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Showing results for "patient safety indicators".
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2961. Introducing second-year medical students to diagnostic reasoning concepts and skills via a virtual curriculum. | PSNet
      psnet.ahrq.gov/issue/introducing-second-year-medical-students-diagnostic-reasoning-concepts-and-skills-virtual
      April 24, 2018 - June 14, 2017 Cutting-edge efforts in surgical patient safety. … July 2, 2019 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … December 9, 2020 Intraoperative sentinel events in the era of surgical safety checklists … June 21, 2023 Annual Perspective Improving Diagnostic Safety … A qualitative study of emotions, triggers, regulation strategies, and effects on patient care.

2962. In Conversation With... Heidi Wald, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-heidi-wald-md
      November 26, 2019 - We spoke with her about patient safety concerns when caring for frail older patients.   Dr. … KH: Besides medications, are there other patient safety topics related to frail older patients that … Patient Safety in Frail Older Patients November 26, 2019 sup {font-size: 0.8em; … Patient Safety Considerations in Frail Older Patients The hazards of hospitalization and overtreatment … Given the magnified patient safety risk frail older patients experience, clinicians and other providers

2963. Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable | PSNet
      psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
      December 20, 2023 - stress for all parties involved . 9 This patient’s case highlights a patient safety issue that can … plays a vital role in patient safety by decreasing risk for errors during transitions of care. … In this patient’s case, a patient safety event was avoided due to the inpatient discharge medication … Systems Change Needed Patient safety is an inherent responsibility of the clinical microsystem. … Improving patient safety within clinical microsystems begins with raising the work unit’s understanding

2964. 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

2965. 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

2966. 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.

2967. Impact of interoperability of smart infusion pumps and an electronic medical record in critical care. | PSNet
      psnet.ahrq.gov/issue/impact-interoperability-smart-infusion-pumps-and-electronic-medical-record-critical-care
      August 25, 2021 - the Same Author(s) Impact of smart pump-electronic health record interoperability on patient … September 9, 2020 The impact of electronic health record interoperability on safety and … October 5, 2022 Using smart IV infusion pumps outside of patient rooms. … September 30, 2020 Improving patient safety and efficiency of medication reconciliation … March 13, 2019 Using Lean "automation with a human touch" to improve medication safety

2968. 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:

2969. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43341/psn-pdf
      July 23, 2014 - Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients … Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients … or family are associated with improved patient outcomes, echoing a prior systematic review. … authors recommend that nursing handoffs be structured, include face-to-face communication, involve patients … handoffs-and-signouts https://psnet.ahrq.gov/primer/diagnostic-errors https://psnet.ahrq.gov/primer/nursing-and-patient-safety

2970. Microsoft PowerPoint - FINAL CME Reviewed Spotlight_Loss of Trust and a Missed Diagnosis_02.14.20221 - clean - REVISED.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-02/final_cme_reviewed_spotlight_loss_of_trust_and_a_missed_diagnosis_02.14.20221_-_clean_-_revised.pdf
      January 01, 2022 - SAFETY: DIAGNOSIS 21 Approach to Improving Patient Safety: Diagnosis (1) • This case demonstrates … often did not include a physical examination. 24 Approach to Improving Patient Safety: Diagnosis … SAFETY: MANAGEMENT 27 Approach to Improving Patient Safety: Management (1) 28 • When the patient … Approach to Improving Patient Safety: Management (4) 31 • This visit was a missed opportunity. … Approach to Improving Patient Safety: Management (5) 32 • Unfortunately, as the patient’s pain and

2971. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49812/psn-pdf
      November 01, 2017 - harm, additional anxiety, and frustration for both patients and care providers. … Heher, MD, MPH Director, Quality & Patient Safety Department of Pathology Beth Israel Deaconess Medical … Errors in laboratory medicine: practical lessons to improve patient safety. … Patient Safety Solutions. [Available at] 6. … Pathology and patient safety: the critical role of pathology informatics in error reduction and quality

2972. 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

2973. 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

2974. Impact of inpatient harms on hospital finances and patient clinical outcomes. | PSNet
      psnet.ahrq.gov/issue/impact-inpatient-harms-hospital-finances-and-patient-clinical-outcomes
      February 28, 2018 - into question the business case for patient safety. … safety measure and critical performance measures at the frontline of care. … safety surveillance and improvement. … December 5, 2018 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … November 18, 2016 Association between hospital performance on patient safety and 30-day

2975. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. | PSNet
      psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
      January 23, 2017 - & Patient Safety Target Procedural sedation is ubiquitous in modern clinical medicine. … events and unfavorable patient outcomes Two-person technique The adage that there is safety in numbers … Look-Alike, Sound-Alike Medication Names: Patient Safety Solutions, Volume 1, Solution 1, May 2007. … Closing the communication loop: using readback/hearback to support patient safety. … November 25, 2020 Creating an integrated patient safety team.

2976. Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process. | PSNet
      psnet.ahrq.gov/issue/code-debriefing-department-veterans-affairs-va-medical-team-training-program-improves
      August 18, 2010 - Jt Comm J Qual Patient Saf. 2010;36(9):424-429, 385. … Jt Comm J Qual Patient Saf . 2010; 36 (9) :424-429, 385 . … Jt Comm J Qual Patient Saf. 2010;36(9):424-429, 385. … June 27, 2011 Use of the Safety Attitudes Questionnaire as a measure in patient safety … Safety (TOPS) experience.

2977. Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. | PSNet
      psnet.ahrq.gov/issue/impact-pharmacist-facilitated-hospital-discharge-program-quasi-experimental-study
      December 21, 2014 - Pharmacist involvement in inpatient care is a proven strategy to improve safety, and a pharmacist-led … April 10, 2024 Development of patient safety measures to identify inappropriate diagnosis … February 3, 2016 Impact of a pharmacist on medication reconciliation on patient admission … August 24, 2011 A comprehensive pharmacist intervention to reduce morbidity in patients … process for elderly patients.

2978. Race, ethnicity, and 60-day outcomes after hospitalization with COVID-19. | PSNet
      psnet.ahrq.gov/issue/race-ethnicity-and-60-day-outcomes-after-hospitalization-covid-19
      January 12, 2022 - study used registry data to examine racial and ethnic disparities in post-discharge outcomes among patients … Findings indicate that Black patients may be more vulnerable to COVID-19-related complications (e.g., … September 16, 2020 Patient safety culture in assisted living: staff perceptions and association … November 30, 2022 The effect of medication reconciliation via a patient portal on medication … April 5, 2023 Exploring changes in patient safety incidents during the COVID-19 pandemic

2979. Identifying and quantifying medication errors: evaluation of rapidly discontinued medication orders submitted to a computerized physician order entry system. | PSNet
      psnet.ahrq.gov/issue/identifying-and-quantifying-medication-errors-evaluation-rapidly-discontinued-medication
      February 03, 2011 - February 3, 2011 Patient reported receipt of medication instructions for warfarin is … September 1, 2016 Medication safety in older adults: home-based practice patterns. … June 22, 2022 Care transition of trauma patients: processes with articulation work before … July 10, 2019 Quality and variability of patient directions in electronic prescriptions … September 1, 2016 Indication-based prescribing prevents wrong-patient medication errors

2980. In Conversation with...Richard P. Shannon, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
      August 01, 2010 - , solid tumor patients, and bone marrow transplant patients. … to patient safety initiatives at AMCs. … Eisenberg patient safety and quality awards. … Promoting patient safety by preventing medical error. JAMA. 1998;280:1444-1447. … Developing a national patient safety education framework for Australia.