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Practice Guideline: Disorders of Consciousness
Practice Guideline: Disorders of Consciousness

... 6b. Clinicians should perform the Coma Recovery Scale-Revised (CRS-R) to assist in predicting recovery of consciousness at 24 months for patients in VS/UWS due to loss of oxygen to the brain. Clinicians may assess somatosensory evoked potential (SEPs) (an examining testing if the brain receives/det ...
No Slide Title
No Slide Title

... Meeting space has been assigned to provide a satellite symposium supported by the International Myeloma Foundation via an unrestricted educational grant during the Oncology Nursing Society’s (ONS) 34th Annual Congress, April 30 to May 3, 2009, in San Antonio, TX. The Oncology Nursing Society’s assig ...
Health Care Provider`s Guide to Sickle Cell Disease
Health Care Provider`s Guide to Sickle Cell Disease

... Comprehensive medical care has been shown to contribute to increased life expectancy in patients with SCD. Patients for whom a neonatal electrophoresis screen is suggestive of SCD should be referred to a center knowledgeable in sickle cell syndromes. Early teaching about the implications of SCD and ...
Early intensive care unit mobility therapy in the treatment of acute
Early intensive care unit mobility therapy in the treatment of acute

... index (BMI) ⬎45, hip fracture, unstable cervical spine or pathologic fracture, mechanical ventilation ⬎48 hrs before transfer from an outside facility, current hospitalization or transferring hospital stay ⬎72 hrs, cardiopulmonary resuscitation at admission, DNR at admission, hospitalization within ...
General Information CRE, which stands for carbapenem
General Information CRE, which stands for carbapenem

... In healthcare settings, CRE are usually transmitted from person to person often via the hands of healthcare personnel or via contaminated medical equipment. As Enterobacteriaceae can commonly be found in stool or wounds, contact with these might be particularly concerning. Ensuring the use of person ...
Admission, Transfer, and Discharge of a Patient
Admission, Transfer, and Discharge of a Patient

... Planning for the Patient's Discharge A. There are many things to consider when planning for the patient's discharge. 1. If the illness has not been long, complicated, or severe, no special preparation is made other than general health instructions and information concerning the actual discharge (suc ...
Population Health Management: Implementing a
Population Health Management: Implementing a

... and inpatient OR personnel participate in the development of LEAN Value Stream Maps and A3s to improve OR workflow including strategies to reduce variation within the value-added steps as well as reducing delays between the steps. Interdisciplinary teams consisting of physician specialists and bedsi ...
Dr. Phranq Tamburri September 2007 NDNR
Dr. Phranq Tamburri September 2007 NDNR

... the death rate from prostate cancer was slowly increasing, and it continued to do so until 1992, when the death rate began to fall. (see Table 1) It has been demonstrated that the small decline in mortality seen relatively soon after the test was introduced is unlikely to be the direct result of the ...
oxygen
oxygen

... A critically ill patient is at imminent risk of death. Recognition, assessment and management of critical illness are thus fundamental to clinical care in any area of medicine. The principle underpinning intensive care is the simultaneous assessment of illness severity and stabilisation of li ...
//referring physician letter// [insert date] [insert name and address
//referring physician letter// [insert date] [insert name and address

... whirring sound during the exam. Your SPECT Exam Checklist  Remove all metal objects, such as a belt or jewelry.  Bring images from previous examination (including X-rays) with you.  Ask your physician if your examination requires contrast. If it does, find out how many hours you will need to fast ...
What do you do? - HIV Care Management Initiative
What do you do? - HIV Care Management Initiative

... PCNSL is rare in the HAART era, but can occur late in disease Biopsy of brain lesion for diagnosis If inaccessible for biopsy, EBV PCR on CSF and/or genetic studies on lymphocytes may be helpful Treatment best with HDMTX w/wo XRT Prognosis is unfortunately very poor, but improving ...
Hmong Culture for Clinical Providers
Hmong Culture for Clinical Providers

... but will readily accept Western pain medications. • Some Hmong patients may not follow dosage  instructions and may… – Continue to take more than prescribed to relieve pain OR  not take it at all in fear of toxic to the body – Not use it as prescribe due to the lack of understanding  time (for elder ...
the axillary nerve block for upper extremity anesthesia
the axillary nerve block for upper extremity anesthesia

