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Showing results for "patient safety indicators".
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2121. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33762/psn-pdf
      March 01, 2014 - We spoke with her about infection prevention and patient safety. Dr. … Alison Holmes: Yes, I do think the energy around the patient safety movement could have really been … What could be more appropriate than applying the patient safety agenda to infection prevention? … RW: Infection prevention has been around much longer than the patient safety field. … How do you make the argument to patients that this is a bad idea?

2122. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46154/psn-pdf
      June 07, 2017 - safety problems. … been raised that overprescribing of opioids may be an unintended consequence of efforts to improve patient … However, this Michigan study found no relationship between postoperative opioid prescribing and patient … satisfaction scores, indicating that efforts to reduce opioid prescribing may not adversely affect patient … postoperative-opioid-prescribing-and-pain-scores-hospital-consumer-assessment-healthcare https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications

2123. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837149/psn-pdf
      May 18, 2022 - Human factors analysis of latent safety threats in a pediatric critical care unit. … Human factors analysis of latent safety threats in a pediatric critical care unit. … https://psnet.ahrq.gov/issue/human-factors-analysis-latent-safety-threats-pediatric-critical-care-unit … Based on direct observations, these researchers identified 226 latent safety threats affecting routine … https://psnet.ahrq.gov/issue/patient-safety-intensive-care-unit https://psnet.ahrq.gov/glossary-0#glossary-heading-term

2124. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837332/psn-pdf
      June 08, 2022 - Influence of psychological safety and organizational support on the impact of humiliation on trainee … Influence of psychological safety and organizational support on the impact of humiliation on trainee … J Patient Saf. 2022;18(4):370-375. doi:10.1097/pts.0000000000000927. … https://psnet.ahrq.gov/issue/influence-psychological-safety-and-organizational-support-impact-humiliation … This study explored the relationship between resident psychological safety, perceived organizational

2125. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836850/psn-pdf
      March 31, 2022 - with medication management and errors in medication administration are major threats to patient safety … above and that were featured on the AHRQ Patient Safety Network (PSNet) in late 2020 or during 2021 … Patient interviews in this study revealed that patients had little awareness of the potential for serious … and overall patient safety. … Investigating improvement strategies and tools for medication safety may advance overall patient safety

2126. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850678/psn-pdf
      June 14, 2023 - Implementation of this innovation resulted in improved patient safety and quality for patients at high … Failure to identify, communicate, or act on indicators of acute deterioration of hospitalized patients … outside of the ICU is a potentially preventable patient safety issue associated with increased mortality … Innovation Patient Safety Focus The innovation uses an early detection alert system to identify patients … Build and maintain a shared safety culture to minimize communication gaps.

2127. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44586/psn-pdf
      June 21, 2016 - safety initiatives, with reporting requirements and Medicare nonpayment leading to significant efforts … The analysis indicated that hospitalized patients experienced 1.3 million fewer HACs over the 3 years … The remaining burden of HACs suggests continued investment in this patient safety problem is needed. … wisdom-and-justice-not-paying-preventable-complications https://psnet.ahrq.gov/issue/efforts-improve-patient-safety-result … -13-million-fewer-patient-harms-interim-update-2013 https://psnet.ahrq.gov/issue/partnership-patients

2128. Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. | PSNet
      psnet.ahrq.gov/issue/validity-unplanned-admission-intensive-care-unit-measure-patient-safety-surgical-patients
      May 26, 2021 - safety in surgical patients. … Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical … The authors conclude that this methodology may serve as an important tool to promote patient safety by … engagement for patient safety in healthcare organizations. … October 29, 2014 Oversight Hearing on Recent Patient Safety Issues.

2129. Emergency medicine quality improvement and patient safety curriculum. | PSNet
      psnet.ahrq.gov/issue/emergency-medicine-quality-improvement-and-patient-safety-curriculum
      November 30, 2012 - Course Material/Curriculum Emergency medicine quality improvement and patient safety … Emergency Medicine Quality Improvement and Patient Safety Curriculum. … Emergency Medicine Quality Improvement and Patient Safety Curriculum. … April 24, 2018 Measuring patient safety in the emergency department. … June 7, 2017 Patient Safety Curriculum.

