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Total Results: 2,105 records

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101. Medication Reconciliation Victory After an Avoidable Error | PSNet
     psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
     April 01, 2015 - In all, seven prescription medications were returned, including Flexeril 10 mg TID, glipizide 10 mg daily … should have received counseling and educational material from the pharmacies describing the medication, including … Phenobarbital, other barbiturates Highly addictive, high risk of adverse events including sedation

102. Measuring Patient Safety | PSNet
     psnet.ahrq.gov/perspective/measuring-patient-safety
     December 14, 2022 - Prior work focused on patient safety measurement, including the transition to digital measures, will … CCSQ works collaboratively across all centers in CMS including Medicare, Medicaid, the Marketplace and … The programs cover almost all facilities, including post-acute care from skilled nursing facilities, … There are many explanations for these increases — including COVID-19 itself. … This also allows the transition from primarily chart-abstracted or claims-based measures to including

103. In Conversation With... Dr. Michelle Schreiber on Measuring Patient Safety | PSNet
     psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
     December 14, 2022 - CCSQ works collaboratively across all centers in CMS including Medicare, Medicaid, the Marketplace and … The programs cover almost all facilities, including post-acute care from skilled nursing facilities, … Many people look to our websites, including the Care Compare sites, which provide performance measure … There are many explanations for these increases — including COVID-19 itself. … This also allows the transition from primarily chart-abstracted or claims-based measures to including

104. How medical jargon can make COVID health disparities even worse. | PSNet
     psnet.ahrq.gov/issue/how-medical-jargon-can-make-covid-health-disparities-even-worse
     July 28, 2021 - patient education effectiveness during the pandemic and highlights several efforts to address them including

105. Do not let "Depo-" medications be a depot for mistakes. | PSNet
     psnet.ahrq.gov/issue/do-not-let-depo-medications-be-depot-mistakes
     March 15, 2022 - convention, this newsletter article offers recommendations to reduce risks related to these drugs, including

106. Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. | PSNet
     psnet.ahrq.gov/issue/criminalization-human-error-and-guilty-verdict-travesty-justice-threatens-patient-safety
     September 07, 2022 - highlights the negative impacts the recent criminal conviction of a nurse could have for patient safety, including

107. Thinking in three's: changing surgical patient safety practices in the complex modern operating room. | PSNet
     psnet.ahrq.gov/issue/thinking-threes-changing-surgical-patient-safety-practices-complex-modern-operating-room
     April 28, 2021 - explores strategies to prevent surgical fires, wrong-site surgeries , and retained surgical objects, including

108. Achieving Excellence in Cancer Diagnosis: Proceedings of a Workshop—in Brief. | PSNet
     psnet.ahrq.gov/issue/achieving-excellence-cancer-diagnosis
     May 11, 2022 - Diagnostic errors remain an ongoing challenge in many medical specialties, including oncology .

109. Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. Proceedings of a Workshop–in Brief. | PSNet
     psnet.ahrq.gov/issue/lessons-learned-covid-19-pandemic-improve-diagnosis-proceedings-workshop-brief
     April 20, 2022 - The COVID-19 crisis affected most health care processes, including diagnosis .

110. Never Events for Hospital Care in Canada: Safer Care for Patients. | PSNet
     psnet.ahrq.gov/issue/never-events-hospital-care-canada-safer-care-patients
     August 12, 2020 - the results of a consensus effort to determine a list of never events for hospital care in Canada, including

111. Radiation risks of diagnostic imaging and fluoroscopy. | PSNet
     psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging
     June 18, 2021 - This alert reviews specific strategies organizations should take to minimize radiation risks, including

112. Changing our culture: adopting the military aviation safety system. | PSNet
     psnet.ahrq.gov/issue/changing-our-culture-adopting-military-aviation-safety-system
     November 21, 2021 - The author examines how these strategies—including checklists , crew resource management, and audits

113. Patient safety in dermatology: a review of the literature. | PSNet
     psnet.ahrq.gov/issue/patient-safety-dermatology-review-literature
     May 25, 2022 - This review examines numerous safety issues relevant to outpatient dermatology practice, including medication

114. Patient safety culture in nephrology nurse practice settings: initial findings. | PSNet
     psnet.ahrq.gov/issue/patient-safety-culture-nephrology-nurse-practice-settings-initial-findings
     August 10, 2022 - overall interest in patient safety and teamwork , but also identified numerous areas for improvements, including

115. Pharmacy-led medication reconciliation is best practice. | PSNet
     psnet.ahrq.gov/issue/pharmacy-led-medication-reconciliation-best-practice
     September 30, 2020 - This article describes the impacts of pharmacist involvement, including lower hospital readmissions

116. The Role of Undergraduate Nursing Education in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
     November 27, 2023 - Their responsibilities encompass a wide spectrum of care tasks that can impact safety, including administering … Classroom Instruction In the classroom, educators use a plethora of pedagogical strategies, including … Case studies, including both one-time and unfolding scenarios, present students with complex patient … In that capacity, I have served on numerous education initiatives, including the recent re-envisioning … It includes multiple resources, including learning and assessment strategies for programs.

117. 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 - In that capacity, I have served on numerous education initiatives, including the recent re-envisioning … Under this initiative, AACN offered 12 learning modules, including six focused on undergraduate education … The competencies are relevant for any area of practice, including the patient safety-related and quality … It includes multiple resources, including learning and assessment strategies for programs. … Case studies, including both one-time and unfolding scenarios, present students with complex patient

118. Surgical Site Infections | PSNet
     psnet.ahrq.gov/primer/surgical-site-infections
     December 15, 2024 - factors (such as age, tobacco use, diabetes, and malnutrition) and procedure-specific risk factors (including … This project aims to address multiple types of patient harm, including SSI and other harms, in an integrated … The Joint Commission includes use of guidelines to prevent health care-associated infections, including … 2010 and 2015 and remained stable through 2017 , translating into significant benefits for patients (including

119. WebM&M: Case Studies | PSNet
     psnet.ahrq.gov/webmm-case-studies
     March 25, 2025 - was initially stable upon arrival, though with signs of fluid overload and electrolyte abnormalities including … Despite treatment including heparin, amiodarone, and metoprolol for atrial fibrillation, and interventions … Three weeks later, he presented with ongoing symptoms including worsening cognition and increased headache … emergency department (ED) who suffered falls during their care, despite recognition of risk factors including … The commentary discusses the importance of preoperative discussions about post-operative care, including

120. When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)! | PSNet
     psnet.ahrq.gov/web-mm/when-taking-sglt2-inhibitor-remember-sstop-stop-sglt2-inhibitor-three-days-bef-o-re
     February 01, 2023 - and the patient was discharged the next day with instructions to resume all his prior medications, including … class of medications has been shown to improve glycemic control with a favorable cardiorenal profile, including … However, these medications can have adverse events, including genitourinary infections and eDKA. 4,5 … the most appropriate and safe medication regimens. 14 This approach involves multiple stakeholders, including … Assess the patient's risk factors, including comorbidities and conditions that may affect medication