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Showing results for "patient safety indicators".
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2081. Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care Value and Quality of Care | PSNet
      psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
      July 23, 2024 - engagement and daily behaviors. 1 Innovation Patient Safety Focus The framework for nudge projects … health-related actions or enhance care delivery, ultimately improving patient safety. … In implementing patient safety interventions, requiring a provider or patient to deviate from a previous … Patient Safety Innovations Reducing Preventable Patient … Safety March 27, 2024 Patient Safety Innovations

2082. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837768/psn-pdf
      August 03, 2022 - Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events … Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events … J Patient Saf. 2022;18(6):611-616. doi:10.1097/pts.0000000000001050. … https://psnet.ahrq.gov/issue/comparison-voluntary-safety-reporting-system-global-trigger-tool-identifying … In this comparison study, the Global Trigger Tool identified 79 AE in 88 oncology patients, compared

2083. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866280/psn-pdf
      July 10, 2024 - J Patient Saf. 2024;20(6):434-439. doi:10.1097/pts.0000000000001237. … spread of COVID-19 or other healthcare-associated infections, can result in unintended consequences for patient … safety. … pandemic-and-increased-falls-harm-canadian-hospital https://psnet.ahrq.gov/issue/challenges-and-potential-solutions-patient-safety-infectious-agent-isolation-environment … https://psnet.ahrq.gov/issue/safety-patients-isolated-infection-control

2084. Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. | PSNet
      psnet.ahrq.gov/issue/errors-detected-pediatric-oral-liquid-medication-doses-prepared-automated-workflow-management
      June 22, 2009 - The technology enhanced safety, averting more than 3000 medication errors over a one-year period. … September 23, 2020 Changes in medication safety indicators in England throughout the … covid-19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients … June 7, 2023 Drug-drug interactions and actual harm to hospitalized patients: a multicentre … June 28, 2023 Communication practices on 4 Harvard surgical services: a surgical safety

2085. The national cost of adverse drug events resulting from inappropriate medication-related alert overrides in the United States. | PSNet
      psnet.ahrq.gov/issue/national-cost-adverse-drug-events-resulting-inappropriate-medication-related-alert-overrides
      July 02, 2019 - prior research has shown that inappropriate medication alert overrides occur frequently and place patients … Extrapolating medication order data from a random sample of patients at a single academic medical center … A past Annual Perspective discussed the role of computerized provider order entry in patient safety … Annual Perspective Technology as a Tool for Improving Patient … Safety March 29, 2023 Quality and variability of patient directions in electronic

2086. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50891/psn-pdf
      February 12, 2020 - survey responses indicate that nurses identify with their role in AS processes but believe hospital safety … nurses-antimicrobial-stewards-recognition-confidence-and-organizational-factors-across-nine https://psnet.ahrq.gov/issue/antimicrobial-stewardship-and-patient-safety … https://psnet.ahrq.gov/issue/antimicrobial-stewardship-another-focus-patient-safety

2087. Postoperative opioid prescribing and the pain scores on Hospital Consumer Assessment of Healthcare Providers and Systems survey. | PSNet
      psnet.ahrq.gov/issue/postoperative-opioid-prescribing-and-pain-scores-hospital-consumer-assessment-healthcare
      January 29, 2020 - The opioid crisis is one of the nation's most pressing patient safety problems. … January 29, 2020 Persistent opioid use among pediatric patients after surgery. … April 24, 2018 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … April 27, 2022 Indication-specific opioid prescribing for US patients with Medicaid or … August 16, 2017 Prescription of long-acting opioids and mortality in patients with chronic

2088. HealthGrades Eighth Annual Patient Safety in American Hospitals Study. | PSNet
      psnet.ahrq.gov/issue/healthgrades-eighth-annual-patient-safety-american-hospitals-study
      January 04, 2017 - Book/Report HealthGrades Eighth Annual Patient Safety in American Hospitals Study … Citation Text: HealthGrades Eighth Annual Patient Safety in American Hospitals Study. … October 25, 2013 Finding and Preventing Patient Safety Incidents. … October 26, 2011 Patient Safety in Canada: An Update. … Professionals Policy Makers Patients General Internal Medicine View More

2089. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-04/final_spotlight_case_and_commentatry_io_line_extravasation-04.08.2022.pdf
      January 01, 2022 - ’ reported symptoms are the earliest indicators, including (in alert patients): – Pain at rest, often … Approach to Improving Patient Safety (2) 37 • Once a patient is hemodynamically stable, definitive … Approach to Improving Patient Safety (4) 39 • If early signs of compartment syndrome are detected, … Approach to Improving Patient Safety (1) Approach to Improving Patient Safety (2) Approach to Improving … Patient Safety (3) Approach to Improving Patient Safety (4) Take Home Points Take-Home Points (1)

2090. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74226/psn-pdf
      February 01, 2019 - planning) applicable to each specific patient. … STORM is one of many national opioid safety initiatives implemented in the last 5 to 10 years. … Innovation Patient Safety Focus This innovation focuses on mitigating overdose and suicide risks associated … However, results from STORM indicate that previously identified and novel risk indicators that are readily … VA National Academic Detailing Service: Patient Education Materials.

