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psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - reimbursement for diagnostic thinking, reformed medical malpractice standards, technologies that support rather … than hinder patient care, and a research funding climate conducive to accelerating our understanding … We need data to understand and reduce errors from more institutions than the handful that have contributed … We get it right more than 90% of the time, and that's really amazing given the complexity of the task … The radiologists know so much more about a film than they put in their report, and you used to get that
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psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
December 01, 2012 - Perspective
Remarkably, in every intensive care unit (ICU) on any given day, more than … almost half, shortened duration of coma (a form of acute brain dysfunction with even worse prognosis than … RW : You've found that the prognosis for patients with delirium is significantly worse than for those … How would you manage that differently than the run-of-the-mill doctor? … So we felt that rather than go that route we would be very much in favor of putting in some process measures
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psnet.ahrq.gov/node/73899/psn-pdf
September 29, 2021 - analgesics daily are often presumed to be opioid tolerant,
and therefore at lower risk of overdose, than … decision support should
suggest alternatives that do not involve cutting tablets into portions other than … MME),
this approach is not designed to be used to convert patients from one opioid to another, but rather … Methadone's peak respiratory depressant effects typically occur later, and persist longer, than its … The patch is not recommended for patients on more than 80 OME per day.
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psnet.ahrq.gov/web-mm/do-me-favor
September 12, 2016 - would not prohibit a care provider from facilitating the care of a colleague or family member, but rather
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.45_slideshow.ppt
January 01, 2004 - case
(lack of ECG findings, lack of rales, hypotension, etc.), the overall likelihood
of ACS is less than … approach or established algorithms
Consider tests that will help rule in an alternative diagnosis rather … than pursue a test for a diagnosis already in doubt
Be aware of common cognitive biases—avoid “premature
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psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
March 27, 2024 - I am a retired registered nurse and have worked for more than 45 years in the healthcare industry. … That number is more than two and one-half times the number of people who experienced hacks in 2022, when … Planning is not solely a one- to two-hour meeting or an afternoon planning session, but rather it is … There is nobody who knows their department better than the director of radiology or director of emergency … That number more than doubled from 2022 (46.8 million), according to the HHS Office of Civil Rights.
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psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
March 27, 2024 - reported in 2022. 3 In a recent survey of 653 IT security staff in U.S. healthcare organizations, more than … That number more than doubled from 2022 (46.8 million), according to the HHS Office of Civil Rights. … I am a retired registered nurse and have worked for more than 45 years in the healthcare industry. … That number is more than two and one-half times the number of people who experienced hacks in 2022, when … Planning is not solely a one- to two-hour meeting or an afternoon planning session, but rather it is
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psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
April 01, 2010 - characteristic of NQF's role in promoting safe practices is that the organization does not develop measures; rather … The current NQF portfolio includes more than 600 measures, and there will be more coming forward. … looked at the NQF portfolio (which at that time numbered about 150 measures or so, and we now have more than … For the first time, there was awareness that our payment policies have to be modified, even more than
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psnet.ahrq.gov/perspective/conversation-chris-cebollero-bs-ccemt-p
May 26, 2021 - culture and an organization that's allowing people to hide their mistakes, we've got a bigger issue than … I think that people are actually more apt to hide that the vehicle was damaged than they are to hide … Notably, this isn’t a blameless environment, but rather one that focuses on what is to blame at the system … Just Culture: it’s more than policy.
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psnet.ahrq.gov/perspective/safety-culture-ems
May 26, 2021 - Notably, this isn’t a blameless environment, but rather one that focuses on what is to blame at the system … Just Culture: it’s more than policy. … culture and an organization that's allowing people to hide their mistakes, we've got a bigger issue than … I think that people are actually more apt to hide that the vehicle was damaged than they are to hide
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psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
February 01, 2006 - learns about what happened and suspects a "cover-up" is likely to become much more upset and angry than … Rather, his or her adaptation to the environment has resulted in a set of coping behaviors that seems … JB: The literature on narcissism suggests that it's probably a product of nurturing more than anything
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psnet.ahrq.gov/perspective/conversation-withjohn-banja-phd
February 01, 2006 - Rather, his or her adaptation to the environment has resulted in a set of coping behaviors that seems … JB: The literature on narcissism suggests that it's probably a product of nurturing more than anything … learns about what happened and suspects a "cover-up" is likely to become much more upset and angry than
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psnet.ahrq.gov/node/838221/psn-pdf
September 28, 2022 - Many patients actually prefer to use a telephone than a
full telehealth system because it is easier … KH: I want to shift to talking about your work around bringing primary care into mental health,
rather … than having primary care integrate the mental health piece.
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psnet.ahrq.gov/node/846126/psn-pdf
March 09, 2023 - It was recognized soon
after the surgery that the ICG had been prepared using 50% dextrose, rather than … harm and longer hospital stays but can be very expensive, with
reports of costing the US economy more than
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psnet.ahrq.gov/node/836879/psn-pdf
April 27, 2022 - Patient
safety issues are more amorphous and complex than talking about a brand-new drug or procedure … Crossing the Quality Chasm report.7 Here the IOM doesn’t include references to
actual patients but rather … If you're reporting that a specific
hospital is giving care that is safer than other hospitals, you
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psnet.ahrq.gov/node/848108/psn-pdf
April 26, 2023 - Imaging demonstrated that the left femoral head was smaller than the right
with premature ossification … Pediatric patients are more likely
to experience respiratory depression and life-threatening hypoxia than … physiology.2,3 A comprehensive study by the Pediatric Sedation
Research Consortium comprising more than … conceptualized as a continuum ranging from normal level of
alertness to complete unconsciousness, rather … than as distinct categories with clearly defined boundaries
and transitions.
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psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertion-latex-drain-patient-known-latex-allergy
July 08, 2022 - Rather, immunoglobulin E (IgE)-mediated hypersensitivity develops to a subset of the over 200 polypeptides … The fact that such materials are still being purchased may reflect historical practices rather than conscious
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psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry
December 07, 2020 - Between 1999 and 2018, more than 232,000 individuals in the United States died because of an overdose … EHR adoption rates have been slower, and lower, than in physician practices. 9 Further, many dental … EHR platforms operate as practice management software, rather than as a comprehensive EHR seen in other … /www.cdc.gov/opioids/data/index.html#:~:text=Overdose%20deaths%20involving%20opioids%2C%20including,than
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psnet.ahrq.gov/perspective/conversation-connor-wesley-rn-bsn-patient-safety-concerns-and-lgbtq-population
February 01, 2023 - people consider to be offensive because it suggests that you prescribe to a set of ideals or beliefs, rather … than this is just who you are. 8 In these cases, healthcare is still very fallible. … specialized care for the LGBTQ+ community because the things that we do are generally no different than … The bottom line is understanding that supporting the LGBTQ+ community in healthcare is no different than … Pronouns are words that are used to refer to a person other than their name; pronouns are viewed as
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psnet.ahrq.gov/perspective/patient-safety-concerns-and-lgbtq-population
February 01, 2023 - also found that LGBTQ+ people experience trauma, including violence and victimization, at higher rates than … people consider to be offensive because it suggests that you prescribe to a set of ideals or beliefs, rather … than this is just who you are. 8 In these cases, healthcare is still very fallible. … specialized care for the LGBTQ+ community because the things that we do are generally no different than … Pronouns are words that are used to refer to a person other than their name; pronouns are viewed as