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161. A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care. | PSNet
     psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
     July 08, 2022 - This procedure ensures that all aspects of the patient are considered: biological, psychological, and … In a national survey of physicians from specialties “for which evidence-based mind-body methods could … issues." 7 Even more concerning, approximately 1 in 3 physicians believed that integration of these methods … , role modeling), some to teach skills (supervised practice, observation and feedback, role play), some … [Free full text] Levy MH, Adolph MD, Back A, et al. Palliative Care.

162. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73153/psn-pdf
     April 28, 2021 - Case #2: A patient underwent an anterior/posterior urogynecologic procedure. … the OR nurse stated that there was packing in the vagina but did not ask for nor receive any repeat-back … There is active read-back/repeat-back instruction between the nurse circulator and the receiving nurse … (The primary source providers usually go back to the OR to start the next case and may not be available … Using a standardized method to identify patients with vaginal packing.

163. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/857260/psn-pdf
     November 30, 2023 - When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures … Lab Value (normal range) Pre-Procedure Day of Procedure Day After Procedure Readmission (day after discharge … Day of Procedure Day After Procedure Readmission (day after discharge) Glucose (74-109mg/dL) 123 133 … His pre-procedure medication instructions were to stop all medications the night prior to the procedure … Using teach-back methods and written or online resources, ensure that patients understand why specific

164. In Conversation With...Donald A. Norman, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
     November 01, 2006 - While you have those people in, you might rewrite some of the procedures. … Human Factors Engineering Can Teach You How to Be Surprised Again November 1, 2006 Perspective … Would you have called this an "expected complication" of the procedure and moved on? … References Back to Top 1. Murff HJ, Gosbee JW, Bates DW. … Cognitive and usability engineering methods for the evaluation of clinical information systems.

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49579/psn-pdf
     March 21, 2009 - Methods to verify received information, including repeat-back or read-back techniques. … personnel with recording demographic data and referring provider information (most importantly, a call back … Diagnoses may seem obvious initially, but time is often our best diagnostic tool, and this simple mental back-up

166. Identifying Adverse Events Not Present on Admission: Can We Do It? | PSNet
     psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
     October 01, 2008 - conditions from blood use within expected norms and incidental lysis of adhesions (both relatively trivial procedures … References Back to Top 1. Zhan C, Miller MR. … HCUP Methods Series Report No. 2006-01. … of the 1000 physicians or 5000 nurses to each do the right thing every time is probably the weakest method … These are unforeseen consequences that pop out the back end.

167. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33654/psn-pdf
     August 01, 2007 - learned that, rather than just fixing things for our practice or the guy down the hall, with the right methods … A patient lost their hand in a farm accident and we put it back on and it's working again, and aren't … If I, as CEO, can look them in the eye and say, the board is expecting us to come back in 3 months with … delays because you have to send it out to get all the data from whoever has to vet the stuff and get it back

168. The Pains of Chronic Opioid Usage | PSNet
     psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
     April 04, 2018 - Case & Commentary—Part 1 A 42-year-old man with a history of asthma and chronic lower back pain was … been prescribing high doses of long-acting morphine (MS Contin), oxycodone, and gabapentin for his low back … The patient in this case was prescribed opioids for his low back pain. … Providers should ensure full informed consent before prescribing opioids and determine methods to monitor … Opioids for back pain patients: primary care prescribing patterns and use of services.

169. In Conversation with…Robert M. Wachter, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
     October 01, 2008 - of the 1000 physicians or 5000 nurses to each do the right thing every time is probably the weakest method … These are unforeseen consequences that pop out the back end. … conditions from blood use within expected norms and incidental lysis of adhesions (both relatively trivial procedures … References Back to Top 1. Zhan C, Miller MR. … HCUP Methods Series Report No. 2006-01.

170. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33674/psn-pdf
     February 01, 2009 - of the 1000 physicians or 5000 nurses to each do the right thing every time is probably the weakest method … These are unforeseen consequences that pop out the back end. … NS: Let me take you back to your crystal ball, particularly to your political lens, and it's now February

171. In Conversation With... Freya Spielberg, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
     September 28, 2022 - As an educator, I've developed a new curriculum, Community-Oriented Quality Improvement, to teach medical … Some states are going back to the requirement that telemedicine is done with video, and this will result … The community health workers can teach them how to do that, collect the information on their vitals if … transitions or reporting and follow-up of laboratory and other diagnostic tests; unnecessary tests or procedures … toxic cascades” of unnecessary tests, reducing exposure to unnecessary risk of harm from unnecessary procedures

172. In Conversation With… Beverley H. Johnson | PSNet
     psnet.ahrq.gov/perspective/conversation-beverley-h-johnson
     February 01, 2013 - answer all your questions or for you to share all your observations at that time, someone can come back … RW : As we try to engage patients in new ways and also teach them a new set of skills, is technology … BJ : I think we need to use a variety of methods designed to reach patients and families more effectively … If we can get back to the mindset that we're in a partnership together, we make decisions together, we

173. Continuity Errors in Resident Clinic | PSNet
     psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
     October 02, 2019 - "( 2 ) Shortly after the Physician Charter was written, Hafferty and Castellani, harkening back to Aristotle … 14, 2014 A dynamic risk management approach for reducing harm from invasive bedside procedures … September 22, 2021 Perspective Aviation Safety Methods:

174. Miscalculated Risk | PSNet
     psnet.ahrq.gov/web-mm/miscalculated-risk
     March 01, 2015 - The Case A healthy 36-year-old man was admitted to a teaching hospital for acute low back strain after … It is important to note that other analgesic conversion methods are available and that equianalgesic … doses may differ depending on which conversion method is used.( 8,9 ) In addition, equianalgesic dose … ensure that prescribers, nurses, and pharmacists are all comfortable with equianalgesic calculation methods … Equianalgesic conversion methods are easily used, but the results are estimates.

175. Opioid Overdose as a Patient Safety Problem | PSNet
     psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
     May 01, 2017 - tools, are also increasingly popular, although there is limited evidence regarding whether or how these methods … such as abuse-deterrent formulations to improve safe use, dispensing, and storage of opioids; take-back … Let's say that I had a 55-year-old guy with chronic low back pain. … A typical story is somebody who started opioids for a bad hip or back. … If we were to step back and speak about what the overarching goals of drug therapy are, it's almost too

176. In Conversation With… David Juurlink, MD, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
     May 22, 2017 - Let's say that I had a 55-year-old guy with chronic low back pain. … to you, once the taper has been effective, that the fog seems to have lifted and their old self is back … A typical story is somebody who started opioids for a bad hip or back. … If we were to step back and speak about what the overarching goals of drug therapy are, it's almost too … tools, are also increasingly popular, although there is limited evidence regarding whether or how these methods

177. In Conversation With… Karl Bilimoria, MD, MS | PSNet
     psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0
     December 01, 2017 - ; they score each other so they get a score sheet with comments and standardized scores about their procedure … We're looking at trying to do this more broadly for many more procedures across the state of Illinois … The attending back-up schedule should be appropriately staffed and accessible to everyone. … surgical safety and quality with rigor, blending qualitative observations pioneered by Bosk with new methods … Furthermore, emerging evidence supports the use of video recording and review of surgical procedures,

178. Workplace Safety in Health Care | PSNet
     psnet.ahrq.gov/perspective/workplace-safety-health-care
     January 01, 2017 - For some GYN procedures requiring lithotomy, the nurse must remove the bed end. … Job Safety Analysis of GYN Procedure. … PO : I have to go back in my career a little bit. … PO : When I was at Alcoa, I created the Alcoa University and offered to teach people in the community … Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience

179. In Conversation With… Enrico Coiera, MB, BS, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
     February 01, 2014 - You can get back into the task. … They teach us a lot about the sorts of systems we can eventually put in place to minimize distraction … that the person using your system might be distracted, turn away to do something else, and then come back … Of course the person answered the text message and went back and forgot to order the medicine and it … Methods Inf Med. 2011;50:447-453. [go to PubMed] 2. Relihan E, O'Brien V, O'Hara S, Silke B.

180. Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough | PSNet
     psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
     September 01, 2003 - Case #2: A patient underwent an anterior/posterior urogynecologic procedure. … the OR nurse stated that there was packing in the vagina but did not ask for nor receive any repeat-back … There is active read-back/repeat-back instruction between the nurse circulator and the receiving nurse … (The primary source providers usually go back to the OR to start the next case and may not be available … Using a standardized method to identify patients with vaginal packing.