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Showing results for "patient safety indicators".
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3081. 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

3082. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73906/psn-pdf
      October 06, 2021 - Safety Learning Lab project, and what they are discovering about equitable care and its impact on patient … KH: Tell us a bit about that work as an AHRQ Patient Safety Learning Lab and how your interest in this … KT: [AHRQ’s Patient Safety] Learning Lab is an ideal mechanism for this space because it gives us an … We were doing the car seat test that is for “safety,” but the patient thinks there's something terribly … Many of our PSLL [Patient Safety Learning Lab] team members are now part of a UNC Health System-wide

3083. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/847048/psn-pdf
      April 05, 2023 - comparison-health-care-worker-satisfaction-vs-after-implementation- communication-and-optimal Disclosure of adverse events to patients … and families is an important component of safety culture.

3084. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73242/psn-pdf
      May 12, 2021 - errors-omission-missed-nursing-care https://psnet.ahrq.gov/issue/workplace-empowerment-and-magnet-hospital-characteristics-predictors-patient-safety-climate

3085. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837414/psn-pdf
      January 01, 2023 - events-seriously-ill When serious adverse events such as death are reported, they are typically associated with poor patient … safety.

3086. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72568/psn-pdf
      January 01, 2021 - alternatives-opioid-education-and-prescription-drug-monitoring-program- cumulatively-decreased Reducing opioid-related overdoses and deaths is a national patient … safety priority.

3087. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837200/psn-pdf
      May 25, 2022 - analysis-readmissions-mobile-integrated-health-transitional-care-program- using-root-cause Reducing hospital 30-day readmissions is seen as a way to improve safety … After one year in operation, MIH-CP performed a chart review to determine causes of readmission among patients

3088. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837589/psn-pdf
      June 29, 2022 - J Patient Saf. 2022;18(4):325-330. doi:10.1097/pts.0000000000000921. … adverse events, including structured record review, web-based incident reporting systems, and daily safety

3089. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49536/psn-pdf
      May 01, 2007 - This case raises multiple patient safety concerns. … Timely access to critical information is an important patient safety concern. … into the patient safety goals of many organizations.(6) Although the nurse caring for the patient gave … safety. … Joint Commission National Patient Safety Goals.

3090. 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

3091. A retrospective analysis demonstrates that a failure to document key comorbid diseases in the anesthesia preoperative evaluation associates with increased length of stay and mortality. | PSNet
      psnet.ahrq.gov/issue/retrospective-analysis-demonstrates-failure-document-key-comorbid-diseases-anesthesia
      May 26, 2021 - safety. … October 28, 2020 Effects of nurse-to-patient ratio legislation on nurse staffing and … Related Resources Facilitators and barriers to the implementation of surgical safety … November 15, 2023 Patient safety of perioperative medication through the lens of digital … pain in opioid-naive patients undergoing elective surgery in a large American health system.

3092. 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

3093. 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

3094. At Walgreens, complaints of medication errors go missing. | PSNet
      psnet.ahrq.gov/issue/walgreens-complaints-medication-errors-go-missing
      February 19, 2020 - Response to reported safety concerns is a primary indicator of an organizational commitment to reducing … Related Resources From the Same Author(s) How chaos at chain pharmacies is putting patients … September 20, 2023 Creating a stronger culture of safety within US community pharmacies … 2022 Addiction treatment providers in Pa. face little state scrutiny despite harm to clients … July 29, 2020 How chaos at chain pharmacies is putting patients at risk.

3095. Using name overlap analysis to understand medication name search safety. | PSNet
      psnet.ahrq.gov/issue/using-name-overlap-analysis-understand-medication-name-search-safety
      August 31, 2022 - Study Using name overlap analysis to understand medication name search safety. … Using name overlap analysis to understand medication name search safety. … Using name overlap analysis to understand medication name search safety. … culture: a quasi-experimental evaluation of a patient safety demonstration project October 16, 2019 … preventable time-critical dose omissions: impact of electronic medication management systems on in-patients

3096. Vital signs: changes in opioid prescribing in the United States, 2006-2015. | PSNet
      psnet.ahrq.gov/issue/vital-signs-changes-opioid-prescribing-united-states-2006-2015
      June 10, 2020 - August 18, 2021 Patients' perspectives of diagnostic error: a qualitative study. … May 6, 2020 Patient Safety Innovations Handshake antimicrobial … October 23, 2018 View More Related Resources Patient Safety in … July 27, 2018 Hospital Survey on Patient Safety Culture: 2018 User Database Report. … adverse events among patients in Dutch hospitals.

3097. Injury and liability associated with monitored anesthesia care: a closed claims analysis. | PSNet
      psnet.ahrq.gov/issue/injury-and-liability-associated-monitored-anesthesia-care-closed-claims-analysis
      June 23, 2009 - MAC claims involved older and more ill patients, with respiratory depression being the most frequent … occurrence leading to patient injuries. … December 2, 2020 Influence of psychological safety and organizational support on the … Antecedent treat-and-release diagnoses prior to sepsis hospitalization among adult emergency department patients … January 2, 2008 Perspective The Wild West: Patient Safety

3098. 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

3099. Impact of computerised physician order entry (CPOE) on the incidence of chemotherapy-related medication errors: a systematic review. | PSNet
      psnet.ahrq.gov/issue/impact-computerised-physician-order-entry-cpoe-incidence-chemotherapy-related-medication
      May 25, 2022 - reduction in chemotherapy-related medication errors, indicating that CPOE is a valuable strategy for this patient … March 24, 2021 Use of patient complaints to identify diagnosis-related safety concerns … factors and severity of medication errors associated with direct-acting oral anticoagulants in adult patients … June 15, 2022 View More Related Resources Patient safety threats … safety with antineoplastics?

3100. Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective observational study. | PSNet
      psnet.ahrq.gov/issue/analysis-pharmacist-identified-medication-related-problems-two-united-kingdom-hospitals
      July 31, 2019 - This prospective cohort study of 1,503 patients sought to identify timepoints during the inpatient hospitalization … April 7, 2021 Use of patient complaints to identify diagnosis-related safety concerns … Interdisciplinary collaboration across secondary and primary care to improve medication safety … August 26, 2020 Oncology pharmacist-led medication reconciliation among cancer patients … 4, 2010 View More See More About The Topic Hospitals Quality and Safety