected and what has been harder than you expected? … In the UK, when you're trying to introduce change, you rather feel that you're in a goldfish bowl. … RW: What's been harder than you thought?
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psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
May 01, 2007 - Rather, they concerned incompetent or poorly performing doctors, whose colleagues were covering up for … you expected and what has been harder than you expected? … In the UK, when you're trying to introduce change, you rather feel that you're in a goldfish bowl. … RW: What's been harder than you thought? … , the history of quality and safety in the National Health Service (NHS) until recently has been a "rather
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psnet.ahrq.gov/node/49587/psn-pdf
May 01, 2009 - Rather
acutely, the patient became pulseless, and CPR was initiated as the patient's cardiac rhythm … More than 1 million physicians worldwide have taken an ATLS course. … wounds are lower, and for the rare patient with blunt trauma–induced cardiac rupture,
even lower (less than … the epidemiology, prevention, and amelioration of trauma: the
transition to approaches etiologically rather … than descriptively based. 1968.
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psnet.ahrq.gov/node/49734/psn-pdf
May 01, 2015 - Upon arrival in the emergency
department (ED), his pH was less than 6.8, carbon dioxide 37 mm Hg, oxygen … so, his matrix helped us realize that
seatbelts and airbags are, in aggregate, far more beneficial than … those expressed by end-users (the
proceduralists themselves) in qualitative studies and provide us a rather … the epidemiology, prevention, and amelioration of trauma: the
transition to approaches etiologically rather … than descriptively based. 1968.
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psnet.ahrq.gov/web-mm/electronic-err
April 01, 2014 - The nurse informed him that the patient had developed a junctional rhythm with a heart rate less than … been given 100 mg of metoprolol XL and 180 mg of diltiazem CR by the hospital admitting physician, rather … than the 50 mg of metoprolol XL and no diltiazem intended by her outpatient cardiologist. … flag to medication and problem lists indicating that the patient has been seen in clinic more recently than … of clinical information, it is important not to abandon the safety practices used in the past, but rather