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psnet.ahrq.gov/node/40819/psn-pdf
January 07, 2015 - Drug administration errors are a major safety concern in anesthesiology, as even routine cases can require
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psnet.ahrq.gov/node/39176/psn-pdf
December 16, 2009 - Though not
formally requiring a rapid response system, The Joint Commission does require that all hospitals
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psnet.ahrq.gov/node/42023/psn-pdf
May 25, 2013 - Cases flagged by triggers also
require more detailed chart reviews, which may not be feasible for institutions
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psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
June 28, 2023 - Single cannula tubes are sometimes used for patients with specific anatomical challenges, but they require … Regardless of the type of tracheostomy tube, patients require regular assessment and monitoring to ensure … consensus on the effectiveness of this approach is lacking. 1,5,6 Sutures can cause skin breakdown and require … Tracheostomy tubes require maintenance and monitoring by trained clinicians who can prevent, identify … Transitions of care—especially between facilities—require sharing a plan regarding tracheostomy tube
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psnet.ahrq.gov/node/860050/psn-pdf
January 04, 2024 - For this reason, several
states (e.g., IA, MA, NY, PA) require physicians to obtain continuing medical … , infants younger than 90 days
presenting with lethargy and other non-specific neurologic symptoms require … T2-weighted sequences with a single-shot technique,
which is fast enough that most children do not require … Subtle findings specific to pediatric abuse require specialized expertise for detection.
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psnet.ahrq.gov/web-mm/dont-bite-your-tongue
September 18, 2024 - minor hematomas and mucosal lacerations that heal spontaneously to larger soft tissue defects that may require … primary repair with suture.” 2 Some injuries result in excessive bleeding that may require reparative … While incidence of bite injuries is low, a small number of patients will require further interventions
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psnet.ahrq.gov/node/840172/psn-pdf
November 16, 2022 - hands-on assistance at all times
Yellow = patients requiring close supervision
Green = patients does not require
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psnet.ahrq.gov/issue/improving-patient-safety-ambulatory-surgery-centers-resource-list-users-ahrq-ambulatory
May 11, 2016 - Patient safety culture surveys uncover insights into organizational culture and practice areas that require
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psnet.ahrq.gov/issue/obstetric-care-consensus-no-5-severe-maternal-morbidity-screening-and-review
August 20, 2018 - Incidents involving maternal harm require analysis to provide learning and assist design of prevention
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psnet.ahrq.gov/issue/cvs-taps-design-legend-reinvent-prescription-label-next-stop-pharmacy
April 12, 2017 - Complicated systems often require more than one change to improve their safety.
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psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems-months-shutdown-then
July 18, 2018 - Whistleblowers require a safety culture to provide the psychological and career protection that enables
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psnet.ahrq.gov/issue/dirty-dozen-12-persistent-safety-gaffes-we-need-resolve
November 05, 2014 - Changes in practice require time and monitoring to achieve lasting improvements.
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psnet.ahrq.gov/issue/managing-risks-direct-oral-anticoagulants
December 23, 2016 - Although direct oral anticoagulants (DOACs) require less monitoring than warfarin, they are still associated
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psnet.ahrq.gov/issue/managing-risk-during-transition-new-iso-tubing-connector-standards
December 23, 2016 - event alerts in response to significant emerging safety risks for events which carry high risk and require
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psnet.ahrq.gov/issue/national-medical-error-disclosure-and-compensation-medic-act
December 06, 2011 - Department of Health and Human Services to a) require hospitals to disclose errors to patients and offer
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psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
April 01, 2008 - Patients require oral anticoagulant therapy for many different reasons, including prevention of stroke … approximately 250,000 patients each year in North America on oral anticoagulant therapy undergo procedures that require … Most patients at low TE risk do not require bridging, while bridging is likely beneficial for patients … of bridging therapy with low-molecular-weight heparin for patients at risk of arterial embolism who require … Bridging therapy in patients on long-term oral anticoagulants who require surgery: the Prospective Peri-operative
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psnet.ahrq.gov/node/49807/psn-pdf
October 01, 2017 - Federal policies require that health care organizations that receive federal funding
take reasonable … Translate or Microsoft Translator.(8,11) Nevertheless,
these translations still have many errors and require … Provider Responsibility
Several national policies encourage or require the use of language services … culturally and linguistically appropriate manner.(5) The HHS regulatory standards pursuant to the ACA
require … Federal and state regulations require that language-appropriate communication be provided in health
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psnet.ahrq.gov/node/49488/psn-pdf
August 21, 2005 - have surfaced.(5-10) A number of adverse outcomes with PCA use have involved particular models
that require … Another precaution would be to require an independent check
by a second caregiver when a PCA pump is … Achieving greater safety with the use of PCA pumps will require emphasis on improved design,
better
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psnet.ahrq.gov/node/43987/psn-pdf
March 25, 2015 - Accomplishing this will require endorsement from physicians, and this survey examines the attitudes of
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psnet.ahrq.gov/node/40586/psn-pdf
March 21, 2017 - The authors argue that even sophisticated computerized systems require active
surveillance systems to