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Robert Burke, Gregory S. Liptak and the Council on Children... ; originally published online November 28, 2011; Bifida
Robert Burke, Gregory S. Liptak and the Council on Children... ; originally published online November 28, 2011; Bifida

... The pediatric primary care provider in the medical home has a central and unique role in the care of children with spina bifida. The primary care provider addresses not only the typical issues of preventive and acute health care but also the needs specific to these children. Optimal care requires comm ...
Renal Replacement Therapy
Renal Replacement Therapy

... (irreversible AKI); the latter will need ongoing care and management under nephrology services after discharge from ICU. Regardless of the underlying cause, if renal compromise cannot be rectified and if the patient’s primary condition is felt to have a reasonable prospect of eventual recovery, RRT ...
Full Prescribing Information
Full Prescribing Information

... ----------------------- WARNINGS AND PRECAUTIONS --------------------- Remove Kyleena if pregnancy occurs with Kyleena in place. If pregnancy occurs, there is increased risk of ectopic pregnancy including loss of fertility, pregnancy loss, septic abortion (including septicemia, shock and death), an ...
Epidemiology of Candidemia in Finland
Epidemiology of Candidemia in Finland

advanced life support protocols
advanced life support protocols

ALS
ALS

... According to the National ALS Registry, the prevalence of ALS in the United States is 3.9 cases per 100,000 people. The two age groups with the highest prevalence rate are 60 to 69 year olds and 70 to 79 year olds. ALS is most common in people above the age of fifty and is more common among males t ...
A user`s guide to data collected in primary care in England
A user`s guide to data collected in primary care in England

... outcomes, and therefore represent an incredible resource for research, education, audit, quality management, service development and planning. In an aggregated form this information could provide the most complete picture about the health of the national population as is conceivably possible. Furthe ...
SPR Epidural / Intrathecal / Intrapleural Analgesia SLA
SPR Epidural / Intrathecal / Intrapleural Analgesia SLA

... properties. All medications used for epidural or intrathecal analgesia must be preservative – free. Medication preservatives can be neurotoxic and may cause spinal cord injury. In addition, alcohol is potentially neurotoxic and may not be used to clean vial tops or injection ports. Alcohol packets m ...
QA401_2_Valerian
QA401_2_Valerian

... drinks. However the authors felt that the hyponatraemia was more likely related to excess water consumed in the drinks rather than an adverse pharmacological consequence of the valerian (9). ...
Cardiopulmonary Arrest Following Cervical Epidural Injection
Cardiopulmonary Arrest Following Cervical Epidural Injection

... in the subarachnoid space, however no intraventricular air was seen. The issue at hand becomes whether or not the pneumocephalus itself actually caused cardiopulmonary arrest, or was just another complication associated with the case. We could only find one case in the literature of pneumocephalus a ...
An Approach to the Evaluation of a Patient for Seizures
An Approach to the Evaluation of a Patient for Seizures

... A witness who can supplement the history should accompany the patient. Collateral history from observers can also be obtained over the telephone if necessary. Ask the patient to describe what happens preceding, during, and following the episode. Let them answer this open-ended question in as much de ...
Critical Care Transport Team Protocols 2016
Critical Care Transport Team Protocols 2016

... Secure tube with appropriate ties and devices. The head of the bed should be elevated by 30 degrees and gastric decompression should be accomplished whenever possible to prevent gastric regurgitation. Observe for chest rise and fall and presence of ETCO2 waveform monitor. *Note: You must ventilate t ...
Continuous Local Anaesthetic Infusions For Post Operative Pain Relief
Continuous Local Anaesthetic Infusions For Post Operative Pain Relief

... complications such as DVT and chest infection. 1.2. As surgical techniques change and length of inpatient stay decreases, it is important to offer a safe, flexible method of analgesia which may be delivered in both a hospital and community environment if necessary. 1.3. Blockade of pain impulses by ...
Digital Edition - Advanstar Communications
Digital Edition - Advanstar Communications

... the bundled Ambulatory Payment Classification (APC) payment For more information about OMIDRIA, including how to order or to obtain reimbursement, contact 1-844-OMEROS1 (1-844-663-7671) or visit omidria.com. ...
Chronic Obstructive Pulmonary Disease
Chronic Obstructive Pulmonary Disease

... Nadine earned her BSN from the University of the Witwatersrand, Johannesburg, South Africa. She worked as a midwife in Labor and Delivery, an RN in Postpartum units and Antenatal units, before moving to the United Kingdom, where she worked as a Medical Surgical Nurse. After coming to the US in 1997, ...
http://www.tac-consortium.org/wp-content/uploads/2013/02/ACO-Guide_Obstetrics_111914_reduced-file.pdf
http://www.tac-consortium.org/wp-content/uploads/2013/02/ACO-Guide_Obstetrics_111914_reduced-file.pdf

... Katherine Menard, UNC-CH Department of OB/GYN; Michelle Langaker, DO, Campbell University School of Osteopathic Medicine; William Johnstone, MD, New Hanover Regional Medical Center. This guide would not have be possible without the efforts of these individuals. ...
Directory of Pediatric Services
Directory of Pediatric Services

... The healthcare industry continues to change rapidly and so does Children’s of Alabama. Together the COA team is making significant progress in quality, safety and performance improvement through our participation in Solutions for Patient Safety (SPS), a national collaborative involving more than 80 ...
The Journal of Pulmonary Technique
The Journal of Pulmonary Technique

... the results of a landmark long-term clinical study for its Inspire Upper Airway Stimulation (UAS) System, the first FDAapproved implantable neurostimulation treatment for people diagnosed with Obstructive Sleep Apnea (OSA). OSA affects more than 18 million Americans and can have devastating effects ...
MET3B Handbook 2011-12 including PBL`s
MET3B Handbook 2011-12 including PBL`s

... Sessions in General Practice will offer further opportunities to meet patients in their home surroundings. You will also be required to cover the MET3B learning objectives by private study and spending time on the wards talking to patients and medical staff. You should record the activities in the M ...
Intravenous conscious sedation for dental treatment: am I my
Intravenous conscious sedation for dental treatment: am I my

... conscious sedation instead. However, the deaths and morbidity continued [6]. ‘A Conscious Decision’, published by The Department of Health in July 2000 [7], noted that ‘standards aimed at protecting patients from the effects of serious complications of general anaesthesia or conscious sedation admin ...
A Rationale
A Rationale

... delivery is already begun or is complete. – If time allows, a mask and gown should also be used. ...
Magnesium sulphate as first line and mainstay therapy without
Magnesium sulphate as first line and mainstay therapy without

... tetanus is challenging. A lesson learnt was that if we closely monitor patient’s patellar reflexes, respiratory rate while breathing spontaneously and hourly urine output we may not need to depend on serum magnesium levels when managing such patients. Our patient was a farmer with an incomplete immu ...
Community Care Services GUIDELINE Title
Community Care Services GUIDELINE Title

... refractory symptoms in the palliative care setting (9)(10). Although “Terminal Sedation” has long been used to describe this practice, Palliative Sedation is thought to be a more appropriate term due to the possibility of misinterpreting the intention of sedation as being “termination” of life(9)(11 ...
The PCORI Methodology Report PCORI Methodology Committee  Editors
The PCORI Methodology Report PCORI Methodology Committee Editors

... in PCOR quality and value. Specifically, the standards focus on selected methodologies and issues that reflect areas where there are either substantial deficiencies or inconsistencies in how available methods are applied in practice or where there is evidence supporting the recommended practices. Mo ...
Physical Medicine & Rehabilitation Evidence
Physical Medicine & Rehabilitation Evidence

... sleep); Ginger (for GI Discomfort); Vitamin E (for memory problems) Probls: Digoxin and coumadin levels are unstable. ...
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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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