-
psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
April 27, 2022 - EQUIPPED was designed to decrease the number of PIMs prescribed to older adults upon discharge from the … The analysis revealed that state regulations appeared to reduce opioid use by limiting the number of … As a result, the health system saw reductions in (1) the total number of opioid prescriptions per 100 … patient discharges, (2) the number of opioid prescriptions exceeding a three-day supply, (3) the number … of prescriptions exceeding 30 MME, and (4) the number of prescriptions written for opioids that were
-
psnet.ahrq.gov/issue/effect-medication-reconciliation-patient-reported-potential-adverse-events-after-hospital
April 27, 2022 - to primary care – did not decrease the proportion of patients with adverse events, it did reduce the number … December 22, 2021
Correlation between the number of patient-reported adverse events, … 2021
Effect of medication reconciliation with and without patient counseling on the number … November 9, 2022
Correlation between the number of patient-reported adverse events, adverse
-
psnet.ahrq.gov/web-mm/toxic-tachycardia
September 20, 2023 - In the hospital setting, thyrotoxic storm may be precipitated by a number of events. … Thyrotoxicosis or thyroid storm may be precipitated by a number of clinical stressors including surgery … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research
-
psnet.ahrq.gov/primer/reporting-patient-safety-events
March 30, 2022 - In a sense, event reports supply the numerator (the number of events of a particular type–and even … here, this number only reflects a fraction of all such events) but do not supply the denominator (the … number of patients vulnerable to such an event) or the number of "near misses." … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research
-
psnet.ahrq.gov/issue/seven-pillars-response-patient-safety-incidents-effects-medical-liability-processes-and
January 18, 2017 - Also, the number of malpractice claims, along with their resultant costs, decreased significantly. … October 19, 2022
Effect of restriction of the number of concurrently open records in … May 29, 2019
A national survey assessing the number of records allowed open in electronic … March 13, 2013
Effect of number of open charts on intercepted wrong-patient medication
-
psnet.ahrq.gov/issue/observational-evidence-prevalence-and-association-polypharmacy-and-drug-administration-errors
October 05, 2022 - Findings indicate that medication administration errors increase as the number of prescribed drugs increased … April 27, 2022
Correlation between the number of patient-reported adverse events, adverse … November 18, 2020
Association between limiting the number of open records in a tele-critical … November 30, 2022
Correlation between the number of patient-reported adverse events,
-
psnet.ahrq.gov/web-mm/getting-right-doctor-right-away
January 01, 2016 - near the nurses' station, and looking at the board to determine first call provider's name and pager number … First call teams are required to have an associated service pager number. … At the time of shift change, the oncoming provider signs the virtual pager number assigned to a particular … service (e.g., the pager number for Medicine A Intern 1) over to their personal pager number, which … [go to PubMed]
This project was funded under contract number 75Q80119C00004 from the Agency
-
psnet.ahrq.gov/issue/safety-numbers-evidence-based-development-medicine-management-learning-tool
January 15, 2014 - Special or Theme Issue
Safety in Numbers: Evidence-based Development of a Medicine Management Learning Tool.
Citation Text:
Holland K, ed. Nurse Educ Pract. 2013;13(2):e1-e87.
Copy Citation
Save
Save to your library
Print
Share
Facebook
…
-
psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
March 27, 2024 - I've talked to a number of payers as they're getting into value-based arrangements and quite a number … So we have a number of users both upstream and downstream of our programs and processes. … But we have a number of different programs that try to identify where there are critical measure gaps … How do you see the evolution of the list over time, and do you see the list growing in both number and … You've identified a number of them.
-
psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
April 10, 2024 - In the first year of the COVID-19 pandemic, there was a disproportionate number of COVID-19-related deaths … In response to the rapid spread of COVID-19 and increasing number of deaths in NHs, federal and state … Due to the highly contagious nature of COVID-19 and the number of deaths in NHs, the Senate asked the … State Health Facts: Total Number of Residents in Certified Nursing Facilities. 2020. … https://www.kff.org/other/state-indicator/number-of-nursing-facility-residents/?
