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Showing results for "risks".

9841. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49485/psn-pdf
      August 29, 2024 - Diagnostic Studies for POVL Screening for POVL after surgery is usually reserved for high-risk procedures … Data delineating specific risk factors are lacking, making the implementation of preventive measures … air filters for rapid infusion devices; consider an air-aspiration central venous catheter for high-risk … https://psnet.ahrq.gov//#references ION has many proposed risk factors, but none have been proven;

9842. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50392/psn-pdf
      September 01, 2019 - Recently, we have started looking at social risk adjustment as an area that measurement needs to take … the necessary work to figure out what the best data sources are and what the impact of that kind of risk … For some of them, we can drive knowledge generation directly, like in the area of social risk. … For example, when it comes to the area of social risk, this is a place where CMS and our members have

9843. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49437/psn-pdf
      March 01, 2004 - catheterization should be avoided except in emergencies because it is associated with an increased risk … Several factors increase the risk of mechanical complications during CVC insertion. … Interventions that May Reduce the Risk of Complications 1. … Consider using an antibiotic impregnated catheter, especially if the institutional risk of infectious

9844. Communication Failure—Who's in Charge? | PSNet
      psnet.ahrq.gov/web-mm/communication-failure-whos-charge
      April 01, 2018 - that happened, the next child in this same condition in this same institution will have just as high a risk … It is now trite to comment that handovers are risk laden ( 1,2 ), but the first point at which error … behind this push seems solid; there is evidence that adult surgical outcomes improve when care for high risk … Trends in hospital volume and operative mortality for high-risk surgery.

9845. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions | PSNet
      psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
      November 13, 2024 - notified of the event and a report entered into the hospital's incident reporting system for review by risk … Missouri Health Care System's second victim support team are purposefully embedded on every shift in high-risk … clinical areas (such as intensive care units or operating rooms) as well as on high-risk clinical teams … One person provides peer support while a different individual (either patient safety expert or risk manager

9846. The Other Side | PSNet
      psnet.ahrq.gov/web-mm/other-side
      May 01, 2007 - unknown, and no studies have attempted to compare the various approaches or to determine whether any new risk … How to investigate and analyse clinical incidents: clinical risk unit and association of litigation and … risk management protocol. … Clinical risk management. Enhancing patient safety. London: BMJ Publications; 2001:461-79. 15.

9847. Spinal Epidural Abscess | PSNet
      psnet.ahrq.gov/web-mm/spinal-epidural-abscess
      November 13, 2019 - Detailed history taking to identify potential risk factors for SEA is important in establishing the early … The most common risk factors for SEA are diabetes mellitus, intravenous drug use, trauma, and alcohol … In such situations, a detailed history taking to look for risk factors and a careful physical examination … Careful history taking to identify the risk factors and meticulous physical examination to detect local

9848. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose | PSNet
      psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
      March 15, 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

9849. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_mismanagement_of_acute_decompensated_heart_failure_slides_final.pptx
      January 01, 2024 - Department disposition for patients during hypertensive emergencies, and barriers to admitting high-risk … Syncope has different risk stratifications depending on cardiac versus noncardiac etiologies, and ED … beds full at the time of admission, with administrative or clinical barriers to transferring a low-risk … Hospitals should consider implementing policies and procedures that direct patients with high-risk admitting

9850. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47640/psn-pdf
      March 20, 2019 - self-reported-adherence-high-reliability-practices-among-participants-childrens- hospitals High reliability industries such as aviation ensure safety amidst high-risk

9851. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60825/psn-pdf
      August 19, 2020 - substantial survival decrements among younger patients; among adults 70 years of age and older, balancing risk

9852. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41455/psn-pdf
      June 13, 2012 - order entry, medication errors are a continued problem in acute care settings, particularly in high-risk

9853. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47152/psn-pdf
      October 12, 2018 - quality-initiative-system-wide-reduction-serious-medication-events-through-targeted https://psnet.ahrq.gov/issue/association-interruptions-increased-risk-and-severity-medication-administration-errors

9854. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45882/psn-pdf
      June 28, 2017 - early-death-after-discharge-emergency-departments-analysis-national-us- insurance-claims-data The emergency department is considered a high-risk

9855. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43128/psn-pdf
      August 25, 2015 - primer/detection-safety-hazards https://psnet.ahrq.gov/issue/mapping-research-culture-and-safety-high-risk-organizations-arguments-sociotechnical

9856. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43729/psn-pdf
      November 21, 2017 - can-we-rely-patients-reports-adverse-events https://psnet.ahrq.gov/issue/patient-complaints-and-malpractice-risk

9857. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41816/psn-pdf
      September 26, 2016 - systematic-review-psychological-literature-interruption-and-its-patient-safety-implications https://psnet.ahrq.gov/issue/association-interruptions-increased-risk-and-severity-medication-administration-errors

9858. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/845278/psn-pdf
      March 01, 2023 - fda-identifies-harm-reported-sudden-discontinuation-opioid-pain-medicines-and-requires-label https://psnet.ahrq.gov/issue/long-term-risk-overdose-or-mental-health-crisis-after-opioid-dose-tapering

9859. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46537/psn-pdf
      January 24, 2019 - long-term-care-and-patient-safety https://psnet.ahrq.gov/issue/variability-antibiotic-use-across-nursing-homes-and-risk-antibiotic-related-adverse-outcomes

9860. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38524/psn-pdf
      July 13, 2009 - operating-room-teamwork-among-physicians-and-nurses-teamwork-eye-beholder https://psnet.ahrq.gov/issue/risk-adjusted-morbidity-teaching-hospitals-correlates-reported-levels-communication-and