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Total Results: 9,165 records

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161. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-472
     February 26, 2025 - PSNet highlights the latest patient safety literature, news, and expert commentary, including … These tools evaluated 71 dimensions of patient safety, including teamwork, safety climate, and communication … Bias, including bias in clinical documentation, negatively impacts care of marginalized patients. … This study sought to understand staff perspectives on including in situ simulation as a component of … PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly

162. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_stable_airway_slides_final.pptx
     January 01, 2024 - This commentary will discuss tracheostomy function, proper care, and complications, including how tracheostomy … adequate body temperature and minute ventilation.3 HMEs have additional limitations, including added … the patients with tracheostomies who may be at increased risk for greater morbidity and mortality, including … during transitions of care between ICU and lower levels of care, and especially between institutions including … and occluded tubes.20 Clinicians should have an appropriately sized tracheostomy tube replacement, including

163. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836842/psn-pdf
     April 07, 2022 - In response to resource limitations, this multi-center study including five Ascension hospitals assessed … the impact of a telepharmacy pilot program including virtual pharmacy technicians (vCPhT) to obtain

164. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60222/psn-pdf
     April 15, 2020 - The review analyzed 297 publications focused on three types of interventions: (1) training, including … crew resource management, TeamSTEPPS and simulations, (2) tools, including SBARs and checklists, and

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60314/psn-pdf
     May 13, 2020 - situ-simulation-enhance-infection-control-systems- intensive-care-unit This study used high-fidelity clinical simulation to replicate admission, including … participants, several infection control-related workflow problems and safety threats were identified, including

166. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854836/psn-pdf
     August 01, 2014 - https://psnet.ahrq.gov/issue/foundations-safety-science Safety science crosses many disciplines including … This special issue describes the state of safety science from a range of perspectives, including the

167. Patient Safety Indicators | PSNet
     psnet.ahrq.gov/primer/patient-safety-indicators
     June 15, 2024 - inform healthcare providers in efforts to develop systems and processes to prevent harm to patients, including … Outcome measures of patient safety, including hospital acquired infections, hospital acquired conditions … concerns by developing a set of indicators to measure patient safety for post-acute care facilities , including … hospitals “that could have been potentially prevented by implementing evidence-informed practice,” including … reporting, the Organization for Economic Cooperation and Development has adapted 6 of AHRQ’s PSIs, including

168. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-469
     December 31, 2024 - PSNet highlights the latest patient safety literature, news, and expert commentary, including … This cross-sectional study, including general practitioner practices in 37 European countries and Israel … Using data (including from the Hospital Survey on Patient Safety Culture™ [SOPS®]), this cross-sectional … Despite treatment including heparin, amiodarone, and metoprolol for atrial fibrillation, and interventions … PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly

169. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49750/psn-pdf
     January 01, 2016 - Discuss poor communication as a potential underlying cause of safety risks, including missed nursing … Identify strategies for improving communication to facilitate direct patient admissions, including reducing … nurse supervisor, responsible on a shift-by-shift basis for overseeing hospital-wide patient flow including … Off-going staff nurse communicates possible arrival of planned admission to oncoming nurse, including … Bedside shift handoff improves completion rates of nursing care including medication administration.

170. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865411/psn-pdf
     March 27, 2024 - The emergent nature of the patient’s cesarean delivery increased her risk for complications including … Background Worldwide, including the United States, obstetric hemorrhage is the leading cause of severe … Abnormal findings should trigger more thorough bedside evaluation, including history-taking and physical … , it is important to acknowledge and address large racial disparities in maternal health outcomes, including … /Systems Learning A growth mindset should prevail when analyzing the response to an adverse event, including

171. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/857260/psn-pdf
     November 30, 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 … audit the medication management process to identify areas for improvement and ensure patient safety, including

172. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73905/psn-pdf
     October 06, 2021 - These measures primarily include assessment of maternal mortality and morbidity, including outcomes … importance of safety as a positive concept and the impact that structural and social determinants, including … root causes of disparities in maternal safety has become an increasing priority in the United States, including … parents, their infants, and their dyadic relationships.7 Through their PSLL’s mixed-methods study, including … limited English proficiency; patient-centered quality metrics, timing, and process; and more solutions, including

173. Dropping to New Lows | PSNet
     psnet.ahrq.gov/web-mm/dropping-new-lows
     December 18, 2024 - to (i) prevent hyperglycemia and hypoglycemia, both of which are associated with adverse outcomes (including … Patients often have contraindications to their use while hospitalized, including NPO status (taking nothing … daily decisions regarding insulin doses.( 3 ) In the above case, given the patient's comorbidities, including … 2: The endocrinologist believed there were multiple reasons for the hard-to-control blood sugars including … Order sets can be designed for many scenarios, including transition from intravenous to subcutaneous

174. In Conversation with... Christie Allen about Maternal Safety and Perinatal Mental Health | PSNet
     psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
     March 29, 2023 - Could tell us about how the AIM Program aligns with AHRQ’s maternal health initiatives, including the … The MMRC data identified that mental and behavioral health conditions, including substance use disorders … The bundle is focused on best practices, including transitions of care, screening, and referral. … Healthcare providers should routinely screen for perinatal mental health problems, including depression … A variety of mental health screening tools is available, including the Edinburgh Postnatal Depression

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49700/psn-pdf
     February 01, 2014 - She underwent cardiopulmonary resuscitation including chest compressions and defibrillation. … Patients with acute coronary syndromes (ACS) are at increased risk for multiple heart rhythm disorders, including … common following ACS, affecting more than 50% of patients.(1) NSVT can have many causes following ACS, including … have been expected, the increasing frequency should have raised concern and more in-depth evaluation, including … patients (such as the one described above) need to be proficient in responding to sustained VT/VF, including

176. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44885/psn-pdf
     April 22, 2016 - Clinicians often feel pressured to work while sick or fatigued because of cultural and system factors, including … The authors recommend strategies and policies to address this problem, including promoting professionalism

177. Implementing a Fall Prevention Program | PSNet
     psnet.ahrq.gov/perspective/implementing-fall-prevention-program
     November 29, 2023 - ) The causes of falls are complex, with the risk factors most frequently found in hospital patients including … Simple methods of doing this, including a spreadsheet to automatically calculate predictive values, are … A focus on prevention, detection, and treatment of delirium, including dip-testing urine for indications … A postfall review used as an opportunity to plan secondary prevention, including a careful history to … Continence management, including routines of offering frequent assistance to use the toilet.

178. A Room Without Orders | PSNet
     psnet.ahrq.gov/web-mm/room-without-orders
     September 01, 2011 - Discuss poor communication as a potential underlying cause of safety risks, including missed nursing … Identify strategies for improving communication to facilitate direct patient admissions, including reducing … a nurse supervisor, responsible on a shift-by-shift basis for overseeing hospital-wide patient flow including … Off-going staff nurse communicates possible arrival of planned admission to oncoming nurse, including … Bedside shift handoff improves completion rates of nursing care including medication administration.(

179. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39959/psn-pdf
     December 21, 2014 - are now required to report adherence to measures intended to prevent post-surgical complications, including … These measures are being publicly reported by groups including the Centers for Medicare and Medicaid

180. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841567/psn-pdf
     December 14, 2022 - Patient charts contain detailed clinical data including information about patient safety events and … is increasingly now an important focus on addressing healthcare disparities and inequities in care, including … The NSC recommends including patients, families, and care partners in initiatives that could help improve … Prior work focused on patient safety measurement, including the transition to digital measures, will … Ensuring that best practices for safety are deployed throughout healthcare, including patients and individuals