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Showing results for "patient safety indicators".
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3021. 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

3022. Too Many Cooks in the Kitchen | PSNet
      psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
      March 07, 2018 - with multiple chronic comorbidities  List at least two safety-related disadvantages of starting complex … Approach to Improving Safety & Patient Safety Target  The most obvious management failure in this case … Anesthesia Patient Safety Foundation Newsletter. 2019;33(3).  … July 20, 2016 Quality improvement and patient safety organizations in anesthesiology. … Safety: Collaboration, Communication, and Physician Leadership.

3023. Medication reconciliation for reducing drug-discrepancy adverse events. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-reducing-drug-discrepancy-adverse-events
      October 10, 2018 - October 23, 2024 Electronic health records and adverse drug events after patient transfer … December 8, 2010 Prescribing discrepancies likely to cause adverse drug events after patient … March 9, 2022 Patient Safety Primers Deprescribing as a … Patient Safety Strategy October 27, 2021 Measuring the impact of medication-related … July 1, 2020 Impact of pharmacist-led multidisciplinary medication review on the safety

3024. 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

3025. 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

3026. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34861/psn-pdf
      November 11, 2015 - Royal Infirmary cardiac surgery scandal—to determine the nature of the system factors that resulted in patient … In most cases, problems were well known, but not addressed, indicating pervasive problems with safety

3027. 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

3028. Specimen Almost Lost | PSNet
      psnet.ahrq.gov/web-mm/specimen-almost-lost
      September 21, 2022 - 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

3029. 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.

3030. 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.

3031. 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

3032. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49858/psn-pdf
      April 01, 2019 - Identify critical safety points to consider during initial decision-making about incorporation of remote … units, in addition to providing care to their own critically ill patients. … (Consideration of the patient safety issues related to frequency of patient assessment in the hospital … Critical Safety Points to Consider When Deciding Whether to Incorporate Remote Telemetry Monitoring. … Education, Quality, and Safety Measures What are predefined patient safety and quality outcomes?

3033. 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

3034. Wrong-side Bedside Paravertebral Block: Preventing the Preventable | PSNet
      psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
      August 10, 2019 - This process is endorsed by the widely adopted United Kingdom national safety initiative titled "Stop … Take-Home Points Wrong-site errors are considered never events and represent a core patient safety … safety. … Safety Primers Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery December … January 17, 2019 Evaluation of a patient safety programme on Surgical Safety Checklist

3035. 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?

3036. 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.

3037. 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

3038. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49725/psn-pdf
      January 01, 2015 - In surgical patients, PA catheter data often can reveal unfavorable developments that need treatment … Preoperative PA catheter data can be helpful in determining whether it is safe for high-risk patients … The fundamental patient safety teaching point of this case concerns why the PA catheter balloon was … Checklist from the World Health Organization (10), an on-going project chaired by patient safety authority … World Alliance for Patient Safety. WHO Surgical Safety Checklist and Implementation Manual.

3039. In Conversation With… Leah Binder, MA, MGA | PSNet
      psnet.ahrq.gov/perspective/conversation-leah-binder-ma-mga
      February 26, 2025 - Our staff is in the weeds every day on issues around patient safety and quality issues and measurement … That gives us a different space in the world of advocacy around patient safety, simply because we're … For instance, we're still seeing persistent problems with patient safety. … We have not seen the kind of progress in patient safety that we would have expected to see in 10 years … if they hear it from their patients.

3040. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33591/psn-pdf
      March 15, 2025 - safety field. … Triggers alert patient safety personnel to possible adverse events so they can review the medical record … Therefore, pharmacists and patient safety personnel could use that trigger to identify cases that may … and patients with cancer. … https://psnet.ahrq.gov/primer/measurement-patient-safety https://psnet.ahrq.gov/primer/measurement-patient-safety