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Showing results for "patient safety indicators".
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3001. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. | PSNet
      psnet.ahrq.gov/issue/secondary-analysis-hand-offs-internal-medicine-using-i-pass-mnemonic
      April 22, 2013 - safety. … safety indicator. … The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients … August 23, 2023 Multicenter development, implementation, and patient safety impacts of … March 1, 2011 Safety of using a computerized rounding and sign-out system to reduce

3002. Enhanced end-of-life care associated with deploying a rapid response team: a pilot study. | PSNet
      psnet.ahrq.gov/issue/enhanced-end-life-care-associated-deploying-rapid-response-team-pilot-study
      December 24, 2008 - Safety Innovations Remote Response Team and Customized Alert Settings Help Improve … November 21, 2016 Understanding how rapid response systems may improve safety for the … acutely ill patient: learning from the frontline. … April 13, 2011 Defining the incidence of cardiorespiratory instability in patients in … effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients

3003. Estimation of breast cancer overdiagnosis in a U.S. breast screening cohort. | PSNet
      psnet.ahrq.gov/issue/estimation-breast-cancer-overdiagnosis-us-breast-screening-cohort
      March 30, 2022 - The authors suggest that data can improve shared decision-making between patients and physicians. … December 2, 2020 Prevalence and causes of diagnostic errors in hospitalized patients … August 30, 2023 Patient Safety Innovations Ambulatory Safety … or private Insurance, 2017 June 10, 2020 Safety considerations for IMRT. … April 18, 2011 An international review of patient safety measures in radiotherapy practice

3004. Content analysis of nurses' reflections on medication errors in a regional hospital. | PSNet
      psnet.ahrq.gov/issue/content-analysis-nurses-reflections-medication-errors-regional-hospital
      December 23, 2020 - Despite widespread improvement efforts, medication administration errors (MAE) remain a patient safety … December 23, 2020 Characterising the nature of primary care patient safety incident reports … March 12, 2025 Drug-drug interactions and actual harm to hospitalized patients: a multicentre … safety teaching for medical students. … September 29, 2010 Fostering patient safety competencies using multiple-patient simulation

3005. Accidents and incidents related to intravenous drug administration: a pre-post study following implementation of smart pumps in a teaching hospital. | PSNet
      psnet.ahrq.gov/issue/accidents-and-incidents-related-intravenous-drug-administration-pre-post-study-following
      September 24, 2016 - safety and ergonomics in a teaching health care center. … May 29, 2014 Nursing perception of the impact of medication carts on patient safety and … April 12, 2011 Drug administration errors and their determinants in pediatric in-patients … June 30, 2011 Engaging patients to improve quality of care: a systematic review. … January 23, 2017 Maximizing smart pump technology to enhance patient safety.

3006. 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

3007. 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

3008. PSNet Curated Library (pdf file)
      psnet.ahrq.gov/print/pdf/node/867461
      January 31, 2024 - Patient Safety in Frail Older Patients November 26, 2019 This piece describes patient safety risks when … https://psnet.ahrq.gov/perspective/patient-safety-frail-older-patients https://psnet.ahrq.gov/issue/ … Patients provide a unique insight on patient safety. … Patients provide a unique insight on patient safety. … Patient Safety in Frail Older Patients November 26, 2019 This piece describes patient safety risks when

3009. 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

3010. Incidence and variables associated with inconsistencies in opioid prescribing at hospital discharge and its associated adverse drug outcomes. | PSNet
      psnet.ahrq.gov/issue/incidence-and-variables-associated-inconsistencies-opioid-prescribing-hospital-discharge-and
      April 29, 2018 - Harms related to prescription opioid use are an ongoing patient safety challenge. … Download Citation Related Resources From the Same Author(s) Improving patient … safety and efficiency of medication reconciliation through the development and adoption of a computer-assisted … November 25, 2020 Patient Safety Innovations Transition … December 19, 2018 Improving patient safety and efficiency of medication reconciliation

3011. Patients admitted on weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient sample. | PSNet
      psnet.ahrq.gov/issue/patients-admitted-weekends-have-higher-hospital-mortality-those-admitted-weekdays-analysis
      January 26, 2022 - Study Patients admitted on weekends have higher in-hospital mortality than those … safety. … August 9, 2023 Healthcare workers' experiences of patient safety in the intensive care … May 3, 2023 Annual Perspective Improving Diagnostic Safety … Safety in Acute Hospital Care Units April 26, 2023 View More See More

3012. Medical team training and coaching in the veterans health administration; assessment and impact on the first 32 facilities in the programme. | PSNet
      psnet.ahrq.gov/issue/medical-team-training-and-coaching-veterans-health-administration-assessment-and-impact-first
      December 21, 2014 - training initiative found positive perceptions of the impact on teamwork, communication, efficiency, and patient … safety. … interventions to improve emotional climate, indices of team skills and communication, and threat to patient … September 3, 2011 Use of the Safety Attitudes Questionnaire as a measure in patient safety … April 24, 2011 The relationship of the emotional climate of work and threat to patient

3013. Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams. | PSNet
      psnet.ahrq.gov/issue/dealing-unforeseen-complexity-or-role-heedful-interrelating-medical-teams
      July 06, 2011 - July 6, 2011 Grading recommendations for enhanced patient safety in sentinel event analysis … February 25, 2015 Identifying and categorising patient safety hazards in cardiovascular … July 6, 2011 The wolf is crying in the operating room: patient monitor and anesthesia … , 2011 Standardized multidisciplinary protocol improves handover of cardiac surgery patients … More About The Topic Operating Room Health Care Providers Risk Managers Quality and Safety

3014. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72848/psn-pdf
      March 17, 2021 - This article describes the development and testing of an ambulatory medication safety evaluation tool … development-and-piloting-ambulatory-electronic-health-record-evaluation-tool-lessons-learned https://psnet.ahrq.gov/issue/lifetime-prevalence-and-correlates-patient-perceived-medical-errors-experienced-us-ambulatory

3015. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44165/psn-pdf
      May 27, 2015 - The authors advocate for a registry of unplanned return surgeries as a patient safety improvement strategy

3016. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861289/psn-pdf
      January 01, 2025 - assessing-impact-electronic-chemotherapy-order-verification-checklist- pharmacist-reported Medication errors involving chemotherapy can lead to serious patient … psnet.ahrq.gov/issue/chemotherapy-medication-errors https://psnet.ahrq.gov/web-mm/chemotherapy-administration-safety-standards

3017. Patient Safety in Primary Care | PSNet
      psnet.ahrq.gov/perspective/patient-safety-primary-care
      January 31, 2020 - Patient Safety in Primary Care. PSNet [internet]. … Patient Safety in Primary Care. PSNet [internet]. … Beyond acute patient safety events, some inappropriate prescribing can have broader public health safety … Patient Safety in Primary Care. PSNet [internet]. … in Frail Older Patients November 26, 2019 Perspectives on Safety

3018. Awareness of diagnosis and follow up care after discharge from the emergency department | PSNet
      psnet.ahrq.gov/issue/awareness-diagnosis-and-follow-care-after-discharge-emergency-department
      July 07, 2010 - addition to discharge summaries ) upon discharge from Australian emergency departments would improve patient … short discharge card, indicated statistically significant improvement (73.2% to 89.7%, p<0.001) in patient … July 7, 2010 Surgical safety checklist: implementation in an ambulatory surgical facility … to enhancing the safety and effectiveness of test-result follow-up? … safety.

3019. Accuracy of emergency department clinical findings for diagnosis of coronavirus disease 2019. | PSNet
      psnet.ahrq.gov/issue/accuracy-emergency-department-clinical-findings-diagnosis-coronavirus-disease-2019
      September 09, 2020 - Findings indicate that physician clinical judgement was generally accurate and that certain patient characteristics … Download Citation Related Resources From the Same Author(s) When safety … The emergency department trigger tool: a novel approach to screening for quality and safety … September 30, 2020 The impact of the COVID-19 pandemic on Emergency Department visits and patient … safety in the United States.

3020. National costs of the medical liability system. | PSNet
      psnet.ahrq.gov/issue/national-costs-medical-liability-system
      May 20, 2015 - Related Resources Evaluation of policies limiting opioid exposure on opioid prescribing and patient … pain in opioid-naive patients undergoing elective surgery in a large American health system. … Combined impact of Medicare's hospital pay for performance programs on quality and safety … February 14, 2017 The long road to patient safety: a status report on patient safety … February 3, 2011 How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative