-
psnet.ahrq.gov/web-mm/getting-root-matter
September 01, 2005 - shock requiring vasopressors appears to have suffered a myocardial infarction (MI) in the course of his treatment … We believe that vasopressin should be considered a high-risk medication, since it has a narrow therapeutic
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-infection-prevention-mdro-protocol.pdf
July 01, 2023 - settings, and does not include ambulatory care clinics, free-
standing radiology centers, physical therapy … those infections which develop in association with a patient’s
contact with healthcare facilities, treatments
-
www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-older-adults.pdf
January 17, 2024 - have multiple chronic conditions (MCCs) and complex health
and social needs.3
To ensure effective treatments … potential to lead to severe harm in about 6 million outpatients per year.4 It can lead to inappropriate
treatments … A
physical therapy examination later revealed atypical benign paroxysmal
positional vertigo, highlighting … unnecessary prescription of antibiotics in this population and
the impact of inappropriate antibiotic therapy … Pitfalls in the diagnosis and therapy of infections in elderly patients--a
mini-review.
-
www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-brief-ai-wave.pdf
June 01, 2025 - a specially trained large language model (LLM) to explore how such a result would
impact potential treatment … pathways: ablation versus antiarrhythmic drug therapy. … achievement once thought to be unattainable, which has
important implications for drug discovery and treatment … care, supporting efforts to
5
https://stays.24
https://accuracy.23
https://radiographs.22
tailor treatments … If
something in a visit summary, message, or treatment plan seems inaccurate or unclear, patients
should
-
www.ahrq.gov/sites/default/files/publications/files/cdifftoolkit.pdf
September 01, 2012 - Develop guidelines (e.g., care path) for diagnosis,
treatment, and duration of antibiotic therapy and … Therapeutic mismatches provide opportunities for changing to an agent that will adequately cover … All restriction changes have to be approved by the pharmacy and therapeutics committee; changes … Updating and initiating discussion of barriers to the antibiotic subcommittee/pharmacy and
therapeutics … facilities
Standardized DDD is
independent of price and
dose
DDDs exist for common
combination therapies
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs025131-jack-final-report-2022.pdf
January 01, 2022 - Feasibility refers to the degree to which a ‘new treatment or
innovation can be effectively implemented
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/wheelchair-service_disposition-comments.pdf
January 01, 2012 - components:
• The clinical component of providing CRT includes
the physical and functional evaluation, treatment … There is also a
large and growing body of knowledge about prevention and
treatment of secondary conditions … Ward, Scott
(American Physical
Therapy
Association)
General Ward, Scott (American Physical Therapy … policies, payment/fee schedule policies) are not designed to
account for emerging technologies and treatments … and patient satisfaction or reported
problems, and how those outcomes may relate to elements
of the treatment
-
psnet.ahrq.gov/web-mm/wheres-feeding-tube
September 01, 2003 - gastrointestinal secretions.( 7 ) Reviewing tube position on radiographs performed for other diagnostic or treatment
-
psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
September 01, 2012 - Patient-related factors associated with increased risk of periprocedural bleeding include therapeutic … May 16, 2022
Identifying patients whose symptoms are underrecognized during treatment
-
psnet.ahrq.gov/web-mm/pathologic-mistake
February 15, 2010 - WebM&M Cases
Failed Interpretation of Screening Tool: Delayed Treatment
-
psnet.ahrq.gov/web-mm/liposuction-gone-awry
July 01, 2003 - March 29, 2023
WebM&M Cases
Delayed Diagnosis and Treatment
-
psnet.ahrq.gov/web-mm/medical-devices-wild
March 27, 2024 - After a short period of treatment, his swelling improved and he was able to ambulate on the hospital
-
psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
January 07, 2015 - In surgical patients, PA catheter data often can reveal unfavorable developments that need treatment.
-
psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued
January 05, 2017 - July 1, 2011
WebM&M Cases
Treatment Challenges
-
psnet.ahrq.gov/web-mm/fire-hole-or-fire
August 03, 2017 - Prevention and Treatment
OR fires are preventable.
-
psnet.ahrq.gov/web-mm/danger-disruption
July 29, 2020 - When the anesthesiologist arrived with an assistant, they took the patient to a treatment room for sedation … The anesthesiologist did eventually insert a peripheral IV and the re-hydration therapy resumed.
-
psnet.ahrq.gov/web-mm/dont-pick-picc
December 01, 2011 - An infectious diseases consultant recommended therapy with 6 weeks of intravenous ceftriaxone to be given … via outpatient parenteral antimicrobial therapy. … periods of time, and PICC use has migrated into the home care setting, allowing prolonged intravenous therapy … Safety and efficacy of outpatient parenteral antibiotic therapy in an academic infectious disease clinic … Related Resources From the Same Author(s)
WebM&M Cases
More Treatment—Better
-
psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation
January 31, 2011 - An antimicrobial stewardship program improves antimicrobial treatment by culture site and the quality
-
psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
December 01, 2017 - are prompted by a triggering order and are typically presented to promote the safe use of a drug or therapy … magnesium levels to the ordering provider, as these electrolytes should be monitored during amphotericin B therapy … As an example, in patients with congestive heart failure and chronic kidney disease taking diuretic therapy … The role of computerized order sets in pediatric inpatient asthma treatment.
-
psnet.ahrq.gov/web-mm/no-bp-during-nibp
March 01, 2011 - impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment … April 21, 2021
Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid