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psnet.ahrq.gov/issue/patients-and-doctors-views-and-experiences-patient-safety-trajectory-breast-cancer-care
December 08, 2021 - September 2, 2020
Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid … January 24, 2024
Uncovering the risks of anticancer therapy through incident report analysis … March 17, 2021
Impact of oncology drug shortages on chemotherapy treatment. … May 1, 2019
Patient involvement in evaluation of safety in oral antineoplastic treatment
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psnet.ahrq.gov/issue/barcode-medication-administration-technology-use-hospital-practice-mixed-methods
December 07, 2022 - changes in older people with multimorbidity: a multicentre mixed-methods study embedded in the OPtimising thERapy … Related Resources
Improving administration and documentation of enteral nutrition support therapy
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psnet.ahrq.gov/issue/performance-trigger-tool-detecting-drug-related-hospital-admissions-older-people-analysis
December 21, 2022 - December 21, 2022
Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid … changes in older people with multimorbidity: a multicentre mixed-methods study embedded in the OPtimising thERapy … sets of criteria for potentially inappropriate prescribing in older people to identify inadequate drug treatment
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psnet.ahrq.gov/issue/patient-safety-inpatient-mental-health-settings-systematic-review
November 13, 2019 - changes in older people with multimorbidity: a multicentre mixed-methods study embedded in the OPtimising thERapy … December 7, 2022
Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid
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psnet.ahrq.gov/issue/does-root-cause-analysis-improve-patient-safety-systematic-review-department-veterans-affairs
March 24, 2021 - independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy … August 15, 2012
Occupational therapy utilization in veterans with dementia: a retrospective
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psnet.ahrq.gov/innovation/improving-formal-incivility-reporting-ambulatory-oncology-implementing-civic-duty
March 14, 2022 - December 23, 2020
Guideline for opioid therapy and chronic noncancer pain. … September 4, 2024
Uncovering the risks of anticancer therapy through incident report
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psnet.ahrq.gov/issue/stakeholder-perspectives-contributors-delayed-and-inaccurate-diagnosis-cardiovascular-disease
August 18, 2021 - Download Citation
Related Resources From the Same Author(s)
Optimizing Therapy … July 6, 2022
Guideline for opioid therapy and chronic noncancer pain.
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psnet.ahrq.gov/issue/impact-technological-and-departmental-changes-incident-rates-radiation-oncology-over
February 16, 2022 - February 16, 2022
Planning for a pandemic: mitigating risk to radiation therapy service … May 31, 2023
Quality and Safety Considerations in Intensity Modulated Radiation Therapy … transition communication: implementation of an electronic medical record-based tool for improved cancer treatment
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psnet.ahrq.gov/node/866592/psn-pdf
August 28, 2024 - products, component shortages and recalls
degrade the safety and effectiveness of enteral nutrition (EN) therapy
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psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-high-alert-medications
June 07, 2017 - June 7, 2017
2017 ISMP Medication Safety Self Assessment® for Antithrombotic Therapy … June 16, 2019
2017 ISMP Medication Safety Self Assessment® for Antithrombotic Therapy
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psnet.ahrq.gov/node/840175/psn-pdf
November 16, 2022 - notable
for having had an aortic valve replaced with a titanium valve and chronic management at a therapeutic … the emergency
department (ED), only that she was chronically anticoagulated using warfarin “with a therapeutic … patient with acute mechanical valve thrombosis, with or without arterial thromboembolism, intravenous
therapeutic … Without
administering such a bolus, it may take 12-24 hours to reach a therapeutic heparin level. … Antithrombotic and thrombolytic therapy for valvular disease:
Antithrombotic Therapy and Prevention
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psnet.ahrq.gov/web-mm/delayed-sepsis-management-due-ambiguous-allergy
January 13, 2021 - Antimicrobial therapy was broadened to meropenem, caspofungin, azithromycin, and vancomycin. … The patient developed anuric renal failure necessitating continuous renal replacement therapy. … considered, either with amoxicillin to disprove the underlying penicillin allergy or with the indicated therapeutic … Impact of penicillin allergy on time to first dose of antimicrobial therapy and clinical outcomes. … If there is no reaction, the next dose of the beta-lactam antibiotic is given per its usual therapeutic
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psnet.ahrq.gov/node/73200/psn-pdf
April 28, 2021 - combination of high AG metabolic acidosis from
DKA and metabolic alkalosis from vomiting, then appropriate treatment … automating the consultation process, would be
expected to reduce delays in diagnosis and effective treatment … physiologic
insulin and hyperglycemic emergencies should be added to the EHR to improve inpatient insulin
therapy … continuing medical education (CME) that coincide with CDS tools and order sets on
physiologic insulin therapy … Focus on Insulin Therapy and Hypoglycemia. Published February 1, 2018.
