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When Others Must Choose
When Others Must Choose

... The DNR and health care proxy laws have yielded tremendous insight. They have provided health care professionals, policymakers, and the public at large with the experience gained from implementing these policies in diverse health care settings and in the lives of thousands of patients. Significantly ...
Microsoft Word - 2011_cover pg
Microsoft Word - 2011_cover pg

Objective: aspects of insulin therapy that facilitate safe and effective infusion
Objective: aspects of insulin therapy that facilitate safe and effective infusion

... and potential to exceed the renal threshold for glucosuria. Our recommendation is similar to the American Diabetes Association guidelines for initiation of insulin for a glucose threshold no higher than 180 mg/dL, and that a more stringent goal of 110–140 mg/dL may be used if there is a documented l ...
Distribution of therapeutic response in asthma control between oral
Distribution of therapeutic response in asthma control between oral

... R.A. BAUMGARTNER ET AL. ...
Pediatric Submersion Injuries: Emergency Care
Pediatric Submersion Injuries: Emergency Care

... any death related to drowning and “nonfatal drowning” as those victims who survived. The use of terms such as “near-fatal drowning,” “near drowning,” or “secondary drowning” has been ill-defined and has led to confusion in the literature and difficulty in estimating the true number of drowning deat ...
OSF St. James EMS System
OSF St. James EMS System

... 2. The EMS provider will initiate patient care under these guidelines and contact Base Station Medical Control in a timely manner for those treatments which require on-line physician’s order. Diligent effort must be made to contact Medical Control in a timely manner via cellular telemetry, landline ...
Tintinalli's Emergency Medicine > Section 3: Resuscitative Problems and Techniques... Chapter 19. Tracheal Intubation and Mechanical Ventilation >
Tintinalli's Emergency Medicine > Section 3: Resuscitative Problems and Techniques... Chapter 19. Tracheal Intubation and Mechanical Ventilation >

... in the best position to assess and act on the following prime considerations: What are the potential risks and benefits to having spontaneous respirations preserved rather than ablated? Is there a safe alternative in this patient that may avoid precipitating the need for a potentially unnecessary su ...
Guidelines for the use of an insulin infusion for the management of
Guidelines for the use of an insulin infusion for the management of

... and potential to exceed the renal threshold for glucosuria. Our recommendation is similar to the American Diabetes Association guidelines for initiation of insulin for a glucose threshold no higher than 180 mg/dL, and that a more stringent goal of 110–140 mg/dL may be used if there is a documented l ...
Employee Safety Manual - Dawson County Montana
Employee Safety Manual - Dawson County Montana

... It is the policy of Dawson County to provide and maintain safe and healthful working conditions, routine safety training and education, and to follow practices that will safeguard all employees and result in safe working conditions and efficient operation. When individuals enter the employ of the co ...
PG0224 Cardioverter Defibrillators
PG0224 Cardioverter Defibrillators

... 6. Primary prevention, i.e., their use in patients who are considered at high risk for sudden cardiac death but who have not yet experienced life-threatening VT or VF The standard ICD involves placement of a generator in the subcutaneous tissue of the chest wall. Transvenous leads are attached to th ...
A Family Medicine program for Guyana
A Family Medicine program for Guyana

... medicine, primary health care remains the principle and most effective strategy for promoting health and reaching the highest possible level of health for every human being. Primary care is a constituent of primary health care. It is the first contact with the health system. The primary care physici ...
Comprehensive Contrast Policy
Comprehensive Contrast Policy

... 4. An LIP reviews all requests for radiology procedures with intravenous contrast to determine and/or modify the appropriate protocol based on the clinical indications for the examination and patient status. The assigned protocol is indicated in the radiology information system (RIS) or electronic m ...
Medicines Management Toolkit
Medicines Management Toolkit

... We know that the babies, children and young people receiving palliative care often have complex medication regimes; we know that the potential for errors in the management process is recognised as a high risk and often challenging aspect of practice; we know that medicines management is the subject ...
OSTEOARTHRITIS IN THE HANDS
OSTEOARTHRITIS IN THE HANDS

... course OA can occur at any synovial joint, but our evaluation and treatment techniques described here will be geared towards those joints.) Amy’s note: My primary goal for readers of this course is to help them keep up with the latest research while learning practical information that they can use i ...
Malignant Neurocardiogenic Syncope
Malignant Neurocardiogenic Syncope

