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Showing results for "patient safety indicators".
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2901. Health apps and health policy: what is needed? | PSNet
      psnet.ahrq.gov/issue/health-apps-and-health-policy-what-needed
      December 02, 2020 - Mobile health care applications are increasingly being developed and marketed to patients for self-care … and diagnosis , with little oversight as to their effectiveness or safety . … safety. … June 17, 2020 A smartphone app designed to empower patients to contribute toward safer … HIT vendors, their customers, and patients: a report of an AMIA special task force.

2902. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49500/psn-pdf
      January 01, 2006 - The patient was discharged with a diagnosis of viral syndrome after receiving one dose of acetaminophen … children (younger than 19 years) presented with acetaminophen hepatotoxicity, with 62 of 63 suicidal patients … Safety Strategies A number of safety interventions could prevent future acetaminophen overdoses, and … An assessment of the safety of pediatric ibuprofen. … Outcome of acetaminophen overdose in pediatric patients and factors contributing to hepatotoxicity.

2903. Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting. | PSNet
      psnet.ahrq.gov/issue/using-consumer-based-kiosk-technology-improve-and-standardize-medication-reconciliation
      August 23, 2023 - Jt Comm J Qual Patient Saf. 2009;35(5):264-70. … This study used an innovative approach to involving patients in safety efforts by using an interactive … June 2, 2021 The top patient safety strategies that can be encouraged for adoption now … March 13, 2013 Advancing the science of patient safety. … Chemotherapy patients' perspectives towards engaging in their safety.

2904. Resuscitation Errors: A Shocking Problem | PSNet
      psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
      October 19, 2022 - Delaying defibrillation to give basic cardiopulmonary resuscitation to patients with out-of-hospital … Indicators/ECG Display    a. Power "on"    b. Self test ok    c. Monitor display functional    d. … May 3, 2016 Identifying patients with sepsis on the hospital wards. … September 22, 2021 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … safety.

2905. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49577/psn-pdf
      January 01, 2009 - During his preparation for surgery, the patient asked the staff to leave his insulin pump in place and … After he was extubated, the patient asked the nurse for his hourly finger stick blood glucose results … Unbeknownst to the nurse, the patient would then adjust his insulin pump in response to the glucose … for continued insulin pump use during the hospital stay.(4) These recommendations attempt to balance safety … safety.

2906. Misread Label | PSNet
      psnet.ahrq.gov/web-mm/misread-label
      August 28, 2024 - proprietary reviews of proposed names, trademarks, packaging, and labeling for pharmaceutical industry clients … safety incident data. … safety. … across health, social care and patient safety: a systematic review of reviews. … February 12, 2020 How can patient-held lists of medication enhance patient safety?

2907. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism | PSNet
      psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
      December 31, 2024 - safety Develop an approach to managing patients diagnosed with pulmonary embolism including anticoagulation … Approach to Improving Safety This case represents a classic Swiss cheese model in which several, small … radiologic findings Failure of the primary team to review imaging studies Failure to recognize multiple indicators … safety and minimize diagnostic error. … Effectiveness of the surgical safety checklist in correcting errors: a literature review applying Reason's

2908. Duplicate Insulin Order | PSNet
      psnet.ahrq.gov/web-mm/duplicate-insulin-order
      May 04, 2012 - safety incidents, with 24% resulting in patient harm.( 3 ) Insulin errors are reported across all phases … A prospective, observational study found 178 medication errors in 192 patients over 28 observed provider … shifts.( 6 ) At least one error occurred in almost 60% of patients (37% reaching the patient), most … Insulin, hospitals and harm: a review of patient safety incidents reported to the National Patient Safety … August 30, 2023 Patient Safety Innovations Remote

2909. Association of primary care clinic appointment time with opioid prescribing. | PSNet
      psnet.ahrq.gov/issue/association-primary-care-clinic-appointment-time-opioid-prescribing
      September 01, 2021 - trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients … September 1, 2018 A patient safety toolkit for family practices. … August 10, 2016 Patient mortality during unannounced accreditation surveys at US hospitals … December 16, 2020 Limits on opioid prescribing leave patients with chronic pain vulnerable

2910. Rapid expansion of the Healing Emotional Lives of Peers program during COVID-19: a second victim peer support program for healthcare professionals. | PSNet
      psnet.ahrq.gov/issue/rapid-expansion-healing-emotional-lives-peers-program-during-covid-19-second-victim-peer
      June 05, 2024 - J Patient Saf. 2024;20(1):28-37. doi:10.1097/pts.0000000000001179. … safety. … and joint problem-solving orientation in safety improvement. … November 16, 2022 The perception of the patient safety climate by health professionals … October 13, 2021 Description and evaluation of an interprofessional patient safety course

