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Showing results for "patient safety indicators".
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2201. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49662/psn-pdf
      August 01, 2012 - These four safety procedures (Table 3 ) minimize inadvertent insertion of the PEG tube through intervening … review of 28 such cases, 16 occurred after PEG replacement; thus, it is important to follow standard safety … 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 https … PEG Insertion Safety Procedures. Four PEG Insertion Safety Procedures 1. Insufflate stomach 2.

2202. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33585/psn-pdf
      March 15, 2025 - UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient … https://psnet.ahrq.gov/primer/radiation-safety Approximately 40% of patients diagnosed with cancer … This Patient Safety Primer will discuss the safety issues associated with the use of radiation, both … 20008690 https://psnet.ahrq.gov/primer/systems-approach https://psnet.ahrq.gov/issue/international-review-patient-safety-measures-radiotherapy-practice … ; cases of wrong-patient and wrong-site errors have also been reported.

2203. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44131/psn-pdf
      May 13, 2015 - - study-general A delayed or missed diagnosis of cancer can have profound ramifications for patients … The researchers used a large reliable dataset for patients with a diagnosis of breast, colorectal, or … The longest delays for diagnosis occurred after patients had been referred for consultation, indicating … delivering-high-quality-cancer-care-charting-new-course-system-crisis https://psnet.ahrq.gov/issue/gaps-continuity-care-and-progress-patient-safety … https://psnet.ahrq.gov/primer/ambulatory-care-safety

2204. Common Formats for Event Reporting. | PSNet
      psnet.ahrq.gov/issue/comments-common-formats-event-reporting-hospital-version-03-beta
      September 06, 2011 - Patient safety organizations collect data across various systems and states. … safety organizations.  … Safety Tools. … September 11, 2023 National Steering Committee for Patient Safety. … June 28, 2018 SOPS Health Information Technology Patient Safety Supplemental Item Set

2205. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. | PSNet
      psnet.ahrq.gov/issue/radonda-vaught-medication-safety-and-profession-pharmacy-steps-improve-safety-and-ensure
      May 25, 2022 - to improve safety and ensure justice. … RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure … RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure … September 1, 2015 Looking back on the history of patient safety: an opportunity to reflect … the shape of medication containers can improve medication safety.

2206. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39786/psn-pdf
      August 25, 2010 - trend-analysis-radiation-therapy-incidents-over-seven-years Analysis of voluntary error reports indicated a decrease in safety … trend-analysis-radiation-therapy-incidents-over-seven-years https://psnet.ahrq.gov/primer/reporting-patient-safety-events

2207. Hospital R.Ph.s weigh in on new JCAHO patient safety goals. | PSNet
      psnet.ahrq.gov/issue/hospital-rphs-weigh-new-jcaho-patient-safety-goals
      May 20, 2020 - Newspaper/Magazine Article Hospital R.Ph.s weigh in on new JCAHO patient safety goals … Citation Text: Hospital R.Ph.s weigh in on new JCAHO patient safety goals. Vecchione A. … safety goals. … Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients … September 6, 2016 Developing a medication patient safety program — infrastructure and

2208. ISMP survey shows provider text messaging often runs afoul of patient safety. | PSNet
      psnet.ahrq.gov/issue/ismp-survey-shows-provider-text-messaging-often-runs-afoul-patient-safety
      May 07, 2018 - Citation Text: ISMP survey shows provider text messaging often runs afoul of patient safety. … November 30, 2016 Managing hospitalized patients with ambulatory pumps: findings from … May 31, 2017 View More Related Resources Patient Safety … Primers Patient Safety 101 June 15, 2024 Using telehealth … October 25, 2017 Perspective Telemedicine and Patient Safety

2209. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33666/psn-pdf
      October 01, 2008 - From a patient safety perspective, the single most effective method to avoid the adverse outcomes associated … Like most patient safety interventions, successful control of MRSA requires a combination of interventions … Certainly, the impact on patient safety is paramount, but there are potential financial implications … Like most patient safety activities, this requires a comprehensive approach focusing on the system and … Safety of patients isolated for infection control. JAMA. 2003;290:1899-1905.

2210. Hospital-error oversight called lax: state takes too long to investigate mistakes, patient advocates say. | PSNet
      psnet.ahrq.gov/issue/hospital-error-oversight-called-lax-state-takes-too-long-investigate-mistakes-patient
      May 04, 2015 - January 18, 2006 Hospitals save money, but safety is questioned. … April 1, 2024 Optimizing post-acute care patient safety: a scoping review of multifactorial … April 1, 2024 Perspective The Media’s Role in Patient Safety … May 13, 2019 Tennessee Center for Patient Safety. … August 14, 2013 With Safety in Mind: Mental Health Services and Patient Safety.