-
psnet.ahrq.gov/issue/data-driven-implementation-alarm-reduction-interventions-cardiovascular-surgical-icu
November 16, 2022 - Reducing the number of alarms can help alleviate alarm fatigue and the associated patient safety … In this study, researchers successfully implemented a number of interventions which led to a 61% decrease … April 3, 2013
Effect of restriction of the number of concurrently open records in an
-
psnet.ahrq.gov/periodic-issue/periodic-issue-348
May 16, 2022 - Study
Monitoring preventable adverse events and near misses: number and type identified … Using each of the three methods, this study identified the number and types of near misses and adverse … patients from six hospitals and different clinical departments and found that hospitals differed in the number … Study
Monitoring preventable adverse events and near misses: number and type identified … Using each of the three methods, this study identified the number and types of near misses and adverse
-
psnet.ahrq.gov/perspective/conversation-withtroyen-brennan-md-jd-mph
April 10, 2024 - While I was in medical school, I sampled a number of different graduate programs at Yale, and found that … We published a number of studies from the original data set assessing risk factors for poor quality care … to 98,000 figure [estimate of annual deaths from medical errors in the US] would become this iconic number … But it is clear that over the course of the last 5 to 8 years in a number of states, numerous insurance … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research
-
psnet.ahrq.gov/issue/risk-factors-patient-reported-medical-errors-eleven-countries
March 24, 2021 - Emergency room care, hospitalization, and the number of providers involved were also important predictors … September 4, 2019
Effect of restriction of the number of concurrently open records in … August 15, 2018
A national survey assessing the number of records allowed open in electronic
-
psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
March 20, 2024 - Within 100 feet of the ED nurses' station were several ED doctors, a number of nurses, and a pharmacy … on limited clinical information and in which clinicians are required to provide care to an unlimited number … There are a number of things that nurses and other clinicians can do to prevent medication errors. … Moreover, limits should be placed on the number of vials that can be removed from a single dispensing … [go to PubMed]
This project was funded under contract number 75Q80119C00004 from the Agency
-
psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
March 01, 2015 - BJ : At Bristol we spent a long time trying to measure morbidity, because quite a number of children … It's just the difference between the number of deaths that you get in the hospital and the number that … And they themselves developed more care bundles to cover the diagnoses with the largest number of deaths … The commonly used HSMR is a ratio of the observed number of in-hospital deaths to the number expected … Sensitivity may be increased by enlarging the number of evaluable deaths by including those occurring
-
psnet.ahrq.gov/web-mm/harm-alarm-fatigue
March 27, 2024 - In 2015, for the fourth consecutive year, ECRI listed alarm fatigue as the number one hazard of health … A number of different forces result in an excessive number of cardiac monitor alarms. … This could minimize the number of false alarms for asystole, pause, bradycardia, and transient myocardial … Clinicians should learn how to tailor alarm thresholds to an individual patient to avoid an excessive number … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research
-
psnet.ahrq.gov/issue/impact-duty-hours-resident-self-reports-errors
October 28, 2009 - In this survey of internal medicine residents, the number of hours worked was not associated with a perceived … The results suggest that, in order to reduce errors committed by residents, both the number of hours … July 29, 2015
Effect of restriction of the number of concurrently open records in an
-
psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
April 24, 2024 - Additionally, the program saw residences experience a decrease in the number of falls. … Large, increasing number of older adults who need assistance: By 2030, more than 70 million Americans … will be age 65 or older, twice the number as in 2000. … Fewer falls: The number of residents experiencing falls declined by 22 percent in the first year after … Better nutritional status, more physical activity: The number of residents at moderate nutritional risk
-
psnet.ahrq.gov/perspective/conversation-derek-feeley
April 10, 2024 - For example, we had an outbreak of C. difficile, which resulted in the deaths of a number of patients … RW : As I think about that story, it strikes me that there are a huge number of lessons. … We're working on a number of important things. The first is around trying to reach more people. … For a small not-for-profit organization, IHI has been impactful in terms of the number of people that … Whether the number is 98,000 or 400,000, it's too many.