2130. The technologist's role in patient safety and quality in medical imaging. | PSNet
      psnet.ahrq.gov/issue/technologists-role-patient-safety-and-quality-medical-imaging
      May 15, 2024 - Commentary The technologist's role in patient safety and quality in medical imaging … The technologist's role in patient safety and quality in medical imaging. … The technologist's role in patient safety and quality in medical imaging. … Safety Agency. … July 18, 2024 Patient Safety Innovations Ambulatory Safety

2131. Developing a medication patient safety program — infrastructure and strategy. | PSNet
      psnet.ahrq.gov/issue/developing-medication-patient-safety-program-infrastructure-and-strategy
      May 11, 2014 - Commentary Developing a medication patient safety program — infrastructure and strategy … Developing a Medication Patient Safety Program – Infrastructure and Strategy. … Developing a Medication Patient Safety Program – Infrastructure and Strategy. … September 2, 2020 Improving patient safety in intensive care units in Michigan. … February 18, 2015 Developing a medication patient safety program, part 2: process and

2132. Using simulation training to improve perioperative patient safety. | PSNet
      psnet.ahrq.gov/issue/using-simulation-training-improve-perioperative-patient-safety
      August 20, 2018 - Study Using simulation training to improve perioperative patient safety. … Using simulation training to improve perioperative patient safety. … Using simulation training to improve perioperative patient safety. … July 19, 2023 Description and evaluation of an interprofessional patient safety course … May 26, 2010 Crew resource management improved perception of patient safety in the operating

2133. Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/standardized-multidisciplinary-protocol-improves-handover-cardiac-surgery-patients-intensive
      July 14, 2010 - Download Citation Related Resources From the Same Author(s) Impact of patient … safety mandates on medical education in the United States. … diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient … cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient … Intensive Care Units Operating Room Health Care Providers Risk Managers Quality and Safety

2134. 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

2135. Wrong Turn through Colon: Misplaced PEG | PSNet
      psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg
      May 01, 2017 - safety procedures, and proper post-procedural care, especially while the PEG tract matures. … Rachel Sorokin, MD Chief Patient Safety and Quality Officer Thomas Jefferson University Hospital … PEG Insertion Safety Procedures. Four PEG Insertion Safety Procedures 1. … safety: 2003 to 2008. … Patient Engagement in Safety January 1, 2017 Perspective

2136. No Blood, Please | PSNet
      psnet.ahrq.gov/web-mm/no-blood-please
      January 14, 2011 - Patients' choices of allowing and refusing treatment may present significant safety challenges. … Since patient preferences sometimes create safety challenges, clear policies and procedures should be … January 14, 2011 The Patient Safety and Quality Improvement Act of 2005: developing an … error reporting system to improve patient safety. … Intelligence and Patient Safety: Promise and Challenges March 27, 2024

2137. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_mismanagement_of_acute_decompensated_heart_failure_slides_final.pptx
      January 01, 2024 - outcomes in patients with non-cardiac conditions.1  11 11 Background (3) However, the patient in … SAFETY 19 Fluid and Volume Management (1) The patient may have benefited from immediate diuresis after … safety.  … safety may not have changed the outcome for the patient in this case, but clinicians must be cautious … with end-organ injury, and emphasizing patient safety-centered disposition from the ED may help to prevent

2138. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37630/psn-pdf
      February 15, 2011 - The Accreditation Council for Graduate Medical Education's limits on residents' work hours and patient … safety. … The Accreditation Council for Graduate Medical Education's limits on residents' work hours and patient … safety. … The patient safety effects of 2003 regulations reducing housestaff work hours have yet to be determined

2139. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50894/psn-pdf
      February 12, 2020 - Jt Comm J Qual Patient Saf. 2019;46(2). doi:10.1016/j.jcjq.2019.11.004. … Commission has stated that “intimidating and disruptive behaviors” can result in medical errors that affect patient … care and safety. … professional-development-course-improves-unprofessional-physician-behavior https://psnet.ahrq.gov/issue/behaviors-undermine-culture-safety

2140. Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool. | PSNet
      psnet.ahrq.gov/issue/relationship-between-medication-event-rates-and-leapfrog-computerized-physician-order-entry
      November 26, 2014 - July 16, 2019 The safety of outpatient health care: review of electronic health records … May 15, 2024 The safety of inpatient health care. … January 7, 2015 The safety of electronic prescribing: manifestations, mechanisms, and … systems: monitoring CPOE order check override rates in the Department of Veterans Affairs' computerized patient … 10, 2011 Preventing potentially inappropriate medication use in hospitalized older patients