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psnet.ahrq.gov/node/50614/psn-pdf
October 30, 2019 - Second, the patients getting PICCs were fundamentally different from hospitalized
patients in that they … that of
cancer patients—about 13%. … Second, thrombosis can often cause a lot of patient discomfort. … We are actively looking to diffuse that so everyone can experience the Michigan MAGIC! … And if you choose patient, information on what
patients need to know about their PICCs—what questions
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psnet.ahrq.gov/web-mm/carpe-diem-seize-day
September 01, 2012 - patient myself. … First, doctors caring for these patients should familiarize themselves with local state regulations and … In Maryland, our affiliate of the Epilepsy Foundation released a pamphlet for patients and health care … Risk factors for seizure-related motor vehicle crashes in patients with epilepsy. … : opportunities to prevent patient harm.
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psnet.ahrq.gov/node/47189/psn-pdf
August 17, 2018 - Association of opioid-related adverse drug events with
clinical and cost outcomes among surgical patients … Patients receiving higher dose and longer duration of
opioids were more likely to experience adverse … mortality risk, and a higher rate of
readmissions compared to those who did not experience problems … The authors
call for reducing opioid use in acute care, postoperative settings in order to improve patient … psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
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psnet.ahrq.gov/node/837658/psn-pdf
July 08, 2022 - The plan was to transition the patient to hospice the following day. … as a
result, patients are often discharged with ongoing care needs. … The patient in the described case was an unfortunate victim of discontinuity of care. … In these situations, decisions for the unrepresented patient fall
to the medical provider. … Jt Comm J Qual Patient Saf.
2017;43(11):565-572. doi: 10.1016/j.jcjq.2017.06.004.
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psnet.ahrq.gov/node/49466/psn-pdf
October 14, 2004 - accidents-waiting-to-happen, and putting steps into place to
reduce the likelihood of accidents, thus protecting patients … In addition, risk managers
are duty-bound not only to protect patients from injury, but also to protect … Having a
standard order to allow speech therapists to place patients on NPO status when necessary is … A study of patients and relatives taking
legal action. … Communication with patients and other customers: the ultimate loss control tool.
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psnet.ahrq.gov/node/49492/psn-pdf
November 01, 2005 - Although
reconciliation is always useful, it is particularly crucial when patients are unable to provide … Many patients can and do
provide accurate medication histories. … Individually, patients should be encouraged
to carry their medication lists and present them at each … be different from that for patients admitted through the
ED or a nursing home. … OSF Healthcare’s journey in patient safety.
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psnet.ahrq.gov/web-mm/right-patient-wrong-sample
June 01, 2004 - nurse or physician to verify the identity of all patients screened for blood transfusion. … With another floor of patients still to see, the phlebotomist carried the labeled vial of blood out to … errors), and the most important intervention to reduce errors was phlebotomist refusal to draw blood on patients … conservatively estimates that 1% of laboratory results are erroneous, and 5% of the errors adversely affect patients … (“workarounds”) by the phlebotomist, such as simultaneously carrying prelabeled tubes from multiple patients
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psnet.ahrq.gov/node/49561/psn-pdf
May 01, 2008 - The patient was
single, with no children, and had emigrated from Mexico 8 years earlier. … Upon arrival to the referral
facility, the patient remained neurologically stable and underwent left-sided … often experience a prolonged, relatively asymptomatic phase until they become severely
immunocompromised … For the patient in this case, it is not clear that immediate HIV testing and timelier administration … AIDS Patient Care STDS. 2006;20:84-92. [go to PubMed]
26. US Preventive Services Task Force.
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psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
January 01, 2021 - Postoperative complications among patients undergoing cardiac surgery. … Analysis of risk factors for adverse drug events in critically ill patients. … administration of intravenous medications in hospital and the role of correct procedures and nurse experience … Medication administration errors in adult patients in the ICU. … Nurses on knowledge vasoactive drugs used in critical patients.
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psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
August 01, 2012 - is called the Minimum Data Set or the MDS, which gives a lot of information about the residents (patients … experience, are now publicly reported on the Web. … says this is a patient safety score or this is a patient safety culture score or anything along those … The Value of Close Calls in Improving Patient Safety. … J Patient Saf. 2009;5:145-152. [go to PubMed]
5.
