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Showing results for "patient safety indicators".
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2681. New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. | PSNet
      psnet.ahrq.gov/issue/new-problems-and-iatrogenic-events-among-older-adults-first-30-days-post-acute-rehabilitation
      March 16, 2022 - safety work. … January 19, 2022 Effect of illness severity and comorbidity on patient safety and adverse … December 21, 2018 View More Related Resources Patient safety culture … safety culture? … January 20, 2021 Does Nursing Home Compare reflect patient safety in nursing homes?

2682. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33608/psn-pdf
      February 01, 2024 - Patients may also be at risk via overuse of interventions. … deaths https://psnet.ahrq.gov//#11 https://psnet.ahrq.gov//#11 https://psnet.ahrq.gov/issue/emotional-safety-patient-safety … This approach ultimately became a national one, through the (now dissolved) Council on Patient Safety … /perinatal-care-2/index.html https://www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care … A rapid review of available evidence to inform indicators for routine monitoring and evaluation of respectful

2683. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49810/psn-pdf
      November 01, 2017 - safety is scant.(3) There is no reliable study on the prevalence of critical incidents (errors and … safety has generally not been part of their training.(5,6) Given the complex nature of end-of-life … patient safety is crucial in end-of-life care. … safety. … Medical errors and patient safety in palliative care: a review of current literature.

2684. Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016. | PSNet
      psnet.ahrq.gov/issue/changing-dynamics-drug-overdose-epidemic-united-states-1979-through-2016
      November 21, 2021 - Opioid overdose deaths remain a threat to patient safety . … December 22, 2018 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … October 26, 2016 Indication-specific opioid prescribing for US patients with Medicaid … December 7, 2011 Do patients who read visit notes on the patient portal have a higher … Health Systems for Patient Safety February 26, 2025 Perspective

2685. Factors contributing to Registered Nurse medication administration error: a narrative review. | PSNet
      psnet.ahrq.gov/issue/factors-contributing-registered-nurse-medication-administration-error-narrative-review
      May 27, 2011 - July 3, 2016 Characterising the nature of primary care patient safety incident reports … December 15, 2021 Burnout mediates the association between depression and patient safety … safety. … December 18, 2017 Patient involvement in patient safety: a qualitative study of nursing … April 1, 2015 Medication administration technologies and patient safety: a mixed-method

2686. Technology-based closed-loop tracking for improving communication and follow-up of pathology results. | PSNet
      psnet.ahrq.gov/issue/technology-based-closed-loop-tracking-improving-communication-and-follow-pathology-results
      May 25, 2022 - safety . … November 10, 2021 Use of patient complaints to identify diagnosis-related safety concerns … May 25, 2022 The Psychological Safety Scale of the Safety, Communication, Operational … September 14, 2022 Patient generated research priorities to improve diagnostic safety … September 1, 2012 The safety implications of missed test results for hospitalised patients

2687. Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin. | PSNet
      psnet.ahrq.gov/issue/hardwiring-safety-computer-system-one-hospitals-actions-provide-technology-support-u-500
      February 24, 2016 - ISMP Medication Safety Alert! Acute Care Edition. May 5, 2016;21:1-4. … a high-alert drug, and its use is becoming more complex due to the insulin resistance in diabetic patients … ISMP Medication Safety Alert! Acute Care Edition. May 5, 2016;21:1-4. … March 15, 2022 Controlled substance drug diversion by healthcare workers as a threat to patient … safety.

2688. Effectiveness of computerized provider order entry with dose range checking on prescribing errors. | PSNet
      psnet.ahrq.gov/issue/effectiveness-computerized-provider-order-entry-dose-range-checking-prescribing-errors
      October 23, 2024 - J Patient Saf. 2008;1(4). doi:10.1097/01.jps.0000215339.03807.fd. … J Patient Saf . 2008; 1 (4) . View more articles from the same authors. … J Patient Saf. 2008;1(4). doi:10.1097/01.jps.0000215339.03807.fd. … January 18, 2011 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … July 27, 2016 Database construction for improving patient safety by examining pathology

2689. Internal medicine work hours: trends, associations, and implications for the future. | PSNet
      psnet.ahrq.gov/issue/internal-medicine-work-hours-trends-associations-and-implications-future
      February 03, 2016 - survey data found that general internists and subspecialists reported increased time spent in direct patient … September 25, 2019 The quality of pharmacologic care for vulnerable older patients. … March 2, 2011 Defining attributes of patient safety through a concept analysis. … October 24, 2012 Failure to weigh patients in hospital: a medication safety risk. … July 14, 2010 Patient whiteboards as a communication tool in the hospital setting: A

2690. Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. | PSNet
      psnet.ahrq.gov/issue/preventing-potential-patient-harm-through-clinical-content-interventions-during-oncology
      October 30, 2024 - safety during clinical trial conduct. … September 28, 2016 Drug-drug interactions and actual harm to hospitalized patients: a … November 20, 2024 AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety … by Enhancing Medication Safety. … July 1, 2020 Indication-specific opioid prescribing for US patients with Medicaid or

