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psnet.ahrq.gov/issue/what-makes-hospitalized-patients-more-vulnerable-and-increases-their-risk-experiencing
March 23, 2011 - June 1, 2012
Incidence and preventability of adverse events requiring intensive care
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psnet.ahrq.gov/issue/does-lean-management-improve-patient-safety-culture-extensive-evaluation-safety-culture
December 05, 2018 - March 19, 2018
Incidence and preventability of adverse events requiring intensive care
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psnet.ahrq.gov/issue/patient-outcomes-dose-reduction-or-discontinuation-long-term-opioid-therapy-systematic-review
April 08, 2019 - October 19, 2022
Assessment of potentially inappropriate prescribing of opioid analgesics requiring
-
psnet.ahrq.gov/web-mm/dont-bite-your-tongue
September 18, 2024 - Background
Oropharyngeal injuries are a known complication of airway management during procedures requiring … require reparative surgical intervention, or airway swelling that may cause respiratory compromise requiring
-
psnet.ahrq.gov/node/865884/psn-pdf
May 29, 2024 - continued to suffer from dizziness, vomiting, and an unsteady gait, suggesting pelvic muscle weakness and
requiring … readmitted for worsening confusion and profound motor weakness, which
progressed to respiratory failure requiring … Due to
the delayed diagnosis, the patient suffered permanent brain injury requiring around-the-clock
-
psnet.ahrq.gov/web-mm/e-prescribing-e-error
February 03, 2021 - Three prescription fields commonly requiring manual manipulation include medication name, quantity, and … reduce drug selection inefficiencies and potential errors by better conveying physicians' intent without requiring … The degree to which e-prescribing software includes forcing functions requiring prescribers to review
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psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
January 01, 2023 - • Although regional anesthesia is generally preferred for all deliveries requiring
anesthesia (even … use of mechanical thromboprophylaxis or UFH 5,000 units twice daily for
admitted antepartum patients requiring … Exposure to general anesthesia for cesarean delivery and odds of severe postpartum depression requiring
-
psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
January 01, 2023 - • Over the course of the following hours, the patient became increasingly
disoriented and agitated requiring … dislodgement of the first NGT.
– After events of this type, hospitals frequently implement practice changes requiring … – Hospital policies may also limit “prn” prescribing of antipsychotics for agitation,
requiring physician
-
psnet.ahrq.gov/node/49520/psn-pdf
September 01, 2006 - If an intensive care unit physician assumes primary responsibility for a patient requiring mechanical … Instead, the focus should be on requiring DNR orders to be reconsidered at critical events during a
-
psnet.ahrq.gov/node/49766/psn-pdf
August 21, 2016 - review of pages sent to the wrong provider
suggested that approximately 15% of these were emergent, requiring … immediate action, and that about a
third were urgent, requiring a response within an hour.
-
psnet.ahrq.gov/node/49634/psn-pdf
September 01, 2011 - Despite the fact that the patient was admitted
with a clear and potentially life-threatening diagnosis requiring … care team is essential—electronic
communication is not a sufficient substitute in emergent situations requiring
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.236_slideshow.ppt
March 01, 2011 - He had a complex past medical history including congenital heart disease, poor feeding requiring a gastric … oxygen the child is receiving; normal ambient room air is 21% FiO2; thus, ≥ 50% FiO2 means the child is requiring
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.353_slideshow.ppt
August 01, 2015 - In this case, the patient requiring the brain MRI had the same initials as another patient on the same … sign-in sheets in waiting rooms
No sharing with close family members
of any information about a patient
Requiring
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.275_slideshow.ppt
August 01, 2012 - 1000 results per week on average
Inadequate test result follow-up should be viewed as a system problem requiring … and cognitive overload on clinicians
Inadequate laboratory test result follow-up is a system problem requiring
-
psnet.ahrq.gov/issue/associations-between-stopping-prescriptions-opioids-length-opioid-treatment-and-overdose-or
April 05, 2017 - June 24, 2020
Assessment of potentially inappropriate prescribing of opioid analgesics requiring
-
psnet.ahrq.gov/issue/medication-related-emergency-department-visits-pediatrics-prospective-observational-study
October 16, 2013 - August 8, 2018
Pediatric emergency department discharge prescriptions requiring pharmacy
-
psnet.ahrq.gov/issue/four-states-robust-prescription-drug-monitoring-programs-reduced-opioid-dosages
June 21, 2016 - June 21, 2016
Assessment of potentially inappropriate prescribing of opioid analgesics requiring
-
psnet.ahrq.gov/issue/coping-and-recovery-surgical-residents-after-adverse-events-second-victim-phenomenon
July 11, 2012 - Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring
-
psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
October 12, 2018 - SbCST simulation scenario represented a patient with hypotensive shock, progressive respiratory failure requiring
-
psnet.ahrq.gov/node/49811/psn-pdf
November 01, 2017 - On the second hospital day, she developed atrial
fibrillation with rapid ventricular response, requiring … Over the next 3 months, the patient had multiple hospital admissions for presumed COPD exacerbations
requiring … Her liver function worsened, and she developed
pseudo-obstruction of her colon (Ogilvie syndrome) requiring