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Showing results for "patient safety indicators".
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1981. Spotlight-Slides-Wright-Schiff (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-04/spotlight-slides-wright-schiff.pdf
      January 01, 2020 - The discharging nurse reviewed the full medication list (13 medications) with the patient and his … On re-reviewing the medications, the wife explained the patient had been taking both prescriptions … . 6 Case: Lost Start Date (4) The patient safety committee at the hospital performed a full review … safety committee learned that transmission of start and stop date fields in electronic prescriptions … entry (CPOE) showed it can reduce the rate of medication errors • Overall, CPOE has been a positive safety

1982. Patient safety in primary care: conceptual meanings to the health care team and patients. | PSNet
      psnet.ahrq.gov/issue/patient-safety-primary-care-conceptual-meanings-health-care-team-and-patients
      September 28, 2022 - Study Patient safety in primary care: conceptual meanings to the health care team … and patients. … Patient safety in primary care: conceptual meanings to the health care team and patients. … and staff conceptualize patient safety in primary care . … Patient safety in primary care: conceptual meanings to the health care team and patients.

1983. Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care | PSNet
      psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
      January 01, 2015 - , safety, patient satisfaction, process indicators, staff engagement, and economics. … RW : During the first 7 or 8 years of the patient safety field after the Institute of Medicine report … MG : I wouldn't fault the patient safety movement for this. … RW : Anything else you wanted to talk about particularly in the realm of patient safety? … June 25, 2014 Perspective Primary Care and Patient Safety

1984. Don't Push | PSNet
      psnet.ahrq.gov/web-mm/dont-push
      March 02, 2011 - The patient received IV magnesium sulfate immediately. … Efficacy and safety of IM ziprasidone vs. … February 7, 2024 Impact of team performance on the surgical safety checklist on patient … safety and quality of care: a panel study. … December 21, 2014 Patient safety, satisfaction, and quality of hospital care: cross sectional

1985. Evaluation of harm associated with high dose-range clinical decision support overrides in the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/evaluation-harm-associated-high-dose-range-clinical-decision-support-overrides-intensive-care
      August 17, 2018 - Although clinical decision support is intended to improve safety, decision support alerts often result … December 21, 2017 Computerized prescriber order entry–related patient safety reports: … February 14, 2024 Patient Safety Innovations Remote Response … May 24, 2023 Allergic adverse drug events after alert overrides in hospitalized patients … April 13, 2022 Hospitals look to computers to predict patient emergencies before they

1986. Diagnostic error in medicine: analysis of 583 physician-reported errors. | PSNet
      psnet.ahrq.gov/issue/diagnostic-error-medicine-analysis-583-physician-reported-errors
      June 24, 2009 - An invited commentary [see link below] by a leader in the patient safety field, Dr. … Resources From the Same Author(s) Organizational and cultural changes for providing safe patient … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient … Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient … transfusion safety.

1987. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49496/psn-pdf
      December 01, 2005 - They did not notice that the patient was blind. … signage is not readily visible in large, braille, or raised print, and if audible direction and floor indicators … ’ companions rather than patients), compromising patient privacy (eg, by helping patients to complete … their safety (eg, from misidentifying medications) and well-being (eg, from being unaware of medication … Many blind persons live alone, as did this patient, leading independent lives.

1988. Effects of patient-, environment- and medication-related factors on high-alert medication incidents. | PSNet
      psnet.ahrq.gov/issue/effects-patient-environment-and-medication-related-factors-high-alert-medication-incidents
      January 22, 2016 - Study Effects of patient-, environment- and medication-related factors on high-alert … Such medication incidents arose more often in patients who were transferred from one hospital ward to … June 16, 2019 Multicentre study to develop a medication safety package for decreasing … January 7, 2015 Intravenous infusion safety technology: return on investment. … Safety Initiative.

1989. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49549/psn-pdf
      December 06, 2007 - According to the VA National Center for Patient Safety (NCPS), elopement is defined as: "A patient that … "( 1) Wandering can also lead to significant safety risks when the patient has decreased capacity.(2 … an elopement tool kit created by the VA Center for Patient Safety.(9) A "yes" to any of the following … Analyzing missing patient events at the VA. TIPS (Topics in Patient Safety). … National Center for Patient Safety. VHA NCPS escape and elopement management.

