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Showing results for "patient safety indicators".
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3041. 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.

3042. 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.

3043. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49694/psn-pdf
      October 01, 2013 - Educate patients on the importance and relevance of correct patient identification. … Medication error reporting in nursing homes: identifying targets for patient safety improvement. … ISMP Medication Safety Alert! Acute Care Edition. Oops, sorry, wrong patient! … WHO Collaborating Centre on Patient Safety Solutions: Patient Identification. … Health IT and Patient Safety: Building Safer Systems for Better Care.

3044. A mixed methods evaluation of medication reconciliation in the primary care setting. | PSNet
      psnet.ahrq.gov/issue/mixed-methods-evaluation-medication-reconciliation-primary-care-setting
      November 16, 2022 - March 9, 2022 Effect on patient safety of a resident physician schedule without 24-hour … August 5, 2020 Management and patient safety of complex elderly patients in primary care … November 4, 2020 Patient and physician perspectives of deprescribing potentially inappropriate … 2021 View More Related Resources Challenges and strategies for patient … safety in primary care: a qualitative study.

3045. Weight and size descriptors for drug dosing: too many options and too many errors. | PSNet
      psnet.ahrq.gov/issue/weight-and-size-descriptors-drug-dosing-too-many-options-and-too-many-errors
      April 06, 2022 - vulnerable to error due to inaccurate estimation of body weight, use of metric vs. non-metric units, or patients … adverse drug events, and quality of life in older patients: an observational study. … November 2, 2022 Improving patient safety and efficiency of medication reconciliation … Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients … Safety March 29, 2023 An analysis of prehospital pediatric medication dosing

3046. Medication reconciliation at hospital discharge: a qualitative exploration of acute care nurses' perceptions of their roles and responsibilities. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-hospital-discharge-qualitative-exploration-acute-care-nurses
      October 20, 2021 - Medication reconciliation at hospital discharge has become a mainstay of patient safety efforts with … safety in intensive care during COVID-19. … : a systematic review and meta-analysis of 488,594 patients. … June 30, 2021 View More Related Resources Patient Safety … Primers Inpatient Transitions of Care: Challenges and Safety Practices March 27

3047. 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.

3048. Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-accuracy-and-patient-understanding-intended-medication-changes
      July 29, 2020 - of medication discrepancies at discharge compared with prior studies , but concerningly, patients were … than the primary hospital diagnosis, indicating that disease-specific efforts to improve medication safety … January 2, 2017 Engaging patients in medication reconciliation via a patient portal following … December 6, 2010 Reengineering hospital discharge: a protocol to improve patient safety … More See More About The Topic Hospitals Health Care Providers Quality and Safety

3049. Epidural-IV route mix-ups: reducing the risk of deadly errors. | PSNet
      psnet.ahrq.gov/issue/epidural-iv-route-mix-ups-reducing-risk-deadly-errors
      May 02, 2018 - ISMP Medication Safety Alert! Acute Care Edition. July 3, 2008;13:1-3. … ISMP Medication Safety Alert! Acute Care Edition. July 3, 2008;13:1-3. … May 2, 2018 Collaboration focused on priority issues promotes safety. … June 10, 2018 Benefits and risks of including patients on RCA teams. … December 30, 2014 An extra dose of safety.

3050. 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.

3051. 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

3052. Computerized surveillance for adverse drug events in a pediatric hospital. | PSNet
      psnet.ahrq.gov/issue/computerized-surveillance-adverse-drug-events-pediatric-hospital
      January 03, 2017 - the Same Author(s) Clinical validation of the AHRQ postoperative venous thromboembolism patient … safety indicator. … patients and families. … of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient … Safety Initiative.

3053. Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction. | PSNet
      psnet.ahrq.gov/issue/diagnostic-blood-loss-phlebotomy-and-hospital-acquired-anemia-during-acute-myocardial
      March 14, 2022 - 20, 2019 View More Related Resources Registration errors among patients … 17, 2019 Preparing your hospital for compliance with The Joint Commission's National Patient … Safety Goals. … Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient … transfusion safety.

3054. Reasons provided by prescribers when overriding drug–drug interaction alerts. | PSNet
      psnet.ahrq.gov/issue/reasons-provided-prescribers-when-overriding-drug-drug-interaction-alerts
      April 27, 2010 - April 27, 2010 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients … 1, 2016 Impact of computerized physician order entry alerts on prescribing in older patients … December 31, 2014 Medication safety and knowledge-based functions: a stepwise approach … May 27, 2011 Randomized trial to improve prescribing safety during pregnancy.

3055. Prescribing errors in hospital practice. | PSNet
      psnet.ahrq.gov/issue/prescribing-errors-hospital-practice
      July 01, 2017 - Author(s) Learning from the design, development and implementation of the Medication Safety … electronic prescribing of subcutaneous infusions: a before-and-after study assessing the impact upon patient … safety and service efficiency. … September 24, 2016 Indication-based prescribing prevents wrong-patient medication errors … June 8, 2011 Preventing potentially inappropriate medication use in hospitalized older patients

3056. Assessing reasons for decreased primary care access for individuals on prescribed opioids: an audit study. | PSNet
      psnet.ahrq.gov/issue/assessing-reasons-decreased-primary-care-access-individuals-prescribed-opioids-audit-study
      November 17, 2021 - August 16, 2017 Impact of the Opioid Safety Initiative on opioid-related prescribing … April 18, 2019 Patient safety after implementation of a coproduced family centered communication … December 19, 2018 Patient comprehension of emergency department care and instructions … One ACE Too Many July 1, 2006 Perspective Patient … Safety in the Physician Office Setting May 1, 2006 View More See More

3057. Deployment of a second victim peer support program: a replication study. | PSNet
      psnet.ahrq.gov/issue/deployment-second-victim-peer-support-program-replication-study
      January 12, 2022 - Assessing the perceived level of institutional support for the second victim after a patient … safety event. … Collective insights from patient safety leaders in Maryland. … March 15, 2017 Sources and magnitude of error in preparing morphine infusions for nurse–patient … November 30, 2016 The safety culture in a children's hospital.

3058. eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds. | PSNet
      psnet.ahrq.gov/innovation/esimpler-dynamic-electronic-health-record-integrated-checklist-clinical-decision-support
      June 16, 2021 - Checklists are used in many clinical settings to improve patient safety, but prior research as documented … Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of … Cancer July 31, 2023 Understanding medication safety involving patient transfer … June 7, 2023 Patient Safety Innovations Remote Response … Provides Timely Intensive Care to Critically Ill Patients in the Emergency Department April 7,

3059. The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study. | PSNet
      psnet.ahrq.gov/issue/effect-structured-medication-review-followed-face-face-feedback-prescribers-adverse-drug
      January 18, 2013 - Impact of a nationwide prospective drug utilization review program to improve prescribing safety … November 28, 2018 Correlation between the number of patient-reported adverse events, … adverse drug events, and quality of life in older patients: an observational study. … November 16, 2022 Correlation between the number of patient-reported adverse events, … adverse drug events, and quality of life in older patients: an observational study.

3060. Development of an electronic pediatric all-cause harm measurement tool using a modified Delphi method. | PSNet
      psnet.ahrq.gov/issue/development-electronic-pediatric-all-cause-harm-measurement-tool-using-modified-delphi-method
      July 03, 2016 - J Patient Saf. 2016;12(4):180-189. … Detecting  and measuring patient safety hazards remains challenging, but assessing the potential for … J Patient Saf. 2016;12(4):180-189. … safety collaborative. … August 10, 2022 Adverse events in hospitalized pediatric patients.