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psnet.ahrq.gov/sites/default/files/2023-11/spotlight_case_the_risk_of_malpositioned.pdf
January 01, 2023 - SAFETY
30
Approach to Improving Patient Safety (1)
• Patients who require anticoagulant and/or … Safety of percutaneous endoscopic gastrostomy in high-risk patients. … Evaluation of 644 percutaneous endoscopic gastrostomy patients in a single center. … Ipswich experience. … Opportunities to improve clinical summaries for patients at hospital discharge.
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psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
May 01, 2016 - rounds, it is good practice to discuss how alarms should be used and to inquire about the patient's experience … Patient centered design of alarm limits in a complex patient population. Pediatrics. … Then sometimes the patients are at fault. … Maybe it would be better for all the other patients to take that patient off the monitor if it isn't … Many of those patients are also on cardiac monitors, and there are fewer nurses per patient.
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psnet.ahrq.gov/perspective/conversation-barbara-drew-rn-phd
May 01, 2016 - Then sometimes the patients are at fault. … Maybe it would be better for all the other patients to take that patient off the monitor if it isn't … Many of those patients are also on cardiac monitors, and there are fewer nurses per patient. … rounds, it is good practice to discuss how alarms should be used and to inquire about the patient's experience … Patient centered design of alarm limits in a complex patient population. Pediatrics.
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psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
March 01, 2015 - The regulators also received complaints from patients that also drew attention to the problems at Mid … They increased patients' satisfaction, and they reduced the mortality. … But this presupposes that terminally ill or palliative patients are managed in much the same way and … Do hospital standardized mortality ratios measure patient safety? … Impact of the present-on-admission indicator on hospital quality measurement: experience with the Agency
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psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - Whereas it is, of course, desirable and mandatory to affirm a value not to harm patients. … Eric Thomas: In my experience, clinicians see zero harm goals as insincere because they realize that … I like many of the structural measures, like the one about a commitment to transparency with patients … Patients understand that healthcare is incredibly complex. … Yet, current estimates suggest that 10% to12% of hospitalized patients are harmed during their care
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psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry
December 07, 2020 - Further, dentists’ access to other aspects of the patient medical record can vary greatly. … https://www.ada.org/resources/practice/practice-management/patients/educate-patients-about-addictive-qualities-of-painkillersn … As a result, dentists are not only in charge of providing patient care, they’re also the boss. … medical doctors to provide infection prophylaxis patients prior to dental visits, such as for patients … My team randomized a cohort of patients to look at the impact of a brief pre-visit intervention in patients
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psnet.ahrq.gov/node/60362/psn-pdf
April 13, 2018 - courses in conjunction with the UAMS
Women and Infants Service Line for nurses who have specialty experience … with inpatient
obstetric patient care. … High patient satisfaction: All patients receiving the program’s telemedicine consultation services
indicated … saving each
patient on average $75-$150. … Innovation Patient Safety Focus
Increasing access to specialized obstetric services for patients in
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psnet.ahrq.gov/web-mm/diagnosing-hiv-it-doesnt-take-brain-surgeon
January 01, 2018 - The patient was single, with no children, and had emigrated from Mexico 8 years earlier. … Upon arrival to the referral facility, the patient remained neurologically stable and underwent left-sided … often experience a prolonged, relatively asymptomatic phase until they become severely immunocompromised … For the patient in this case, it is not clear that immediate HIV testing and timelier administration … AIDS Patient Care STDS. 2006;20:84-92. [go to PubMed] 26. US Preventive Services Task Force.
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psnet.ahrq.gov/node/50930/psn-pdf
February 21, 2020 - Ensuring the safe prescribing and dispensing of medication to patients is a core function of a pharmacist … Pharmacists ensure that patients not only get the correct medication and dosing, but that they have the … safety leaders, working with patients and other providers to improve patient care outcomes and
prevent … For example, community pharmacists have historically
provided patients counseling services and communication … for patients across the
continuum.
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psnet.ahrq.gov/web-mm/deciphering-code
November 16, 2022 - The patient died within minutes. … This process might generate a prompt for a “code status order” on all hospitalized patients. … Physician hand-offs should include information about code status for all patients. … Ethical decision making and patient autonomy: a comparison of physicians and patients in Japan and the … The quality of care plans for patients with do-not-resuscitate orders.