1990. Inpatient Transitions of Care: Challenges and Safety Practices | PSNet
      psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
      June 15, 2024 - Challenges and Threats to Patient Safety Consider a scenario where a patient – Mr. … There is very little research about the correlation of patient-family engagement and patient safety … Strategies to Improve Patient Safety To address these risks, it is vital to create safety nets within … Effective communication between healthcare providers and patients is vital for patient safety and quality … Medication Safety Medication reconciliation has been part of the National Patient Safety Goals since

1991. Screening for medication errors using an outlier detection system. | PSNet
      psnet.ahrq.gov/issue/screening-medication-errors-using-outlier-detection-system
      December 18, 2019 - October 10, 2018 Computerized prescriber order entry–related patient safety reports: … October 31, 2014 View More Related Resources Assessing the safety … August 7, 2019 Accurate measurement in California's safety-net health systems has gaps … Perspective The Role of Bar Coding and Smart Pumps in Safety

1992. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867044/psn-pdf
      October 30, 2024 - "Near miss": a mixed-methods analysis of medical student assignments in patient safety. … "Near miss": a mixed-methods analysis of medical student assignments in patient safety. … https://psnet.ahrq.gov/issue/near-miss-mixed-methods-analysis-medical-student-assignments-patient- safety … https://psnet.ahrq.gov/issue/near-miss-mixed-methods-analysis-medical-student-assignments-patient-safety … https://psnet.ahrq.gov/issue/near-miss-mixed-methods-analysis-medical-student-assignments-patient-safety

1993. Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery | PSNet
      psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
      September 15, 2024 - , and Wrong-Patient Surgery. … safety field. … Background Few medical errors are as vivid and terrifying as those that involve patients who have undergone … Comprehensive efforts to improve surgical safety have incorporated timeout principles into surgical safety … December 18, 2024 Grading recommendations for enhanced patient safety in sentinel event

1994. Prevalence of potentially inappropriate prescribing in older people in primary care and its association with hospital admission: longitudinal study. | PSNet
      psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-prescribing-older-people-primary-care-and-its
      September 28, 2016 - A recent PSNet perspective discussed community pharmacists' role in promoting medication safety. … Citation Related Resources From the Same Author(s) PIPc study: development of indicators … September 5, 2018 Medication safety incidents associated with the remote delivery of … Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety … May 10, 2023 Annual Perspective Improving Diagnostic Safety

1995. Relationships among psychological safety, the principles of high reliability, and safety reporting intentions in pediatric nursing. | PSNet
      psnet.ahrq.gov/issue/relationships-among-psychological-safety-principles-high-reliability-and-safety-reporting
      September 16, 2015 - Patient safety event reporting is a key indicator of safety culture . … high-reliability organization were positively associated with patient safety event reporting behaviors … April 16, 2010 To err is human: patient misinterpretations of prescription drug label … November 16, 2022 Predictors and outcomes of patient safety culture: a cross-sectional … an analysis of the 2016 Hospital Survey on Patient Safety Culture.

1996. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45279/psn-pdf
      September 27, 2016 - Does clinical supervision of health professionals improve patient safety? … Does clinical supervision of health professionals improve patient safety? … https://psnet.ahrq.gov/issue/does-clinical-supervision-health-professionals-improve-patient-safety- … systematic-review-and The patient safety movement catalyzed a well-known change in physician duty hours … This systematic review examined how increased clinical supervision affects patient safety.

1997. Which End Is Which? | PSNet
      psnet.ahrq.gov/web-mm/which-end-which
      February 09, 2011 - first few years, many surgeons misidentified structures and as a result injured the common bile duct in patients … On average, patients have an ileus that is much shorter with the laparoscopic procedure than with open … safety imperative. … January 15, 2014 Patient safety, resident well-being and continuity of care with different … January 27, 2019 Impact of diagnosis-timing indicators on measures of safety, comorbidity

1998. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41702/psn-pdf
      November 07, 2018 - AHRQ patient safety project reduces bloodstream infections by 40 percent. … Patient Saf Qual Hcare. September 12, 2012. … https://psnet.ahrq.gov/issue/ahrq-patient-safety-project-reduces-bloodstream-infections-40-percent The … safety field. … https://psnet.ahrq.gov/issue/ahrq-patient-safety-project-reduces-bloodstream-infections-40-percent https

1999. Anticoagulant safety practices call for pharmacist supervision. | PSNet
      psnet.ahrq.gov/issue/anticoagulant-safety-practices-call-pharmacist-supervision
      May 08, 2024 - May 8, 2024 Patient Safety and Managing Risk in Nursing. … January 15, 2014 Improving Patient Safety: The Intersection of Safety Culture, Clinician … and Staff Support, and Patient Safety Organizations. … September 14, 2022 Hospitalists as emerging leaders in patient safety: targeting a few … December 23, 2016 Anticoagulation patient safety goal compliance at a university health

2000. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844988/psn-pdf
      February 22, 2023 - Ensuring patients have an understanding of their diagnoses and care plan is a critical component of … patient engagement and can improve safety. … Although the majority of patients (>90%) felt confident in their knowledge of their diagnosis and treatment … https://psnet.ahrq.gov/perspective/role-health-literacy-patient-safety https://psnet.ahrq.gov/issue/ … hospitalized-patients-understanding-their-plan-care https://psnet.ahrq.gov/issue/daily-plan-including-patients-safetys-sake