... conditions of the upper extremity are regularly treated in the Emergency Department (ED). Multiple techniques of regional anesthesia can be used to achieve pain control for fracture reduction. While hematoma blocks and Bier Blocks are frequently used, both have inherent difficulties and mixed effica ...
E M  PRACTICE
E M PRACTICE

... therapy in carbon monoxide (CO) poisoning is one example where the absolute conviction of various experts is outweighed only by the paucity of good data.9 The American Association of Poison Control Centers provides annual reports based on data from Regional Poison Centers.10 However, poison center d ...
“ `Office use` means for use in the office or clinic, by or under the
“ `Office use` means for use in the office or clinic, by or under the

... often difficult and sometimes es painful. ...
Nós médicos seguimos o lema: “Deixar de aprender é omitir socorro”
Nós médicos seguimos o lema: “Deixar de aprender é omitir socorro”

... examined admissions to liver transplant units; all reported reductions. Eight studies evaluated severity of paracetamol poisoning; three reported reductions but five did not. Five out of six studies reported reductions in hospital admissions. One study reported reduced mortality in England and Wales ...
Binocular Indirect Ophthalmoscopy Procedures In Co
Binocular Indirect Ophthalmoscopy Procedures In Co

... This chapter deals with the use of Binocular Indirect Ophthalmoscopy (BIO) lenses for the assessment of the retinal effects of systemic disease, with special reference to those diseases involved in shared care or co-management programmes. Much of the eye examination routine will be similar for a pat ...
Moderate Sedation - Fawcett Memorial Hospital
Moderate Sedation - Fawcett Memorial Hospital

... Physical history and evaluation – a pre-procedural patient assessment must be performed by the physician and documented within 7 days prior to the procedure. Resuscitation readiness – resuscitative equipment must be readily available in any location where patients under moderate sedation receive car ...
Infant_with_SVT_F1
Infant_with_SVT_F1

... Liver is 2 cm below the right costal margin Pulses in the brachial and femoral are all equal but mildly, too fast to count Capillary refill is 3 seconds Skin is cool without petechiae or rash Case Flow: Stable infant in SVT 1. Initial assessment: Airway and breathing are stable, O2 can be administer ...
The never events policy framework: An update to the never events
The never events policy framework: An update to the never events

... 1.1 Never events are serious, largely preventable patient safety incidents that should not occur if the available preventative measures have been implemented by healthcare providers 1. ...
Quality strategy
Quality strategy

... NHS Heywood Middleton and Rochdale Clinical Commissioning Group’s (“The CCG”) ambition is to commission safe, effective, and clinically-led services for the people of the borough of Rochdale and secure better quality of life and health for our population who experience some of the poorest health out ...
Palliative Care for Nephropathic Patients Review
Palliative Care for Nephropathic Patients Review

... In line with this view, Maximum Conservative Management (MCM) is a European proposal based on a multidisciplinary approach with nutritionists, social workers, psychologists and other health professionals aimed at improving the Quality of life of frailty patients with ESRD.29 Despite patients who rec ...
Ambulance Call Report Completion Manual
Ambulance Call Report Completion Manual

... The ACR shall be completed as soon as possible and no later the end of the scheduled shift or work assignment during which the call occurred. Documentation must be accurate, legible and complete. Thorough documentation enhances the credibility of information contained on the ACR and of the paramedic ...
adapting your practice - National Health Care for the Homeless
adapting your practice - National Health Care for the Homeless

... abuse (Johnson, 2006; Noell, 2001; Tyler, 2000). One study found that over half of homeless men and women aged 16–20 years reported a history of sexual abuse, and nearly one in four had been treated for gonorrhea (Rew, 2002). Another study found that 92% of homeless women surveyed had experienced se ...
A Proposal to Restore Medical Futility as a Clinical Basis for
A Proposal to Restore Medical Futility as a Clinical Basis for

... DNR decision. When a DNR order was based on medical futility, the physicians were saying “if and when in the future this patient’s heart stops, it will not be possible to start it again, or start it for very long.” But the medical futility standard did not ask the physicians to predict when that car ...
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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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