-
psnet.ahrq.gov/node/49537/psn-pdf
June 01, 2007 - https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#table
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
prophylaxis would normally … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … References
1. Davenport DL, Bowe EA, Henderson WG, Khuri SF, Mentzer RM Jr.
-
psnet.ahrq.gov/node/49774/psn-pdf
November 01, 2016 - In general, the diagnosis is
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#figure
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
of preeclampsia. … Response has two
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov … //#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#table
components: develop
-
psnet.ahrq.gov/node/49639/psn-pdf
November 01, 2011 - //#references
http://webmm.ahrq.gov/popup_glossary.aspx? … name=adverseevent
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov … name=latenterror
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov … //#references
allow for robust analysis. … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
-
psnet.ahrq.gov/node/49712/psn-pdf
June 01, 2014 - https://psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
The patient in this case, like many patients, would probably have … //#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov … //#references
https://psnet.ahrq.gov//#references
and a high prevalence of limited health literacy … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
-
psnet.ahrq.gov/node/49627/psn-pdf
June 01, 2011 - https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … "(10)
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
How to interpret this … References
1. Leake CD.
-
psnet.ahrq.gov/node/49732/psn-pdf
May 01, 2015 - ://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
(hydrocortisone 50 mg IV every 6 … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#figure … References
1. Angus DC, Wax RS. Epidemiology of sepsis: an update. … //#references
https://psnet.ahrq.gov//#references
Figure 1.
-
psnet.ahrq.gov/node/49602/psn-pdf
April 01, 2010 - catastrophic and leads to death or major disability in 70% of patients.(9)
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#table
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#table
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
-
psnet.ahrq.gov/node/49606/psn-pdf
August 01, 2010 - Case & Commentary: Part 2
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#figure … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#figure
https://psnet.ahrq.gov//#figure … References
1. Poirier P, Alpert MA, Fleisher LA, et al.
-
psnet.ahrq.gov/node/49411/psn-pdf
July 01, 2003 - //#references
Ascertaining the patient’s preferences with respect to resuscitation is particularly … For
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
example, the patient could … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
level positive airway pressure (BIPAP) ventilation. … //#references
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?
-
psnet.ahrq.gov/node/49806/psn-pdf
September 01, 2017 - https://psnet.ahrq.gov/primer/diagnostic-errors
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov … //#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov … //#references
https://psnet.ahrq.gov//#table
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov … //#references
https://psnet.ahrq.gov//#references
With the new Sepsis-3 definitions, a new screening … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#table
https://psnet.ahrq.gov//#references
-
psnet.ahrq.gov/node/49523/psn-pdf
November 01, 2006 - https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
was more costly.(8)
As part of nursing education, nurses are … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#table … Joseph, RN, MSN, CURN Clinical Nurse Specialist VA San Diego Heathcare System
References
1.
-
psnet.ahrq.gov/node/49596/psn-pdf
December 01, 2009 - https://psnet.ahrq.gov//#references
A consequence of escalating health care costs in the United States … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
For patients without health … MD, MPH Professor of Surgery, Division of Plastic Surgery
University of California, San Francisco
References
-
psnet.ahrq.gov/node/49725/psn-pdf
January 01, 2015 - name=swisscheese
https://psnet.ahrq.gov//#references
permanently wedged PA catheter is unknown, but … name=productionpressure
https://psnet.ahrq.gov//#references
http://webmm.ahrq.gov/popup_glossary.aspx … name=error
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov/primer/checklists
https://psnet.ahrq.gov … //#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov … //#references
https://psnet.ahrq.gov//#references
workflow; otherwise, checklists may wind up gathering
-
psnet.ahrq.gov/node/49401/psn-pdf
May 01, 2003 - therapist that can make treatment extremely difficult if not impossible.(
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#table
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
Take-Home Points
Begin by creating a safe environment for therapy
-
psnet.ahrq.gov/node/49836/psn-pdf
July 01, 2018 - https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
Green workarounds: workarounds that, while not ideal, are supported … For example, the use of a Foley catheter
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov/ … /#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
highlighted that … Levett-Jones, PhD, RN
Professor of Nursing Education
University of Technology Sydney
Australia
References
-
psnet.ahrq.gov/node/49427/psn-pdf
January 01, 2004 - psnet.ahrq.gov/web-mm/inadvertent-castration
https://psnet.ahrq.gov//#figure
https://psnet.ahrq.gov//#references … in situations involving patients' only remaining kidneys, adrenal glands,
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
1.
-
psnet.ahrq.gov/node/49479/psn-pdf
April 01, 2005 - glargine insulin) prompt a corollary order for glucose checks within a CPOE
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … Take-Home Points
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov … //#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
Policy- and paper-based … Professor of Medicine Hospitalist Group & Medical Informatics University
of California, San Francisco
References
-
psnet.ahrq.gov/node/49394/psn-pdf
April 01, 2003 - pregnancy was reduced from 10% to 3% when early ultrasound criteria were
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
used to determine gestational … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#figure
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
It is important for each new team of caregivers to re-evaluate
-
psnet.ahrq.gov/node/49704/psn-pdf
March 01, 2014 - https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … bilirubin level can help; a follow-up visit 1–2 days after discharge will
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
generally be indicated. … , MB, BCh, DSc Professor, Oakland University, William Beaumont School of Medicine
Royal Oak, MI
References
-
psnet.ahrq.gov/node/49622/psn-pdf
March 01, 2011 - After every few forms they would need to scroll
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov … //#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
back through … Workarounds are usually symptoms of underlying system design flaws.(13,14)
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
A lack of patient harm does not indicate the presence of safety