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Harm Reduction Strategies to Improve Safety for People Who Use Substances | PSNet

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October 30, 2024 - This strategy can involve distribution of test strips that allow PWUS to test for specific substances … For example, someone can use a fentanyl test strip to determine whether their substance contains fentanyl … However, the test strips are inexpensive, early studies show the tests are accurate, 19 and PWUS have … Perspectives on rapid fentanyl test strips as a harm reduction practice among young adults who use drugs … medical care and medications for addiction treatment if needed.

Implications of the failure to identify high-risk electrocardiogram findings for the quality of care of patients with acute myocardial infarction: results of the Emergency Department Quality in Myocardial Infarction (EDQMI) study. | PSNet

psnet.ahrq.gov/issue/implications-failure-identify-high-risk-electrocardiogram-findings-quality-care-patients

July 07, 2021 - The investigators studied medical records of heart attack victims and found that 12% did not have their … April 19, 2011 Use of medical emergency team responses to reduce hospital cardiopulmonary … Topic Emergency Departments Risk Managers Emergency Medicine Cardiology Diagnostic Test

Current challenges in health information technology–related patient safety. | PSNet

psnet.ahrq.gov/issue/current-challenges-health-information-technology-related-patient-safety

July 16, 2015 - Related Resources From the Same Author(s) Graphical display of diagnostic test … April 21, 2021 Is the future of medical diagnosis in computer algorithms? … December 19, 2018 Patient groups, clinicians and healthcare professionals agree—all test

Diagnostic error in mental health: a review. | PSNet

psnet.ahrq.gov/issue/diagnostic-error-mental-health-review

October 19, 2012 - August 7, 2019 A virtual breakthrough series collaborative for missed test results: a … November 13, 2024 Why test results are still getting "lost" to follow-up: a qualitative … The role of bias in clinical decision-making of people with serious mental illness and medical

Right Patient, Wrong Sample | PSNet

psnet.ahrq.gov/web-mm/right-patient-wrong-sample

June 01, 2004 - Mismatch of patient identifiers or failure to label the tube leads to test cancellation and caregiver … Delta checking is an automated comparison of the patient’s current and previous lab test value, and the … Direct interfacing of LIS to electronic medical record with elimination of printed reports. … Autovalidation reduces manual review of test results. … Communicating pathology and laboratory errors: anatomic pathologists' and laboratory medical

Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems. | PSNet

psnet.ahrq.gov/issue/enhancing-patient-safety-integrating-ethical-dimensions-critical-incident-reporting-systems

January 12, 2022 - patient-related communication, (2) consent, autonomy, and patient interest, (3) conflicting economic and medical … April 13, 2022 Psychological safety during the test of new work processes in an emergency … April 6, 2022 When bad things happen: training medical students to anticipate the aftermath … of medical errors.

Improving communication with primary care physicians at the time of hospital discharge. | PSNet

psnet.ahrq.gov/issue/improving-communication-primary-care-physicians-time-hospital-discharge

November 16, 2022 - Through these interventions, the pediatric medical service was able to increase verbal communication … April 24, 2018 Changes in medical errors after implementation of a handoff program. … Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … August 15, 2016 Workarounds and test results follow-up in electronic health record–based

How providers can optimize effective and safe scribe use: a qualitative study. | PSNet

psnet.ahrq.gov/issue/how-providers-can-optimize-effective-and-safe-scribe-use-qualitative-study

November 18, 2020 - Medical scribes are increasingly being utilized to reduce the time burden on clinicians for electronic … In this secondary analysis, researchers identified three themes for safe use of medical scribes: communication … Citation Related Resources From the Same Author(s) Safe use of the EHR by medical … January 29, 2020 An initiative to improve the management of clinically significant test

Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis | PSNet

psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis

October 28, 2020 - Laboratory test results revealed a mildly elevated white count, acute kidney injury, and elevated liver … CT scans of his head and abdomen were ordered, and he was admitted to the medical intensive care unit … The clinical signs and symptoms are nonspecific, and there is no gold standard test that confirms the … Although procalcitonin testing can aid in the diagnosis of bacterial infection and sepsis, the test has … Take-Home Points Sepsis is a medical emergency, as delays in diagnosis and management are associated

Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication error reductions. | PSNet

psnet.ahrq.gov/issue/time-dependent-drug-drug-interaction-alerts-care-provider-order-entry-software-may-inhibit

March 10, 2011 - January 23, 2019 Impact of interactions between drugs and laboratory test results on … diagnostic test interpretation—a systematic review. … , 2011 The impact of prescribing safety alerts for elderly persons in an electronic medical

Artificial Intelligence and Diagnostic Errors | PSNet

psnet.ahrq.gov/perspective/artificial-intelligence-and-diagnostic-errors

January 31, 2020 - Artificial intelligence in medical imaging: threat or opportunity? … The question becomes how do we test on an ongoing basis the accuracy of AI, particularly when we get … not going to be reimbursed because they didn’t have that information two days later and repeated the test … November 17, 2021 Variation in electronic test results management and its implications … See More About The Topic Radiology Diagnostic Errors Clinical Misdiagnosis Diagnostic Test

Communication Between Clinicians | PSNet

psnet.ahrq.gov/primer/communication-between-clinicians

September 15, 2024 - For example, if a patient on a medical ward begins to deteriorate, the bedside nurse will need to communicate … For example, read-back protocols are now standard practice for communication of critical test results … communication" as one of its National Patient Safety Goals , emphasizing the importance of communicating test … July 20, 2022 Frequency and nature of communication and handoff failures in medical malpractice claims … May 11, 2011 Assessing and improving safety culture throughout an academic medical centre

Care Transitions | PSNet

psnet.ahrq.gov/perspective/care-transitions

December 01, 2007 - , follow-up of test results, or completion of diagnostic work-ups.( 1 ) Approximately 20% of patients … follow-up care, such as discharge medications (absent from a median of 21% of discharge summaries), pending test … other domains crucial to patient safety and continuity of care—such as discharge medications, pending test … availability of information technology is also needed to support medication reconciliation, flag pending test … recommendations on what to do if the condition worsens, follow-up appointments, and pending items (e.g., test

Workplace Safety Supplemental Item Set for Hospital SOPS. | PSNet

psnet.ahrq.gov/issue/workplace-safety-supplemental-item-set-hospital-sops

December 24, 2008 - Included with the data set is a report of the pilot test of the finding. … July 6, 2022 Medical Office Survey on Patient Safety Culture. … September 1, 2021 SOPS Medical Office Database.

Burnout and Resilience and Quality and Safety Programs in Obstetrics and Gynecology. | PSNet

psnet.ahrq.gov/issue/burnout-and-resilience-and-quality-and-safety-programs-obstetrics-and-gynecology

May 29, 2019 - March 19, 2008 Medical Errors and Safety Systems. … March 29, 2017 Five simple steps to avoid becoming a medical mystery. … December 20, 2017 Electronic medicine can send you test results quickly. … April 11, 2018 View More Related Resources Addressing Medical Gaslighting … April 16, 2018 Medical Errors and Safety Systems.

Incidence, staff awareness and mortality of patients at risk on general wards. | PSNet

psnet.ahrq.gov/issue/incidence-staff-awareness-and-mortality-patients-risk-general-wards

November 15, 2023 - RIS Download Citation Related Resources From the Same Author(s) Medical … June 21, 2017 Test-retest reliability of an experienced Global Trigger Tool review team … April 20, 2011 Teamwork on inpatient medical units: assessing attitudes and barriers. … Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical … /Surgical Nursing Discontinuities, Gaps, and Hand-Off Problems Medical Complications Epidemiology

Automated detection of wrong-drug prescribing errors. | PSNet

psnet.ahrq.gov/issue/automated-detection-wrong-drug-prescribing-errors

April 12, 2017 - electronic health record data on medication orders and diagnostic claims data from a single academic medical … January 19, 2012 Notification of abnormal lab test results in an electronic medical record … , 2011 The impact of prescribing safety alerts for elderly persons in an electronic medical

The Evidence-Based Physical Examination as a Patient Safety Practice | PSNet

psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice

November 01, 2012 - I often worry that, in our effort to save time, we don't see the patient and we order a test. … Examining them takes just a few minutes, might spare them the test, and might actually allow you to order … a better test or ask a better question of the test. … I work at one of the most sophisticated medical centers in the world and I love technology. … skill at the bedside where you can take a history and a good physical and say, "This is a high-yield test

The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues. | PSNet

psnet.ahrq.gov/issue/5th-national-audit-project-nap5-accidental-awareness-during-general-anaesthesia-patient

October 01, 2014 - Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical … November 20, 2015 Impact of interactions between drugs and laboratory test results on … diagnostic test interpretation—a systematic review.

Improving the safety of health information technology requires shared responsibility: it is time we all step up. | PSNet

psnet.ahrq.gov/issue/improving-safety-health-information-technology-requires-shared-responsibility-it-time-we-all

August 20, 2014 - 2023 Application of human factors methods to understand missed follow-up of abnormal test … July 1, 2017 Electronic detection of delayed test result follow-up in patients with hypothyroidism … September 28, 2017 The evolving role of medical scribe: variation and implications for

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