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Showing results for "patient safety indicators".
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1961. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49740/psn-pdf
      August 21, 2015 - A time out was completed and the patient information, procedure, and sites were verified. … The care of patients with complex, chronic illnesses is often poorly coordinated (10), leaving patients … Organizations should take specific steps to improve medication safety for patients (especially children … A robust mechanism of documentation and communication is essential to ensure safety of the injections … take in response to this incident; however, this step alone may not prevent similar errors, as the safety

1962. In Conversation With... Dr. Michelle Schreiber on Measuring Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
      December 14, 2022 - safety indicators that are used by CMS. … We believe it is important that patients have a role in patient safety, including sitting on governance … AHRQ’s Patient Safety Indicators (PSIs) focus on measuring if potentially preventable complications … This includes the development of patient-reported safety outcomes measures , having patients and individuals … report patient safety events, and ensuring patients are included in robust communication and resolution

1963. Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications. | PSNet
      psnet.ahrq.gov/issue/impact-clinical-decision-support-therapeutic-interchanges-hospital-discharge-medication
      July 29, 2020 - single-site retrospective study evaluated whether a CDS tool can reduce discharge prescription errors for patients … intensive care unit admission of delirious or mechanically ventilated patients. … April 28, 2021 Impact of smart pump-electronic health record interoperability on patient … October 20, 2021 Effect of medication reconciliation on patient reported potential adverse … hazards associated with intravenous vancomycin through the analysis of patient safety event reports.

1964. Clinically significant medication errors in surgical units detected by clinical pharmacist: a real-life study. | PSNet
      psnet.ahrq.gov/issue/clinically-significant-medication-errors-surgical-units-detected-clinical-pharmacist-real
      October 20, 2021 - This observational study found that 20% of patients presenting to surgical units at one French hospital … September 15, 2021 Patient safety in home care: a multicenter cross-sectional study about … May 12, 2021 Nurses' influence on consumers' experience of safety in acute mental health … November 30, 2022 Criteria for the selection of paediatric patients susceptible to reconciliation … June 29, 2022 Effect of medication reconciliation on patient reported potential adverse

1965. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37054/psn-pdf
      September 30, 2011 - safety outcomes.  … safety and quality of care.  … complications or worsened patient safety overall.  … persistent cultural differences among health care professionals regarding approaches to improving safety … https://psnet.ahrq.gov/issue/nurse-working-conditions-and-patient-safety-outcomes

1966. Delayed Recognition of a Positive Blood Culture | PSNet
      psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-culture
      January 29, 2020 - Patient safety concerns arising from test results that return after hospital discharge. … Detecting delayed microbiology results after hospital discharge: improving patient safety through an … Flow Management November 1, 2011 Patient Safety Primers … Health Plan Patient Safety Initiatives July 10, 2024 … Perspective Patient Safety in Office-Based Care Settings January 31, 2024

1967. Nursing Home Survey on Patient Safety Culture. | PSNet
      psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture
      November 23, 2016 - Measurement Tool/Indicator Nursing Home Survey on Patient Safety Culture. … Citation Text: Nursing Home Survey on Patient Safety Culture. … This website hosts the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Nursing Home Survey along with … October 23, 2019 Is Our Pharmacy Meeting Patients' Needs? … February 28, 2025 Surveys on Patient Safety Culture.

1968. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844757/psn-pdf
      September 11, 2019 - diagnostic-overshadowing-dentistry Assumptions, communication barriers, and implicit biases can compromise the care of patients … This commentary discusses the presence of diagnostic overshadowing when providing dental services to patients … https://psnet.ahrq.gov/issue/diagnostic-overshadowing-dentistry https://psnet.ahrq.gov/issue/patient-safety-community-dementia-services-what-can-we-learn-experiences-caregivers-and … https://psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers https://psnet.ahrq.gov/perspective/safety-dentistry … https://psnet.ahrq.gov/perspective/safety-dentistry https://psnet.ahrq.gov/issue/challenges-monitoring-and-preventing-patient-safety-incidents-people-intellectual

1969. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41298/psn-pdf
      November 27, 2012 - Patient safety culture and the association with safe resident care in nursing homes. … Patient safety culture and the association with safe resident care in nursing homes. … https://psnet.ahrq.gov/issue/patient-safety-culture-and-association-safe-resident-care-nursing-homes … on Patient Safety Culture to analyze relationships between a structure (safety culture), a process ( … https://psnet.ahrq.gov/issue/patient-safety-culture-and-association-safe-resident-care-nursing-homes

1970. Editorial Team | PSNet
      psnet.ahrq.gov/Information/Editor
      May 23, 2025 - Her research and academic interests focus on patient safety and quality improvement practices in the … safety, and patient-centered outcomes research. … Safety Indicators through AHRQ and Centers for Medicare & Medicaid Services-funded contracts. … Zipperer was a founding staff member of the National Patient Safety Foundation (NPSF).  … AHRQ Patient Safety Network since the site launched in 2005.

