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psnet.ahrq.gov/node/60241/psn-pdf
February 24, 2022 - toll on healthcare workers in NHs. … providers for resident care, infection control materials, COVID-19-related expenses, and
increased … delivery systems, and quality improvement organizations across the nation. … the United States in 2020 and 2021, presenting a significant
challenge to healthcare systems throughout … Washington DC: The
National Consumer Voice for Quality Long-Term Care; ND.
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psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
August 01, 2014 - reminder and tracking systems that push alerts and reminders to the clinicians (and eventually to the … All of these devices and tests must be tracked over months to years, and they all need tracking systems … Systems need to be able to track tests and procedures over the course of months or even years, helping … Development of a personalized bidirectional text messaging tool for HIV adherence assessment and intervention … The first one for me is consumer technology.
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psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
June 01, 2005 - For instance, computerized order entry systems and greater participation of pharmacists in clinical activities … Role of computerized physician order entry systems in facilitating medication errors. … I quickly realized that there was really a shortage of physician leaders who understood quality and systems … Then, perhaps the Center's job and my job will migrate simply to creating the data collection systems … Topic
Health Care Providers
Risk Managers
Quality and Safety Professionals
Medication
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psnet.ahrq.gov/node/60952/psn-pdf
September 30, 2020 - In one study of risk factors for QT prolongation, EHR alerts were shown to increase
assessment for QT … only 21% of EHR alerts led to physician action.9
Systems Change Needed/Quality Improvement Approach …
In response to the Case above, several systems issues can be addressed. … test value is reported to the administration of a repletion dose of potassium. 10 The same
systems … A dietary consultation may have also been helpful to
provide an assessment of the patient’s nutritional
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psnet.ahrq.gov/perspective/patient-and-family-roles-safety
June 14, 2023 - Family Presence and Participation During the COVID-19 Pandemic
Most hospitals and health systems responded … A recent Cochrane Systematic review found that power imbalances between healthcare providers and patients … The leadership of organizations—hospitals, health systems, long-term care communities, ambulatory practices … me that healthcare workers should be aware of limitations that families might have based on the situation … Systems and equipment were not in place to handle the situation safely.
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psnet.ahrq.gov/node/866579/psn-pdf
August 28, 2024 - increasing use of absorbable sutures and the push for healthcare
systems to increase value and decrease … of between 13,500 and 86,000 physicians by 2036 and that
health systems are responding by expanding … the role of nonphysician health care providers.30 In addition,
in the outpatient setting, medical assistants … Preoperative Patient Assessment and Education
Evaluate and if needed treat the patient’s medical comorbidities … Staff Training and Education: Provide ongoing education and training for healthcare providers
including
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
June 01, 2005 - I quickly realized that there was really a shortage of physician leaders who understood quality and systems … Then, perhaps the Center's job and my job will migrate simply to creating the data collection systems … For instance, computerized order entry systems and greater participation of pharmacists in clinical activities … Safety culture assessment: a tool for improving patient safety in healthcare organizations. … Role of computerized physician order entry systems in facilitating medication errors.
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psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
December 04, 2016 - light-linking systems. 17 While additional research will be required to determine which of these solutions … 2) placement of labels in two standard locations, below the smart pump and near the distal end of the … Ontario health technology assessment series. 2014;14(5):1. … Ontario health technology assessment series. 2012;12(16):1. Furniss D, Back J, Blandford A. … December 4, 2016
The need for closed-loop systems for management of abnormal test results
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psnet.ahrq.gov/node/49690/psn-pdf
September 01, 2013 - assessment of patients with chronic non-cancer pain. … 5% to
41% of patients.(19) Consequently, the overuse and abuse of opioids, including the escalation … medications and specifically reported the doses of opioids prescribed
and the nature of the prescribing … disorders, and who was marginally housed and lacked support systems. … Take-Home Points
The initial assessment in managing patients with chronic non-cancer pain should involve
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psnet.ahrq.gov/node/60220/psn-pdf
April 29, 2020 - care and communicated this assessment at bedside with
the interdisciplinary team. … For example, the SBAR method?(Situation,
Background, Assessment, Recommendation)? … healthcare
delivery that create interprofessional teams of healthcare providers, and using standardized … Racial/ethnic disparities in the assessment and treatment of pain:
Psychosocial perspectives.? … The natural history of recovery for
the health care provider "second victim" after adverse patient events
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psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers
December 21, 2017 - , during transfer, and posttransfer.( 4 ) Pretransfer preparation should include an assessment of the … Pretransfer activities should also include both the transfer coordination and the testing and use of … in the assembly of needed equipment and medications. … December 21, 2017
The content and context of change of shift report on medical and surgical … review and analysis of the quality of the literature.
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psnet.ahrq.gov/perspective/conversation-withpat-croskerry-md-phd
June 01, 2010 - computer systems and decision support? … and costs of the various systems and should be adopted with caution. … cognitive errors; unique patient population characteristics; and the systems or environment of care. … Assessment of emergency physician workforce needs in the United States, 2005. … Emergency Departments
Health Care Providers
Quality and Safety Professionals
Emergency Medicine
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psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
January 01, 2018 - Even though I and others have written about some of the downsides of the electronic medical record, we … Here's what I see a lot: 14-point review of systems with negatives as follows, and 80 items are listed … If I see a student or a resident blatantly copying the intellectual assessment of someone else, I call … Part of the reason I'm pulling forward that neuro exam day after day or that review of systems is because … Association of Medical Directors of Information Systems consensus on inpatient electronic health record
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psnet.ahrq.gov/web-mm/hypoxic-gas-supply-cross-connected-pipelines
February 05, 2020 - Aspiration for cytology assessment was performed with ultrasound guidance, under inhalation anesthesia … Health Memorandum 02-01: Medical gas pipeline systems. Department of Health. … Mandatory Testing of Medical Gas Systems. Plumbing & Mechanical . September 1, 2004. … warning systems for identifying at-risk patients on the ward. … December 4, 2016
The need for closed-loop systems for management of abnormal test results
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psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
October 01, 2009 - importance of searching for systems factors, without immediately zeroing in on more dramatic and obvious … a systems fix for an unsafe condition, and the informaticist implementing computerized order entry are … So I think it's a combination of both people and systems. … between the role that systems play in problems and the role that people play in problems, and the interplay … More About The Topic
Health Care Providers
Health Care Executives and Administrators
Public
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psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
March 27, 2024 - Determine systems approaches that facilitate advance care planning between the healthcare team, patient … It is important for health care providers and the lay public alike to understand that DN(A)R increasingly … Health care providers may sometimes erroneously interpret DN(A)R status to mean that a patient wants … medical school and postgraduate training along with systems-level designs would help “close the loop … and other EHR systems to make code status a prominent and easily-seen entry near or at the top of the
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psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
August 01, 2015 - In contrast, many consumer electronic product designs include elegant human interfaces that mitigate … This, coupled with the retirement of many legacy systems, will lead to the resolution of many of these … mockups of systems and workflows. … design and install their systems. … Systems, and Health Policy.
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psnet.ahrq.gov/node/866826/psn-pdf
September 25, 2024 - Aspiration for cytology assessment was performed with ultrasound guidance, under
inhalation anesthesia … of the cylinders and pipelines with an oxygen analyzer. … Health Memorandum 02-01: Medical gas pipeline systems. Department of Health. … Mandatory Testing of Medical Gas Systems. Plumbing & Mechanical. September 1, 2004. … rev=-1&hash=D47594FE18F456398C381789594148CA
https://www.pmmag.com/articles/86063-mandatory-testing-of-medical-gas-systems
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psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - patient population with massive or submassive PE, streamline patient assessment, and facilitate and … latent systems issues. … , and systems modifications. … Healthcare systems should continually evaluate for and address communication barriers that lead to these … Multimodality Assessment of Right Ventricular Strain in Patients With Acute Pulmonary Embolism.
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psnet.ahrq.gov/node/73899/psn-pdf
September 29, 2021 - 90” OME or “carefully justify a
decision (to do so) based on individualized assessment of benefits and … As
healthcare systems strive to improve outcomes and safety, it is important to focus on the needs of … providers. … to medication access gaps and put the patient at risk for opioid withdrawal.26
As healthcare systems … Prescription Drug Monitoring Programs (PDMPS): What
Healthcare Providers Need to Know.https://www.cdc.gov