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Showing results for "patient safety indicators".
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2841. Unseen Perils of Urinary Catheters | PSNet
      psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
      January 31, 2024 - 47%).(10) These significant knowledge and practice gaps must be addressed to improve the quality and safety … of patient care. … Assist in healing of open sacral/perineal wound in incontinent patients. … products in male and female patients with urinary incontinence. … May 1, 2019 Improving nurse-to-patient staffing ratios as a cost-effective safety intervention

2842. Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. | PSNet
      psnet.ahrq.gov/issue/improving-handoff-deliberate-cognitive-processing-results-randomized-controlled-experimental
      March 18, 2020 - Jt Comm J Qual Patient Saf. 2020;47(4):234-241. doi:10.1016/j.jcjq.2020.11.008. … Jt Comm J Qual Patient Saf . 2020; 47 (4) :234-241 . … Poor handoff communication can threaten patient safety. … ’ problems, which could contribute to improved patient safety. … July 21, 2021 Communication with patients and families regarding health care-associated

2843. Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. | PSNet
      psnet.ahrq.gov/issue/long-term-effects-teamwork-training-communication-and-teamwork-climate-ambulatory
      May 01, 2019 - results indicate that TeamSTEPPS implementation was associated with improved perceptions of teamwork and patient … August 18, 2021 Social risk, health inequity, and patient safety. … August 19, 2020 The nature of reported safety events related to care coordination in … April 5, 2023 Provider-patient communication and hospital ratings: perceived gaps and … culture and patient safety in emergency departments: a systematic review.

2844. Culture change in infection control: applying psychological principles to improve hand hygiene. | PSNet
      psnet.ahrq.gov/issue/culture-change-infection-control-applying-psychological-principles-improve-hand-hygiene
      November 21, 2021 - The seemingly simple act of hand hygiene has proved to be a formidable obstacle in patient safety, … August 2, 2017 Indication-specific opioid prescribing for US patients with Medicaid or … safety. … February 6, 2014 'Not another safety culture survey': using the Canadian patient safety … August 14, 2013 What is patient safety culture? A review of the literature.

2845. Association of unexpected newborn deaths with changes in obstetric and neonatal process of care. | PSNet
      psnet.ahrq.gov/issue/association-unexpected-newborn-deaths-changes-obstetric-and-neonatal-process-care
      June 01, 2022 - June 1, 2022 Evaluation of a patient-centered fall-prevention tool kit to reduce falls … January 4, 2021 Association of display of patient photographs in the electronic health … record with wrong-patient order entry errors. … December 2, 2020 Maternal and neonatal health care worker well-being and patient safety … Can routinely collected data be repurposed to predict avoidable patient harm?

2846. Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent recalls. | PSNet
      psnet.ahrq.gov/issue/use-recalled-devices-new-device-authorizations-under-us-food-and-drug-administrations-510k
      April 13, 2022 - Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients … March 2, 2011 Improving patient safety and efficiency of medication reconciliation through … the prevalence and association of polypharmacy and drug administration errors in hospitalized adult patients … May 29, 2019 Unintended patient safety risks due to wireless smart infusion pump library … October 8, 2014 Impact of a comprehensive safety initiative on patient-controlled analgesia

2847. The effect of virtual nursing and missed nursing care. | PSNet
      psnet.ahrq.gov/issue/effect-virtual-nursing-and-missed-nursing-care
      December 01, 2021 - From the Same Author(s) Situation awareness and the mitigation of risk associated with patient … January 12, 2022 Improving patient safety and efficiency of medication reconciliation … Increased mortality and costs associated with adverse events in intensive care unit patients … Patient Safety March 29, 2023 Exploring care left undone in pediatric nursing … , 2022 Barriers and enablers to nurses' use of harm prevention strategies for older patients

2848. The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operating theatre. | PSNet
      psnet.ahrq.gov/issue/oxford-notechs-system-reliability-and-validity-tool-measuring-teamwork-behaviour-operating
      March 03, 2011 - interventions to improve emotional climate, indices of team skills and communication, and threat to patient … July 5, 2013 Poor resident–attending intraoperative communication may compromise patient … safety. … November 23, 2011 The relationship of the emotional climate of work and threat to patient … May 4, 2010 Crew resource management improved perception of patient safety in the operating

2849. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861772/psn-pdf
      January 31, 2024 - J Patient Saf. 2024;20(1):28-37. doi:10.1097/pts.0000000000001179. … from participants who completed a self-assessment indicate that the program promotes a culture of safety … second-victims-support-clinicians-involved-errors-and-adverse-events https://psnet.ahrq.gov/primer/culture-safety

2850. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45667/psn-pdf
      November 16, 2016 - individual-surgeon-mortality-rates-can-outliers-be-detected-national-utility- analysis Transparency is touted as central to improving patient … safety, but public reporting of data on individual surgeon performance—specifically mortality rates—remains … surgeon-specific-mortality-data-disguise-wider-failings-delivery-safe-surgical-services https://psnet.ahrq.gov/issue/variations-surgical-outcomes-associated-hospital-compliance-safety-practices