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psnet.ahrq.gov/web-mm/hindsight-2020-thrombolytics-alcohol-intoxication
December 18, 2024 - Whether the administration of thrombolytic therapy to a “stroke mimic” equates to a medical error is … guidelines recommend thrombolysis to avoid missing the therapeutic window even when a “stroke mimic” … While diagnostic uncertainty is not unique to stroke, the time-dependent nature of AIS therapy—amidst … window is narrow, if withholding treatment would cause harm, if the risk of treatment is acceptably … have limited access to the patient. 2 , 21 Biases can infiltrate multiple phases of the diagnostic and therapeutic
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psnet.ahrq.gov/web-mm/forgotten-drip
April 01, 2014 - Multiple therapies were initiated to reduce the intracranial pressure and swelling, including intubation … There are currently no approved therapies specifically targeting ICH, and evidence-based acute management … complications.( 1 ) Elevated intracerebral pressure (ICP) is found in many cases of ICH, and its prompt treatment … patients whose ICP remains refractory after the initial simple measures outlined above and osmotic therapy … By the time osmotic therapy is instituted, most patients should have ICP monitoring in place.
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psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
January 01, 2021 - Administration & Monitoring (3)
• Norepinephrine is the preferred, first-line vasopressor for
the treatment … process (can require up to 200 steps from prescription
to administration), high patient acuity and treatment … multiple primary continuous
IV infusions and multi-port connectors, especially for life-sustaining therapies … Overview of postoperative fluid therapy in adults. … Therapeutic advances in drug safety. 2017
Aug;8(8):259-61.
15.
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psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
May 01, 2008 - anxiety, and sleep disturbance that can affect the severity of pain, coping behaviors, and response to treatments … .( 10 ) Treatments for alcohol use disorder include psychosocial as well as pharmacologic approaches. … in persons with moderate or severe alcohol use disorder as an alternative or adjunct to psychosocial treatments … management that include nonopioid medications, regional anesthetic techniques, and nonpharmacologic therapies … Acute pain management for patients receiving maintenance methadone or buprenorphine therapy.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.68_slideshow.ppt
July 01, 2004 - Spotlight Case [MONTH] 2003
Spotlight Case July 2004
Preventing Inappropriate Use of Novel Therapeutic … Underutlization of Effective Therapies is Common
Aspirin and beta-blockers for coronary artery disease … of appropriate therapy
Provider education
Cost-effectiveness analysis
Computer-based reminders … Take-Home Points
Drotrecogin alfa (activated) is FDA approved for mortality reduction in treatment of … treatment requires a thorough understanding of inclusion and exclusion criteria applied in trials
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psnet.ahrq.gov/issue/enteral-feeding-misconnections-consortium-position-statement
June 17, 2009 - June 29, 2011
ASPEN Safe Practices for Enteral Nutrition Therapy. … Related Resources
Quality and Safety Considerations in Intensity Modulated Radiation Therapy
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psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-consensus-recommendations-translation-practice
February 17, 2015 - March 14, 2018
ASPEN Safe Practices for Enteral Nutrition Therapy. … June 16, 2019
ASPEN Safe Practices for Enteral Nutrition Therapy.