2691. Inappropriate Antibiotic Use | PSNet
      psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
      September 22, 2010 - Patient safety: infection control - a problem for patient safety. … Hospital-onset infections: a patient safety issue. … September 22, 2010 Patient safety event reporting in critical care: a study of three … Safety March 27, 2024 Patient Safety Innovations … Annual Perspective Technology as a Tool for Improving Patient Safety

2692. Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. | PSNet
      psnet.ahrq.gov/issue/digital-maturity-predictor-quality-and-safety-outcomes-us-hospitals-cross-sectional
      September 04, 2024 - Study Digital maturity as a predictor of quality and safety outcomes in US hospitals … Digital maturity in healthcare refers to how well hospitals use digital systems to improve patient … care processes, enhance patient safety, and provide quality health care. … grade, indicating advanced patient safety outcomes. … Annual Perspective Updates in the Role of Health IT in Patient

2693. Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment. | PSNet
      psnet.ahrq.gov/issue/use-prescribing-safety-quality-improvement-reports-uk-general-practices-qualitative
      December 08, 2021 - An interpretative phenomenological analysis of vulnerability as experienced by patients with complications … between guidelines and reality- an interview study exploring the strategies of first line managers in patient … safety work. … February 3, 2021 Fidelity and the impact of patient safety huddles on teamwork and safety … February 22, 2012 Confidential reporting of patient safety events in primary care: results

2694. ISMP Survey provides insights into preparation and admixture practices OUTSIDE the pharmacy. | PSNet
      psnet.ahrq.gov/issue/ismp-survey-provides-insights-preparation-and-admixture-practices-outside-pharmacy
      December 02, 2020 - ISMP Medication Safety Alert! Acute care edition. November 5, 2020;25(22)1-5. … Mistakes in the intravenous medication preparation process can result in patient harm. … Safety issues documented include time pressures, lack of staff training, and unreliable adherence to … ISMP Medication Safety Alert! Acute care edition. November 5, 2020;25(22)1-5. … Latent and active failures perfectly align to allow a preventable adverse event to reach a patient

2695. The collapse of sensemaking in organizations: the Mann Gulch disaster. | PSNet
      psnet.ahrq.gov/issue/collapse-sensemaking-organizations-mann-gulch-disaster
      May 21, 2019 - December 3, 2018 Association between surgeon technical skills and patient outcomes. … December 13, 2017 Association of surgical resident wellness with medical errors and patient … June 12, 2019 Promoting a culture of safety as a patient safety strategy: a systematic … July 5, 2013 The relationship of the emotional climate of work and threat to patient … safety: patient-focused, high-reliability team training.

2696. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852698/psn-pdf
      August 30, 2023 - - diagnostic-accuracy Summary Addressing diagnostic errors to improve outcomes and patient safety … Therefore, eA/eB seeks to improve the systems that cause diagnostic errors and patient safety events … Context of the Innovation Solving diagnostic errors to improve outcomes and patient safety has long … may have experienced significant delays in care, and a patient safety event could have occurred. … patient safety.

2697. A Mistaken Dose of Naloxone  | PSNet
      psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
      March 21, 2009 - A root cause analysis was performed by the hospital's safety committee, which revealed that pharmacists … Use of video-assisted patient educational materials may benefit patients and their caregivers in some … While policies such as the requirement of co-prescribing naloxone are intended to improve public safety … Opioid Safety and How to Use Naloxone. California Board of Pharmacy.  … January 27, 2021 Nurses' influence on consumers' experience of safety in acute mental

2698. Webmm Spotlight Suicide Risk Assessment (pdf file)
      psnet.ahrq.gov/sites/default/files/2019-11/webmm_spotlight_suicide_risk_assessment.pdf
      January 01, 2019 - say at one point in time – While checklists are often a helpful tool in patient safety, in cases of … Suicide Screening (2) The Joint Commission: National Patient Safety Goal (NPSG) • 2016: Universal suicide … Suicide Risk Reduction and Treatment Planning (2) • The Brown-Stanley safety plan is a collaborative … document that providers can work through with suicidal patients in crisis: – Providers work with patients … safety problem • Suicide screening is indicated for patients who receive medical care in EDs and medical

2699. Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency department. | PSNet
      psnet.ahrq.gov/issue/using-failure-mode-and-effect-analysis-identify-potential-failures-psychiatric-hospital
      June 22, 2017 - February 15, 2023 Lessons learned implementing a complex and innovative patient safety … September 11, 2024 Implementing and evaluating patient-focused safety technology on adult … March 13, 2024 Anticipating patient safety events in psychiatric care. … February 7, 2024 Supporting carers to improve patient safety and maintain their well-being … safety?

2700. Identification of common themes from never events data published by NHS England. | PSNet
      psnet.ahrq.gov/issue/identification-common-themes-never-events-data-published-nhs-england
      April 07, 2021 - Never events can result in serious patient harm and indicate serious underlying organizational safety … April 7, 2021 Preventable morbidity and mortality among non-trauma emergency surgery patients … November 11, 2020 Hospital acquired infections in surgical patients: impact of COVID- … safety programme. … View More Related Resources Grading recommendations for enhanced patient