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Showing results for "patient safety indicators".
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2461. Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? | PSNet
      psnet.ahrq.gov/issue/retrospective-cohort-study-wrong-patient-imaging-order-errors-how-many-reach-patient
      February 22, 2023 - reach the patient? … Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? … Near misses (also referred to as close calls) represent important opportunities for safety improvement … Safety Databases. … June 16, 2019 WebM&M Cases Speaking Up for Patient Safety

2462. Teamwork before and during COVID-19: the good, the same, and the ugly…. | PSNet
      psnet.ahrq.gov/issue/teamwork-and-during-covid-19-good-same-and-ugly
      September 14, 2022 - Teamwork is an essential component of patient safety.  … promote patient and workforce safety. … December 23, 2020 Maternal and neonatal health care worker well-being and patient safety … culture and patient safety in emergency departments: a systematic review. … March 31, 2021 Maternal and neonatal health care worker well-being and patient safety

2463. A state-of-the-art review of speaking up in healthcare. | PSNet
      psnet.ahrq.gov/issue/state-art-review-speaking-healthcare
      October 13, 2021 - Speaking up behaviors are a key indicator of psychological safety and a culture of safety. … Clinical supervision in general practice training: the interweaving of supervisor, trainee and patient … entrustment with clinical oversight, patient safety and trainee learning. … safety in the patient care environment. … centered care and safety?

2464. A case for improving measurement of intraoperative iatrogenic injuries. | PSNet
      psnet.ahrq.gov/issue/case-improving-measurement-intraoperative-iatrogenic-injuries
      February 14, 2017 - This commentary reveals limits to using the AHRQ Patient Safety Indicator for accidental puncture … and laceration as a safety measure. … , 2015 Association of the 2011 ACGME resident duty hour reform with general surgery patient … May 6, 2020 Safety culture as a patient safety practice for alarm fatigue. … August 29, 2018 Using Six Sigma to improve patient safety in the perioperative process

2465. Anaesthesia clinicians' perception of safety, workload, anxiety, and stress in a remote hybrid suite compared with the operating room. | PSNet
      psnet.ahrq.gov/issue/anaesthesia-clinicians-perception-safety-workload-anxiety-and-stress-remote-hybrid-suite
      March 20, 2024 - Non-standard work environments may present challenges to provider well-being and patient safety . … November 17, 2021 Patients and families as teachers: a mixed methods assessment of a … through the patient TIPS model. … safety. … December 11, 2024 Wake Up Safe in the USA & international patient safety.

2466. Identification of inpatient DNR status: a safety hazard begging for standardization. | PSNet
      psnet.ahrq.gov/issue/identification-inpatient-dnr-status-safety-hazard-begging-standardization
      January 19, 2012 - survey of nurse leaders at academic medical centers found great variation in the method used to document patients … This lack of standardization has been recognized as a patient safety problem, and resources exist to … outcomes: results from the Triad for Optimal Patient Safety (TOPS) project. … Safety (TOPS) experience. … February 18, 2011 Patient whiteboards as a communication tool in the hospital setting

2467. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. | PSNet
      psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety-incident-report
      January 12, 2022 - Diagnostic error in the emergency department: learning from national patient safety incident report analysis … contributed to the diagnostic errors: insufficient assessment (e.g., failure to order imaging or refer patients … December 16, 2015 A mixed-methods analysis of patient safety incidents involving opioid … December 16, 2020 Learning from patient safety incidents involving acutely sick adults … August 25, 2021 Classification of patient-safety incidents in primary care.

2468. Understanding human over-reliance on technology. | PSNet
      psnet.ahrq.gov/issue/understanding-human-over-reliance-technology
      February 24, 2016 - ISMP Medication Safety Alert! Acute Care Edition. September 8, 2016;21:1-4. … ’s Healthcare Safety Investigation Branch (HSIB). … June 10, 2018 View More Related Resources Patient Safety … April 17, 2017 Annual Perspective Patient Engagement in … See More About The Topic Hospitals Health Care Providers Information Professionals Patients

2469. The doctor was rude, the toilets are dirty. Utilizing 'soft signals' in the regulation of patient safety. | PSNet
      psnet.ahrq.gov/issue/doctor-was-rude-toilets-are-dirty-utilizing-soft-signals-regulation-patient-safety
      October 06, 2021 - Utilizing 'soft signals' in the regulation of patient safety. … Utilizing ‘soft signals’ in the regulation of patient safety. … Utilizing ‘soft signals’ in the regulation of patient safety. … are related facets of the patient's experience in surgery: a descriptive qualitative study in 80 patients … April 20, 2022 Is there a mismatch between the perspectives of patients and regulators

2470. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49663/psn-pdf
      September 01, 2012 - Later that day, the patient developed fever and chills. … The patient ultimately recovered and was discharged to home. … Improving the safety of peripheral intravenous catheters. BMJ. 2008;337:a630. [go to PubMed] 9. … Safety of prolonging peripheral cannula and i.v. tubing use from 72 hours to 96 hours. … of 3165 patients.

