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Showing results for "rather than".

461. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon | PSNet
     psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
     January 29, 2021 - Quantitative monitors that can measure the TOF ratio more accurately than is possible with visual and … increased above 50 mcg/kg, a cholinergic crisis may ensue at the neuromuscular junction that potentiates rather … than reverses the neuromuscular block. … The dose of sugammadex used to reverse the neuromuscular block should be based on actual body weight rather … The dose of sugammadex should be based on total rather than ideal body weight.

462. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33777/psn-pdf
     January 01, 2015 - comprises a 336-bed acute care and teaching hospital, a primary and specialty care group practice of more than … Virginia Mason maintains a minimal infrastructure that supports, facilitates, and teaches others, rather … than creating a separate, centralized structure where innovative thinking occurs mainly outside the … Rather, it is just another temporary phase on the upward journey to better and better performance.

463. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33719/psn-pdf
     October 01, 2011 - We often continue the stressful work in difficult circumstances and with less pay than we could get … patient safety theories often assume avoidable patient injuries are due to their own or others' actions, rather … than a combination of complex factors (termed "merit" or "just deserts" attribution). … supplies, or defective equipment, lead to the common practice of using quick fixes or work-arounds rather … than reporting failures, and that these practices themselves increase risks for patients.

464. The Hidden Danger of Unseen Intravenous Catheters | PSNet
     psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
     October 04, 2023 - products and intravenous fluids were infused under pressure into the external jugular intravenous catheter rather … than the femoral central venous catheter.  … Shorter catheters provide less resistance to flow than longer ones and thus are preferred when rapid … the anesthesiologist in this case chose to place an intravenous catheter in the external jugular vein rather … than in another large-bore vein such as the saphenous or antecubital vein. 

465. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49446/psn-pdf
     August 30, 2021 - Due to new hospital initiatives aimed at tighter glucose control, he was started on an insulin drip rather … than subcutaneous insulin. … therapy is being used in post-surgical patients for whom diabetes or hyperglycemia is a co-morbid, rather … than a primary, condition. … In non-critically ill hospitalized patients with hyperglycemia, subcutaneous insulin may be safer than

466. The Context Is the Intervention | PSNet
     psnet.ahrq.gov/perspective/context-intervention
     August 05, 2020 - ) Causing injury, however inadvertently, could be more difficult for health professionals to accept than … patient safety theories often assume avoidable patient injuries are due to their own or others' actions, rather … than a combination of complex factors (termed "merit" or "just deserts" attribution). … supplies, or defective equipment, lead to the common practice of using quick fixes or work-arounds rather … than reporting failures, and that these practices themselves increase risks for patients.

467. In Conversation with…Peter J. Pronovost, MD, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
     June 01, 2005 - Rather than resting on our laurels and saying well, we're great, those were just rare events, people … 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?

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49465/psn-pdf
     December 22, 2021 - 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. … 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

469. EMR Entry Error: Not So Benign | PSNet
     psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
     July 01, 2012 - Rather, the errors were in (i) weak linkages among computer systems, (ii) insufficient safeguards against … than a gain in clinical insights. … than the kilograms the software expects. … Implementations are more wrenching than they need to be. … EMRs are undoubtedly better than paper records.

470. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.98_slideshow.ppt
     June 01, 2005 - Shortly thereafter, it was discovered that the patient had been receiving 0.4 units/min of vasopressin, rather … than the intended dose of 0.04 units/min. … again Root Cause Analysis Assess environment of the error and identify system vulnerabilities rather … than individual culpability Observe work environment Interview staff involved Review incident reports … RCA—System Solutions CPOE system should remind physician that a drug like vasopressin has more than

471. Hemolysis Holdup | PSNet
     psnet.ahrq.gov/web-mm/hemolysis-holdup
     July 03, 2016 - newborns), anatomic site of phlebotomy (lower from antecubital fossa), collection method (phlebotomy lower than … collected and analyzed to accurately assess the patient's blood potassium level, which was actually greater than … recommendation supports specimen collection in the emergency department using straight needle phlebotomy, rather … than collection from an intravenous catheter. … Straight needle venipuncture rather than collection from an intravenous catheter Use of ≤ 21 gauge

472. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49588/psn-pdf
     August 01, 2009 - and inability to locate a last-minute replacement, each existing nurse was assigned three patients rather … than the usual two. … the need for noninvasive ventilatory support and intubation and began to transition to intermittent, rather … than continuous, nebulizer treatments. … Rather than using the bedpan, the patient insisted on getting up and going to the bathroom.

473. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49505/psn-pdf
     March 01, 2006 - The patient’s estimated blood loss was more than 1000 cc, and he received 2-3 units of cell saver blood … He had received more than 20 units of blood products and was acidotic on multiple pressors. … longevity, and respected position in the medical center, his credentials were never formally restricted; rather … their colleague will sue them, claiming that privilege restrictions were placed for motives other than … Poliner to interfere with his business rather than to promote patient safety.

474. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33869/psn-pdf
     November 01, 2018 - results suggested that patients who were cared for by specialists had higher costs and worse outcomes than … We found a lot of evidence that this push was coming from primary care initially, rather than the pull … There is much less variability across people and their needs for ambulatory care than there is in their … Rather than hiring people whose job is to connect the inpatients and outpatient physicians, having one … This is a form of hospitalists, and it's a reflection of the evolution of the model rather than a departure

475. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49634/psn-pdf
     September 01, 2011 - circumstances (exceptions such as surgical or procedural prophylaxis) in which an antibiotic is ordered more than … health information technology such as EHRs and CPOE to transmit important patient care information, rather … than direct communication between providers, can negatively impact patient care. … assumption with their colleagues or reach out to the physician team to ensure that the lack of a current, rather … than future, antibiotic order in the CPOE system was intentional.

476. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49770/psn-pdf
     September 01, 2016 - Further investigation revealed the patient also took his previous night's dose later than usual, at 10 … Consequently, rather than having received his dofetilide doses 12 hours apart, the 2 doses had been given … Although all medications carry risk of patient harm when used in error, some medications are riskier than … Rather, The Joint Commission requires hospitals to develop their own high-alert medication list and … implemented for each high-alert medication or medication class, creating a high-alert list does little more than

477. In Conversation With… Mary Dixon-Woods, DPhil | PSNet
     psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil
     March 01, 2017 - years, our way of thinking about mistakes and harm has changed, with much greater focus on system flaws rather … than personal flaws. … than encouraging it. … than a simply organizational change. … Third, enacting culture refers to performing work in ways that embody the desired culture, rather than

478. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33653/psn-pdf
     June 01, 2007 - Did this ADC use a matrix system that allows simultaneous access to several medications rather than … often take little more than will and action.

479. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49625/psn-pdf
     May 01, 2011 - had previously pulled the wrong syringe and inadvertently administered bupivacaine, the anesthetic, rather … than neostigmine/glycopyrrolate. … https://psnet.ahrq.gov/web-mm/pocket-syringe-swap Anesthesiologists have known for more than 30 years … barcode by a device that pronounces the contents of the syringe, use of prefilled barcoded syringes rather … The problem of cross-connection of anesthesia gasses was recognized more than 50 years ago, and has

480. New Insights on Safety and Health IT | PSNet
     psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
     August 01, 2015 - than a contributor to harm? … NS : Are you really using Bing rather than Google? RW : No, but the point is I could. … Visits will probably mostly be through telemedicine rather than in person. … Rather than trying to figure out whether methotrexate or infliximab is better for rheumatoid arthritis … Rather, it's important to realize there was something really important about these interactions.