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Showing results for "risks".

9821. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49574/psn-pdf
      November 01, 2008 - experiencing at least one episode.(1) The Joint Commission considers insulin one of the top five high-risk … patients in the period July 1–August 30 to those treated April 15–June 15, and found an 18% increased risk … of morbidity and 41% increased risk of mortality in the July/August period.(2) Yet this finding stands

9822. Check the Bags | PSNet
      psnet.ahrq.gov/web-mm/check-bags
      January 03, 2017 - a single nurse on a medical-surgical unit may be responsible for 5 to 10 patients, may mitigate the risk … This practice eliminates the need to use the high risk IV and the potential for an inadvertent overdose … More obvious labeling of ‘high risk’ IV drips (eg, bigger, brighter labels; duplicate labeling on IV

9823. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60168/psn-pdf
      March 25, 2020 - inappropriate diagnosis and initiation of unnecessary or even harmful medications with potential to carry risk … : a mixed method study to identify incidence and risk factors for CPOE patient misidentification.

9824. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73412/psn-pdf
      August 01, 2022 - and morbidity.1 Additionally, IPV increases the likelihood of a pregnant patient experiencing a high-risk … IPV is a critical risk factor that limits the ability of patients to adhere to treatment for chronic … conditions and can cause mental health issues, chronic pain, and high-risk pregnancies.

9825. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33698/psn-pdf
      August 01, 2010 - second reason is that certain biological factors in immunocompromised patients predispose them to a risk … interesting to challenge that notion and see whether we could address this issue in these very high-risk … place, but when it's publicly reported that we had the second highest rate of these complications when risk

9826. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49623/psn-pdf
      March 01, 2011 - CRRT is a high-risk procedure that is handled differently by different hospitals. … were how to restructure the orientation and training programs to ensure that staff performing high-risk … case, the new nurse in ICU might be presented with a simulation of the use of CCRT, which are high-risk

9827. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33676/psn-pdf
      November 01, 2008 - search, and found that while there are a lot of data on the prevalence of these infections and their risk … RW: There may be some trade-offs in terms of patients being forced out of bed and an increased fall risk … found it to be more comfortable than the indwelling catheter, and in some patients it led to a lower risk

9828. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49515/psn-pdf
      July 01, 2006 - Apart from excluding peanuts, manual methods to reduce the risk of delivering food to which a patient … adaptation of the techniques for preventing adverse medication events can significantly reduce the risk … Removal of peanuts from the hospital environment mitigates much of the risk, but a systematic approach

9829. Hemolysis Holdup | PSNet
      psnet.ahrq.gov/web-mm/hemolysis-holdup
      July 03, 2016 - panic result—the repeat potassium level had come back at 8.4 mEq/L, a level associated with a high risk … available, since the patient had electrocardiographic changes consistent with hyperkalemia and the risk … October 30, 2017 Risk factors of missed colorectal lesions after colonoscopy.

9830. Copy and Paste | PSNet
      psnet.ahrq.gov/web-mm/copy-and-paste
      December 10, 2014 - In this modern era of EHRs, this point, plus the risk of copying and pasting, must be driven home in … Pseudohyperkalemia December 31, 2024 Perspective Risk … Resources WebM&M Cases Direct Oral Anticoagulants are High-Risk

9831. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33793/psn-pdf
      November 01, 2015 - All these things varied in their level of complexity and were mostly drawn from analogies from high-risk … central line bundles, and so on—then of course there's a role for a trial if it's an expensive or high-risk … Like everything else, you have to consider the risks.

9832. Time of Death? | PSNet
      psnet.ahrq.gov/web-mm/time-death
      January 03, 2017 - simulation allows learners to gain experience in common and uncommon scenarios without placing patients at risk … Bailliere's Clinical Anaesthesiology: Safety and Risk Management in Anaesthesia. … Risks of Intraosseous Vascular Access August 21, 2014 WebM&M Cases

9833. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838900/psn-pdf
      October 27, 2022 - However, it is not without risk. … This case illustrates not only the risk of injury during laparoscopic access, but also the possibility … There are risks associated with each of these techniques.

9834. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33703/psn-pdf
      November 01, 2010 - adverse events) because the trigger algorithm serves as a flag for identifying potential cases at high risk … Although this trigger was designed to identify patients at high risk of surgical adverse events, many … measurement, in which a relatively robust set of outcome and process measures exists (e.g., 30-day risk-adjusted … Surveillance Can be used retrospectively or prospectively, helpful in screening patients who may be at high risk

9835. Personal Health Literacy | PSNet
      psnet.ahrq.gov/primer/personal-health-literacy
      October 31, 2023 - literacy. 12,13 In this approach, clinicians and health care systems assume that all patients are at risk … Healthy People 2030 recognizes personal health literacy as a social risk that is associated with poor … May 31, 2023 Social risk, health inequity, and patient safety. … Primers Medication Administration Errors March 12, 2021 Risk

9836. PSNet Curated Library (pdf file)
      psnet.ahrq.gov/print/pdf/node/866984
      January 01, 2020 - collaboration-between-pharmacists-physicians-and-nurse-practitioners-qualitative Multidisciplinary approaches to reducing error and risk … https://psnet.ahrq.gov/issue/multidisciplinary-approaches-reducing-error-and-risk-patient-care-setting … Multidisciplinary approaches to reducing error and risk in a patient care setting. … teaming-how-organizations-learn-innovate-and-compete-knowledge-economy https://psnet.ahrq.gov/issue/multidisciplinary-approaches-reducing-error-and-risk-patient-care-setting

9837. How Do Providers Recover From Errors? | PSNet
      psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
      May 22, 2024 - While some legal experts may highlight the perceived risk of full error disclosure (as described in this … regarded as lapses resulting from unacceptable personal fallibility and therefore may place providers at risk … Disclosure of medical injury to patients: an improbable risk management strategy. … May 22, 2024 Physician task load and the risk of burnout among US physicians in a national

9838. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854897/psn-pdf
      October 31, 2023 - , PharmD, MBAc, and David Dakwa, PharmD, MBA, BCPS, BCSCP Medication errors can pose a significant risk … In high-risk settings, frequent communication, close supervision, and independent double-checks are … By recognizing and minimizing the risk of these “holes”, healthcare staff can collectively come together … notifications should be reviewed and improved to optimize accurate alert notifications and minimize the risk

9839. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865376/psn-pdf
      March 27, 2024 - any thoracic pathology might have preempted the code and potentially mitigated the need for a high-risk … An atriocaval shunt is quicker but has prohibitively high mortality risk. … correct presumptive coagulopathy, (2) adhere diligently to optimal procedural technique to minimize the risk … should focus on improving their technique of emergency thoracostomy tube insertion to minimize the risk

9840. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33710/psn-pdf
      May 01, 2011 - RW: What do we know about risk factors for people being very traumatized from these events? … literature has emphasized how patients value apologies and that it doesn't appear to increase the risk … Is there a risk that things will get worse again if we shift back toward a more accountability-focused … crime-and-punishment approach, and to be purely selfish, we need information so that we can manage risk