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Total Results: 2,105 records

Showing results for "including".

181. Medication Errors and Adverse Drug Events | PSNet
     psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
     December 15, 2024 - Studies have shown that both  caregivers (including  parents of sick children ) and patients themselves … Integration of information technology solutions (including computerized provider order entry and barcode … epidemic has spurred the development of multiple initiatives to reduce inappropriate opioid prescribing, including … to align the efforts of federal health agencies to reduce patient harms from specific medications, including

182. Addressing Workplace Violence and Creating a Safer Workplace | PSNet
     psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
     October 31, 2023 - over the course of a year, 39% of healthcare workers experienced violence from patients and families (including … stress and burnout negatively impact patient safety culture , leading to consequent safety issues including … leading healthcare organizations, associations, patient and family advocates, and federal agencies, including … Organizations can also think carefully about the organizational actions needed, including evidence from … Jones: There are different types of policy, including public policy, system policies (like the Joint

183. Disruptive and Unprofessional Behavior | PSNet
     psnet.ahrq.gov/primer/disruptive-and-unprofessional-behavior
     September 15, 2024 - Commission requires that organizations have an explicit code of conduct policy for all staff and recommends including … systems-level approach to identifying, monitoring, and remediating poorly performing physicians, including … Current Context The Joint Commission's Leadership Standard went into effect in 2009, including mandates

184. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. | PSNet
     psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
     July 19, 2023 - lines carry the potential for increased mortality and morbidity related to serious complications , including … have been associated with an increased risk of infection or thrombus in patients with a PICC line, including … PICC can remain in place for prolonged periods and thus support a wide array of continued therapies, including … administration of intermittent fluids, parenteral nutrition, chemotherapy, and other therapies, including … Good communication, including “closing the loop” between caregivers and patients, is vital to promoting

185. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery | PSNet
     psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
     September 27, 2023 - interval between LMWH and spinal needle placement in this case is not in line with national guidelines including … performing the neuraxial procedure was not familiar with the patient's pertinent clinical history, including … Not including pertinent information about this patient’s anticoagulation in the standard preoperative … Implementation of team-based simulations including an emergency cesarean simulation involving obstetrics … Neuraxial analgesia for labor and delivery (including instrumented delivery). UpToDate.

186. Maternal Safety | PSNet
     psnet.ahrq.gov/curated-library/maternal-safety
     January 31, 2024 - Many organizations, including The Joint Commission and the National Partnership for Maternal Safety, … Researchers interviewed health care professionals, including... … Researchers interviewed health care professionals, including frontline nurses and physicians, chief medical … conference model to review cases of serious maternal harm and implemented several safety measures (including … Many organizations, including The Joint Commission and the National Partnership for Maternal Safety,

187. Disrespectful behaviors—part 1 and part 2. | PSNet
     psnet.ahrq.gov/issue/disrespectful-behaviors-part-1-and-part-2
     June 10, 2018 - bullying and intimidation exist and outlines recommendations for organizations to address the problem, including

188. The Human Contribution: Unsafe Acts, Accidents and Heroic Recoveries. | PSNet
     psnet.ahrq.gov/issue/human-contribution-unsafe-acts-accidents-and-heroic-recoveries
     August 06, 2016 - In this book, Reason discusses approaches to managing complex hazardous systems—including healthcare—and

189. Partnering with Patients to Drive Shared Decisions, Better Value, and Care Improvement—Workshop Proceedings. | PSNet
     psnet.ahrq.gov/issue/partnering-patients-drive-shared-decisions-better-value-and-care-improvement-workshop
     September 23, 2015 - on a workshop that explored methods to engage patients and families in safety improvement efforts, including

190. The Patient Education Materials Assessment Tool (PEMAT) and User's Guide: An Instrument to Assess the Understandability and Actionability of Print and Audiovisual Patient Education Materials. | PSNet
     psnet.ahrq.gov/issue/patient-education-materials-assessment-tool-pemat-and-users-guide-instrument-assess
     December 24, 2008 - This tool offers a method to assess patients' ability to understand and use education materials, including

191. Medication errors affecting pediatric patients: unique challenges for this special population. | PSNet
     psnet.ahrq.gov/issue/medication-errors-affecting-pediatric-patients-unique-challenges-special-population
     January 20, 2016 - This article analyzed more than 4000 pediatric medication errors to determine contributing factors, including

192. Rethinking Patient Safety. | PSNet
     psnet.ahrq.gov/issue/rethinking-patient-safety
     April 13, 2018 - large-scale improvement project in the NHS to inform its discussion of key patient safety topics, including

193. Medicare says it won't cover hospital errors. | PSNet
     psnet.ahrq.gov/issue/medicare-says-it-wont-cover-hospital-errors
     November 28, 2016 - mandating that Medicare will no longer pay for treating certain preventable errors starting in 2008, including

194. Improving nursing unit teamwork. | PSNet
     psnet.ahrq.gov/issue/improving-nursing-unit-teamwork
     January 18, 2011 - The authors share several strategies for improving teamwork among nurses, including standardizing the

195. ISMP's List of Confused Drug Names. | PSNet
     psnet.ahrq.gov/issue/ismps-list-confused-drug-names
     August 21, 2015 - Reporting Program , this fact sheet provides a comprehensive list of commonly confused medication names, including

196. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33599/psn-pdf
     August 30, 2023 - This survey, however, only tested people’s ability to understand and use written health information, including … on different aspects of health literacy; summaries of those works have been published by the NASEM including … Health literacy is affected by many factors, including socioeconomic status, culture, and language.11 … and adverse events include medication errors, communication errors, patients with serious conditions including … health care providers must integrate a health literacy approach to care in all health care settings including

197. Personal Health Literacy | PSNet
     psnet.ahrq.gov/primer/personal-health-literacy
     October 31, 2023 - This survey, however, only tested people’s ability to understand and use written health information, including … on different aspects of health literacy; summaries of those works have been published by the NASEM including … Health literacy is affected by many factors, including socioeconomic status, culture, and language. 11 … adverse events include medication errors , communication errors , patients with serious conditions including … health care providers must integrate a health literacy approach to care in all health care settings including

198. Approach to Improving Patient Safety: Communication | PSNet
     psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
     August 31, 2020 - Communication throughout a patient’s interaction with the health care system, including during diagnosis … , treatment, and transitions to other settings of care including the home, helps to ensure patients and … discharge, and one-quarter of those patients did not understand the next steps after leaving the ED, including … This type of inadequate communication at handoffs contributes to adverse events, including medication … These practices have been shown to have a positive impact on outcomes, including readmissions.

199. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33581/psn-pdf
     December 15, 2024 - Studies have shown that both caregivers (including  parents of sick children) and patients themselves … Integration of information technology solutions (including computerized provider order entry and barcode … epidemic has spurred the development of multiple initiatives to reduce inappropriate opioid prescribing, including … to align the efforts of federal health agencies to reduce patient harms from specific medications, including

200. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-473
     March 25, 2025 - PSNet highlights the latest patient safety literature, news, and expert commentary, including … The study highlights key areas for improving teamwork, including communication quality, leadership dynamics … piece discusses the role that healthcare providers and organizations can play in suicide prevention, including … PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly