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psnet.ahrq.gov/node/836885/psn-pdf
May 16, 2022 - Failure to Follow ACLS Algorithms
In the first case, a series of assessment errors led to the patient being … Effective Communication Required for ACLS Execution
The challenges of ACLS execution in a hospital ward as well
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psnet.ahrq.gov/node/49474/psn-pdf
March 01, 2005 - psnet.ahrq.gov//#references
Taken together, these studies indicate that obese patients' medical care might well … It appears that physicians are not being adequately trained and prepared to identify and treat morbidly
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psnet.ahrq.gov/node/846915/psn-pdf
March 29, 2023 - disorders or depressive disorders directly and can lead to impulsive
acting out (including overdoses11) as well … frequent delays in
disposition of patients following suicide attempts, with psychopharmacologic treatment being
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psnet.ahrq.gov/node/49684/psn-pdf
May 01, 2013 - Chemotherapy, a common treatment modality, requires
expertise in all stages of the medication process as well … hybrid
systems can result, for example, in some hospitals all medication orders except chemotherapy being
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psnet.ahrq.gov/node/49861/psn-pdf
May 01, 2019 - updates-management-high-risk-pulmonary-embolism
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
pregnancy or being … The procedure
went well, and the patient was monitored in the ICU after the procedure.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/sustainability-plan.pdf
June 01, 2021 - of residents given an antibiotic
for a urinary tract infection without a concomitant urine culture being … • Examine practices during the times of change—
what went well and what did not (and why).
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psnet.ahrq.gov/web-mm/emergent-triage-miss
March 06, 2015 - This phenomenon of "triage drift" has been suggested in the literature but has not been well studied. … Emergent, life or limb threat Urgent, semi-urgent Non-urgent Timeframe for being
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psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
September 15, 2024 - Therefore, careful examination of what RSI are being discussed in RSI estimates is warranted. … sponges and other items (e.g., vaginal packing ) left behind after spontaneous vaginal births, as well
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/visual-impairment-in-children-ages-1-5-screening-2004
January 14, 2004 - Vision in Children Ages 6 Months to 5 Years: Screening (2017)
This topic is being … American Academy of Pediatrics (AAP) recommends the following vision screening be performed at all well-child
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cdsic.ahrq.gov/cdsic/AI-viewpoint
February 25, 2025 - Artificial Intelligence to Scale Patient-Centered Clinical Decision Support report discusses how AI is being … patient voice (e.g., using the patient’s own words to describe symptoms, using colloquial terms) as well
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psnet.ahrq.gov/node/49777/psn-pdf
December 01, 2016 - the detection and care of suicide risk.(5) In it, they recommend formal screening for suicide risk as well … family history of suicide or mental illness; the presence of agitation, anxiety,
or insomnia; sense of being
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-272-genitourinary-syndrome-executive-summary.pdf
July 01, 2024 - • Vaginal estrogen, dehydroepiandrosterone (DHEA), and moisturizers as well as
oral ospemifene may … Harms reporting (KQ3) was limited, in part, by studies not being sufficiently powered
to evaluate infrequent
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www.ahrq.gov/news/events/nac/2019-04-nac/nacmtg0419-minutes.html
July 01, 2019 - Brady about issues of overdiagnosis and underdiagnosis as well as timeliness. … Are those issues being addressed? Dr. Brady responded that they are.
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psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
January 01, 2016 - Describe what is being done or can be done to make nursing homes safer. … As problems often relate to resident management issues as well as environmental issues, diverse team
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/antipsychotics-children-surveillance-150120.pdf
October 01, 2014 - profile, with common adverse events being
sedation, somnolence, headache, and insomnia
(Findling, … Ziprasidone was generally
well tolerated with an overall neutral weight and metabolic profile. … Ziprasidone was generally well tolerated with a neutral metabolic profile. … Both medications were generally well tolerated. … profile, with
common adverse events
being sedation, somnolence,
headache, and insomnia.8
and another
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effectivehealthcare.ahrq.gov/sites/default/files/s58.pdf
October 01, 2007 - And although commercial-insur-
ance databases typically include mainly individuals well
enough to work … researchers should under-
stand that biases may remain due to unobserved differences
between groups being … Another adjustment strat-
egy well-suited to Medicaid claims data involves reducing
heterogeneity by … Despite practical challenges such as time
lags in data availability, Medicaid data are particularly well … These individuals include elderly bene-
ficiaries receiving Medicaid, as well as many persons with
disabilities
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/falls-prevention-in-older-adults-interventions-2018
April 17, 2018 - week of moderate-intensity or 75 minutes per week of vigorous-intensity aerobic physical activity, as well … hypotension are effective components of multifactorial risk assessment with comprehensive management, as well … between 25-hydroxyvitamin D serum levels and health outcomes, with serum levels greater than 125 nmol/L being … The USPSTF added findings on additional outcomes, such as quality of life, as well. … With this revised scope of review, as well as newer evidence from trials reporting no benefit, the USPSTF
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
February 06, 2008 - setting, communication failures lead to increases in patient harm, length
of stay, and resource use, as well … presents guidelines for organizing relevant
information when preparing to contact another team member, as well … of a care team can all be
“on the same page” for
the day and be ensured
that relevant issues are
being … Peer-reviewed case studies revealed that the absence of a standardized and well-defined
communication … This well-documented, standardized
escalation process provided role clarification and cleare patient
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Valade_46.pdf
May 05, 2008 - blending qualitative and quantitative methods
throughout—was adopted for overall project design, as well … Factors such as light, noise, and fatigue are taken into consideration when facilities and
processes are being … contrast, both drew
upon and strengthened the trust and working relationships among members of the well … The Commission believes that the innovative processes it used to transform public input into a
well-articulated … It is
also becoming clear that systems and design improvement, no matter how well intentioned, is not
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf
March 01, 2020 - predominantly transmitted through person-to-
person contact in healthcare settings (the other route
being … implementation of contact precautions differ by setting, risk of transmission, and the type of care being … Practices
Carbapenem-Resistant Enterobacteriaceae 6-5
Enterobacteriaceae” as a keyword term, as well … .16 This is a cautionary tale of
the importance of monitoring ongoing infection control practices as well … should encourage appropriate contact precautions by implementing
monitoring and compliance audits as well