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Showing results for "patient safety indicators".
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3081. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48105/psn-pdf
      July 10, 2019 - does-perception-severity-medical-error-differ-between-varying-levels-clinical-seniority https://psnet.ahrq.gov/primer/reporting-patient-safety-events

3082. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50414/psn-pdf
      September 04, 2019 - rating-raters-evaluation-publicly-reported-hospital-quality-rating-systems Numerous publicly available sites now exist that purport to provide objective information for patients … about hospital quality and safety, including Leapfrog and the Centers for Medicare and Medicaid Services

3083. Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation | PSNet
      psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation
      March 27, 2024 - The pharmacy department should regularly review and update this list as part of its patient safety efforts … Patient Safety Primer: Alert Fatigue. Patient Safety Network 2019.  … January 23, 2019 Patient safety in developing countries: retrospective estimation of … March 29, 2012 Measures of patient safety in developing and emerging countries: a review … April 14, 2021 Patient safety research: an overview of the global evidence.

3084. Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Survey on Drug Use and Health. | PSNet
      psnet.ahrq.gov/issue/prescription-opioid-use-misuse-and-use-disorders-us-adults-2015-national-survey-drug-use-and
      October 17, 2012 - The majority of patients who misused opioids did so without a prescription, with many patients obtaining … A recent PSNet perspective discussed the patient safety aspects of the opioid epidemic. … : the case of urine drug screening and opioid-patient suicide- and overdose-related events in the Veterans … March 28, 2012 Improving patient safety and efficiency of medication reconciliation through … February 1, 2017 The rate and costs attributable to intravenous patient-controlled analgesia

3085. Why do hospital prescribers continue antibiotics when it is safe to stop? Results of a choice experiment survey. | PSNet
      psnet.ahrq.gov/issue/why-do-hospital-prescribers-continue-antibiotics-when-it-safe-stop-results-choice-experiment
      October 28, 2020 - discontinuation would conflict with local guidelines, when systems clearly indicated antibiotics, and when patients … safety? … May 4, 2022 A qualitative study of what care workers do to provide patient safety at … safety. … October 21, 2020 Clinical deterioration and hospital‐acquired complications in adult patients

3086. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866618/psn-pdf
      December 31, 2024 - and repeat lab testing to confirm these findings before acting upon them.14 Approaches to Improving Safety … and Patient Safety Target With unexpected, abnormal, or incongruent clinical findings, the significance … EHR systems should incorporate easily seen indicators and notifications when hemolysis is detected. … when a QT-prolonging medication has been ordered for the patient.17,18 Improving safety of hyperkalemia … Barnes, MD, FACEP Consulting Editor, AHRQ’s Patient Safety Network (PSNet) Health Sciences Clinical

3087. 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.

3088. 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-

3089. 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

3090. 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

3091. 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.

3092. 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.

3093. Double Trouble | PSNet
      psnet.ahrq.gov/web-mm/double-trouble
      August 01, 2012 - Starting therapy in an elderly patient with a single agent is generally a safer strategy, and many patients … This case highlights many important opportunities to improve medication safety in older patients, including … Safety issues may arise soon after hospital discharge due to discontinuities in care or communication … ISMP Medication Safety Alert! Institute for Safe Medication Practices Web site. … Resources From the Same Author(s) Perspective Medication Safety

3094. 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

3095. 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.

3096. 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

3097. Are You Mrs. A? An Issue of Identification Over Telephone | PSNet
      psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
      January 01, 2016 - Educate patients on the importance and relevance of correct patient identification. … 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. … patient-safety challenge in obstetrics.

3098. The Different Count Contributions to Retention (pdf file)
      psnet.ahrq.gov/sites/default/files/2024-10/The%20Different%20Count%20Contributions%20to%20Retention.pdf
      January 01, 2024 - safety problems and safety problems, in a simplistic view, are the result of failed practice and/or … As a consulting entity we sought to avoid violation of any client business associate or confidentiality … To gather frontline RSI case information, we sought a public source and examined a state patient safety … They are part of the surgical packs of drapes and are not supposed to be inserted inside of patients … Gibbs MD FACS Founder and Director NoThing Left Behind®: A National Surgical Patient Safety Project

3099. Spotlight (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.464_slideshow.ppt
      January 01, 2019 - * Patient Safety Events in Psychiatry Safety events in inpatient psychiatry are similar to those … Defining patient safety events in inpatient psychiatry. … Patient Safety Events in Psychiatry (2) Examples of safety events particular to psychiatry Self-harm … Defining patient safety events in inpatient psychiatry. … Rates of Patient Safety Events Rates of safety events in inpatient psychiatry have been reported from

3100. 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