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3-11-17 PPT
3-11-17 PPT

... JD is a 68 yo WM with a PMH of diabetes and prior MI. He accidentally took his medication twice this morning. He presents with bloody emesis. If his Hgb did dip to 7, what would be the typical blood product to administer? a. ...
maternal obesity - Contemporary OB/GYN
maternal obesity - Contemporary OB/GYN

... Growth Rate (SGR). The SGR formula was designed as a politically risk-free mechanism for legislators to limit Medicare spending. The idea was that if physician costs exceeded targets, an across-the-board reduction in Medicare payments to physicians would be automatically triggered unless actively ov ...
Clinical Operating Guidelines
Clinical Operating Guidelines

... 1. With all children, assess for and document psychological characteristics of abuse, including excessive passivity, compliant or fearful behavior, excessive aggression, violent tendencies, excessive crying, fussy behavior, hyperactivity, or other behavioral disorders 2. With all children, assess fo ...
The extemporaneous compounding of paediatric medicines at Mater
The extemporaneous compounding of paediatric medicines at Mater

... or crushed and information on this aspect can be obtained from the Medicines Information Section within MDH. In this case, the dose should be prepared and administered immediately. In general compressed tablets or tablets which are scored or just film coated can be crushed whereas modified release tab ...
peripheral intravenous therapy:focus on asepsis
peripheral intravenous therapy:focus on asepsis

... The aim of this final project was to improve the safety of patients and health care practitioners in Infection Disease Clinic in Helsinki University Central Hospital (HUCH). This final project was a part of improving asepsis during the preparation, administration and management of peripheral intrave ...
Fecal Transplantation | Clinical Review Criteria
Fecal Transplantation | Clinical Review Criteria

... of multiple co-morbidities, and others. Mature colonic bacterial microbiota (community of micro-organisms) in a healthy adult is generally resistant to colonization and overgrowth of pathogenic bacteria. Any factor altering the balance of intestinal microbiota allows pathogens such as C difficile to ...
Exploring aspects of integration for hospital patients
Exploring aspects of integration for hospital patients

... formulations such as comprehensive care and disease management.15 Integrated Care describes care in which there is one treatment plan with behavioural and medical elements, rather than two treatment plans.16 Integrated health care, often referred to as interdisciplinary health care, is an approach c ...
Adverse Event Terminology
Adverse Event Terminology

... investigator brochure referred only to elevated hepatic enzymes or hepatitis. Similarly, cerebral thromboembolism and cerebral vasculitis would be unexpected (by virtue of greater specificity) if the investigator brochure listed only cerebral vascular accidents. ―Unexpected,‖ as used in this definit ...
Neurosurgical Ethics in Practice: Value-based Medicine 123
Neurosurgical Ethics in Practice: Value-based Medicine 123

... Modern medical practice is dominated by technology and evidence based medicine emphasizing the importance of scientific data to guide our daily practice. But through the years, as medicine has crossed different cultures and borders, it has been and will be always be the ultimate value-based activity ...


...  Governance: The Executive provided clinical governance and data support.  Primary driving role: RPH Drug and Alcohol ED service drove the project with Medical Consultant and RPH’s Critical Care Division’s Nursing Director support.  Communication: Ongoing internal and external education of all st ...
Patient Brochure - Sarc Patient Homepage
Patient Brochure - Sarc Patient Homepage

... Acthar can cause side effects similar to those with steroid treatments. While taking Acthar, tell your doctor right away if you have any of the symptoms listed here: • Increased risk of infections. You may be more likely to get new infections. Also, old infections may become active. Before and duri ...
UNC Social Medicine - UNC School of Medicine - UNC
UNC Social Medicine - UNC School of Medicine - UNC

... 5. Physicians’ roles within an expanded health care workforce Given the reality of persistent physician shortages, the Project Team recommended that efforts be made to increase training of health care workers at all levels, from physicians to aides. It also recommended that tasks be down-streamed to ...
Symptom Management Kit
Symptom Management Kit