2471. The health implications of apologizing after an adverse event. | PSNet
      psnet.ahrq.gov/issue/health-implications-apologizing-after-adverse-event
      October 05, 2015 - should enact incident disclosure: the "100 patient stories" qualitative study. … safety incident reports. … safety leadership. … December 8, 2016 Patients' and family members' views on how clinicians enact and how … May 4, 2014 Culture, language, and patient safety: making the link.

2472. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49771/psn-pdf
      July 01, 2016 - safety. … Discourses about patient safety tend to involve a good deal of talk about systems thinking, but actually … Leapfrog initiatives to drive great leaps in patient safety. 2. Ranji S, Wachter RM, Hartman EE. … Patient Safety Primer: Computerized Provider Order Entry. AHRQ Patient Safety Network. … Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. 2nd ed.

2473. ISMP 2007 survey on high-alert medications. Differences between nursing and pharmacy perspectives still prevalent. | PSNet
      psnet.ahrq.gov/issue/ismp-2007-survey-high-alert-medications-differences-between-nursing-and-pharmacy-perspectives
      February 13, 2019 - ISMP Medication Safety Alert! Acute care edition. May 17, 2007. … Related Resources From the Same Author(s) Just Culture and its critical link to patient … safety—part 1 and part 2. … November 30, 2016 Pump up the volume: tips for increasing error reporting and decreasing patient … June 17, 2014 Medication safety issue brief.

2474. Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes. | PSNet
      psnet.ahrq.gov/issue/patient-identification-diagnostic-safety-blindspots-and-participation-good-catches-through
      October 27, 2021 - Study Patient identification of diagnostic safety blindspots and participation in … Patient identification of diagnostic safety blindspots and participation in "good catches" through shared … Patients who access their electronic health record (EHR) through a patient portal have identified clinically … patient and family engagement in safety. … February 16, 2022 When doctors share visit notes with patients: a study of patient and

2475. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74754/psn-pdf
      February 09, 2022 - Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis … Adverse events during intrahospital transport of critically ill patients: A systematic review and meta-analysis … https://psnet.ahrq.gov/issue/adverse-events-during-intrahospital-transport-critically-ill-patients-systematic … - review-and Transporting critically ill patients within a hospital (e.g., to radiology for diagnostic … procedures) is necessary but also poses safety threats.

2476. Duplicate medication order errors: safety gaps and recommendations for improvement. | PSNet
      psnet.ahrq.gov/issue/duplicate-medication-order-errors-safety-gaps-and-recommendations-improvement
      March 22, 2023 - Patient Safety. 2022;4(3):39-47. doi:10.33940/data/2022.9.6. … Patient Safety . 2022; 4 (3) :39-47 . View more articles from the same authors. … Patient Safety. 2022;4(3):39-47. doi:10.33940/data/2022.9.6. … the analysis of patient safety event reports. … January 25, 2023 Medication dosing safety for pediatric patients: recognizing gaps, safety

2477. Safety trade-offs in home care during COVID-19: a mixed methods study capturing the perspective of frontline workers. | PSNet
      psnet.ahrq.gov/issue/safety-trade-offs-home-care-during-covid-19-mixed-methods-study-capturing-perspective
      September 01, 2021 - Patient Safety. 2021;3(3):6-17. doi:10.33940/infection/2021.9.1. … Patient Safety . 2021; 3 (3) :6-17 . View more articles from the same authors. … Patient Safety. 2021;3(3):6-17. doi:10.33940/infection/2021.9.1. … 94 hospitals September 1, 2021 Patient safety in chiropractic teaching programs: … September 30, 2020 Management and patient safety of complex elderly patients in primary

2478. A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. | PSNet
      psnet.ahrq.gov/issue/multi-site-assessment-inpatient-safety-event-rates-during-coronavirus-disease-2019-pandemic
      May 25, 2022 - between staffing levels during the pandemic and patient safety event rates. … May 25, 2022 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … July 20, 2022 The perception of patient safety in an alternate site of care for elective … August 31, 2022 Using event reports in real-time to identify and mitigate patient safety … September 23, 2020 Role of artificial intelligence in patient safety outcomes: systematic

2479. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47667/psn-pdf
      February 27, 2019 - https://psnet.ahrq.gov/issue/it-time-define-antimicrobial-never-events Never events are devastating to patients … and indicate serious underlying organizational safety problems. … prevalence-inappropriate-antibiotic-prescriptions-among-us-ambulatory-care-visits-2010-2011 https://psnet.ahrq.gov/issue/vital-signs-improving-antibiotic-use-among-hospitalized-patients

2480. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40296/psn-pdf
      October 01, 2014 - J Patient Saf. 2011;7(1):45-59. doi:10.1097/PTS.0b013e31820d164b. … development-trigger-tools-surveillance-adverse-events-ambulatory-surgery https://psnet.ahrq.gov/issue/clinical-validation-ahrq-postoperative-venous-thromboembolism-patient-safety-indicator