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Showing results for "patient safety indicators".
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3061. 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

3062. 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

3063. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49741/psn-pdf
      September 01, 2015 - emergency department (ED) visits, comprising more than 11% of all visits in 2008.(1) In 2011, 54% of patients … Patients may actually present with right upper quadrant pain. … with abdominal pain without introducing any negative effect on safety. … Consultation with an obstetric specialist should be strongly considered in patients with abdominal pain … The effects of safety checklists in medicine: a systematic review.

3064. Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors | PSNet
      psnet.ahrq.gov/innovation/handshake-antimicrobial-stewardship-model-recognize-and-prevent-diagnostic-errors
      September 08, 2021 - and pharmacists reviewing relevant clinical electronic health record (EHR) data for all hospitalized patients … April 6, 2022 Patient safety, resident well-being and continuity of care with different … June 27, 2018 View More Related Resources Patient Safety … and Quality April 26, 2023 Patient Safety Innovations … April 7, 2022 Patient Safety Innovations U.S.

3065. 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?

3066. 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.

3067. 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

3068. 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.

3069. 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

3070. Breast cancer screening and overdiagnosis. | PSNet
      psnet.ahrq.gov/issue/breast-cancer-screening-and-overdiagnosis
      March 16, 2022 - breast cancer and the resulting overtreatment can cause physical, emotional, and financial harm to patients … December 2, 2020 Using Failure Mode, Effect and Criticality Analysis to improve safety … medication administration, and closed-loop electronic medication management systems on work processes and safety … April 21, 2021 How to scale up quality and safety program with the home care accreditation … June 23, 2021 Time-ordered comorbidity correlations identify patients at risk of mis-

3071. Analysis of Australian newspaper coverage of medication errors. | PSNet
      psnet.ahrq.gov/issue/analysis-australian-newspaper-coverage-medication-errors
      February 15, 2012 - Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients … March 23, 2011 Disentangling quality and safety indicator data: a longitudinal, comparative … November 2, 2018 View More Related Resources Hospital safety: your … June 18, 2013 High-profile investigations into hospital safety problems in England did … not prompt patients to switch providers.

3072. Cost implications of actual and potential adverse events prevented by interventions of a critical care pharmacist. | PSNet
      psnet.ahrq.gov/issue/cost-implications-actual-and-potential-adverse-events-prevented-interventions-critical-care
      June 28, 2010 - This study discovered that chart review activities and participation in patient care rounds were associated … July 13, 2016 Accuracy of a chatbot in answering questions that patients should ask before … Administration Blur June 24, 2020 Medication histories in critically ill patients … September 6, 2016 Developing a medication patient safety program, part 2: process and … May 11, 2014 Improving medication safety in the ICU: the pharmacist's role.

3073. Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery. | PSNet
      psnet.ahrq.gov/issue/harvey-cushings-open-and-thorough-documentation-surgical-mishaps-dawn-neurologic-surgery
      November 16, 2022 - March 3, 2011 A coproduced family reporting intervention to improve safety surveillance … January 15, 2020 Comparing NICU teamwork and safety climate across two commonly used … View More Related Resources Association of overlapping surgery with patient … resident participation on morbidity and mortality in neurosurgical procedures: an analysis of 16,098 patients … May 20, 2009 Resident duty hour regulation and patient safety: establishing a balance

3074. Effect of the 50-hour workweek limitation on training of surgical residents in Switzerland. | PSNet
      psnet.ahrq.gov/issue/effect-50-hour-workweek-limitation-training-surgical-residents-switzerland
      October 27, 2010 - June 24, 2009 Effect of patient- and medication-related factors on inpatient medication … June 26, 2019 Lessons learned implementing a complex and innovative patient safety learning … February 14, 2017 Program director perceptions of surgical resident training and patient … October 7, 2009 Resident duty hours in surgery for ensuring patient safety, providing … to the Report of the Institute of Medicine, "Resident Duty Hours: Enhancing Sleep, Supervision, and Safety

3075. 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.

3076. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60856/psn-pdf
      August 26, 2020 - 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 … , there is a subconscious assumption that all patients will do so.  … #18 https://psnet.ahrq.gov//#20 https://psnet.ahrq.gov/issue/modified-early-warning-system-improves-patient-safety-and-clinical-outcomes-academic … Anesthesia Patient Safety Foundation Newsletter. 2019;33(3). https://www.apsf.org/article/on-reducing-fixation-errors

3077. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39143/psn-pdf
      February 14, 2011 - Pharmacist involvement in inpatient care is a proven strategy to improve safety, and a pharmacist-led … communication of medication changes to outpatient physicians, and post- discharge telephone follow-up with patients … medication-reconciliation https://psnet.ahrq.gov/issue/comprehensive-pharmacist-intervention-reduce-morbidity-patients

3078. Missed nursing care in emergency departments: a scoping review. | PSNet
      psnet.ahrq.gov/issue/missed-nursing-care-emergency-departments-scoping-review
      November 03, 2021 - Causes of MNC include overcrowding and patients with complex care needs, which may result in medication … June 19, 2024 Compelled disclosure of confidential information in patient safety research … April 21, 2021 Non-conveyance of older adult patients and association with subsequent … January 26, 2022 Interventions to support nurses as second victims of patient safety … January 24, 2024 Voices from frontline nurses on care quality and patient safety during

3079. Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures. | PSNet
      psnet.ahrq.gov/issue/prospective-evaluation-consultant-surgeon-sleep-deprivation-and-outcomes-more-4000
      October 19, 2022 - This prospective study found no additional risk of complications or mortality in cardiac surgery patients … This finding contradicts the results of an earlier study in general surgery patients. … Safety in the Emergency Care Setting. … April 24, 2018 Prevalence and causes of diagnostic errors in hospitalized patients under … View More Related Resources Surgeons and systems working together to drive safety

3080. Using risk stratification to reduce medical errors in cervical cancer prevention. | PSNet
      psnet.ahrq.gov/issue/using-risk-stratification-reduce-medical-errors-cervical-cancer-prevention
      September 05, 2012 - This commentary recommends that health care systems utilize risk stratification to ensure patients are … appropriately screened and tested for cervical cancer and other diseases as a way to enhance safety … safety. … December 30, 2014 Outside case review of surgical pathology for referred patients: the … impact on patient care.