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psnet.ahrq.gov/node/49477/psn-pdf
April 01, 2005 - In order to expedite treatment (crucial because research finds benefit for thrombolysis in acute stroke … patient appears to have met criteria for the administration of tPA and might well have benefited from
treatment … were associated with increased in-hospital mortality.(2)
The most common protocol deviations were treatment … psnet.ahrq.gov//#references
Take-Home Points
Thrombolysis for acute stroke can be an effective and safe treatment … and Thrombolytic Therapy.
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psnet.ahrq.gov/taxonomy/term/3437
May 23, 2025 - It simply indicates that an undesirable clinical outcome resulted from some aspect of diagnosis or therapy
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psnet.ahrq.gov/web-mm/one-dose-two-errors
September 29, 2017 - The patient was immediately started on treatment with intravenous (IV) amphotericin (an antifungal drug … wrong patient—it's worth noting that the first error in this case was the selection of amphotericin for treatment … For treatment of candidiasis, echinocandins are more effective and associated with less severe toxicity … electronic health record (EHR) for patients with these results to determine whether additional diagnostic or therapeutic … Impact of treatment strategy on outcomes in patients with candidemia and other forms of invasive candidiasis
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psnet.ahrq.gov/issue/recommendations-british-committee-standards-haematology-and-national-patient-safety-agency
November 12, 2014 - authors provide guidelines to help manage risks and ensure the safe administration of oral anticoagulant therapy … November 28, 2018
Delivery of optimized inpatient anticoagulation therapy: consensus
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psnet.ahrq.gov/issue/quality-measures-clinical-pharmacy-services-during-transitions-care
December 05, 2012 - The Task Force recommended process measures to evaluate medication discrepancies and medication therapy … June 16, 2019
Ordering of continuous renal replacement therapy in a computerized provider
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psnet.ahrq.gov/issue/deficits-discharge-documentation-patients-transferred-rehabilitation-facilities
October 28, 2009 - anticoagulant medications (including warfarin and heparin) lacked adequate documentation of the duration of therapy … Ensuring the safety of anticoagulant therapy is a Joint Commission National Patient Safety Goal .
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psnet.ahrq.gov/issue/standardized-competencies-parenteral-nutrition-administration-aspen-model
June 12, 2018 - clinicians to develop and maintain to ensure safe and reliable administration of parenteral nutrition therapy … February 17, 2015
ASPEN Safe Practices for Enteral Nutrition Therapy.
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psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
April 01, 2006 - A phenobarbital level was 30 (therapeutic, 10–40 mcg/mL), and phenytoin level was 19 (therapeutic, 10 … which control seizures successfully in approximately two-thirds of patients, are the primary mode of treatment … The therapeutic index (ratio between toxic dose and therapeutic dose, a measure of the relative safety … regarding recent dosage adjustments, changes in product appearance, and alterations in concomitant drug therapies … caregivers doubting their diagnosis of phenytoin toxicity on day 2 and embarking on inappropriate tests or treatments
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psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
September 22, 2010 - In these cases, a reasonable course of therapy (7-10 days) should be administered and then antibiotics … In those cases, antifungal therapy would be indicated. … Obtain appropriate cultures and use susceptibility results to guide antibiotic therapy. … Hospital-acquired pneumonia and de-escalation of antimicrobial treatment. … Short-course empiric antibiotic therapy for patients with pulmonary infiltrates in the intensive care
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psnet.ahrq.gov/node/74021/psn-pdf
October 25, 2021 - You then have the therapeutic considerations of safety—that is, ensuring that the medication prescribed … So there’s a whole therapeutic profile review that occurs in
every medication that's dispensed in the … This is ensuring that the patient
understands the treatment provided to them. … This means that the time the
pharmacist spends conducting the therapeutic review, clarifying questions … Ensure that they understand why a medication change was made to their treatment.
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psnet.ahrq.gov/node/45288/psn-pdf
September 04, 2016 - intervention study of naloxone
coprescription for primary care patients receiving long-
term opioid therapy … Intervention Study of Naloxone Coprescription for
Primary Care Patients Receiving Long-Term Opioid Therapy
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psnet.ahrq.gov/node/34643/psn-pdf
December 23, 2008 - physicians and pharmacists,
investigators designed conditional probabilities attributable to drug therapy … Their findings suggest that, for
every dollar spent on drug therapy, nearly $1.33 in health care resources … are consumed in the treatment of
drug-related problems.
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psnet.ahrq.gov/node/49402/psn-pdf
June 01, 2003 - She remained hemodynamically
stable and underwent further treatment for her SLE. … In these cases, a reasonable course of therapy (7-10 days) should be administered
and then antibiotics … In those cases, antifungal therapy would be indicated. … Obtain appropriate cultures and use susceptibility results to guide antibiotic therapy. … Hospital-acquired pneumonia and de-escalation of antimicrobial treatment.
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psnet.ahrq.gov/node/74120/psn-pdf
November 30, 2021 - List possible disease treatments that fit into the hospice model
The Case
https://psnet.ahrq.gov/web-mm … , also known as disease-directed therapies. … culture of hospice and palliative care has become estranged from clinicians who deliver
diagnostic and therapeutic … .7 Examples include chemotherapy, radiation, hemodialysis, and
therapeutic paracentesis. … Whole brain radiation therapy was administered.
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psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-consensus-recommendations
June 12, 2018 - May 19, 2014
ASPEN Safe Practices for Enteral Nutrition Therapy. … Related Resources
Quality and Safety Considerations in Intensity Modulated Radiation Therapy … February 26, 2017
ASPEN Safe Practices for Enteral Nutrition Therapy.
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psnet.ahrq.gov/node/49631/psn-pdf
July 01, 2011 - Everett Koop
This case portrays low treatment adherence that is life-threatening. … Adherence, the extent to which patients
take their treatments as prescribed, is surprisingly low with … Thus, this is a vital missing link in translation
of evidence-based treatments into effective practice … patients and providers alike on expected and achieved processes of care, adherence to
appointments and treatments … A meta-analysis of the association between adherence to
drug therapy and mortality.
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psnet.ahrq.gov/web-mm/cyp450-drugs-expect-unexpected
October 19, 2022 - In addition to his antiretroviral therapy, he was also taking clonazepam and escitalopram. … One week of appropriate H. pylori treatment resulted in no improvement in symptoms; in fact, the patient … Consequently, the risks associated with ARV "polypharmacy" are compounded by the treatments associated … In addition, practicing medicine unaware of therapies given by a patient's other providers negates the … Formally communicate and review your therapeutic measures with both patients and your colleagues.
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psnet.ahrq.gov/node/50401/psn-pdf
October 02, 2019 - discrepant-advanced-directives-and-code-status-orders-preventable-medical-
error
Advanced Directives (AD) and Physician Orders for Life-Sustaining Therapy … perspective presents two cases in which preventable errors allowed for the use of unwanted life-sustaining
therapies
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psnet.ahrq.gov/node/49668/psn-pdf
October 01, 2012 - treatments (including length of abstinence following
treatment), and other comorbid medical and mental … Psychosocial treatment modalities, including group, individual, and family therapy, are equally important … and employ evidence-based treatment approaches such as motivational enhancement therapy, cognitive- … behavioral therapy, 12-Step programs, and/or contingency management therapy. … Patients who drop out of psychosocial treatments need to be reevaluated for continued opioid therapy.
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psnet.ahrq.gov/web-mm/consequences-medical-overuse
May 05, 2021 - The committee believed the overly aggressive treatment had led to the patient's death. … These treatments are costly, prolong hospital length of stay, and often are continued as an outpatient … The patient was then started on a combination of dual antiplatelet and anticoagulation therapy, which … The patient might have received hydration and physical therapy, and perhaps the providers could have … March 15, 2023
To expand the evidence base about harms from tests and treatments.