2851. Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation in an English hospital. | PSNet
      psnet.ahrq.gov/issue/impact-inpatient-electronic-prescribing-system-prescribing-error-causation-qualitative
      February 16, 2022 - safety incident data. … how a closed-loop documentation system for IV infusion administration contributes to and compromises patient … safety. … across health, social care and patient safety: a systematic review of reviews. … August 29, 2018 Quality and variability of patient directions in electronic prescriptions

2852. The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study. | PSNet
      psnet.ahrq.gov/issue/impact-drug-error-reduction-software-preventing-harmful-adverse-drug-events-england
      November 16, 2022 - Smart pump software can improve medication safety but can also introduce patient safety hazards, such … DERS was 45%, but across one year of implementation, severe harm or death was avoided in up to 110 patients … Technology as a Tool for Improving Patient Safety March 29, 2023 … August 31, 2022 Impact of smart pump-electronic health record interoperability on patient … June 16, 2019 Unintended patient safety risks due to wireless smart infusion pump library

2853. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73906/psn-pdf
      October 06, 2021 - Safety Learning Lab project, and what they are discovering about equitable care and its impact on patient … KH: Tell us a bit about that work as an AHRQ Patient Safety Learning Lab and how your interest in this … KT: [AHRQ’s Patient Safety] Learning Lab is an ideal mechanism for this space because it gives us an … We were doing the car seat test that is for “safety,” but the patient thinks there's something terribly … Many of our PSLL [Patient Safety Learning Lab] team members are now part of a UNC Health System-wide

2854. Affordable Housing Community Offers Seniors Onsite Health Care Coordination and Support, Reducing Hospital Admissions and Falls and Improving Resident Health | PSNet
      psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
      March 27, 2024 - Innovation Patient Safety Focus The SASH program personalized care coordination services successfully … In Conversation with...Richard Ricciardi about Office-Based Patient Safety January … July 12, 2023 Patient Safety Innovations Preventing Falls … April 26, 2023 Patient Safety Innovations Enhancing … March 29, 2023 Patient Safety Innovations Team-Developed

2855. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74728/psn-pdf
      February 02, 2022 - J Patient Saf. 2022;18(1):e262-e266. doi:10.1097/pts.0000000000000759. … identification (RFID) technology has been most commonly used in perioperative settings to improve patient … safety. … technology-based-closed-loop-tracking-improving-communication-and-follow-pathology-results https://psnet.ahrq.gov/issue/using-radiofrequency-technology-prevent-retained-sponges-and-improve-patient-outcomes

2856. Association of current opioid use with serious adverse events among older adult survivors of breast cancer. | PSNet
      psnet.ahrq.gov/issue/association-current-opioid-use-serious-adverse-events-among-older-adult-survivors-breast
      February 15, 2023 - Chronic opioid use for noncancer pain is a well-established patient safety problem but less is known … record with wrong-patient order entry errors. … safety? … September 3, 2014 Building capacity and capability for patient safety education: a train-the-trainers … Patient safety in chemotherapy care—a review of the literature.

2857. Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. | PSNet
      psnet.ahrq.gov/issue/some-unintended-consequences-information-technology-health-care-nature-patient-care
      November 18, 2020 - September 25, 2019 Engaging the patient and family in the surgical safety process utilizing … June 26, 2019 An opportunity to engage obstetrics and gynecology patients through shared … : Understanding how the clinician–patient relationship influences patient engagement in safety. … March 27, 2019 Engaging hospital patients in the medication reconciliation process using … safety.

2858. The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. | PSNet
      psnet.ahrq.gov/issue/global-comparators-project-international-comparison-30-day-hospital-mortality-day-week
      May 04, 2016 - four countries, in-hospital mortality within 30 days of admission or surgical procedure was higher for patients … safety indicator. … May 4, 2017 Monitoring patient safety in primary care: an exploratory study using in-depth … January 7, 2015 A review of patient safety measures based on routinely collected hospital … May 10, 2023 Patient Safety in Ambulance Services: A Scoping Review.

2859. A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined case cohorts. | PSNet
      psnet.ahrq.gov/issue/structured-approach-ehr-surveillance-diagnostic-error-acute-care-exploratory-analysis-two
      October 16, 2024 - Related Resources From the Same Author(s) Adverse diagnostic events in hospitalised patients … October 20, 2021 Patient-clinician diagnostic concordance upon hospital admission. … March 24, 2021 View More Related Resources Patient … August 28, 2019 An electronic health record–based real-time analytics program for patient … safety surveillance and improvement.

2860. Unscheduled radiologic examination orders in the electronic health record: a novel resource for targeting ambulatory diagnostic errors in radiology. | PSNet
      psnet.ahrq.gov/issue/unscheduled-radiologic-examination-orders-electronic-health-record-novel-resource-targeting
      March 30, 2022 - safety event investigation and analysis. … March 30, 2022 Classifying safety events related to diagnostic imaging from a safety … record with wrong-patient order entry errors. … June 21, 2016 View More Related Resources Patient Safety … safety.