2211. Serious Reportable Events. | PSNet
      psnet.ahrq.gov/issue/serious-reportable-events
      March 21, 2018 - February 15, 2023 Barriers and facilitators to patient engagement in patient safety from … November 30, 2023 Maryland Hospital Patient Safety Program Annual Report. … July 1, 2020 Betsy Lehman Center for Patient Safety. … June 24, 2019 Organisation Patient Safety Incident Reports. … October 15, 2008 Patient Safety Reporting System.

2212. Hospital bracelets face hurdles as they fix hazard. | PSNet
      psnet.ahrq.gov/issue/hospital-bracelets-face-hurdles-they-fix-hazard
      August 15, 2012 - 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 end-of-life care. … September 24, 2014 At Bellevue, a desperate fight to ensure the patients' safety. … November 11, 2015 Overkill: An avalanche of unnecessary medical care is harming patients … July 23, 2008 Standardising wristbands improves patient safety.

2213. Is researching adverse events in hospital deaths a good way to describe patient safety in hospitals: a retrospective patient record review study. | PSNet
      psnet.ahrq.gov/issue/researching-adverse-events-hospital-deaths-good-way-describe-patient-safety-hospitals
      March 18, 2013 - safety in hospitals: a retrospective patient record review study. … Comparing adverse event reports from patients who died in the hospital versus patients discharged alive … A retrospective patient record review study of changes to patient safety over time. … November 3, 2015 What are the safety risks for patients undergoing treatment by multiple … June 17, 2015 Role of relatives of ethnic minority patients in patient safety in hospital

2214. The path to safe and reliable healthcare. | PSNet
      psnet.ahrq.gov/issue/path-safe-and-reliable-healthcare
      August 20, 2018 - August 22, 2013 Patient Safety Leadership WalkRounds. … April 25, 2016 A 10-Rights framework for patient care quality and safety. … February 3, 2011 Patient safety in obstetrics and gynecology: an agenda for the future … December 22, 2010 Improving patient safety in hospitals: contributions of high-reliability … September 28, 2010 A comprehensive collaborative patient safety residency curriculum

2215. In Conversation With… Mark Graban, MS, MBA | PSNet
      psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
      January 01, 2015 - 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? … The effect of the Virginia Mason Production System (VMPS) can be seen in indicators of clinical outcomes … , safety, patient satisfaction, process indicators, staff engagement, and economics.

2216. Human factors and systems engineering approach to patient safety for radiotherapy. | PSNet
      psnet.ahrq.gov/issue/human-factors-and-systems-engineering-approach-patient-safety-radiotherapy
      August 07, 2013 - Commentary Human factors and systems engineering approach to patient safety for radiotherapy … Citation Text: Human factors and systems engineering approach to patient safety for radiotherapy. … This article describes how systems engineering concepts can be applied to improve patient safety. … 13, 2022 Nursing guidelines for comprehensive harm prevention strategies for adult patients … safety improvements.

2217. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue | PSNet
      psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
      May 01, 2016 - The recent Joint Commission National Patient Safety Goal on clinical alarm safety highlighted the complexities … Default settings are useful when patients first arrive on a unit; they can act as a safety net by detecting … The Joint Commission announces 2014 National Patient Safety Goal. … Many of those patients are also on cardiac monitors, and there are fewer nurses per patient. … Barbara Drew, RN, PhD May 1, 2016 Alarm fatigue: impacts on patient safety.

2218. Freedom to Speak Up: A Review of Whistleblowing in the NHS. | PSNet
      psnet.ahrq.gov/issue/freedom-speak-review-whistleblowing-nhs
      April 24, 2013 - February 26, 2014 Identifying Risks and Monitoring Safety: the Role of Patients and Citizens … Safety. … May 21, 2016 Continuous Improvement of Patient Safety: The Case for Change in the NHS … July 25, 2018 Implementing a Program of Patient Safety in Small Rural Hospitals. … March 16, 2016 Junior doctors' views on reporting concerns about patient safety: a qualitative

2219. Premature Closure: Was It Just Syncope? | PSNet
      psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
      February 10, 2021 - In a study of patients with a hemorrhage secondary to anticoagulation, 76% of patients with intracranial … Approach to Improving Safety and Systems Change Needed To help clinicians avoid similar errors, hospitals … like checklists and forcing functions, when integrated into the EHR, provide additional measures of safety … A surgical safety checklist to reduce morbidity and mortality in a global population. … Sections Learning Objectives The Case The Commentary Background Approach to Improving Safety

2220. The impact of the use of employee functional flexibility on patient safety. | PSNet
      psnet.ahrq.gov/issue/impact-use-employee-functional-flexibility-patient-safety
      January 12, 2022 - Study The impact of the use of employee functional flexibility on patient safety. … The impact of the use of employee functional flexibility on patient safety. … The impact of the use of employee functional flexibility on patient safety. … January 12, 2022 Learning and mindfulness: improving perioperative patient safety. … during handovers when nurses are away from patients?