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Showing results for "patient safety indicators".
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2941. Nurses as antimicrobial stewards: recognition, confidence, and organizational factors across nine hospitals. | PSNet
      psnet.ahrq.gov/issue/nurses-antimicrobial-stewards-recognition-confidence-and-organizational-factors-across-nine
      August 15, 2012 - Nosocomial transmission and outbreaks of coronavirus disease 2019: the need to protect both patients … Related Resources Understanding the peer, manager, and system influence on patient … safety. … May 22, 2013 Do nurse and patient injuries share common antecedents? … measure of safety culture in hospital nursing units.

2942. 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

2943. Cancer diagnoses delayed among prisoners in Washington state. | PSNet
      psnet.ahrq.gov/issue/cancer-diagnoses-delayed-among-prisoners-washington-state
      March 24, 2021 - Delays and mistakes in health care for distinct patient populations hold improvement lessons for the … Related Resources From the Same Author(s) COVID-19 dominates annual list of patient … safety concerns. … July 5, 2023 Annual Perspective Improving Diagnostic Safety … Patients keep getting hurt.

2944. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. | PSNet
      psnet.ahrq.gov/issue/understanding-and-preventing-wrong-patient-electronic-orders-randomized-controlled-trial
      December 21, 2017 - provider order entry , as patients could receive unintended medications. … July 9, 2018 National survey of patient safety experiences in hospital medicine during … January 10, 2024 Critical care clinicians' experiences of patient safety during the COVID … 2022 Development and pilot evaluation of an electronic health record usability and safety … August 24, 2022 The tradeoffs between safety and alert fatigue: data from a national

2945. Late Anemia Following Rh Disease in a Newborn | PSNet
      psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
      June 17, 2010 - The patient improved and he ultimately did well with appropriate therapies. … In addition, although it is common in patient safety discussions to focus on errors of omission ( 9 ) … Safely doing less: a missing component of the patient safety dialogue. … June 17, 2010 Perspective Getting Into Patient Safety: … Safety Research December 1, 2003 WebM&M Cases

2946. 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

2947. Harm prevalence due to medication errors involving high-alert medications: a systematic review | PSNet
      psnet.ahrq.gov/issue/harm-prevalence-due-medication-errors-involving-high-alert-medications-systematic-review
      June 19, 2024 - J Patient Saf. 2021;17(1):e1-e9. doi:10.1097/pts.0000000000000649. … June 19, 2024 Recommendations for the safety of hospitalised patients in the context … October 5, 2022 Patient safety in palliative care at the end of life from the perspective … intervention with daily round checklists, goal setting, and clinician prompting on mortality of critically ill patients … October 13, 2018 The impact of nursing practice environments on patient safety culture

2948. Electronic health record–related events in medical malpractice claims. | PSNet
      psnet.ahrq.gov/issue/electronic-health-record-related-events-medical-malpractice-claims
      April 03, 2018 - J Patient Saf. 2019;15(2):77-85. doi:10.1097/PTS.0000000000000240. … Although heath information technology (IT) has improved patient safety, studies have shown that implementing … J Patient Saf. 2019;15(2):77-85. doi:10.1097/PTS.0000000000000240. … Transparent and open discussion of errors does not increase malpractice risk in trauma patients … June 3, 2013 Effect of a comprehensive obstetric patient safety program on compensation

2949. Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. | PSNet
      psnet.ahrq.gov/issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls
      July 07, 2021 - (i.e., patient falls, pressure injuries, medication administration errors). … A systematic review exploring the content and outcomes of interventions to improve psychological safety … March 18, 2020 Medication-related interventions to improve medication safety and patient … December 8, 2021 Estimating the economic cost of nurse sensitive adverse events amongst patients … February 13, 2013 Review: bringing patient safety to the forefront through structured

2950. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49600/psn-pdf
      April 01, 2010 - Both medication errors and adverse drug events (ADEs) are types of medication safety events. … in the ambulatory setting is a crucial component of improving the quality and safety of patient care … Yet patients often refuse counseling, especially for medication refills. … advocates that the intended use be indicated on each prescription as an aid for pharmacists and for patients … Health care systems are adopting systems approaches to improve patient safety.

2951. A review of incidents related to health information technology in Swedish healthcare to characterise system issues as a basis for improvement in clinical practice. | PSNet
      psnet.ahrq.gov/issue/review-incidents-related-health-information-technology-swedish-healthcare-characterise-system
      December 20, 2023 - also introduced threats to patient safety . … In this qualitative analysis, researchers explored factors contributing to HIT-related patient safety … December 20, 2023 The incidence of opioid misuse among the surgical patients with persistent … April 19, 2017 Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator … for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe

2952. Multilevel factors associated with time to biopsy after abnormal screening mammography results by race and ethnicity. | PSNet
      psnet.ahrq.gov/issue/multilevel-factors-associated-time-biopsy-after-abnormal-screening-mammography-results-race
      March 24, 2021 - Delays in breast cancer diagnosis and treatment can threaten patient safety. … November 11, 2020 Communication with patients and families regarding health care-associated … September 20, 2011 Patient safety and quality improvement: ethical principles for a regulatory … safety event reports. … November 11, 2020 Communicating with patients about diagnostic errors in breast cancer

2953. Effect of residency duty-hour limits: views of key clinical faculty. | PSNet
      psnet.ahrq.gov/issue/effect-residency-duty-hour-limits-views-key-clinical-faculty
      July 08, 2009 - July 8, 2009 A coproduced family reporting intervention to improve safety surveillance … November 1, 2017 Performance of the Global Assessment of Pediatric Patient Safety (GAPPS … July 3, 2016 Racial, ethnic, and socioeconomic disparities in patient safety events for … November 15, 2018 Adverse events in hospitalized pediatric patients. … March 13, 2019 Patient safety outcomes under flexible and standard resident duty-hour

2954. Bad Writing, Wrong Medication | PSNet
      psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
      March 01, 2015 - in the ambulatory setting is a crucial component of improving the quality and safety of patient care … Yet patients often refuse counseling, especially for medication refills. … Health care systems are adopting systems approaches to improve patient safety. … May 26, 2010 Patient safety in nursing practice. … June 23, 2009 View More Related Resources Patient Safety

2955. Missed diagnoses by urologists resulting in malpractice payment. | PSNet
      psnet.ahrq.gov/issue/missed-diagnoses-urologists-resulting-malpractice-payment
      November 21, 2021 - diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient … September 28, 2017 Diffusion of surgical innovations, patient safety, and minimally invasive … August 2, 2015 Enhance patient safety by identifying and minimizing risk exposures affecting … October 23, 2012 Prevention of surgical malpractice claims by a surgical safety checklist … March 1, 2011 Using system analysis to build a safety culture: improving the reliability

2956. Electronic prescribing reduced prescribing errors in a pediatric renal outpatient clinic. | PSNet
      psnet.ahrq.gov/issue/electronic-prescribing-reduced-prescribing-errors-pediatric-renal-outpatient-clinic
      July 08, 2008 - Resources From the Same Author(s) Systematic review of medication errors in pediatric patients … November 13, 2009 The role of communication in paediatric drug safety. … January 27, 2021 Impact of structured interdisciplinary bedside rounding on patient outcomes … Annual Perspective Technology as a Tool for Improving Patient … March 4, 2015 Randomized trial to improve prescribing safety during pregnancy.

2957. The effect of computerised decision support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised stepped-wedge trial. | PSNet
      psnet.ahrq.gov/issue/effect-computerised-decision-support-alerts-tailored-intensive-care-administration-high-risk
      October 18, 2023 - Same Author(s) Adverse drug events caused by three high-risk drug-drug interactions in patients … 6, 2019 The impact of computerized physician medication order entry in hospitalized patients—a … safety. … September 6, 2023 Patient Safety Innovations Remote Response … Annual Perspective Technology as a Tool for Improving Patient

2958. Pharmacy-driven performance improvement initiative to increase compliance with intravenous smart pump drug error reduction systems at a large urban academic medical center. | PSNet
      psnet.ahrq.gov/issue/pharmacy-driven-performance-improvement-initiative-increase-compliance-intravenous-smart-pump
      September 23, 2020 - September 23, 2020 Using smart IV infusion pumps outside of patient rooms. … and patient-reported outcomes during treatment with new oral anticancer agents. … March 4, 2015 Patient care, square-rigger sailing, and safety. … Technology as a Tool for Improving Patient Safety March 29, 2023 … hazards associated with intravenous vancomycin through the analysis of patient safety event reports.

2959. Strategies to prevent missed nursing care: an international qualitative study based upon a positive deviance approach. | PSNet
      psnet.ahrq.gov/issue/strategies-prevent-missed-nursing-care-international-qualitative-study-based-upon-positive
      May 18, 2022 - the prevalence and association of polypharmacy and drug administration errors in hospitalized adult patients … May 18, 2022 Burnout and its relationship to self-reported quality of patient care and … nurses are away from patients? … October 20, 2021 Can patients contribute to enhancing the safety and effectiveness of … Perspective Surveillance Monitoring to Improve Patient

2960. How safe are outpatient electronic health records? An evaluation of medication-related decision support using the Ambulatory Electronic Health Record Evaluation Tool. | PSNet
      psnet.ahrq.gov/issue/how-safe-are-outpatient-electronic-health-records-evaluation-medication-related-decision
      March 17, 2021 - 2009 Impact of online education on intern behaviour around Joint Commission national patient … safety goals: a randomised trial. … September 26, 2012 Health literacy and quality: focus on chronic illness care and patient … safety. … and user perceptions of a patient-specific indication-based prescribing tool with current practice: