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psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
August 31, 2022 - thrombolysis for suspected acute ischemic stroke, and identifying patients with possible LVO strokes who require … Some stroke alert imaging protocols require obtaining the results of serum creatinine testing prior to … immediately because the patient remains on the CT scanner. 11 This is preferred over protocols that require … Neurological emergencies require collaboration among members of the ED team and one or more neurology
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psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
December 08, 2021 - the patient was having symptoms concerning for unstable angina and determined that the patient would require … applications intended for rapid information gathering and simple communication have not been studied and require … Similarly, online translation tools, though promising, also require caution due to potential errors that … Take-Home Points Federal law and regulations require provision of language access for patients with limited
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psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
October 04, 2023 - 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/web-mm/around-block
March 04, 2020 - The use of LMWH in this setting is not contraindicated, but concomitant use does require strict adherence … At UCSF Medical Center, we require consultation from the pain management service before LMWH is administered … Patients receiving higher doses of LMWH will require delays of at least 24 hours to assure normal hemostasis
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psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
July 28, 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 at … 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/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability
May 27, 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/49499/psn-pdf
December 02, 2020 - The Commentary
Patients often require repeat clinical evaluations before a diagnosis is made or becomes … practice,
improve continuity, and create easier opportunities to “sign out” evolving patients who require
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psnet.ahrq.gov/issue/patients-identification-and-reporting-unsafe-events-six-hospitals-japan
January 11, 2023 - March 4, 2011
Drug formulations that require potentially inaccurate volumes to prepare
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psnet.ahrq.gov/issue/catastrophic-drug-errors-involving-tranexamic-acid-administered-during-spinal-anaesthesia
September 23, 2020 - February 3, 2016
Drug formulations that require potentially inaccurate volumes to prepare
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psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
February 01, 2004 - Learn the legal standard that is applied to a failure to contact a patient about test results that require … have engaged a medical malpractice lawyer and are urging New York lawmakers to pass legislation to require … Proposed federal regulations would require clinical laboratories to release test results directly to … Failing to contact a patient about abnormal test results that require follow up is a clear error that
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psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
February 26, 2025 - 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/primer/covid-19-team-and-human-factors-improve-safety
September 15, 2024 - 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/854897/psn-pdf
October 31, 2023 - any actual event, whereas nonactionable alerts result from
events that lack clinical significance or require … This behavior in turn jeopardizes patient
safety if health professionals neglect or miss alerts that require … Independent double checks require two people to separately check an order without
knowing their colleague
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psnet.ahrq.gov/node/33882/psn-pdf
June 01, 2019 - Workshops and training: Shifting a hospital's approach to safety would require formal and informal
employee … The application of this paradigm in health care will require that we explore strategies to
effectively
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psnet.ahrq.gov/issue/exploring-human-factors-prescribing-errors-paediatric-intensive-care-units
March 06, 2024 - September 6, 2016
Drug formulations that require potentially inaccurate volumes to prepare
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psnet.ahrq.gov/issue/improving-hospital-performance-culture-change-not-answer
September 27, 2016 - September 29, 2021
Effective healthcare teams require effective team members: defining
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psnet.ahrq.gov/issue/cardiovascular-medication-errors-children
September 21, 2008 - September 27, 2017
Drug formulations that require potentially inaccurate volumes to prepare
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psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
October 01, 2016 - Another is to substitute computable definitions for reportable events and conditions that now require … It used to require surveillance personnel to identify ventilator-associated pneumonia by reviewing clinical … Or does that require a lot of work? RP : It certainly requires a lot of work. … Although this didn't require new data collection, it notified and reinforced appropriate behavior and … We already mentioned finding women who require postpartum assessment of diabetes status.
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
October 01, 2010 - One of the key lessons that I've learned is that there are different types of problems in safety that require … But what we should do is require that hospitals monitor their infection rates. … To know the task means appreciating which portions of the task are performed automatically and which require … Thus, checklists should require the value or status of an item rather than a check of completion ( Figure … If both hands are used in the task, the checklist cannot require the use of hands, or the steps need
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psnet.ahrq.gov/perspective/what-makes-good-checklist
October 01, 2010 - To know the task means appreciating which portions of the task are performed automatically and which require … Thus, checklists should require the value or status of an item rather than a check of completion ( Figure … If both hands are used in the task, the checklist cannot require the use of hands, or the steps need … One of the key lessons that I've learned is that there are different types of problems in safety that require … But what we should do is require that hospitals monitor their infection rates.