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Showing results for "patient safety indicators".
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3061. 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.

3062. 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.

3063. A novel study of situational awareness among out-of-hospital providers during an online clinical simulation. | PSNet
      psnet.ahrq.gov/issue/novel-study-situational-awareness-among-out-hospital-providers-during-online-clinical
      June 08, 2022 - September 16, 2020 Adverse events among emergency department patients with cardiovascular … November 4, 2020 Room of hazards: a comparison of differences in safety hazard recognition … October 19, 2022 View More Related Resources Adverse safety events … October 7, 2020 Applying principles from aviation safety investigations to root cause … July 24, 2019 Simulation as a tool to improve the safety of pre-hospital anaesthesia—a

3064. 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

3065. 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.

3066. 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.

3067. 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.

3068. 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

3069. Too Many Cooks Spotlight Pdf (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
      January 01, 2020 - with multiple chronic comorbidities • List at least two safety-related disadvantages of starting … when personnel and intellectual resources are already stretched thin. 16 Approach to Improving Safety … was at high risk for abrupt decompensation and death 20 Approach to Improving Safety (7) Systems … Surgical risk factors, morbidity, and mortality in elderly patients. … Anesthesia Patient Safety Foundation Newsletter. 2019;33(3). https://www.apsf.org/article/on-reducing

3070. Confusion With Acetaminophen | PSNet
      psnet.ahrq.gov/web-mm/confusion-acetaminophen
      December 01, 2009 - The patient was discharged with a diagnosis of viral syndrome after receiving one dose of acetaminophen … Two days later, the patient returned to the ED with continuing fever and new rigors, vomiting, lethargy … The patient was admitted to the hospital, given intravenous N-acetylcysteine, and his symptoms improved … (three required orthotopic liver transplant) and 9 of 10 patients with accidental overdoses surviving … Safety Strategies A number of safety interventions could prevent future acetaminophen overdoses, and

3071. Milliliters vs. Milligrams | PSNet
      psnet.ahrq.gov/web-mm/milliliters-vs-milligrams
      September 01, 2004 - A medication safety goal should be the preparation of patient-specific doses for all patients: infants … These costs must be balanced by the associated improvements in patient safety. … Patient Safety. Bethesda, MD: American Society of Health-System Pharmacists Web site. … April 7, 2019 Patient safety: a consumer's perspective. … August 3, 2022 Sensemaking of patient safety risks and hazards.

3072. Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study. | PSNet
      psnet.ahrq.gov/issue/effectiveness-barcode-medication-administration-system-reducing-preventable-adverse-drug
      December 14, 2022 - December 21, 2022 Correlation between the number of patient-reported adverse events, … adverse drug events, and quality of life in older patients: an observational study. … February 21, 2024 Safety enhancements every hospital must consider in wake of another … for our smallest patients. … January 26, 2011 Toward learning from patient safety reporting systems.

3073. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72739/psn-pdf
      February 10, 2021 - safety https://psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism … safety, ACR places shared responsibility on ordering physicians for timely follow-up of diagnostic … Approach to Improving Safety This case represents a classic Swiss cheese model in which several, small … radiologic findings Failure of the primary team to review imaging studies Failure to recognize multiple indicators … safety and minimize diagnostic error.

3074. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39641/psn-pdf
      September 20, 2011 - Public reporting of quality measures is now widely used as a means of spurring hospitals to invest in patient … safety and quality improvement efforts; however, it remains unclear if reported measures truly indicate … In this study of more than 400,000 patients, researchers analyzed the relationship between adherence … relatively simple tool to ensure that all recommended steps of a process are carried out for every patient—initially

3075. Health care-associated infections among critically ill children in the US, 2007-2012. | PSNet
      psnet.ahrq.gov/issue/health-care-associated-infections-among-critically-ill-children-us-2007-2012
      April 05, 2013 - The authors estimate that the decrease in CLABSI rates alone not only enhanced patient safety but also … January 19, 2022 Linking patient safety climate with missed nursing care in labor and … May 20, 2020 For children admitted to hospital, what interventions improve medication safety … March 1, 2023 View More Related Resources Patient Safety Authority … See More About The Topic Hospitals Health Care Executives and Administrators Safety

3076. 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.

3077. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33573/psn-pdf
      March 15, 2025 - Background Disruptive and unprofessional behavior by clinicians poses a definite threat to patient safety … https://psnet.ahrq.gov/issue/negative-impact-nurse-physician-disruptive-behavior-patient-safety-review-literature … While most patient safety problems are attributable to underlying systems issues, disruptive behaviors … Lucian Leape, one of the founders of the patient safety movement, proposed a systems-level approach … https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives https://psnet.ahrq.gov

3078. Accuracy of practitioner estimates of probability of diagnosis before and after testing. | PSNet
      psnet.ahrq.gov/issue/accuracy-practitioner-estimates-probability-diagnosis-and-after-testing
      May 05, 2021 - September 15, 2021 Understanding the "Swiss cheese model" and its application to patient … safety. … July 21, 2021 Failure to engage hospitalized elderly patients and their families in advance … and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among patients … A qualitative study of emotions, triggers, regulation strategies, and effects on patient care.

3079. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/862602/psn-pdf
      February 14, 2024 - prevalence-contributing-factors-and-interventions-reduce-medication-errors- outpatient-and Medication errors in ambulatory care settings present unique patient … safety challenges.

3080. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836962/psn-pdf
      April 20, 2022 - using-human-factors-and-ergonomics-principles-prevent-inpatient-falls https://psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety