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The PSNet Collection: All Content
The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.
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Displaying 1 - 20 of 206 Results
Multi-use Website
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Global Sepsis Alliance.
… … This website provides resources to raise awareness of sepsis, including information about its increasing incidence and causes for its delayed diagnosis . World Sepsis Day occurs yearly on September 13th. … Global Sepsis Alliance. … Global Sepsis Alliance …
Multi-use Website
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Massachusetts Sepsis Consortium.
… Web Resource … Delayed diagnosis of sepsis is a primary patient safety concern. This campaign raises awareness of the symptoms of sepsis to engage patients in timely diagnosis and safe treatment of the condition. … Massachusetts Sepsis Consortium. … Massachusetts Sepsis Consortium …
WebM&M Cases
Spotlight Case
CE/MOC
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WebM&M Case
March 27, 2024
… should be able to: Differentiate between pediatric sepsis and septic shock. Explain the importance of timely … identification and appropriate management of pediatric sepsis. Identify tools to assist the clinician in recognizing sepsis in the pediatric patient. Recognize common cognitive …
WebM&M Cases
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WebM&M Case
June 1, 2019
… (neutropenia and on active immunosuppressive therapy) and sepsis from a likely intraabdominal source, ordering and … he was admitted to the intensive care unit where his sepsis worsened. Antimicrobial therapy was broadened to … be multifactorial (i.e., high medical complexity, delayed sepsis recognition, unfamiliarity with antibiotic coverage, …
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WebM&M Case
March 15, 2023
… to the Hospital Medicine service for treatment of sepsis. Computed tomography (CT) imaging showed persistent … developed the potentially life-threatening complication of sepsis while awaiting follow up care for a spontaneous rectal … and close follow-up monitoring for the development of sepsis or worsening clinical symptoms. Individualized …
Clinical Guideline
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Evans L, Rhodes A, Alhazzani W, et al. Crit Care Med. 2021;49(11):e1063-e1143.
… statements from an international consensus committee on sepsis treatment and management to guide safe care for patients with sepsis or septic shock. …
Patient Safety Innovations
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Patient Safety Innovation
May 31, 2023
… process to enhance their hospitals’ response to sepsis, a multidisciplinary team at WellSpan Health oversaw … staff identify and respond to patients showing signs of sepsis. When the remote nurses, or Central Alerts Team (CAT), … clinical team implements elements of the evidence-based sepsis bundle. Piloted in six of the eight health system’s …
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Horberg MA, Nassery N, Rubenstein KB, et al. Diagnosis (Berl). 2021;8(4):479-488.
… Study … Diagnosis (Berl) … Missed or delayed diagnosis of sepsis can lead to serious patient harm. This study used a … analysis to measure potential misdiagnosis of sepsis in patients discharged from the emergency department … status (AMS). FED and AMS were associated with a spike in sepsis hospitalizations in the 7-day period following the ED …
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Sreeramoju P, Voy-Hatter K, White C, et al. BMJ Open Qual. 2021;10(1):e001189.
… infections (HAIs) and community-acquired sepsis can result in significant patient harm. This article … a hospital-wide initiate to reduce HAIs and improve sepsis care. Key components of the initiative included an … and clinician engagement, implementation of HAI and sepsis bundles, electronic health record-based clinical …
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Jones SL, Ashton CM, Kiehne L, et al. Jt Comm J Qual Patient Saf. 2016;42(3):122-138.
… Saf … Jt Comm J Qual Patient Saf … Early recognition of sepsis is a patient safety issue, due to the time-sensitive … and Medicaid Services–funded initiative to improve sepsis management in 15 facilities in Texas. Components … protocol (like a rapid response team ) for possible sepsis, and conducting audit and feedback for participating …
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Vidrine R, Zackoff M, Paff Z, et al. Jt Comm J Qual Patient Saf. 2020;46(5):299-307.
… J Qual Patient Saf … Early recognition and treatment of sepsis is a critical safety issue . The authors of this study aimed to reduce the frequency of delayed sepsis recognition in a pediatric intensive care unit (PICU) … decision support tool (CDS) prompting multidisciplinary sepsis huddles. After a two-year period, the average number …
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Nassery N, Horberg MA, Rubenstein KB, et al. Diagnosis (Berl). 2021;8(4):469-478.
… this study used the SPADE approach to identify delays in sepsis diagnosis. Using claims data, researchers used a ‘look … emergency department (ED) visits in the month prior to sepsis hospitalizations and identify common diagnoses linked to downstream sepsis hospitalizations. … Nassery N, Horberg MA, Rubenstein …
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Jones SL, Ashton CM, Kiehne L, et al. Jt Comm J Qual Patient Saf. 2015;41(11):483-91.
… Saf … A protocolized early warning system to improve sepsis recognition and management was associated with a decrease in sepsis-related inpatient mortality. The protocol emphasized … describes common errors in the early management of sepsis. … Jones SL, Ashton CM, Kiehne L, et al. Reductions in …
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Barbash IJ, Davis BS, Yabes JG, et al. Ann Intern Med. 2021;174(7):927-935.
… has required hospitals to report adherence to the Severe Sepsis and Septic Shock Early Management Bundle ( SEP-1 ). This study examined sepsis patient encounters at one health system two years … clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1). Ann Intern Med. Epub 2021 …
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Powell ES, Bond WF, Barker LT, et al. J Patient Saf. 2022;18(4):302-309.
… in the use of telemedicine for patients presenting with sepsis and led to improvements in sepsis process care outcomes. … Powell ES, Bond WF, Barker … situ simulation for adoption of new technology to improve sepsis care in rural emergency departments. J Patient Saf. …
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Hershey TB, Kahn JM. N Engl J Med. 2017;376(24):2311-2313.
… Med. … N Engl J Med … Delays in diagnosis and treatment of sepsis can have serious consequences. This commentary … at health care facilities to prevent harm associated with sepsis. … Hershey TB, Kahn JM. State Sepsis Mandates - A New Era for Regulation of Hospital …
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Amland RC, Hahn-Cover KE. Am J Med Qual. 2016;31(2):103-10.
… Study … Am J Med Qual … Am J Med Qual … Sepsis is a clinical condition that can be rapidly fatal, … computerized decision support system aimed at identifying sepsis in patients before infection was suspected. … Amland … KE. Clinical Decision Support for Early Recognition of Sepsis. Am J Med Qual . 2016;31(2):103-110. …
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Barbash IJ, Kahn JM. J Crit Care. 2019;54:88-93.
… impact of the policies that require hospitals to engage in sepsis quality improvement on safety net hospitals. The 703 … with health systems. The authors concluded existing sepsis policies may harm safety-net hospitals and widen health disparities. … Barbash IJ, Kahn JM. Sepsis quality in safety-net hospitals: An analysis of …
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Kaya GK. Appl Ergon. 2021;94:103408.
… Analysis (STPA) to analyze risks related to pediatric sepsis treatment process. Fifty-four safety recommendations … GK. A system safety approach to assessing risks in the sepsis treatment process. Appl Ergon. 2021;94:103408. …
WebM&M Cases
Spotlight Case
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WebM&M Case
October 1, 2018
… Case Objectives … Realize the importance of early sepsis diagnosis and treatment. Identify challenges in diagnosing sepsis and distinguish common mimickers. Review potential … Recognize the strengths and limitations of different sepsis criteria and clinical decision support tools. …
