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Showing results for "recognize".

  1. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
    January 01, 2021 - spinal epidural abscess • Evaluate for spinal epidural abscess with laboratory testing and imaging • Recognize … differential diagnosis at each subsequent visit despite worsening signs and symptoms – Failure to recognize … exemplify anchoring bias when clinicians become “anchored” to an incorrect diagnosis – Failure to recognize … incorrect diagnosis of meningitis. – Each of this patient’s visits represented a missed opportunity to recognize
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837660/psn-pdf
    July 08, 2022 - Recognize persistent neuromuscular blockade prior to extubation In retrospect, the persistent weakness … relayed to either the pulmonologist or the anesthesiologist because the junior staff member did not recognize … If the patient does not recognize the significance of the event, it is unlikely that the problem will
  3. psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
    September 30, 2020 - Actively recognize MEWS - Maternal Early Warning Signs for obstetric hemorrhage. … Recognize the importance of standardized protocols and built-in alerts to help to address staggering … As health care providers, we must recognize our potential for implicit bias and acknowledge that patients
  4. psnet.ahrq.gov/web-mm/triaging-interhospital-transfers
    April 12, 2023 - Case Objectives Recognize that transfer of patients between acute care hospitals is common. … Recognize that further research is needed to establish best practice guidelines with regard to the interhospital … The ambulance transport team was not trained to provide critical care and did not recognize that the
  5. psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
    January 01, 2020 - Physician did not recognize the ECG abnormalities as consistent with intracranial hemorrhage 3. … studies used to evaluate chest pain with the possibility of myocardial ischemia • ED physicians need to recognize
  6. psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
    June 16, 2021 - The nurse did not recognize that it was unusual to use 32 vials of phenytoin to obtain the required dose … Clinicians can train themselves to recognize warnings associated with medication errors.
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49667/psn-pdf
    October 01, 2012 - The nurse did not recognize that it was unusual to use 32 vials of phenytoin to obtain the required dose … Clinicians can train themselves to recognize warnings associated with medication errors.
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37746/psn-pdf
    May 14, 2008 - Reducing preventable medication safety events by recognizing renal risk. May 14, 2008 Fields W, Tedeschi C, Foltz J, et al. Reducing preventable medication safety events by recognizing renal risk. Clin Nurse Spec. 2008;22(2):73-8; quiz 79-80. doi:10.1097/01.NUR.0000311795.69476.2f. https://psnet.ahrq.gov/issue/red…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42981/psn-pdf
    March 19, 2014 - Recognizing and managing errors of cognitive underspecification. March 19, 2014 Duthie EA. Recognizing and managing errors of cognitive underspecification. J Patient Saf. 2014;10(1):1-5. doi:10.1097/PTS.0b013e3182a5f6e1. https://psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification Inc…
  10. psnet.ahrq.gov/issue/frequency-missed-test-results-and-associated-treatment-delays-highly-computerized-health
    July 22, 2009 - Download Citation Related Resources From the Same Author(s) Failure to recognize
  11. psnet.ahrq.gov/issue/making-inpatient-medication-reconciliation-patient-centered-clinically-relevant-and
    January 14, 2009 - Patient Safety Innovations Handshake antimicrobial stewardship as a model to recognize
  12. psnet.ahrq.gov/issue/comparative-effectiveness-serious-game-and-e-module-support-patient-safety-knowledge-and
    September 08, 2010 - September 2, 2020 Incoming interns recognize inadequate physical examination as a cause
  13. psnet.ahrq.gov/issue/strengths-and-weaknesses-diagnostic-process-endometriosis-patients-perspective-focus-group
    March 06, 2019 - April 13, 2022 Handshake antimicrobial stewardship as a model to recognize and prevent
  14. psnet.ahrq.gov/issue/social-cost-adverse-medical-events-and-what-we-can-do-about-it
    February 10, 2015 - Excusable neglect in malpractice suits against radiologists: a proposed jury instruction to recognize
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41595/psn-pdf
    May 28, 2019 - Luer Connector Misconnections: Under-Recognized but Potentially Dangerous Events. May 28, 2019 Medical Product Safety Network. Silver Spring, MD; US Food and Drug Administration. November 19, 2008. https://psnet.ahrq.gov/issue/luer-connector-misconnections-under-recognized-potentially-dangerous-events This Web si…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73617/psn-pdf
    August 26, 2021 - Recognizing Unsafe Care: What It Is and How to Report It. August 18, 2021 Patient Safety Foundation. August 26, 2021. https://psnet.ahrq.gov/issue/recognizing-unsafe-care-what-it-and-how-report-it This webinar introduced medical error and harm as related concepts to identify unsafe care and enhance response, engag…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837813/psn-pdf
    January 21, 2021 - Recognizing Excellence in Diagnosis. January 21, 2021 The Leapfrog Group. https://psnet.ahrq.gov/issue/recognizing-excellence-diagnosis Examination of diagnostic failure and identification of reduction strategies require multidisciplinary expertise to be successful. This collaborative initiative will initially dev…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45021/psn-pdf
    April 06, 2016 - Scandal as a sentinel event—recognizing hidden cost–quality trade-offs. April 6, 2016 Bloche G. Scandal as a Sentinel Event--Recognizing Hidden Cost-Quality Trade-offs. N Engl J Med. 2016;374(11):1001-3. doi:10.1056/NEJMp1502629. https://psnet.ahrq.gov/issue/scandal-sentinel-event-recognizing-hidden-cost-quality-t…
  19. psnet.ahrq.gov/issue/recognizing-our-biases-understanding-evidence-and-responding-equitably-application
    April 05, 2023 - Commentary Recognizing our biases, understanding the evidence, and responding equitably: application of the socioecological model to reduce racial disparities in the NICU. Citation Text: McCarty DB. Recognizing our biases, understanding the evidence, and responding equitably: application…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33674/psn-pdf
    February 01, 2009 - But we've come to recognize that some adverse events are at least partly preventable if we do the right … checking the box is supposed to be a proxy for something useful happening in patient care, we have to recognize … What they do believe, and I share this belief, is that we have come to recognize that patient safety

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