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psnet.ahrq.gov/issue/validity-unplanned-admission-intensive-care-unit-measure-patient-safety-surgical-patients
May 26, 2021 - methodology may serve as an important tool to promote patient safety by generating data that do not require
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psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents
August 09, 2018 - Once identified , adverse events require investigation to understand underlying causes.
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psnet.ahrq.gov/issue/identification-and-prioritization-health-it-patient-safety-measures
September 29, 2017 - Although these measures require further development and testing, this report lays the foundation for
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psnet.ahrq.gov/issue/pain-management-and-opioid-epidemic-balancing-societal-and-individual-benefits-and-risks
March 29, 2006 - Addressing the opioid epidemic will require a complex set of approaches to balance managing the potential
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psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm
June 21, 2016 - RCAs are mandated by The Joint Commission following sentinel events and many states require them after
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psnet.ahrq.gov/issue/incorrect-surgical-counts-qualitative-analysis
September 12, 2012 - findings, the authors argue that addressing the persistent problem of retained surgical instruments will require
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psnet.ahrq.gov/web-mm/pca-overdose
April 01, 2017 - 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 user
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psnet.ahrq.gov/node/49505/psn-pdf
March 01, 2006 - The next morning, the patient continued to require multiple pressors and a bicarbonate drip and had fixed … the Joint Commission on Accreditation of Healthcare Organizations
(JCAHO).(1) Both bodies clearly require … psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
Federal statutes and JCAHO standards require
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.359_slideshow.ppt
October 01, 2015 - in the HITECH Act were intended to prevent cases like this
EHR incentive programs in the HITECH Act require … be added to the medical record
For allergies, medications, and medical problems, most organizations require … but won't take effect until at least 2017
True interoperability is not just a technical feat; it will require
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psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
January 01, 2024 - Grossly contaminated wounds require meticulous attention, including debridement of devitalized tissue … Infected wounds with retained foreign material often require operative exploration.
10
10
Background … Foreign bodies composed of non-organic material, such as metal or plastic, may not require removal as … Lacerations over joints require longer suture dwell times because these wounds face higher tensile skin … lacerations from blunt injury involve greater tissue damage invisible to the naked eye and these wounds require
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psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety
May 28, 2020 - Forty-three percent of medical devices are Class II and require FDA review through pre-market notification … These devices require FDA review through pre-market approval. … cybersecurity risks. [7]
Device Maintenance and Repairs
As with any technical device, medical devices require … challenge after a device has been approved is that some FDA questions regarding the safety of a device require … Therefore, changes in the network itself, or in other technologies that link to that network, may require
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psnet.ahrq.gov/node/851869/psn-pdf
July 31, 2023 - Training materials, simulation
equipment, and expert faculty require financial investment, which may … Looking Forward
The successful implementation of learning systems for patient safety will require ongoing
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psnet.ahrq.gov/node/60376/psn-pdf
July 30, 2020 - Strategies to address fatigue and burnout, implementation
of which require leadership and organizational … whose skills may need updating and/or students whose accelerated certifications for active practice require … As described below,
strategies for reducing human errors that require relatively minimal resources to
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psnet.ahrq.gov/node/73999/psn-pdf
October 27, 2021 - otherwise implemented in the hospital
setting.3,4,5 In addition, rapid changes in the patient’s condition require … Different drugs
require different concentrations, and a typical anesthetic case requires the use of … Some drugs require
serial dilution and may come in different units of weight (e.g., mcg/ml vs mg/ml)
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psnet.ahrq.gov/node/49856/psn-pdf
March 01, 2019 - Among patients who are extubated, approximately
10%–20% require reintubation (extubation failure) within … as 25%–50%.(4) Mortality is highest among those who fail more than 12
hours after extubation or who require … Of patients who are extubated after passing a spontaneous breathing trial, 10%–20% require
reintubation
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psnet.ahrq.gov/node/73998/psn-pdf
October 27, 2021 - Major surgical procedures, including craniotomy,
require large-bore venous access in case of rapid and … Complex surgeries usually require at least two large-bore intravenous catheters,
with 22-gauge catheters … site for children with difficult peripheral
venous access, particularly in emergent situations that require
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psnet.ahrq.gov/node/72587/psn-pdf
December 23, 2020 - Discussion by the care team included
whether the patient would require intubation prior to transport … Patient
age, clinical status and any unique vulnerabilities all require careful consideration. … should be undertaken to evaluate the risks and benefits of therapeutic or
diagnostic interventions that require
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psnet.ahrq.gov/node/846127/psn-pdf
March 15, 2023 - these patients must be
managed expectantly to promptly identify those who have treatment failure and require … Individualized management decisions require
careful consideration of the etiology and severity of the … Successful post-discharge follow-up programs require bundled care changes that span the inpatient
and
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psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
August 02, 2015 - Unfortunately, many of these factors are difficult to change, require significant financial investment … approach that can be integrated into a health care delivery system to improve postoperative outcomes will require … Ultimately, avoiding inpatient deaths such as the one presented in this case will require a multipronged … Human factors and technology-focused solutions developed in research environments will require appropriate … Avoidance of failure-to-rescue events will require a combination of human factors and technological interventions
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psnet.ahrq.gov/issue/policies-and-practices-related-role-board-certification-and-recertification-pediatricians
February 03, 2011 - Nearly 75% of hospitals carried no requirement for certification at initial privileging, though 70% did require