... was recognized that there have been differences in the processes of how SMKs have been placed in the homes of clients across the Province and how they would be accessed once there. A Ministry of Health and Long Term Care Task Force was developed as an outworking of the Provincial End-of-Life Care Ad ...
The Emergency Medicine approach to the Evaluation
The Emergency Medicine approach to the Evaluation

... which “gold standard” (if any) is used to assess if the results of the diagnostic study in question are accurate. “Gold standard” tests vary from clinical follow-up to pulmonary angiography. Regarding treatment studies, the primary limitation is the lack of well-controlled studies in critically ill ...
Medical, Dental, and Veterinary Care
Medical, Dental, and Veterinary Care

... a. The military treatment facility (MTF) commander will provide operational guidance for implementation of the policies in this chapter. b. The entire health care team (including physicians, nursing personnel, administrators, attorneys, chaplains, social workers, and patient representatives) will pr ...
Quality Account - Aintree University Hospital NHS Foundation Trust
Quality Account - Aintree University Hospital NHS Foundation Trust

Assessment of suicide risk in people with depression
Assessment of suicide risk in people with depression

... where the chances of being disturbed are minimised. Ideally you should meet with the patient alone but also see their family/carers/ friends, together or alone, as appropriate. In general, open questioning is advisable although it may become necessary to use more closed questions as the consultation ...
CH33 Obstetrics and Neonatal Care
CH33 Obstetrics and Neonatal Care

... • Weight gain during pregnancy is normal. – Weight gain will challenge the heart and impact the musculoskeletal system. – The joints become “looser” or less stable. ...
Promoting Comfort/Pain Management Study Guide Comfort The
Promoting Comfort/Pain Management Study Guide Comfort The

...  Work on CNS and can depress respirations (so assess respirations before administering)  Other common side effects: nausea, vomiting, constipation and altered mental processes  If used around the clock (ATC) for a week or more, expect physical dependence (withdrawal symptoms occur if abruptly sto ...
starting out - New York State Dental Association
starting out - New York State Dental Association

... exception, as well as your contact efforts with designees and why you were unable to have a designee consult the Registry for you. If you use the rare exception that the patient’s health would be put at risk from contacting the Registry, you must additionally document the factual, clinical basis jus ...
Emergency Medical Technician - Florida Department Of Education
Emergency Medical Technician - Florida Department Of Education

... 03.22 Develop an awareness of complementary and alternative health practices. 03.23 Explain the basic concepts of positive self-image, wellness and stress. 03.24 Develop a wellness and stress control plan that can be used in personal and professional life. 03.25 Explore the importance of adequate nu ...
ColoniC TRansiT Time wiTh Radiopaque maRkeRs: Case sTudies
ColoniC TRansiT Time wiTh Radiopaque maRkeRs: Case sTudies

... Rev Colomb Radiol. 2012; 23(4): 3573-8 ...
Intravitreal Fluid Sampling And Intravitreal Treatment
Intravitreal Fluid Sampling And Intravitreal Treatment

... Vitreous tap: A calliper is used to measure 3.5 mm from limbus. The antibiotics with the correct dosages as indicated below are kept in readiness. A 23 G needle attached to an insulin syringe is used to draw up the vitreous sample. The needle is inserted through the conjunctiva, sclera and pars plan ...
What is dysautonomia? - Dysautonomia Youth Network of America
What is dysautonomia? - Dysautonomia Youth Network of America

... The symptoms of dysautonomia conditions are usually “invisible” to the untrained eye. The child can appear to be as healthy as other children. The manifestations occur internally, and although the symptoms are quantifiable and verifiable medically, they often are not visible on the outside. Symptoms ...
Thoracic Trauma
Thoracic Trauma

... cardiac) require emergent surgical intervention, most injuries to the lungs and pleura can be treated nonoperatively by applying certain fundamental principles of initial trauma management, which can substantially reduce morbidity and mortality related to these injuries. A thorough knowledge of the ...
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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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