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psnet.ahrq.gov/issue/diseases-medical-progress
June 27, 2018 - that the history of medicine provides numerous examples of how emerging illnesses develop from sound therapeutic … The author discusses more than 40 distinct entities that resulted from new and existing medication therapies … fascinating historical perspective, one that not only raises concern over all currently available novel therapies
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psnet.ahrq.gov/issue/intravenous-chemotherapy-preparation-errors-patient-safety-risks-identified-pan-canadian
March 18, 2011 - June 13, 2018
Improving shared situation awareness for high-risk therapies in hospitalized … The use of human factors methods to identify and mitigate safety issues in radiation therapy
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psnet.ahrq.gov/web-mm/resuscitate-or-not
November 01, 2011 - that they would be more likely to override a DNR order when an arrest was caused by a complication of treatment … families want to be involved in decision making, establish goals based on the prognosis, and implement therapies … eg, if after several days the patient was still on mechanical ventilation and receiving vasopressor therapy … patients understand the potential course of events and prognosis, it is easier to establish the goals of therapy … Overriding a patient′s refusal of treatment after an iatrogenic complication.
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psnet.ahrq.gov/node/836892/psn-pdf
April 07, 2022 - research endeavors include patient outcomes research;
research on novel patient care diagnostics, therapeutics … operations, the ED
clinical nurse specialist, ED nurse manager, and ad hoc representatives from respiratory therapy
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psnet.ahrq.gov/node/849679/psn-pdf
June 28, 2023 - Skills: Endotracheal tube and tracheostomy tube cuff care (respiratory therapy).
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psnet.ahrq.gov/node/60856/psn-pdf
August 26, 2020 - orthopedic consultant were correct to adopt a deliberate and conservative course; successful physical
therapy
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psnet.ahrq.gov/web-mm/dissecting-presentation
May 05, 2021 - Importantly, as thrombolytic therapy (given for presumed stroke) can be fatal in AAD, providers should
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psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - The patient failed her swallow evaluation by speech therapy; therefore, a nasogastric (NG) tube was inserted
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psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
January 01, 2024 - – This practice prevents delays in treatment and is necessary because defibrillators are
used less … of mental flexibility; staff must be able to
respond rapidly to changing circumstances with a new treatment … • Staff should be inquisitive whenever treatment delivers unexpected results. … outcomes should be investigated immediately to avoid
recurring complications if the treatment must … Postoperative Atrial Fibrillation Following Cardiac Surgery: From Pathogenesis to Potential Therapies
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psnet.ahrq.gov/node/865429/psn-pdf
April 24, 2024 - Staff must be able to respond rapidly to changing circumstances with a new treatment plan. … Staff should be inquisitive
whenever treatment delivers unexpected results. … Unexpected treatment outcomes should be investigated immediately to avoid recurring complications
if … the treatment must be repeated. … Postoperative atrial fibrillation following cardiac
surgery: from pathogenesis to potential therapies
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psnet.ahrq.gov/node/867022/psn-pdf
October 30, 2024 - He was diagnosed with post-concussive syndrome; no specific
investigations or treatments were recommended … data have largely been limited to case series of elderly patients on antiplatelet or anticoagulation therapy … In this scenario, of course, a false negative CT interpretation would
result in a treatment plan that
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psnet.ahrq.gov/perspective/safety-dentistry
August 01, 2016 - the solution most often used to irrigate the root canals of a tooth during endodontic (root canal) treatment … and unnecessary treatment associated with misdiagnosis.( 2 ) This highlights the importance of diagnosis … And the last one would be damage from treatments with dental implants. … But millions of dental treatments are performed daily in the world, and many of these treatments will … November 1, 2023
Complications and Errors in Periodontal and Implant Therapy.
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psnet.ahrq.gov/web-mm/pill-organizing-plight
June 19, 2018 - recommendations for pharmacy's role in Choosing Wisely.( 31 ) Choosing Wisely is designed to reduce overuse of treatments … Screening Tool of Older Person's Prescriptions) and START (Screening Tool to Alert doctors to Right Treatment … Cases
Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy … July 14, 2010
WebM&M Cases
More Treatment—Better Care … April 11, 2011
WebM&M Cases
Treatment Challenges After
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psnet.ahrq.gov/perspective/conversation-anna-legreid-dopp-pharm-d
June 29, 2020 - To learn about federal resources addressing recommended treatments, the latest evidence available for … As COVID-19 is a novel virus, there are currently no specific treatments approved by the Food and Drug … management for critically ill patients, infection control, the roles of antiviral and immune-based therapy … Accessed May 18, 2020. [7] Coronavirus Disease 2019 (COVID-10): Therapeutic Options. … CDC_AAref_Val=https://www.cdc.gov/coronavirus/2019-ncov/hcp/therapeutic-options.html .
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psnet.ahrq.gov/node/49506/psn-pdf
March 01, 2006 - instance in which a resident's misread film results in a
patient being sent home without appropriate treatment … or in a patient receiving improper surgery or other
therapies. … The patient did not have
bleeding complications from the thrombolytic therapy. … A safeguard such as this (if extended to the use of thrombolytic therapy) may have
prevented the error … more junior reviewers, or those
whose interpretations could prompt procedures or life-threatening therapies
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psnet.ahrq.gov/node/49556/psn-pdf
March 01, 2008 - endoscopic procedure and, after the procedure, wrote orders for the
patient to receive all of the previous treatments … These lists could
prompt prescribers to reorder medication therapies that were discontinued for procedures … case presented in this commentary, a 25-year-old woman experienced elevated sodium levels after
DDAVP therapy … if the intern further clarified the order to indicate what should
be done with the patient's DDAVP therapy … The intern could have indicated to restart therapy
the next day or based on the patient's sodium levels
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psnet.ahrq.gov/issue/uptake-pharmacist-recommendations-patients-after-discharge-implementation-study-patient
December 14, 2016 - 19, 2022
Patient outcomes in dose reduction or discontinuation of long-term opioid therapy … September 13, 2023
WebM&M Cases
Duplicate Therapies in
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psnet.ahrq.gov/issue/surveillance-medical-device-related-hazards-and-adverse-events-hospitalized-patients
March 11, 2011 - Related Resources
Quality and Safety Considerations in Intensity Modulated Radiation Therapy … June 15, 2022
Improving shared situation awareness for high-risk therapies in hospitalized
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psnet.ahrq.gov/node/49845/psn-pdf
October 01, 2018 - or
discontinuation of a critical drug, giving the end users time to find alternative resources or therapies … 1516 directors of
pharmacy, and they reported that out of 171 responses, 70.8% reported a delay in treatment … , 48.5%
reported patients received suboptimal therapies, 15.8% reported a treatment failure, and 1.2% … regarding
shortages along with frequent in-service education activities (when alterations from standard treatment … Drug shortages: effect on parenteral nutrition therapy. Nutr Clin
Pract. 2018;33:53-61.
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psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
April 01, 2015 - Although the case above highlights the potential dangers of therapy duplication, it also illustrates … the medication reconciliation process identified the cause of the admission and resulted in prompt treatment … of the patient (in this case, discontinuation of duplicate therapies) as opposed to reducing future … as drug information from a pharmacist that included the purpose and side effects of the prescribed treatment … access to the complete medical record and prescription fill history could have identified the duplicate therapy