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psnet.ahrq.gov/issue/safety-considerations-imrt
March 17, 2021 - reveals expert opinion from the American Society of Radiation Oncology on intensity-modulated radiation therapy … independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy … Related Resources
Quality and Safety Considerations in Intensity Modulated Radiation Therapy … August 14, 2019
Chasing zero harm in radiation oncology: using pre-treatment peer review … The use of human factors methods to identify and mitigate safety issues in radiation therapy
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psnet.ahrq.gov/node/60704/psn-pdf
July 22, 2020 - Planning for a pandemic: mitigating risk to radiation
therapy service delivery in the COVID-19 era. … Planning for a pandemic: mitigating risk to radiation therapy
service delivery in the COVID? … https://psnet.ahrq.gov/issue/planning-pandemic-mitigating-risk-radiation-therapy-service-delivery-covid … -19-
era
This article describes the delivery of radiation therapy services during the COVID-19 pandemic … https://psnet.ahrq.gov/issue/planning-pandemic-mitigating-risk-radiation-therapy-service-delivery-covid
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psnet.ahrq.gov/sites/default/files/2020-02/final_spotlight_opat_powerpoint_01102020_tocme.pdf
January 01, 2020 - • Discharge planners can be “gate keepers” to ensure
patients have established treatment/monitoring … 20
Case #2 Issues
• Patient discharged to SNF on treatment with IV vancomycin … • Vancomycin per IDSA OPAT Guidelines requires weekly therapeutic
drug monitoring in patients with … • Vancomycin has a narrow therapeutic window;
– If dose is subtherapeutic (too low), it may not be … The
physician assesses laboratory tests and follows patients in
clinic during the course of treatment
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psnet.ahrq.gov/node/836865/psn-pdf
April 06, 2022 - Occupational therapy utilization in veterans with
dementia: a retrospective review of root cause analyses … Occupational therapy utilization in veterans with dementia: a
retrospective review of root cause analyses … https://psnet.ahrq.gov/issue/occupational-therapy-utilization-veterans-dementia-retrospective-review-root … causes of falls resulting
in harm among patients with dementia receiving or referred to occupational therapy … https://psnet.ahrq.gov/issue/occupational-therapy-utilization-veterans-dementia-retrospective-review-root-cause-analyses
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psnet.ahrq.gov/node/843329/psn-pdf
February 01, 2023 - Improving administration and documentation of enteral
nutrition support therapy in a Veteran Affairs … Improving administration and documentation of enteral nutrition
support therapy in a Veteran Affairs … https://psnet.ahrq.gov/issue/improving-administration-and-documentation-enteral-nutrition-support-therapy … EN therapies were added to the electronic medication
administration record (MAR) and the barcoding system … https://psnet.ahrq.gov/issue/aspen-safe-practices-enteral-nutrition-therapy
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/issue/lessons-learned-implementing-chronic-opioid-therapy-management-system
July 13, 2022 - Study
Lessons learned in implementing a chronic opioid therapy management system. … Lessons learned in implementing a chronic opioid therapy management system. … Lessons learned in implementing a chronic opioid therapy management system. … May 4, 2022
Occupational therapy utilization in veterans with dementia: a retrospective
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psnet.ahrq.gov/node/50929/psn-pdf
February 26, 2020 - Often treatment with an oral antibiotic agent is an appropriate alternative
to IV antibiotic therapy … Vancomycin is specifically addressed in the IDSA OPAT Guidelines and requires at
least once weekly therapeutic … Vancomycin is an
antibiotic with a narrow therapeutic window; if the dose is subtherapeutic (too low … The
physician assesses laboratory tests and follows patients in clinic during the course of treatment … adverse effects or sub- or supra-therapeutic drug levels.
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psnet.ahrq.gov/issue/patient-safety-primary-allied-health-care-what-can-we-learn-incidents-dutch-exploratory
March 02, 2022 - This study sought to quantify adverse events associated with physical therapy and occupational therapy … 2011
Error and patient safety: ethical analysis of cases in occupational and physical therapy … About The Topic
Ambulatory Care
Allied Health Professionals
Physical and Occupational Therapy
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psnet.ahrq.gov/node/49743/psn-pdf
September 01, 2015 - Dual Therapy Debacle
September 1, 2015
Kayser SR. Dual Therapy Debacle. PSNet [internet]. 2015. … Despite the
availability of national guidelines regarding treatment duration, the risk remains that … therapy may continue
longer than necessary. … , potentially
unsafe therapy was continued for 3 years. … valuable resource to ensure appropriate therapy duration.
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psnet.ahrq.gov/node/73600/psn-pdf
August 18, 2021 - Optimizing Therapy to Prevent Avoidable Hospital
Admissions in Multimorbid Older Adults (OPERAM):
cluster … Optimizing Therapy to Prevent Avoidable Hospital Admissions in
Multimorbid Older Adults (OPERAM): cluster … https://psnet.ahrq.gov/issue/optimizing-therapy-prevent-avoidable-hospital-admissions-multimorbid-older … https://psnet.ahrq.gov/issue/optimizing-therapy-prevent-avoidable-hospital-admissions-multimorbid-older-adults-operam … https://psnet.ahrq.gov/issue/optimizing-therapy-prevent-avoidable-hospital-admissions-multimorbid-older-adults-operam
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psnet.ahrq.gov/node/60002/psn-pdf
March 04, 2020 - Reduce the likelihood of patient harm associated with the
use of anticoagulant therapy: commentary from … “Reduce the Likelihood of Patient Harm Associated with the Use of
Anticoagulant Therapy”: Commentary … https://psnet.ahrq.gov/issue/reduce-likelihood-patient-harm-associated-use-anticoagulant-therapy-
commentary … Commission previously issued a sentinel event alert for medication errors relating to
anticoagulant therapies … https://psnet.ahrq.gov/issue/reduce-likelihood-patient-harm-associated-use-anticoagulant-therapy-commentary
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psnet.ahrq.gov/node/858171/psn-pdf
December 13, 2023 - Uncovering the risks of anticancer therapy through
incident report analysis using a newly developed … Uncovering the risks of anticancer therapy through incident report
analysis using a newly developed … https://psnet.ahrq.gov/issue/uncovering-risks-anticancer-therapy-through-incident-report-analysis-using … to patient safety, including infusion pump programming errors, patient identification errors, and
treatment … https://psnet.ahrq.gov/issue/uncovering-risks-anticancer-therapy-through-incident-report-analysis-using-newly-developed
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psnet.ahrq.gov/issue/analysis-adverse-events-rehabilitation-department-using-veterans-affairs-root-cause-analysis
June 21, 2017 - database identified adverse events that occurred during rehabilitation services, such as physical therapy … , occupational therapy, or speech and language therapy. … 2011
Error and patient safety: ethical analysis of cases in occupational and physical therapy … Hospitals
Allied Health Professionals
Facility and Group Administrators
Physical and Occupational Therapy
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
October 01, 2011 - role in hospital and ICU
Compare the risks from immobility with the benefits gained from a program of therapeutic … Services
Rehabilitation services often include both physical therapy and occupational therapy
Physical … therapy: use therapeutic exercises to facilitate improvement in function
Occupational therapy: use … Early intensive care unit mobility in the treatment of acute respiratory failure. … Breathing retraining
Therapeutic exercises
Inspiratory muscle training
Transfers
Gait re-education
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psnet.ahrq.gov/issue/exploring-approaches-patient-safety-case-spinal-manipulation-therapy
September 11, 2024 - Study
Exploring approaches to patient safety: the case of spinal manipulation therapy … Exploring approaches to patient safety: the case of spinal manipulation therapy. … Exploring approaches to patient safety: the case of spinal manipulation therapy.
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psnet.ahrq.gov/issue/delivery-optimized-inpatient-anticoagulation-therapy-consensus-statement-anticoagulation
March 04, 2020 - Commentary
Delivery of optimized inpatient anticoagulation therapy: consensus statement … Delivery of optimized inpatient anticoagulation therapy: consensus statement from the anticoagulation … Delivery of optimized inpatient anticoagulation therapy: consensus statement from the anticoagulation … Author(s)
Reduce the likelihood of patient harm associated with the use of anticoagulant therapy
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psnet.ahrq.gov/node/46313/psn-pdf
December 21, 2017 - Patient outcomes in dose reduction or discontinuation of
long-term opioid therapy: a systematic review … Patient Outcomes in Dose Reduction or Discontinuation of Long-
Term Opioid Therapy: A Systematic Review … https://psnet.ahrq.gov/issue/patient-outcomes-dose-reduction-or-discontinuation-long-term-opioid-therapy … demonstrated that patients prescribed higher doses of opioid medications
or longer duration of opioid therapy … Although recent opioid prescribing guidelines recommend reducing doses and limiting duration of therapy
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psnet.ahrq.gov/node/49577/psn-pdf
January 01, 2009 - Given the time and treasure many patients invest in becoming educated in CSII
treatment, they may become … Until recently, there has been very little information about how patients on outpatient CSII treatment … Patients
who are not believed to be candidates for continued insulin pump treatment are switched to … to the substitution of CSII with
physician-managed standard insulin treatment. … in glucose control compared with standard insulin treatment, but these results are
certainly promising
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psnet.ahrq.gov/issue/relationship-incorrect-dosing-fibrinolytic-therapy-and-clinical-outcomes
November 10, 2015 - Study
Relationship of incorrect dosing of fibrinolytic therapy and clinical outcomes … Relationship of Incorrect Dosing of Fibrinolytic Therapy and Clinical Outcomes. … that patients who received an incorrect dose of a fibrinolytic agent (alteplase or tenecteplase) for treatment … Relationship of Incorrect Dosing of Fibrinolytic Therapy and Clinical Outcomes.
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psnet.ahrq.gov/node/841764/psn-pdf
December 21, 2022 - Lessons learned in implementing a chronic opioid
therapy management system. … Lessons learned in implementing a chronic opioid therapy
management system. … https://psnet.ahrq.gov/issue/lessons-learned-implementing-chronic-opioid-therapy-management-system
The … https://psnet.ahrq.gov/issue/lessons-learned-implementing-chronic-opioid-therapy-management-system
https