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Showing results for "patient safety indicators".
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2981. Overnight stay in the emergency department and mortality in older patients. | PSNet
      psnet.ahrq.gov/issue/overnight-stay-emergency-department-and-mortality-older-patients
      March 05, 2025 - December 23, 2020 Is the Surgical Safety Checklist successfully conducted? … WebM&M Cases Delayed Evaluation of Abdominal Pain in an Elderly Patient … Clinicians' insights on emergency department boarding: an explanatory mixed methods study evaluating patient … June 30, 2021 Analysis of risk factors for patient safety events occurring in the emergency … July 21, 2011 The effects of emergency department staff rounding on patient safety and

2982. Mental models: a basic concept for human factors design in infection prevention. | PSNet
      psnet.ahrq.gov/issue/mental-models-basic-concept-human-factors-design-infection-prevention
      April 26, 2017 - March 11, 2015 COVID-19: the dark side and the sunny side for patient safety. … rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient … safety. … December 7, 2016 View More Related Resources Patient Safety Recommendations … June 16, 2019 Reclaiming the systems approach to paediatric safety.

2983. Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity. | PSNet
      psnet.ahrq.gov/issue/slowing-down-stay-out-trouble-operating-room-remaining-attentive-automaticity
      December 12, 2012 - The authors suggest that remaining purposefully attentive may benefit patient safety. … A study of patients' and operating room team members' perceptions of error definition, reporting, and … September 27, 2016 Measuring variation in use of the WHO surgical safety checklist in … January 20, 2015 Surgical safety checklist compliance: a job done poorly! … interventions to improve emotional climate, indices of team skills and communication, and threat to patient

2984. 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.

2985. 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

2986. 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.

2987. Discrepancies between home medications listed at hospital admission and reported medical conditions. | PSNet
      psnet.ahrq.gov/issue/discrepancies-between-home-medications-listed-hospital-admission-and-reported-medical
      November 03, 2021 - August 4, 2021 Patient safety, satisfaction, and quality of hospital care: cross sectional … surveys of nurses and patients in 12 countries in Europe and the United States. … process for elderly patients. … safety by creating a house staff quality council. … process for elderly patients.

2988. 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 … Of all incidents, 20% led to patient harm. … February 5, 2020 Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator … for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe

2989. Day of discharge does not impact hospital readmission after major cardiac surgery. | PSNet
      psnet.ahrq.gov/issue/day-discharge-does-not-impact-hospital-readmission-after-major-cardiac-surgery
      October 16, 2019 - Studies have demonstrated worse clinical outcomes for patients admitted to the hospital on weekends … This retrospective study found that patients undergoing elective cardiac surgery who were discharged … Download Citation Related Resources From the Same Author(s) Factors affecting patient … April 10, 2024 The top patient safety strategies that can be encouraged for adoption … December 18, 2017 Reporting and classification of patient safety events in a cardiothoracic

2990. Association of state-level opioid-reduction policies with pediatric opioid poisoning. | PSNet
      psnet.ahrq.gov/issue/association-state-level-opioid-reduction-policies-pediatric-opioid-poisoning
      September 09, 2020 - safety collaborative. … January 27, 2019 Association of patient and family reports of hospital safety climate … October 14, 2020 The problem with making Safety-II work in healthcare. … safety. … CDC guideline for opioid prescribing associated with reduced dispensing to certain patients

2991. Factors associated with malpractice claim payout: an analysis of closed emergency department claims. | PSNet
      psnet.ahrq.gov/issue/factors-associated-malpractice-claim-payout-analysis-closed-emergency-department-claims
      May 18, 2022 - Jt Comm J Qual Patient Saf . 2022; 48 (9) :492-496 . … safety. … Analysis of incident reports from a patient safety organization. … October 14, 2020 Keeping patients at risk for self-harm safe in the emergency department … April 8, 2018 Redesigning surgical decision making for high-risk patients.

2992. Association between in-clinic opioid administration and discharge opioid prescription in urgent care: a retrospective cohort study. | PSNet
      psnet.ahrq.gov/issue/association-between-clinic-opioid-administration-and-discharge-opioid-prescription-urgent
      May 19, 2021 - Opioid use is an ongoing patient safety concern. … September 1, 2021 Association of implementation and social network factors with patient … safety culture in medical homes: a coincidence analysis. … September 2, 2020 View More Related Resources Patient … Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of

2993. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73241/psn-pdf
      May 12, 2021 - safety problem in primary care and can lead to missed or delayed diagnoses. … Factors influencing follow-up include physician-patient miscommunication, alert fatigue, difficulty … obtaining test results or patient records, and logistical barriers. … suggest adopting interventions focused on mitigating factors that negatively impact follow-up, such as patient … i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary https://psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review

2994. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36366/psn-pdf
      April 11, 2011 - This AHRQ–funded study used methodology similar to a prior study in adult intensive care unit patients … Adverse events were relatively common, occurring at a rate of 0.74 per patient, most of which were preventable … Use of this chart-based review process may help identify specific patient populations at high risk for … AEs and help target patient safety efforts. … psnet.ahrq.gov/issue/active-surveillance-using-electronic-triggers-detect-adverse-events-hospitalized-patients

2995. Patient falls while under supervision: trends from incident reporting. | PSNet
      psnet.ahrq.gov/issue/patient-falls-while-under-supervision-trends-incident-reporting
      January 11, 2023 - Preventing inpatient falls is a patient safety target. … tool in the United Kingdom to ascertain the incidence and characteristics of inpatient falls among patients … Rates of surgical consultations after emergency department admission in Black and White Medicare patients … An analysis of associations with safety climate and working conditions. … More See More About The Topic Hospitals Nurses Nurse Managers Quality and Safety

2996. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33562/psn-pdf
      September 15, 2024 - safety field. … Such teams have become a widely used patient safety intervention due in large part to their inclusion … RRSs are very popular among nursing staff and can contribute to detection of underlying patient safety … nurses-attitudes-medical-emergency-team-service-teaching-hospital https://psnet.ahrq.gov/issue/national-patient-safety-goals … https://psnet.ahrq.gov/primer/national-patient-safety-goals

2997. Project Nurture Engages Pregnant People with Substance Use Disorder, Improves Maternal and Infant Outcomes. | PSNet
      psnet.ahrq.gov/innovation/project-nurture-engages-pregnant-people-substance-use-disorder-improves-maternal-and
      September 23, 2024 - Innovation Patient Safety Focus Project Nurture focuses on working with patients who have a substance … Intervention Innovation Summary September 23, 2024 Patient Safety … Safety Innovations Reducing Preventable Patient Harm Due to Retained Surgical Items … : The RSI Bundle May 29, 2024 Patient Safety Innovations … and Quality April 26, 2023 Patient Safety Innovations

2998. Electronic Err | PSNet
      psnet.ahrq.gov/web-mm/electronic-err
      April 01, 2014 - practices used in the past, but rather to use the richer set of patient safety tools provided by the … The safety practices described in this case study (eg, informing the patient of the error, assessing … Continue to use best practice safety techniques (eg, verifying critical patient information) when making … Patient safety: achieving a new standard for care. … Committee on Data Standards for Patient Safety.

2999. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50698/psn-pdf
      November 27, 2019 - In situations such as these, suicide risk—and its impact on patient safety—may not be the highest initial … safety and resulted in the tragic outcomes. … To ensure patient safety, protocols for further assessment and referral to treatment must be linked … Take-Home Points Suicide is a common cause of death that impacts Patient Safety in EDs and medical hospitals … National Patient Safety Goal for suicide prevention, R3 Report, Requirement, Rationale, Reference.

3000. The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter randomized crossover study. | PSNet
      psnet.ahrq.gov/issue/impact-hindsight-bias-diagnosis-perioperative-events-anesthesia-providers-multicenter
      December 16, 2020 - April 5, 2017 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … May 18, 2022 Patient safety after implementation of a coproduced family centered communication … View More Related Resources Perspectives on anesthesia and perioperative patient … safety: past, present, and future. … August 28, 2017 40 years behind the mask: safety revisited.