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Showing results for "patient safety indicators".
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3021. Review of computerized physician handoff tools for improving the quality of patient care. | PSNet
      psnet.ahrq.gov/issue/review-computerized-physician-handoff-tools-improving-quality-patient-care
      September 07, 2011 - Review of computerized physician handoff tools for improving the quality of patient care. … January 12, 2022 A 'paperless' wall-mounted surgical safety checklist with migrated leadership … March 19, 2018 Measuring safety of healthcare: an exercise in futility? … April 22, 2011 Safety of using a computerized rounding and sign-out system to reduce … More See More About The Topic Hospitals Health Care Providers Quality and Safety

3022. 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

3023. 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

3024. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841566/psn-pdf
      December 14, 2022 - safety indicators that are used by CMS. … our efforts on patient safety to create deep systems of patient safety. … Workforce safety is part of patient safety. … We believe it is important that patients have a role in patient safety, including sitting on governance … voice and engaging patients in quality and safety measurement.

3025. Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units of 2 integrated health care systems. | PSNet
      psnet.ahrq.gov/issue/risk-wrong-patient-orders-among-multiple-vs-singleton-births-neonatal-intensive-care-units-2
      December 21, 2017 - Based on this finding, The Joint Commission issued a National Patient Safety Goal (NPSG) requiring … patient-safety challenge in obstetrics. … January 26, 2022 National survey of patient safety experiences in hospital medicine during … December 18, 2024 Annual Perspective Improving Diagnostic Safety … January 15, 2014 Identification of latent safety threats using high-fidelity simulation-based

3026. Using medicolegal data to support safe medical care: a contributing factor coding framework. | PSNet
      psnet.ahrq.gov/issue/using-medicolegal-data-support-safe-medical-care-contributing-factor-coding-framework
      April 03, 2024 - Human factors and patient safety contexts are important to consider when investigating root causes … The approach enhanced identification of process weakness to inform safety improvement work. … interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient … safety. … June 14, 2017 E-collection: Safety and Error Prevention in Health.

3027. Realizing e-prescribing's potential to reduce outpatient psychiatric medication errors. | PSNet
      psnet.ahrq.gov/issue/realizing-e-prescribings-potential-reduce-outpatient-psychiatric-medication-errors
      November 12, 2014 - Electronic prescribing is associated with improvements in medication safety, but it can also introduce … November 9, 2022 Adverse safety events in emergency medical services care of children … interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient … safety. … July 17, 2024 Ethical considerations and patient safety concerns for cancelling non-urgent

3028. Effect of a rapid response team on the incidence of in-hospital mortality. | PSNet
      psnet.ahrq.gov/issue/effect-rapid-response-team-incidence-hospital-mortality
      March 15, 2023 - safety network system on outcomes of medical patients- a before and after cohort study. … safety: a point prevalence study. … inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients … April 27, 2022 Failure to rescue deteriorating patients: a systematic review of root … More See More About The Topic Hospitals Health Care Providers Quality and Safety

3029. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836841/psn-pdf
      June 01, 2020 - Interviews with 44 participating patients and providers highlighted lack of patient understanding about … Innovation Patient Safety Focus The focus of the HRTIC program is to reduce preventable 30-day hospital … https://www.ahrq.gov/patient-safety/resources/improve-discharge/index.html Footnotes 1. … Health Aff (Millwood). 2017;36(3):425-432. doi:10.1377/hlthaff.2016.1305 https://www.ahrq.gov/patient-safety … Indicators of intensive care unit capacity strain: a systematic review. Crit Care. 2018;22(1):86.

3030. Mandatory provider review and pain clinic laws reduce the amounts of opioids prescribed and overdose death rates. | PSNet
      psnet.ahrq.gov/issue/mandatory-provider-review-and-pain-clinic-laws-reduce-amounts-opioids-prescribed-and-overdose
      August 02, 2017 - In states with mandated review, opioid prescribers must check whether patients are receiving opioids … August 2, 2017 Indication-specific opioid prescribing for US patients with Medicaid or … March 30, 2022 Association of dose tapering with overdose or mental health crisis among patients … A survey of physician and nurse knowledge, attitudes, and practices around injection safety. … November 15, 2017 How to maximize patient safety when prescribing opioids.

