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psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
April 29, 2020 - sclerosis, while the risk of infection was increased by her neurogenic bladder and immunomodulator therapy … Abscesses are the most common cause of such symptoms, but other causes may also be amenable to operative treatment
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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/sites/default/files/2022-10/trocar_injury_final.pdf
January 01, 2022 - Retained Negative Pressure Wound Therapy Foams as a Cause of Infection Persistence.
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psnet.ahrq.gov/node/838900/psn-pdf
October 27, 2022 - Retained negative pressure wound therapy foams as a cause of
infection persistence.
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psnet.ahrq.gov/node/33867/psn-pdf
October 01, 2018 - We've gotten to the point now where we're able to maybe not cure but suppress leukemia
with oral therapies
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psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon-0
October 24, 2021 - We've gotten to the point now where we're able to maybe not cure but suppress leukemia with oral therapies
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psnet.ahrq.gov/perspective/conversation-rosemary-gibson-msc
September 01, 2014 - medical treatment. … or indirectly by generating excess diagnoses or additional treatments, which in turn creates "more to … they would prefer to die at home, the majority of them die in hospitals, often receiving aggressive therapies … chemotherapeutics and have encouraged clinicians to consider out-of-pocket costs as side-effects of treatments … Study to Understand Prognoses and Preferences for Risks and Outcomes of Treatment.
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psnet.ahrq.gov/perspective/overuse-patient-safety-problem
September 01, 2014 - or indirectly by generating excess diagnoses or additional treatments, which in turn creates "more to … they would prefer to die at home, the majority of them die in hospitals, often receiving aggressive therapies … chemotherapeutics and have encouraged clinicians to consider out-of-pocket costs as side-effects of treatments … Study to Understand Prognoses and Preferences for Risks and Outcomes of Treatment. … medical treatment.
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psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
March 15, 2023 - :832-846. [ Free full text ] Skills: Endotracheal tube and tracheostomy tube cuff care (respiratory therapy
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psnet.ahrq.gov/node/843150/psn-pdf
December 05, 2022 - In the United States, we have the
Emergency Medical Treatment & Labor Act, which legally requires that … One thing commonly done in healthcare is trans-care hormone replacement therapy. … Emergency Medical Treatment & Labor Act (EMTALA). Center for Medicare and Medicaid Services.
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psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
November 25, 2020 - Upon abdominal entry, the uterus was noted to be atonic despite uterotonic therapy. … These protocols are evidence-based and customizable, aid in timely diagnosis and treatment, and can facilitate … April 1, 2008
WebM&M Cases
Delayed Diagnosis and Treatment
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psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
March 25, 2020 - 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/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
March 27, 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/node/865466/psn-pdf
March 27, 2024 - higher
team function scores, the probability of women being recommended for advanced heart failure therapies … Medical reparations are based on the idea that the past unequal
treatment and exploitation of Black … Racial bias in pain assessment and treatment
recommendations, and false beliefs about biological differences
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psnet.ahrq.gov/perspective/equity-patient-safety
September 24, 2024 - higher team function scores, the probability of women being recommended for advanced heart failure therapies … Medical reparations are based on the idea that the past unequal treatment and exploitation of Black people … Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences
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psnet.ahrq.gov/perspective/health-care-delivery-and-pharmacists-during-covid-19-pandemic
June 29, 2020 - 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 . … To learn about federal resources addressing recommended treatments, the latest evidence available for
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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
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psnet.ahrq.gov/node/49759/psn-pdf
May 01, 2016 - IV Therapy/HepLock
? No 0
? Yes 20
5. Gait
Normal/bed rest/wheelchair ? 0
Weak ?