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Total Results: 3,566 records

Showing results for "the change teams".

3141. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60609/psn-pdf
      June 24, 2020 - the ICU to the inpatient floor.  … When the morning shift change occurred, the morning nurse evaluated the patient and found her to be  … are: the right patient, the right drug, the right dose, the right route, the right time, the right … assess the patient’s response to the medication, or they would have recognized the patient’s change … time, the right documentation, the right reason and the right response. 

3142. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49788/psn-pdf
      March 01, 2017 - On seeing the admission diagnosis of neurosyphilis, the pharmacist verifying the patient's admission … the treatment plan. … The allergist recognized the error, and the orders were corrected to reflect treatment for latent syphilis … to review the patient's medical record, and not just the medication list, led to the prevention of … care data using the EHR and integration with clinical teams in the inpatient setting has markedly improved

3143. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61080/psn-pdf
      October 28, 2020 - Neuromonitoring was included on the booking slip, and the neurosurgery resident called the Operating … The attending neurosurgeon was not present for the?huddle but? … The authors found that the largest aneurysms located in the posterior circulation had the greatest risk … major rupture of the aneurysm.5 Because the brain is enclosed within the rigid skull, large-volume … the dome of the aneurysm or perforator vessels that can become trapped in the surgical clip.

3144. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49391/psn-pdf
      February 01, 2003 - A friend of the patient’s reported the patient had believed for the past 5 to 7 years that the “shockers … In the 2 weeks prior to hospitalization, the patient reported they had somehow “upped the current.” … https://psnet.ahrq.gov/web-mm/when-psychiatric-symptoms-are-not The consensus was that the patient’ … #1: The mistake of neglecting the medical risks associated with older age. … The emergence of medical symptoms (or change in psychiatric symptoms) in a 70-year-old should prompt

3145. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49750/psn-pdf
      January 01, 2016 - At shift change, the patient's room was ready but the nurse who had initially greeted him on arrival … for admission activities; (ii) establishing walk rounds to facilitate handoff communication at shift change … shift change. … The time surrounding shift change is frequently a time of increased nursing activity (17) in which tasks … Intensive care unit nurse workflow during shift change prior to the introduction of a critical care

3146. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49542/psn-pdf
      August 21, 2007 - The final line of the intern's admitting note also stated that the patient would receive subcutaneous … The patient's care was transferred to a different team the following day, and the accepting intern copied … and pasted the plans of the admitting intern into the new note within the electronic health record … The same note was then copied and pasted on 4 consecutive hospital days and cosigned by the resident … But more recent information, especially that likely to change, such as a physical examination, should

3147. Beeline to Spine | PSNet
      psnet.ahrq.gov/web-mm/beeline-spine
      March 01, 2014 - Preoperatively, the patient was evaluated by both the anesthesiology and surgery teams. … Given the prior AAA repair, the patient underwent surgery in the supine position. … The decision to undergo major surgery requires a careful assessment of the risks and benefits of the … So we fall back to the history: did the patient mention the mass or abdominal pain? … no change in the clinical status of the patient.( 14 ) The primary care physician is responsible for

3148. Production Pressures | PSNet
      psnet.ahrq.gov/web-mm/production-pressures
      November 16, 2022 - A second anesthesiologist in the group spends the day in the operating room (OR) supervising three nurse … On the day of the scheduled ECT, the clinic anesthesiologist called in sick. … to try to cover the ECT procedure, finally asking the OR anesthesiologist to attend on the case. … in the OR. … to the local actors in their response to the sudden change in workload.

3149. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33839/psn-pdf
      August 01, 2017 - With funding from the ACS, the ABS, and the ACGME, we were able to get moving quickly. … We wanted to give them enough time to change their schedules once they were randomized to the flexible … just did a 1-year trial or a 1-year waiver of these duty hour restrictions, people probably wouldn't change … RW: What was the reaction to the publication of the trial both within the profession and from outside … hour policy or a new educational intervention, and then let that evidence guide a subsequent policy change

3150. Inappropriate Antibiotic Use | PSNet
      psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
      September 22, 2010 - After 2 weeks in the hospital, the patient was given vancomycin and piperacillin/tazobactam for altered … : they are generally the same. … cultures), the line and/or the catheter hub can be considered colonized and the line should be removed … , detailed information on local susceptibility patterns, and feedback on prescribing practices, can change … the ICU setting.

