Treating Hyperkalemia: Avoid Additional Harm When …
Physician used hyperkalemia order set to order insulin for hyperkalemia; however, ordered dose that was 10-fold too high, so patient had hypoglycemia that required additional dextrose bolus. 9 10 Treating Hyperkalemia: Avoid Additional Harm When Using Insulin and Dextrose | Advisory Page 3of 11
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Opioid Knowledge Self-Assessment
patientsafety.pa.govOpioid Knowledge Self-Assessment Healthcare facilities can use this assessment for practitioners who prescribe, dispense, and/or administer opioid products ...
Letter to the Editor: Preventing Air Embolism with PICC ...
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Strategic Plan 2017-2020 - Patient Safety Authority
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Confirming Feeding Tube Placement: Old Habits Die Hard
patientsafety.pa.govMore Reliable Methods to Verify Feeding Tube Placement Radiographic Confirmation of Nasogastric Tube Placement The gold standard for nasogastric feeding tube placement is radiographic confirmation with a chest x-ray. pretations by nonradiologists: The gold standard for nasoenteric feeding tube placement is radiographic confir-
The Beers Criteria: Screening for Potentially ...
patientsafety.pa.govhepatic clearance of many drugs, such as diazepam, amitriptyline, and chlordiazepoxide, carried out by the cytochrome P-450 system often diminishes with age. Overall, the clearance of drugs metabolized by the liver is typically decreased 30 to 40% in the elderly. Renal size and renal blood flow also decrease signifi-cantly with age.
Safety in Using Promethazine (Phenergan)
patientsafety.pa.gov©2007 Pennsylvania Patient Safety Authority Page 1 Produced by ECRI Institute & ISMP under contract to the Patient Safety Authority Patient Safety Advisory F irst approved by the U.S. Food and Drug Ad-ministration (FDA) in 1951, promethazine (Phenergan) is a medication in common use today. However, despite its familiarity, its use is not with-
PATIENT SAFETY AUTHORITY AND DEPARTMENT OF HEALTH
patientsafety.pa.gov12. A mid-procedure change in the plan of care in response to new information discovered during the procedure does not constitute an injury. 13. Additional healthcare services: a. Healthcare services provided to prevent an injury from occurring are excluded from this term for the purpose of Serious Event determinations. b.
Brochure Medical Records - Pennsylvania Patient Safety ...
patientsafety.pa.govrecord. In the future, when medi-cal records are requested by other providers, your provider must include his denial of your request to amend the medical record as well a copy of your statement of disagreement. It should not take more than 90 days to amend your medical records. If the request is accepted,
Retained Surgical Items: Events and Guidelines Revisited
patientsafety.pa.govand the Association of periOperative Registered Nurses published guidance for preventing RSIs, including minimizing distractions and participating in team-work training. The Joint Commission speaks to the role of weak or absent organizational leadership as reasons for the continuance of RSIs. (Pa Patient Saf Advis 2017 Mar;14[1]:27-35.)
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