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psnet.ahrq.gov/continuing-education
February 26, 2025 - Transcription Errors
(1)
Side Effects/Adverse Drug Reactions
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Specific … CT scan was read as normal and he was diagnosed with a minor head injury and discharged without any specific … cognition and increased headache and was diagnosed with post-concussive syndrome and discharged without specific
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psnet.ahrq.gov/perspective/conversation-cindy-brach
December 27, 2019 - Culturally competent health promotion is when you use culturally specific information about the community … day off, a health plan held health promotion classes in Cantonese in the area of the market on their specific … Specific actions include hiring the right staff or bi-lingual, bicultural individuals and providing cultural … It also explicitly addresses health literacy; there is specific language throughout the Standards about … language, thoughts, communications, actions, customs, beliefs, values, and institutions that are often specific
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psnet.ahrq.gov/node/837659/psn-pdf
July 08, 2022 - psnet.ahrq.gov//#6
Along with assessing a patient’s level of sedation, it is important to consider patient-specific … classification (Table 1).7,8 Additionally, the STOP-BANG score can be calculated to assess
patient-specific … depression or
needs a deeper level of sedation, such as moderate, deep, or general anesthesia, institution-specific
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psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
October 28, 2020 - Specific suggestions include reminding caregivers about diabetes, wearing a diabetes identification tag … Specific suggestions include having your doctor explain what you can expect after leaving the hospital … Take Home Points
Develop and implement ED-specific clinical decision support tools and standardized … order sets for diabetes management, including specific pathways to consult the inpatient glycemic team
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psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - pathologist was on vacation, the biopsy specimen was re-evaluated by the supervising pathologist, who lacked specific … Cases should not remain in limbo, awaiting the return of a specific pathologist before the case is completed … Subspecialty surgical pathology service models offer many benefits but create specific cross-coverage … Design and implementation of a pathology-specific handoff tool for residents.
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psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
March 25, 2025 - Even if you do not know the specific crisis center, 988 is a nationwide, universally accessible phone … We talked about specific things like screeners, what is the best screener and how to choose a screener … Similar to the PHQ-9, the EPDS can be paired with a suicide-specific screener to improve risk detection … By selecting the specific screening tools tailored to the unique patient and care delivery needs in each … The suicide-related item within a screener like the PHQ-9 can be used, or, even better, a suicide-specific
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psnet.ahrq.gov/perspective/suicide-prevention
March 24, 2025 - process of identifying and managing suicide risk remains consistent across healthcare settings, the specific … Similar to the PHQ-9, the EPDS can be paired with a suicide-specific screener to improve risk detection … By selecting the specific screening tools tailored to the unique patient and care delivery needs in each … The suicide-related item within a screener like the PHQ-9 can be used, or, even better, a suicide-specific … Even if you do not know the specific crisis center, 988 is a nationwide, universally accessible phone
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psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
April 26, 2023 - CDS provides clinicians, patients, and other individuals with relevant data (e.g. patient-specific information … in-depth pre-post, mixed-methods study showed that a fully implemented CPOE system significantly reduced specific … A specific CPOE function that demonstrated statistically significant improvement in 2022 was automatic
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psnet.ahrq.gov/issue/can-sbar-be-implemented-high-fidelity-and-does-it-improve-communication-between-healthcare
June 22, 2022 - September 5, 2018
Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician
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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - As a result, organizations customize how they use the RCA process to fit their specific needs and overcome … In addition, the RCA process must be transparent, and the results must be specific and actionable to … Sarah Mossburg: Are there specific aspects of safety culture that need to be in place before RCA 2 … A couple of specific organizations come to mind related to innovations – MedStar Health has a strong … We have said this is a flexible tool to adapt to different settings, but we can be more specific and
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psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
February 26, 2025 - shows the robustness of HRO interventions, where gains in patient safety can be realized either in specific … In terms of organizations I work with, I’ll provide a specific example from a cardiac catheterization … This example is instructive about high reliability, tailored to solve a specific problem. … Sarah Mossburg: So, leaders are critical, but also building these ideas into specific structures and … What we lack that practitioners need and want are specific interventions that take an organization from
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - Sarah Mossburg: Are there specific aspects of safety culture that need to be in place before RCA 2 … A couple of specific organizations come to mind related to innovations – MedStar Health has a strong … We have said this is a flexible tool to adapt to different settings, but we can be more specific and … As a result, organizations customize how they use the RCA process to fit their specific needs and overcome … In addition, the RCA process must be transparent, and the results must be specific and actionable to
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psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
February 26, 2025 - In terms of organizations I work with, I’ll provide a specific example from a cardiac catheterization … This example is instructive about high reliability, tailored to solve a specific problem. … Sarah Mossburg: So, leaders are critical, but also building these ideas into specific structures and … What we lack that practitioners need and want are specific interventions that take an organization from … is quite right, because each of those interventions is not deployed in a precise way to elicit the specific
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psnet.ahrq.gov/web-mm/who-nose-where-airway
May 01, 2016 - Specific risk factors for airway device (NPA) aspiration are not known from the literature, but coughing … While specific problems have not been reported, it is not difficult to imagine how a safety pin could … At the time of this writing, no specific standard of care for handoffs has been established by the American … approaches, though the optimal approach has not been determined—and probably will vary depending on the specific
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psnet.ahrq.gov/web-mm/renal-failure-due-benign-prostatic-hyperplasia
February 01, 2004 - urologist's office, the patient was seen by a physician assistant who inquired about prior prostate specific … Prostate specific antigen levels also may be helpful in the management of BPH; PSA can provide a rough … Serum prostate-specific antigen as a predictor of prostate volume in men with benign prostatic hyperplasia … Serum prostate-specific antigen concentration is a powerful predictor of acute urinary retention and
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psnet.ahrq.gov/perspective/ems-patient-safety-field
July 28, 2021 - This could include a randomly selected percentage, or a 100% chart review. 9 Second, a review of a specific … The National EMS Education Standards define core competencies for each of these four levels, but specific … At the local level, you have to look at how well care is delivered at specific addresses and in specific … at time-sensitive and critical diseases, to know how that agency was able to deliver care on those specific … The proper triage of trauma patients includes you over-calling so that you're sensitive more than specific
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psnet.ahrq.gov/node/47368/psn-pdf
September 12, 2018 - The authors describe specific tools and tactics
used to implement the work and summarize the value of
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psnet.ahrq.gov/web-mm/rapid-mis-strep
February 01, 2004 - Urinalysis revealed 3+ ketones and a specific gravity (SG) >1.030. … essentially all rapid streptococcal tests are based upon an antigen-antibody reaction involving the group-specific
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psnet.ahrq.gov/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriate
June 24, 2020 - Nearly 90% of the alerts indicating that “specific dosing guidelines are not available for this patient … If the CDS usesmore inclusive yet less specific criteria, more drug-disease alerts would ensue, leading … to high volumes of less specific, inappropriate alerts. … renal disease are to include the estimated GFR on the order screen, to create a suite of medication-specific … dosing alerts, or to create specific pain medication order sets to guide clinicians through appropriate
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psnet.ahrq.gov/primer/alert-fatigue
March 15, 2025 - There is intense interest in developing specific methods to combat alert fatigue, but as yet, there is