2091. Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years. | PSNet
      psnet.ahrq.gov/issue/tall-man-lettering-and-potential-prescription-errors-time-series-analysis-42-childrens
      January 12, 2012 - Even in the era of electronic prescribing , look-alike and sound-alike drug names remain a safety … April 24, 2018 An mHealth design to promote medication safety in children with medical … July 29, 2020 Changes in medication safety indicators in England throughout the covid … -19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients using … Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients

2092. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72636/psn-pdf
      January 13, 2021 - resident-faculty-overnight-discrepancy-rates-function-number-consecutive- nights-during-week Recent duty hour reforms are intended to improve patient … safety and resident well-being.  … resident-faculty-overnight-discrepancy-rates-function-number-consecutive-nights-during-week https://psnet.ahrq.gov/primer/duty-hours-and-patient-safety … https://psnet.ahrq.gov/issue/patient-safety-resident-education-and-resident-well-being-following-implementation

2093. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74075/psn-pdf
      November 17, 2021 - CDC guideline for opioid prescribing associated with reduced dispensing to certain patients with chronic … Misuse of prescription opioids represents a serious patient safety issue. … authors observe that questions remain about how clinicians are tailoring opioid reductions using a patient-centered … https://psnet.ahrq.gov/primer/opioid-safety https://psnet.ahrq.gov/issue/opioid-prescribing-after-nonfatal-overdose-and-association-repeated-overdose-cohort-study … https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem https://psnet.ahrq.gov/issue

2094. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61097/psn-pdf
      November 04, 2020 - Obstetrician-gynecologist views of pregnancy-related medication safety. … Obstetrician-gynecologist views of pregnancy-related medication safety. … https://psnet.ahrq.gov/issue/obstetrician-gynecologist-views-pregnancy-related-medication-safety This … study explored views, practices, and needs related to patient counseling on medication safety in obstetrics … https://psnet.ahrq.gov/issue/obstetrician-gynecologist-views-pregnancy-related-medication-safety https

2095. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44813/psn-pdf
      February 15, 2017 - Use of the surgical safety checklist has been linked to improved patient outcomes, but checklist compliance … An accompanying editorial calls implementing videos with feedback the "next great leap forward" for patient … safety. … https://psnet.ahrq.gov/issue/video-capture-clinical-care-enhance-patient-safety https://psnet.ahrq.gov … /perspective/video-improve-patient-safety-clinical-and-educational-uses

2096. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37063/psn-pdf
      January 02, 2017 - Jt Comm J Qual Patient Saf. 2007;33(8):493-501. … Medical students and residents are exposed to medical errors early in the training process, but formal patient … safety training remains in its infancy.  … at an academic medical center sought to evaluate trainees' knowledge and attitudes toward important safety … that limits the use of patient safety as a learning tool. 

2097. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49445/psn-pdf
      May 01, 2004 - The Commentary This case illustrates how the law can interface with patient safety efforts, and highlights … the need to pay close attention to patients' wishes, regardless of the potential clinical outcome. … Patients' choices of allowing and refusing treatment may present significant safety challenges. … Take-Home Points Patients have the constitutional right to accept or refuse care. … such situations, and related information should be included in patient safety education efforts.

2098. Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admissions. | PSNet
      psnet.ahrq.gov/issue/formal-medicine-reconciliation-within-emergency-department-reduces-medication-error-rates
      May 01, 2019 - May 25, 2016 Association of display of patient photographs in the electronic health … record with wrong-patient order entry errors. … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient … March 6, 2015 Improving medication safety with accurate preadmission medication lists … See More About The Topic Emergency Departments Health Care Providers Quality and Safety

2099. Acute Respiratory Arrest in Pregnancy | PSNet
      psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
      August 15, 2018 - with chronic hypertension is approximately 20%; this risk is markedly increased in patients with twins … hypertension or diabetes.( 2,4 ) The primary objective of management in women with preeclampsia must always be safety … In patients with chronic hypertension and/or those with twins, as in this case, preeclampsia is more … 2,3 ) In women with chronic hypertension, the use of antihypertensive agents removes one of the major indicators … Take-Home Points This case illustrates several key points about enhancing the safety of care provided

2100. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853065/psn-pdf
      August 30, 2023 - Exploring the impact of safety culture on incident reporting: lessons learned from machine learning … Exploring the impact of safety culture on incident reporting: lessons learned from machine learning … Safety Sci. 2023;166:106260. doi:10.1016/j.ssci.2023.106260. … - learning-analysis Voluntary incident reporting rates may be an indicator of organizational safety … https://psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/enhancing-safety-culture-through-improved-incident-reporting-case-study-translational