Results

Total Results: 2,105 records

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301. Associations between stopping prescriptions for opioids, length of opioid treatment, and overdose or suicide deaths in US veterans: observational evaluation. | PSNet
     psnet.ahrq.gov/issue/associations-between-stopping-prescriptions-opioids-length-opioid-treatment-and-overdose-or
     April 05, 2017 - The authors recommend that efforts to improve opioid safety include assessing risks that may place patients

302. Changes in prevalence of health care-associated infections in U.S. hospitals. | PSNet
     psnet.ahrq.gov/issue/changes-prevalence-health-care-associated-infections-us-hospitals
     December 18, 2014 - Successful programs to avert HAIs include the comprehensive unit-based safety program to reduce catheter-related

303. Influence of organizational climate and clinician morale on seclusion and physical restraint use in inpatient psychiatric units. | PSNet
     psnet.ahrq.gov/issue/influence-organizational-climate-and-clinician-morale-seclusion-and-physical-restraint-use
     August 21, 2018 - that initiatives aimed at reducing restraints and seclusion in inpatient psychiatric facilities also include

304. Outcomes associated with the nationwide introduction of rapid response systems in the Netherlands. | PSNet
     psnet.ahrq.gov/issue/outcomes-associated-nationwide-introduction-rapid-response-systems-netherlands
     January 18, 2013 - Barriers to rapid response team implementation include personnel costs as well as existing culture

305. A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1. | PSNet
     psnet.ahrq.gov/issue/descriptive-study-morbidity-and-mortality-conferences-and-their-conformity-medical-incident
     September 28, 2010 - Conferences generally did not include recommended elements for analyzing and learning from errors (

306. Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement. | PSNet
     psnet.ahrq.gov/issue/guidance-health-care-leaders-during-recovery-stage-covid-19-pandemic-consensus-statement
     December 21, 2017 - Imperatives addressed in the framework include supporting staff well-being and psychological health

307. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837659/psn-pdf
     July 08, 2022 - Subjective assessments include the patient’s ability to respond purposefully to verbal commands, the … Common sedation assessments used in practice include the Richmond Agitation and Sedation Scale (RASS … Risk factors for oversedation in the setting of opioid administration include obesity; hepatic, renal … medications, which can lead to potential complications such as oversedation.13,15 Risk reduction strategies include

308. In Conversation With... Cindy Brach | PSNet
     psnet.ahrq.gov/perspective/conversation-cindy-brach
     December 27, 2019 - It teaches how to include interpreters as part of the care team. … KH: Does the module go beyond health literacy and language barriers to include cultural considerations … Specific actions include hiring the right staff or bi-lingual, bicultural individuals and providing cultural … This may include a community health center or other primary care or specialty care services. … The module includes train-the-trainer resources and instructional guides that include short case studies

309. Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer | PSNet
     psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
     February 26, 2025 - Key components of the ASN innovation include working groups to steer the process, design, and deployment … Patient tracking and outreach should include all stakeholders in the design process and should be refined … relevant follow-up. 17,23 The design requires radiologists to make an explicit recommendation that must include … and a phone call to the patient was added, in August of 2018 scheduled appointments jumped to 43, to include … completing a follow-up on account of safety net intervention. 1 Additional results of this innovation include

310. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48106/psn-pdf
     July 24, 2019 - Topics covered include team leadership, learning and continuous improvement, clarifying roles, structured

311. The Role of Undergraduate Nursing Education in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
     November 27, 2023 - The baccalaureate Essentials include domains in areas such as organizational and systems leadership … All of these include KSAs (or knowledge, skills, and abilities) related to safety and quality outcomes … This would include lectures, case studies, skills labs, simulation, online and printed resources, as … These modules include patient-centered care, teamwork and collaboration, evidence-based practice, QI, … Each school or program designs its curriculum to include direct patient care experiences.

312. In Conversation with... Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
     November 27, 2023 - The baccalaureate Essentials include domains in areas such as organizational and systems leadership … All of these include KSAs (or knowledge, skills, and abilities) related to safety and quality outcomes … This would include lectures, case studies, skills labs, simulation, online and printed resources, as … These modules include patient-centered care, teamwork and collaboration, evidence-based practice, QI, … Each school or program designs its curriculum to include direct patient care experiences.

313. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851184/psn-pdf
     July 05, 2023 - After seeking care, factors contributing to delayed diagnosis include seeing a locum general practitioner

314. Swiss Cheese Model | PSNet
     psnet.ahrq.gov/taxonomy/term/3460
     April 10, 2025 - For example, if the hazard were wrong-site surgery, slices of the cheese might include conventions for

315. Getting to the Root of the Matter | PSNet
     psnet.ahrq.gov/web-mm/getting-root-matter
     September 01, 2005 - Pertinent facts include (i) a verbal direction was given by the fellow to the resident to order vasopressin … For a case such as this, other members of the team should include an ICU physician, as well as representatives … The process could include complete medication reconciliation and review at patient entry and exit into … doses by the team should happen every morning (perhaps twice daily in an ICU) on rounds and should include … In addition, smart systems could include admitting diagnoses and, by combining that with patient location

316. The Impact of Communication on Medication Errors | PSNet
     psnet.ahrq.gov/web-mm/impact-communication-medication-errors
     August 01, 2009 - Typical errors include prescribing the wrong medication, route, dose, or frequency. … potentially inappropriate medications as indicated by the Beers Criteria . 2   Contributing factors include … Root causes can include breakdowns in communication, patient and caregiver education, and accountability … Risk factors for unsuccessful handoffs include conflicting expectations between sender and receiver, … evidence-based strategies that healthcare providers can employ for engaging patients and caregivers include

317. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866902/psn-pdf
     October 09, 2024 - Factors contributing to unprofessional behavior include workplace disempowerment, organizational uncertainty

318. Discharge Planning and Transitions of Care | PSNet
     psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
     June 15, 2024 - or hospitalizations) than those who did not. 9 Challenges to understanding discharge instructions include … Furthermore, education provided from different healthcare providers may include conflicting or confusing … document required components for a safe discharge. 16,17   One study found that 1 in 10 discharges include

319. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851389/psn-pdf
     July 31, 2023 - Key components of the ASN innovation include working groups to steer the process, design, and deployment … Patient tracking and outreach should include all stakeholders in the design process and should be refined … relevant follow-up.17,23 The design requires radiologists to make an explicit recommendation that must include … and a phone call to the patient was added, in August of 2018 scheduled appointments jumped to 43, to include … completing a follow-up on account of safety net intervention.1 Additional results of this innovation include

320. Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery. | PSNet
     psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
     September 25, 2019 - The TPN order included glucose and standard nutrients but did not include any supplemental vitamins or … multiple steps, and interrelated parts –instead, it is a complex activity . 2,3 Complex activities include … The differential diagnosis at this initial presentation of nausea and vomiting appeared to include mechanical … to change the differential diagnosis from focusing on anatomic, postoperative complications alone to include … These barriers include professional hierarchy, time pressure, challenging workloads, and inadequate structures