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psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
March 27, 2024 - These efforts aim to establish comprehensive frameworks, guidelines, and regulations to safeguard the … director of cybersecurity who understands both security and clinical work and can oversee cyber-awareness programs … Mossburg: What are some mistakes that organizations might make when it comes to their cybersecurity programs … John Riggi: One of the first challenges is if the organization does not have a cybersecurity program … In this day and age, we need a cybersecurity program, and we would strongly suggest that there is an
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psnet.ahrq.gov/web-mm/impatient-inpatient-dosing
June 24, 2020 - WARFDOCs was developed as part of an AHRQ-funded patient-safety project. … The WARFDOCs program projects that the steady-state dose is still 3.55 mg, and it predicts that giving … This would require no work by the physician, and the program would seamlessly provide data upon which … Prospective comparative study of computer programs used for management of warfarin. … Comprehensive Hemostasis and Antithrombotic Service (CHAS). March 2005. 23.
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psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety
April 01, 2013 - graduate medical education in the United States, including all accredited residency and fellowship programs … Program at Brigham and Women's Hospital. … A series of relatively small studies has been done by programs that implemented these types of changes … RW : Can you talk a little bit about napping and other strategies that may impact a given program or … CL : A lot of industries have implemented nap programs as one aspect of a comprehensive approach to dealing
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psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
December 15, 2024 - The Joint Commission has named improving medication safety as a National Patient Safety Goal for both … initiatives to reduce inappropriate opioid prescribing, including enhanced prescription drug monitoring programs … These programs are summarized in a 2016 Annual Perspective and a 2017 PSNet perspective . … And in 2017, the World Health Organization launched its Medication Without Harm program as part of … its Global Patient Safety Challenges initiative.
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psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - The Centers for Medicare & Medicaid Services’ (CMS’) programs like the home and community-based services … Importantly, using a coordinated and comprehensive approach like the recommendations presented in the … Editor’s note: Patricia McGaffigan is the Vice President for Safety Programs at the Institute for … officer, and senior vice president of programs prior to our 2017 merger with the Institute for Healthcare … We are partnering with other academic programs to do the same.
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psnet.ahrq.gov/node/49720/psn-pdf
December 01, 2014 - The safety and efficacy of rtPA in routine clinical use has
been subsequently confirmed in a large cohort … care in the United States.(14) Various state-based agencies, the
Healthcare Facilities Accreditation Program … Barrett, MD, MSc
Consultant
Associate Professor of Neurology
Director, Neurohospitalist Fellowship Program
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psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
November 01, 2012 - Defensive Medicine: An Issue of Cost and Safety
In 2007, total national health care spending was $2.3 … varies in the literature, it is clear that defensive medicine is commonplace.( 6 ) For example, a 1994 comprehensive … Defensive medicine is a threat to patient safety: the patient in this case received doses of radiation … Sethi, MD Harvard Combined Orthopaedic Program
Harvard Medical School
References
1. … Malpractice liability costs and the practice of medicine in the Medicare program.
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psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
May 26, 2021 - These best practices include, but are not limited to, comprehensive identification and assessment of … Safety Issues with Patient Controlled Analgesia Part II - How To Prevent Errors ISMP Medication Safety … San Diego Patient Safety Council. … Safety) . … participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program
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psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
February 12, 2020 - other subjective behaviors with objective evidence, such as data from prescription data monitoring programs … Diagnostic overshadowing is an important yet under-recognized patient safety issue. … Clinician impression versus prescription drug monitoring program criteria in the assessment of drug-seeking … Patient safety strategies targeted at diagnostic errors: a systematic review. … Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive
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psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
August 30, 2023 - Programs at the Institute for Healthcare Improvement and President of the Certification Board for Professionals … officer, and senior vice president of programs prior to our 2017 merger with the Institute for Healthcare … We are partnering with other academic programs to do the same. … The Centers for Medicare & Medicaid Services’ (CMS’) programs like the home and community-based services … Importantly, using a coordinated and comprehensive approach like the recommendations presented in the
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psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
August 31, 2020 - be systematically relied upon to guide treatment decisions, developers need to proactively develop comprehensive … safety of non-healthcare essential workers. … policymakers learn from past experiences to facilitate an effective and efficient nationwide vaccination program … For example, primary care providers have historically played a critical role in vaccination programs, … Stocking, PhD, MBA, MSN, RN, NEA-BC Quality and Safety Analyst/Patient Safety Professional Department
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psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
October 31, 2023 - a comprehensive safety program overseen by senior leaders and clinical leader oversight for accountability … Development of programs to prevent and address workplace violence should be complemented by programs … of Nursing’s PhD program at the University of North Carolina at Chapel Hill. … and PhD/post-doctoral programs. … Workplace violence training programs for health care workers: an analysis of program elements.
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psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
August 31, 2020 - Approach to Improving Patient Safety: Communication . PSNet [internet]. … Approach to Improving Patient Safety: Communication . PSNet [internet]. … Perspective authors reviewed articles related to communication and patient safety added to the AHRQ … More discrete interventions include the use of discharge education programs and simplified discharge … Approach to Improving Patient Safety: Communication . PSNet [internet].
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psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
November 30, 2023 - Approach to Improving Safety & Patient Safety Target
The process of admitting patients from the ED … Effective communication between medical teams can improve patient safety and decrease preventable errors … Increasing Hospitalizations for DKA: A Need for Prevention Programs. … & Patient Safety Target
Systems Change Needed/Quality Improvement Approach
Take-Home Points … May 19, 2021
Perspective
Medical Scribes and Patient Safety
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psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
December 01, 2009 - Education and training programs should be implemented at several different levels. … It may include coaching or a comprehensive mental health evaluation for the professional. … Some reorganize their practices, add capacity, obtain coaching, or receive comprehensive mental health … For example, do malpractice carriers believe that this kind of a vigorous program ultimately saves them … years of claims experience of a defined cohort of surgeons suggests that a peer-based intervention program
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psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
July 28, 2021 - unique challenge as it bypasses the safety checks established in other parts of the hospital. … Medication safety in the operating room: literature and expert-based recommendations. … May 31, 2017
A comprehensive obstetric patient safety program reduces liability claims … October 20, 2014
Impact of a comprehensive patient safety strategy on obstetric adverse … June 22, 2017
Patient safety strategies: are we on the same team?
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psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
August 01, 2009 - RW: Anything else you'd like to talk about in the safety and quality world? … For example, staff repeatedly work around safety-related warnings to obtain and administer excessively … To Do No Harm: Ensuring Patient Safety in Health Care Organizations. … Implementing and validating a comprehensive unit-based safety program. … Program?
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psnet.ahrq.gov/web-mm/collegiality-vs-competence
August 28, 2024 - Poliner to interfere with his business rather than to promote patient safety. … All hospitals should have robust programs to thoroughly educate members of credentialing and peer review … Medical staffs should strive to create a culture of excellence and patient safety and move away from … Sagin, MD, JD Vice President and National Medical Director The Greeley Company References 1. 2006 Comprehensive … March 18, 2010
Perspective
The Wild West: Patient Safety
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
April 10, 2024 - announced it had tasked a contractor to form an independent commission responsible for conducting a comprehensive … in order to receive any funding from those federal programs. 80 Despite improvements in NHs cases of … https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/SNFsCOVID_19.aspx California Association of … How Does Infection Prevention Fit Into a Safety Program? … Primers
Post-Acute Transitional Services: Safety in Home-Based Care Programs
April
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psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
November 01, 2016 - provide such education, which may be required for state licensure or by the ACGME for residency training programs … Fourth, the NAM recommends that government and commercial payers cover comprehensive care programs for … Umscheid, MD, MSCE Associate Professor of Medicine and Epidemiology Vice Chair for Quality and Safety … Physician orders for life-sustaining treatment (POLST): outcomes in a PACE program. … Finding John Doe: Patient matching and the need for a national patient safety identifier.