2911. Weekend specialist intensity and admission mortality in acute hospital trusts in England: a cross-sectional study. | PSNet
      psnet.ahrq.gov/issue/weekend-specialist-intensity-and-admission-mortality-acute-hospital-trusts-england-cross
      November 25, 2020 - April 3, 2019 Multiple component patient safety intervention in English hospitals: controlled … August 30, 2023 Supporting carers to improve patient safety and maintain their well-being … November 22, 2017 A qualitative formative evaluation of a patient-centred patient safety … safety intervention: a UK-based qualitative process evaluation. … March 8, 2017 Considering chance in quality and safety performance measures: an analysis

2912. Inflicting Confusion | PSNet
      psnet.ahrq.gov/web-mm/inflicting-confusion
      August 04, 2021 - The medicine team recently managed a patient with Crohn disease and a similar presentation in which a … more recent data suggests this risk is likely due to thiopurine.( 17 ) Considering the complex safety … Clostridium difficile infection in the inflammatory bowel disease patient. … Safety of infliximab and other Crohn's disease therapies: TREAT Registry data with a mean of 5 years … March 23, 2012 Patient safety in the cardiac operating room: human factors and teamwork

2913. Electronic prescribing systems in pediatrics: the rationale and functionality requirements. | PSNet
      psnet.ahrq.gov/issue/electronic-prescribing-systems-pediatrics-rationale-and-functionality-requirements
      November 25, 2013 - encourages the use of electronic prescribing in pediatric practice as a way to prevent errors and improve patient … November 19, 2018 Pediatric medication safety in the emergency department. … March 14, 2018 Patient safety in the pediatric emergency care setting. … February 3, 2011 Principles of pediatric patient safety: reducing harm due to medical … Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients

2914. Electronic health records and malpractice claims in office practice. | PSNet
      psnet.ahrq.gov/issue/electronic-health-records-and-malpractice-claims-office-practice
      December 31, 2014 - May 15, 2024 The safety of inpatient health care. … September 9, 2020 Prevalence and causes of diagnostic errors in hospitalized patients … April 12, 2023 Organization and representation of patient safety data: current status … December 21, 2014 Effect of a comprehensive obstetric patient safety program on compensation … December 1, 2010 Characteristics of medical professional liability claims in patients

2915. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837847/psn-pdf
      August 17, 2022 - defining-and-studying-errors-surgical-care-systematic-review https://psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-and-event-reporting

2916. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49857/psn-pdf
      March 01, 2019 - safety incidents, with 24% resulting in patient harm.(3) Insulin errors are reported across all phases … A prospective, observational study found 178 medication errors in 192 patients over 28 observed provider … shifts.(6) At least one error occurred in almost 60% of patients (37% reaching the patient), most often … Insulin, hospitals and harm: a review of patient safety incidents reported to the National Patient Safety … contributors Undifferentiated and unfamiliar patients Minimal past medical history or information

2917. High-risk, high-alert medication management practices in a regional state psychiatric facility. | PSNet
      psnet.ahrq.gov/issue/high-risk-high-alert-medication-management-practices-regional-state-psychiatric-facility
      January 06, 2017 - The authors describe a clinical pharmacy service that monitors patients on high-alert medications to  … prevent adverse events and improve the safety of medication administration. … September 15, 2015 The safety of emergency care systems: results of a survey of clinicians … June 16, 2009 The National Emergency Department Safety Study: study rationale and design … patients.

2918. Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies. | PSNet
      psnet.ahrq.gov/issue/transmitting-and-processing-electronic-prescriptions-experiences-physician-practices-and
      July 02, 2019 - November 16, 2022 Psychological safety in intensive care unit rounding teams. … June 10, 2020 Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist … by the Safety and Health Committee. … June 15, 2016 Defining the landscape of patient harm after osteopathic manipulative treatment … December 16, 2013 e-Prescribing: characterisation of patient safety hazards in community

2919. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49791/psn-pdf
      April 01, 2017 - was noted that the personnel carrying out the procedure at the bedside had not performed the usual safety … In the current case, it is unclear if the safety procedures mandated by the Universal Protocol were … Take-Home Points Wrong-site errors are considered never events and represent a core patient safety problem … The current safety standard for preventing wrong-site errors includes The Joint Commission Universal … safety.

2920. Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled trial. | PSNet
      psnet.ahrq.gov/issue/use-electronic-decision-support-tool-reduce-polypharmacy-elderly-people-chronic-diseases
      August 18, 2021 - observational, descriptive, cross-sectional study April 8, 2020 Evaluation of a patient-centered … Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient … improved patient safety outcomes: a stepped-wedge, cluster-randomised multicentre trial. … October 27, 2021 Patient Safety Primers Deprescribing as … a Patient Safety Strategy October 27, 2021 Medication use and cognitive impairment