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psnet.ahrq.gov/node/45131/psn-pdf
July 20, 2016 - Systematic review and meta-analysis of educational
interventions designed to improve medication
administration skills and safety of registered nurses.
July 20, 2016
Härkänen M, Voutilainen A, Turunen E, et al. Systematic review and meta-analysis of educational
interventions designed to improve medication administr…
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psnet.ahrq.gov/node/864371/psn-pdf
March 13, 2024 - The ritualisation of the surgical safety checklist and its
decoupling from patient safety goals.
March 13, 2024
Facey M, Baxter NN, Hammond Mobilio M, et al. The ritualisation of the surgical safety checklist and its
decoupling from patient safety goals. Sociol Health Illn. 2024;46(6):1100-1118. doi:10.1111/1467-
…
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psnet.ahrq.gov/node/60557/psn-pdf
January 01, 2021 - Implementing receiver-driven handoffs to the emergency
department to reduce miscommunication.
June 3, 2020
Huth K, Stack AM, Hatoun J, et al. Implementing receiver-driven handoffs to the emergency department to
reduce miscommunication. BMJ Qual Saf. 2021;30(3):208-215. doi:10.1136/bmjqs-2019-010540.
https://psnet.…
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psnet.ahrq.gov/node/47400/psn-pdf
November 28, 2018 - Impact of the communication and patient hand-off tool
SBAR on patient safety: a systematic review.
November 28, 2018
Müller M, Jürgens J, Redaèlli M, et al. Impact of the communication and patient hand-off tool SBAR on
patient safety: a systematic review. BMJ Open. 2018;8(8):e022202. doi:10.1136/bmjopen-2018-022202…
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psnet.ahrq.gov/node/49746/psn-pdf
October 01, 2015 - The previous night, soon after eating dinner, he developed severe mid-
abdominal pain that did not radiate … from intra-abdominal metastases,
active inflammatory bowel disease, or when the patient had acute, severe … medical conditions requiring
stabilization (such as acute myocardial infarction and severe chronic
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psnet.ahrq.gov/node/49655/psn-pdf
June 01, 2012 - dialysis patients; approximately 50% experience chronic pain, with 82%
reporting this pain as moderate or severe … Points
All dialysis patients should be routinely screened for chronic pain, which is common and often
severe … A systematic review of the use of opioid
medication for those with moderate to severe cancer pain and
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psnet.ahrq.gov/node/49601/psn-pdf
April 01, 2010 - However, as this case demonstrates, epistaxis can be severe, requiring transfusion,
angiographic or … Most severe nose bleeds of this nature
occur in individuals older than 50 years.(1)
https://psnet.ahrq.gov … If the
bleeding has been prolonged, recurrent, or severe, a high index of suspicion for anemia and volume
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.317_slideshow.ppt
March 01, 2014 - acute kidney injury with an elevated creatinine of 2.2 mg/dL (up from a baseline of 0.8 mg/dL), and a severe … The patient was treated for severe sepsis and given intravenous fluids and antibiotics.
4
4
Case … of proportion to the degree of illness, which should have prompted exploration for other causes of severe
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.182_slideshow.ppt
September 01, 2008 - Effects of systemic steroids in patients with severe community-acquired pneumonia. … Even though diagnosis was not clear, most causes of infection had been ruled out
Severe multi-system … Infection—all forms
Exception to rule is when high doses of glucocorticoids are indicated to diminish severe
-
psnet.ahrq.gov/issue/emergency-nursing-and-medical-error-survey-two-states
January 25, 2010 - December 1, 2011
Are temporary staff associated with more severe emergency department
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psnet.ahrq.gov/issue/ismp-quarterwatch-reports
June 07, 2017 - June 13, 2018
Severe hyperglycemia in patients incorrectly using insulin pens at home
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psnet.ahrq.gov/issue/2017-ismp-medication-safety-self-assessment-communityambulatory-pharmacy
June 07, 2017 - May 11, 2017
Severe hyperglycemia in patients incorrectly using insulin pens at home.
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psnet.ahrq.gov/issue/patient-safety-24
December 01, 2011 - July 8, 2013
Are temporary staff associated with more severe emergency department medication
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psnet.ahrq.gov/issue/nursing-care-quality-nqf
September 06, 2011 - July 8, 2009
Antecedents of severe and nonsevere medication errors.
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psnet.ahrq.gov/node/49811/psn-pdf
November 01, 2017 - worsening respiratory status, liver abnormalities, and colonic pseudo-obstruction were all
consistent with severe … These are rare but life-threatening conditions that result from either decompensated
thyrotoxicosis or severe … Effects Score
Absent 0
Mild (agitation) 10
Moderate (delirium, psychosis, extreme lethargy) 20
Severe … 25
Congestive Heart Failure Score
Absent 0
Mild (pedal edema) 5
Moderate (bibasilar rales) 10
Severe
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
July 01, 2003 - advanced care discussions
Case: Code Status Confusion
A 60-year-old woman with a history of severe … preferences in scenarios with uncertain outcomes
i.e., successful cardiac resuscitation with resultant severe
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psnet.ahrq.gov/issue/10-medication-safety-tips-hospitalized-patients
February 06, 2019 - June 13, 2018
Severe hyperglycemia in patients incorrectly using insulin pens at home
-
psnet.ahrq.gov/issue/ismp-long-term-care-advise-err
June 07, 2017 - June 13, 2018
Severe hyperglycemia in patients incorrectly using insulin pens at home
-
psnet.ahrq.gov/issue/clinical-issues-series
July 05, 2006 - 2006
National Partnership for Maternal Safety: consensus bundle on support after a severe
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psnet.ahrq.gov/issue/fatal-gas-line-mix-how-avoid-making-gastly-mistake
April 29, 2018 - September 12, 2016
ALERT: reports of severe harm after intravenous administration of