1971. Critical Order Set Change and Critical Limb Ischemia | PSNet
      psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia
      July 02, 2019 - relatively simple scenarios such as standardizing the use of potassium binding resins when treating patients … support continuous bladder irrigation that resulted in clinical complications for patients from overly … safety and care transitions at the University of California. … May 15, 2024 View More Related Resources Patient Safety … Safety Goals.

1972. Advancing the Safety of Acute Pain Management. | PSNet
      psnet.ahrq.gov/issue/advancing-safety-acute-pain-management
      January 08, 2020 - January 8, 2020 Patient Safety Essentials Toolkit. … May 29, 2019 Declaration to Advance Patient Safety. … May 25, 2022 Safer Together: A National Action Plan to Advance Patient Safety. … November 25, 2020 Using Machine Learning to Improve Patient Safety in the Home or Remote … October 31, 2018 Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying

1973. Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/prospective-evaluation-medication-related-clinical-decision-support-over-rides-intensive-care
      April 07, 2019 - However, alerts are pervasive and often irrelevant , leading patient safety experts to question whether … their modest improvement in safety outweighs the harms of alert fatigue . … June 5, 2018 Computerized prescriber order entry–related patient safety reports: analysis … December 21, 2017 View More Related Resources Patient … in critically ill patients.

1974. Opioid prescribing to US children and young adults in 2019. | PSNet
      psnet.ahrq.gov/issue/opioid-prescribing-us-children-and-young-adults-2019
      September 30, 2020 - September 30, 2020 Filling a gap in safety metrics: development of a patient-centred … October 13, 2018 Partnering with patients and families living with chronic conditions … to coproduce diagnostic safety through OurDX: a previsit online engagement tool. … February 12, 2020 Patients' experiences and perspectives of patient-reported outcome … pain in opioid-naive patients undergoing elective surgery in a large American health system.

1975. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49773/psn-pdf
      July 01, 2016 - focus on early identification of GBS colonization, use of prophylactic intrapartum antibiotics for patients … electronic resource provides an efficient means for providers to determine appropriate GBS screening for patients … One strategy that might improve both clinical education and patient safety would be to instruct trainees … Committee on Patient Safety and Quality Improvement. … Patient Safety Primer: Handoffs and Signouts. [Available at] Updated July 2016. 14.

1976. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44815/psn-pdf
      November 30, 2016 - Comparing NICU teamwork and safety climate across two commonly used survey instruments. … survey tools—the Safety Attitudes Questionnaire and the Hospital Survey on Patient Safety Culture. … https://psnet.ahrq.gov/issue/measuring-patient-safety-climate-review-surveys https://psnet.ahrq.gov/ … primer/culture-safety https://psnet.ahrq.gov/issue/measuring-safety-culture-ambulatory-setting-safety-attitudes-questionnaire-ambulatory-version … https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2016-user-comparative-database-report

1977. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38132/psn-pdf
      October 08, 2008 - issue/hospital-bracelets-face-hurdles-they-fix-hazard This news article reports on the dynamic between patient … safety and privacy in the use of color-coded bracelets that indicate patient preferences related to … hospital-bracelets-face-hurdles-they-fix-hazard https://psnet.ahrq.gov/issue/identification-inpatient-dnr-status-safety-hazard-begging-standardization … https://psnet.ahrq.gov/issue/identification-inpatient-dnr-status-safety-hazard-begging-standardization

1978. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843414/psn-pdf
      February 01, 2023 - Jt Comm J Qual Patient Saf. 2023;49(3):156-165. doi:10.1016/j.jcjq.2022.12.006. … healthcare-worker-well Leadership across all levels of a health system plays an important role in patient … safety. … https://psnet.ahrq.gov/issue/nurse-managers-leadership-patient-safety-and-quality-care-systematic-review … https://psnet.ahrq.gov/primer/leadership-role-improving-safety https://psnet.ahrq.gov/issue/psychological-safety-scale-safety-communication-operational-reliability-and-engagement-score

1979. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866312/psn-pdf
      July 17, 2024 - Development of patient safety measures to identify inappropriate diagnosis of common infections. … Development of patient safety measures to identify inappropriate diagnosis of common infections. … https://psnet.ahrq.gov/issue/development-patient-safety-measures-identify-inappropriate-diagnosis- common-infections … Misdiagnosis of infections can lead to overuse of antibiotics and threaten patient safety. … https://psnet.ahrq.gov/issue/development-patient-safety-measures-identify-inappropriate-diagnosis-common-infections

1980. In Conversation with…Barbara A. Blakeney, MS, RN | PSNet
      psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
      August 01, 2005 - It is a continuing puzzle that health care does not respond to economic and research indicators the same … So when Linda Aiken talks about it [ nursing's patient safety agenda being unfinished ], I agree with … A strong evidence base suggests that focusing on nursing would improve patient safety. … June 16, 2011 Working conditions that support patient safety. … June 9, 2011 Nursing 2006 Patient-safety survey report.