3151. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33646/psn-pdf
      February 01, 2007 - The company has been profiled in the Wall Street Journal, and the system has undergone several validation … The essential difference is that it treats the physician as the "learned intermediary" (to borrow a … Ultimately, the biggest change that will push this paradigm even further is electronic medical records … physicians come up with the right differential diagnosis, we can bring about change much more easily … the fact that the patient has traveled back from Mexico, that there's a cat in the house.

3152. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33739/psn-pdf
      October 01, 2012 - enactment of the Affordable Care Act, the entire health care industry has additional incentive to address … As seen in the Figure, environmental latent conditions undermine system defenses, setting the stage … Below, we discuss some of the key findings from the Pebble partners as they relate to patient safety … be impacted by the design? … The impact of the environment on infections in healthcare facilities.

3153. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33682/psn-pdf
      April 01, 2009 - thought more about that in context, it became clear that this organization has really been in continuous change … , the Toyota Production System, and change management methodologies. … outcome as a valid measure of quality, you must have a proven relationship to processes that you can change … and alliances—the Hospital Quality Alliance, the Ambulatory Quality Alliance, the Quality Alliance … Do you feel like the science and the data sources are up to the task?

3154. Is that solution for IV or irrigation?: Fluid administration errors in the operating room. | PSNet
      psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-errors-operating-room
      January 29, 2021 - When the nurse went to retrieve the solution, it was missing from the warmer. … However, they do constitute near miss events that should serve as a catalyst to change institutional … the irrigation solution on the IV pole. … Systems Change Needed/Quality Improvement Approach Adequate labelling and storage of irrigation solutions … Communication about relevant matters needs to be repeated whenever there is a change of staff in the

3155. Lethal Vertigo | PSNet
      psnet.ahrq.gov/web-mm/lethal-vertigo
      September 20, 2011 - The causes of vertigo are many; the common denominator is an abnormality in the vestibular system, which … The causes of vertigo encountered in the ED setting are given in the Table . … CNS, not the labyrinth, was the location of the abnormality? … Since a patient's condition may change over the course of hours, this patient should have been examined … the vascular supply to the inferior cerebellum, which is perfused by the medial and lateral branches

3156. In Conversation with...James L. Reinertsen, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
      August 01, 2007 - that a small change would produce a big change at a higher order of the system. … You're making a bet that changing those items will change the larger system. … to change these kinds of systems. … The change will be transformational because clinicians will need to change the way they think, act, and … The greater the change, the greater is the need for unambiguous, strong, unwavering leadership from the

3157. No News May Not Be Good News | PSNet
      psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
      December 07, 2009 - On Monday morning, the patient's mother called the pediatrician's office to obtain the results of the … The pediatrician was busy all day long but near the end of the day found the result. … The pediatrician immediately contacted the mother and had her bring her daughter to the office. … urgent result, but, for unclear reasons, the physician covering for the weekend never saw the result … December 7, 2009 The role of language barriers on efficacy of rapid response teams.

3158. The Empty Bag | PSNet
      psnet.ahrq.gov/web-mm/empty-bag
      June 01, 2018 - He mistakenly set the rate intended for the morphine on the pump that the normal saline was on, and opened … Later, the bedside nurse and the charge nurse went back into the room to examine the IV set-up and pump … They discovered that the morphine was connected into the tubing below the pump for the saline (instead … This means organizing the top of the IV pole (where bags are hung) so that the physical layout of the … This occurs when there is a need to change infusions without interrupting the flow.

3159. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.197_slideshow.ppt
      April 01, 2009 - the upper arm became red, swollen, and tender to the touch. … The neonatologist opted to remove the catheter. … When the RN started to remove the PICC, it broke, leaving approximately 7 cm in the patient. … lines Now inserted under ultrasound or fluoroscopic guidance by interventional radiologists or PICC teams … determine the tip location.

3160. The NSTEMI Curbside Consultation | PSNet
      psnet.ahrq.gov/web-mm/nstemi-curbside-consultation
      August 04, 2021 - The inpatient medicine team obtained a “curbside” cardiology consultation; the consultant felt that her … The patient’s prior history of CAD and STEMI with stent placement to the LAD greatly increased the pretest … magnitude of the stressor and the extent of underlying cardiac disease, 22 so testing to assess the … to the consulting cardiologist. … frames the consultation request.