3031. Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009. | PSNet
      psnet.ahrq.gov/issue/preventing-hospital-acquired-infections-national-survey-practices-reported-us-hospitals-2005
      July 03, 2014 - safety efforts in infection prevention: a multi-center qualitative study. … April 13, 2011 Introducing the patient safety professional: why, what, who, how, and … December 2, 2020 Advancing patient safety through the clinical application of a framework … September 9, 2013 Explaining Matching Michigan: an ethnographic study of a patient safety … September 19, 2012 Steering patients to safer hospitals?

3032. Impact of medication reviews delivered by community pharmacist to elderly patients on polypharmacy: a meta-analysis of randomized controlled trials. | PSNet
      psnet.ahrq.gov/issue/impact-medication-reviews-delivered-community-pharmacist-elderly-patients-polypharmacy-meta
      May 19, 2021 - J Patient Saf. 2021;17(4):290-298. doi:10.1097/PTS.0000000000000599. … Polypharmacy among older patients can increase the risk of adverse drug events. … J Patient Saf. 2021;17(4):290-298. doi:10.1097/PTS.0000000000000599. … enhancing collaboration between community pharmacists and primary care providers to improve medication safety … Outpatient Pharmacy Health Care Providers Geriatrics Community Pharmacy Medication Safety

3033. Effectiveness of written hospitalist sign-outs in answering overnight inquiries. | PSNet
      psnet.ahrq.gov/issue/effectiveness-written-hospitalist-sign-outs-answering-overnight-inquiries
      January 15, 2014 - factors and severity of medication errors associated with direct-acting oral anticoagulants in adult patients … safety network system on outcomes of medical patients- a before and after cohort study. … January 11, 2023 Impact of team performance on the surgical safety checklist on patient … October 7, 2015 Effect of a systems intervention on the quality and safety of patient … involving pediatric surgery patients.

3034. Comparison of health care worker satisfaction before vs after implementation of a communication and optimal resolution program in acute care hospitals. | PSNet
      psnet.ahrq.gov/issue/comparison-health-care-worker-satisfaction-vs-after-implementation-communication-and-optimal
      December 09, 2020 - Disclosure of adverse events to patients and families is an important component of safety culture. … Development and validation of a deep learning model for detection of allergic reactions using safety … mutual healing: another step towards patient safety. … July 5, 2023 Patient and family involvement in serious incident investigations from the … 17, 2017 View More See More About The Topic Hospitals Quality and Safety

3035. Medication-related interventions delivered both in hospital and following discharge: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/medication-related-interventions-delivered-both-hospital-and-following-discharge-systematic
      August 26, 2020 - August 26, 2020 Medication-related interventions to improve medication safety and patient … July 20, 2022 Filling a gap in safety metrics: development of a patient-centred framework … April 14, 2021 Speaking up about traditional and professionalism-related patient safety … adverse drug events, and quality of life in older patients: an observational study. … July 1, 2020 Clinical and economic impact of medication reconciliation in cancer patients

3036. Risk factors associated with medication ordering errors. | PSNet
      psnet.ahrq.gov/issue/risk-factors-associated-medication-ordering-errors
      December 02, 2020 - December 16, 2020 Improving patient safety and efficiency of medication reconciliation … June 7, 2023 Perspectives on Safety Annual Perspective … Technology as a Tool for Improving Patient Safety March 29, 2023 … August 24, 2022 The tradeoffs between safety and alert fatigue: data from a national … July 29, 2020 Quality and variability of patient directions in electronic prescriptions

3037. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49850/psn-pdf
      January 01, 2019 - As a result, the patient was inadequately anticoagulated. … relatively simple scenarios such as standardizing the use of potassium binding resins when treating patients … (4), or those intended for more complex clinical situations such as standardizing the care for ICU patients … to support continuous bladder irrigation that resulted in clinical complications for patients from overly … ordered heparin dose on the part of both nursing and pharmacy would be helpful in order to ensure safety

3038. US national trends in pediatric deaths from prescription and illicit opioids, 1999–2016. | PSNet
      psnet.ahrq.gov/issue/us-national-trends-pediatric-deaths-prescription-and-illicit-opioids-1999-2016
      January 23, 2017 - Despite widespread efforts to curb opioid prescribing , opioid misuse remains a patient safety crisis … safety. … safety concern. … January 23, 2017 Addressing mistreatment of providers by patients and family members … as a patient safety event.

3039. 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

3040. 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.