... phobic stress that usually occur while standing or sitting [11]. Many of the triggers can be initiated during routine dentistry. Due to the highly variable nature of the condition, many patients with recurrent syncope have profound impairment, in both physical and psychosocial functioning. The quali ...
Adult-Protocols - HSHS St. John`s Hospital
Adult-Protocols - HSHS St. John`s Hospital

... shock, immediate interventions to support perfusion and prompt transport. Conversely, if the mechanism of injury or assessment findings suggests that the patient may have a condition that could result in shock, EMS personnel should carefully assess the patient's perfusion status and prepare to treat ...
Presentation - Rehabilitation Nurses Society
Presentation - Rehabilitation Nurses Society

... • Hypothesis: the soldiers pain was alleviated by survival of combat and the knowledge that they could now spend weeks or months in safety and relative comfort while they recovered. • The hospital patients, however, had been removed from their home environment and now faced an extended period of ill ...
Mecklenburg County First Responder Protocols
Mecklenburg County First Responder Protocols

... 1. Scope of practice describes the clinical skills that may be performed and the medications that may be administered by a healthcare provider 2. The North Carolina Medical Board has the responsibility of defining the scope of medical practice for prehospital providers at all certification levels 3. ...
National Data involving All District Health Boards
National Data involving All District Health Boards

... The issues raised in complaints varied by the service type involved. Services with high diagnostic workloads, such as general medicine and emergency departments, commonly received more complaints primarily regarding missed, incorrect or delayed diagnoses. When all issues raised in complaints about e ...
Spinal Epidural Abscess - Lieberman`s eRadiology
Spinal Epidural Abscess - Lieberman`s eRadiology

... for patients with suspected spinal cord lesions. – Allows visualization of the spinal cord, subarachnoid space, and surrounding structures. – Allows differentiation between compressive and noncompressive etiologies which is critical for patient management. ...
Abstracts - American Federation for Medical Research
Abstracts - American Federation for Medical Research

... usually present with sudden onset of severe headache followed by rapidly worsening visual field defects. Although the pathophysiology is ill defined at this time, several factors associated with this phenomenon have been suggestedpituitary vasculature abnormalities, size of the adenoma, and elevated ...
clinical guidelines for adult heart transplantation
clinical guidelines for adult heart transplantation

... (CST), Canadian Cardiovascular Society (CCS) and Canadian Blood Services (CBS). The CCTN sets policy for Heart Transplant Programs across the country. The Adult Heart Transplant Program annually reviews its outcomes and has a mechanism to review practices weekly. An annual report is created by BC Tr ...
National MSK GP decision making tool
National MSK GP decision making tool

... • Patients who are categorised as routine will be sent a letter inviting them to phone in to arrange a suitable appointment time. An appointment will normally be offered within 4 weeks of receiving the letter. When the letter is sent will vary and is dependant on the waiting time within department t ...
Clinical Practice Guideline Process Manual
Clinical Practice Guideline Process Manual

... This manual provides instructions for developing evidence-based practice guidelines and related documents for the American Academy of Neurology (AAN). It is intended for members of the AAN’s Guideline Development Subcommittee (GDS) and facilitators and authors of AAN guidelines. The manual is also a ...
Just Say Sepsis!
Just Say Sepsis!

... As I say, our authors and peer reviewers are well aware that they have to get used to a new environment and to develop an understanding of the variety of different ways in which GPs work, but it looks to me as if NCEPOD has found a rich field in which they can contribute the insights of their collea ...
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Patient safety



Patient safety is a new healthcare discipline that emphasizes the reporting, analysis, and prevention of medical error that often leads to adverse healthcare events. The frequency and magnitude of avoidable adverse patient events was not well known until the 1990s, when multiple countries reported staggering numbers of patients harmed and killed by medical errors. Recognizing that healthcare errors impact 1 in every 10 patients around the world, the World Health Organization calls patient safety an endemic concern. Indeed, patient safety has emerged as a distinct healthcare discipline supported by an immature yet developing scientific framework. There is a significant transdisciplinary body of theoretical and research literature that informs the science of patient safety. The resulting patient safety knowledge continually informs improvement efforts such as: applying lessons learned from business and industry, adopting innovative technologies, educating providers and consumers, enhancing error reporting systems, and developing new economic incentives.
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