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psnet.ahrq.gov/node/49516/psn-pdf
August 01, 2006 - At times, it
almost seems as if the patient in the bed is an icon for the real patient who exists in … Done well, it earns trust, patient
confidence, and perhaps increasing patient compliance. … The practice of "handing off" patients necessitated by the 80-hour work week imposed on physicians in … training might compound the risk of patients like this falling through the cracks. … Patients may have impairments that make them unable to voice what is bothering them.
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psnet.ahrq.gov/primer/covid-19-and-dentistry-challenges-and-opportunities-providing-safe-care
February 24, 2022 - Viral dynamics of SARS-CoV-2 in saliva from infected patients. … October 5, 2016
Patient safety and dentistry: what do we need to know? … Fundamentals of patient safety, the safety culture and implementation of patient safety measures in dental … January 12, 2022
Health Worker Safety: A Priority for Patient Safety. … department of surgery in concert with the health care system during a pandemic: the University of Wisconsin Experience
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psnet.ahrq.gov/perspective/covid-19-and-built-environment
June 30, 2021 - and non-COVID-19 patients. … We specialize in water management and assist healthcare clients with patient safety topics related to … I work with healthcare clients daily, protecting against Legionella , Pseudomonas , non-tuberculosis … We’ve already had clients that work with us on water management come back and say, “you know what we're … Also, is there a potential of a lot of healthcare professionals with the COVID-19 experience leaving
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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - safety. 10,11 By embracing these advancements, healthcare organizations can better protect patients … In my experience with RCAs, our actions often included “educating staff” or “creating new policies.” … How can we think about changing processes that have not yet harmed patients? … That is an easier approach in the ambulatory setting, where events often impact multiple patients. … One is thinking about the emotional harm we are causing to patients as well as staff.
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - In my experience with RCAs, our actions often included “educating staff” or “creating new policies.” … How can we think about changing processes that have not yet harmed patients? … That is an easier approach in the ambulatory setting, where events often impact multiple patients. … One is thinking about the emotional harm we are causing to patients as well as staff. … safety. 10,11 By embracing these advancements, healthcare organizations can better protect patients
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psnet.ahrq.gov/node/33674/psn-pdf
February 01, 2009 - We also need to be able to figure out
whether patients have the adverse event when they come in the … Sometimes
patients are sent to us because they've had bad things happen—they're very ill and it's our … A recent study looked at the
AHRQ Patient Safety Indicators and found that many patients already had … If you look at 100 patients' charts that have documentation of
smoking cessation counseling, I would … The first step in creating the patient safety revolution was to get patient safety on the radar
screen
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psnet.ahrq.gov/perspective/conversation-anjali-joseph-phd-edac-and-molly-m-scanlon-phd-faia-facha
June 30, 2021 - We specialize in water management and assist healthcare clients with patient safety topics related to … I work with healthcare clients daily, protecting against Legionella , Pseudomonas , non-tuberculosis … We’ve already had clients that work with us on water management come back and say, “you know what we're … Also, is there a potential of a lot of healthcare professionals with the COVID-19 experience leaving … and non-COVID-19 patients.
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psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
May 22, 2024 - Consent was obtained from the patient and his wife. … to the physician-patient relationship is clear. … The patient continued to deteriorate and died approximately 4 hours after the thoracentesis. … Patients' and physicians' attitudes regarding the disclosure of medical errors. … Disclosure of medical injury to patients: an improbable risk management strategy.
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psnet.ahrq.gov/web-mm/medication-mix-bad-worse
March 01, 2018 - Consequences of LASA errors can range from no patient harm to death. … Patients—outpatients, certainly, but even inpatients where possible—should know the name and purpose … Clinicians should inform patients of the dispensed or administered drug and allow the educated patient … Printing the list of prescribed medications for the patient can be useful, allowing patients to compare … Jt Comm J Qual Patient Saf. 2006;32:73-80. [go to PubMed] 3.
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psnet.ahrq.gov/web-mm/code-blue-where
March 30, 2020 - Upon arrival minutes later, they found the patient apneic and pulseless. … The nurses on the inpatient psychiatry ward had placed an oxygen mask on the patient, but the patient … The efforts were stopped, and the patient died moments later. … Treatment and Active Labor Act (EMTALA), a federal statute best known for governing the transfer of patients … According to EMTALA, hospitals are required to provide emergency medical services to all patients "within
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psnet.ahrq.gov/node/60242/psn-pdf
March 01, 2021 - hospital admissions,
readmissions, and total bed days; and generated high levels of physician and patient … The support team: Trained, certified nurse practitioners and licensed clinical social workers with
experience … in his or her home to
review the care plan and patient goals. … per year, or $105 per patient per month as calculated in a cost-analysis of the
original RCT. … satisfaction, improved quality of life, and helped provide comprehensive patient-
centered care.
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psnet.ahrq.gov/node/857059/psn-pdf
November 29, 2023 - previous authors have described for polytrauma47 or traumatic brain injured patients. … 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/node/866992/psn-pdf
May 29, 2024 - estimated to have a substance use
disorder (SUD), which is defined as a pattern of behaviors in which patients … Specific strategies can include screening for substance use disorders (SUD) in all patients,
educating … Developing a
tailored discharge plan that connects patients to community-based harm reduction services … Needle exchange programs and experience of violence in an inner
city neighborhood. … A qualitative exploration of client and provider perspectives.
Harm Reduct J. 2024;21(1):92.
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psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
September 01, 2017 - Andrew Gettinger : As a benefit, I saw the accessibility of information about our patients. … Everybody is trying to do what's best for patients. We all have different backgrounds. … How much of that was informed by the prior experience with other initiatives in the ONC, whether it's … Patients get their care from multiple places. … Now they're looking at patient identity and patient matching.
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psnet.ahrq.gov/web-mm/caution-interrupted
October 01, 2016 - emergency physician, administration of intravenous crystalloid and empiric broad-spectrum antibiotics, the patient … telephone the pharmacy for clarification, a physician demanding her immediate assistance with another patient … Several minutes later, when she re-entered the room of the leukemia patient, she forgot what she had … The patient experienced no adverse effects—presumably he received none of the Diprivan, given the air … The Commentary
Interruptions, Distractions, and Multitasking: Ubiquitous Threats to Patient Safety
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psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
August 22, 2014 - RW : Talk about the role of patients. What happens to patients when they're out of the office? … In terms of patients introducing errors, this concept is still fairly new to the patient safety literature … A lot of my patients won't use our Internet-based patient portal when it becomes available because it … We really need to work on our patient experience. … patients safe, where the world of health care meets the real world of patients' everyday lives.
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psnet.ahrq.gov/node/49531/psn-pdf
March 01, 2007 - acknowledge the potentially harmful medication error, caregivers missed a
chance to protect future patients … How many other patients must be harmed by similar mistakes before the factors that led to the
mistakes … Committed to Safety: Ten Case Studies on Reducing Harm to Patients. … Feitelberg SP. 2005 Lawrence Patient Safety Award Winner: Patient Safety Executive Walkarounds. … Sustainable patient safety. H&HN Online. December 12, 2006.
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psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
September 01, 2017 - Andrew Gettinger : As a benefit, I saw the accessibility of information about our patients. … Everybody is trying to do what's best for patients. We all have different backgrounds. … How much of that was informed by the prior experience with other initiatives in the ONC, whether it's … Patients get their care from multiple places. … Now they're looking at patient identity and patient matching.
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psnet.ahrq.gov/node/33877/psn-pdf
April 01, 2019 - An internationally recognized patient safety
expert, he served as a lead architect for the Communication … There was a tension between the way a health care system had been approaching patient safety,
which … I
saw the collateral damage from that not only to patients and families, but also clinicians. … When it came to communicating to patients and families, the people who carried
that pager had been identified … They will generate a lot of patient
complaints and lawsuits.
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psnet.ahrq.gov/node/33626/psn-pdf
January 01, 2006 - Beforehand, they just
went along and processed their patients, with no open communication about how … team training skills—communication,
support, use of checklists, and more—without any risk of harming patients … RW: When I speak about aviation and patient safety, I sometimes observe that your incentive is different … more the correct analogy for health care, because if there is an error or a team breaks down and the
patient … that should be a greater motivation to try to do the best that you can
to avoid error and improve patient