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Showing results for "patient safety indicators".
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3101. Reasons for computerised provider order entry (CPOE)-based inpatient medication ordering errors: an observational study of voided orders. | PSNet
      psnet.ahrq.gov/issue/reasons-computerised-provider-order-entry-cpoe-based-inpatient-medication-ordering-errors
      June 27, 2018 - Investigators interviewed ordering and voiding providers and reviewed patients' medical records. … A past PSNet perspective discussed the impact of CPOE on patient safety . … Annual Perspective Technology as a Tool for Improving Patient … Safety March 29, 2023 Outpatient CPOE orders discontinued due to 'erroneous … safety.

3102. Types, prevalence, and potential clinical significance of medication administration errors in assisted living. | PSNet
      psnet.ahrq.gov/issue/types-prevalence-and-potential-clinical-significance-medication-administration-errors
      October 11, 2023 - October 11, 2023 A coproduced family reporting intervention to improve safety surveillance … September 18, 2024 Patient safety, satisfaction, and quality of hospital care: cross … sectional surveys of nurses and patients in 12 countries in Europe and the United States. … December 12, 2014 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … March 24, 2011 Addressing delays in medication administration for patients transferred

3103. Clinician collaboration to improve clinical decision support: the Clickbusters initiative. | PSNet
      psnet.ahrq.gov/innovation/clinician-collaboration-improve-clinical-decision-support-clickbusters-initiative
      October 21, 2020 - November 11, 2020 The tradeoffs between safety and alert fatigue: data from a national … April 21, 2021 Inviting patients to identify diagnostic concerns through structured evaluation … June 16, 2021 View More Related Resources Patient Safety … and Quality April 26, 2023 Perspectives on Safety … Annual Perspective Technology as a Tool for Improving Patient Safety

3104. 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.

3105. 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

3106. Community pharmacy medication review, death and re-admission after hospital discharge: a propensity score-matched cohort study. | PSNet
      psnet.ahrq.gov/issue/community-pharmacy-medication-review-death-and-re-admission-after-hospital-discharge
      July 08, 2008 - February 4, 2010 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … Resources A multi-method exploratory evaluation of a service designed to improve medication safety … enhancing collaboration between community pharmacists and primary care providers to improve medication safety … February 22, 2023 Understanding factors that could influence patient acceptability of … October 31, 2017 In-home medication reviews: a novel approach to improving patient care

3107. Incidence and types of preventable adverse events in elderly patients: population based review of medical records. | PSNet
      psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review
      June 23, 2015 - Results indicated a significant number of adverse events in both elderly (>65) and nonelderly patient … events , and events related to procedures; these findings suggest potential areas for safety interventions … February 17, 2011 The nature of adverse events in hospitalized patients. … February 10, 2011 Work system design for patient safety: the SEIPS model. … Demonstrating the value of a standardized cognitive assessment tool through the use of interprofessional rapid safety

3108. 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.

3109. Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy. | PSNet
      psnet.ahrq.gov/issue/challenging-authority-during-life-threatening-crisis-effect-operating-theatre-hierarchy
      December 02, 2015 - study, the majority of anesthesia trainees complied with a supervisor's order to transfuse blood to a patient … September 1, 2021 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … June 16, 2011 The relationship of the emotional climate of work and threat to patient … March 2, 2011 Changes in safety attitude and relationship to decreased postoperative … morbidity and mortality following implementation of a checklist-based surgical safety intervention.

3110. CDC guideline for opioid prescribing associated with reduced dispensing to certain patients with chronic pain. | PSNet
      psnet.ahrq.gov/issue/cdc-guideline-opioid-prescribing-associated-reduced-dispensing-certain-patients-chronic-pain
      October 13, 2018 - Misuse of prescription opioids represents a serious patient safety issue. … authors observe that questions remain about how clinicians are tailoring opioid reductions using a patient-centered … November 16, 2022 Results of an effort to integrate quality and safety into medical and … February 23, 2022 The abrupt expansion of ambulatory telemedicine: implications for patient … safety.

3111. 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

3112. Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. | PSNet
      psnet.ahrq.gov/issue/preventing-device-associated-infections-us-hospitals-national-surveys-2005-2013
      June 21, 2023 - September 27, 2023 Evaluation of the association between Hospital Survey on Patient Safety … 17, 2017 View More Related Resources Recommendations for the safety … of hospitalised patients in the context of the COVID-19 pandemic: a scoping review. … Mandatory influenza vaccination for health care workers as the new standard of care: a matter of patient … safety and nonmaleficent practice.

3113. Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. | PSNet
      psnet.ahrq.gov/issue/impact-diagnostic-checklists-interpretation-normal-and-abnormal-electrocardiograms
      September 14, 2022 - May 31, 2023 Annual Perspective Improving Diagnostic Safety … and Quality April 26, 2023 Safety culture and the positive association of … Clinical supervision in general practice training: the interweaving of supervisor, trainee and patient … entrustment with clinical oversight, patient safety and trainee learning. … July 31, 2019 A patient safety approach to setting pass/fail standards for basic procedural

3114. Medical large language models are vulnerable to data-poisoning attacks. | PSNet
      psnet.ahrq.gov/issue/medical-large-language-models-are-vulnerable-data-poisoning-attacks
      November 16, 2022 - medical misinformation in the training dataset can result in harmful models that could compromise patient … safety. … March 24, 2019 Contraindicated medication use in dialysis patients undergoing percutaneous … June 21, 2016 Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist … by the Safety and Health Committee.

3115. Liver Biopsy: Proceed With Caution | PSNet
      psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
      March 07, 2012 - The Commentary Ensuring Safety With Liver Biopsy The use of liver biopsy to obtain tumor or liver … Although evidence is limited, the safety of the different techniques appears to be similar. … August 12, 2020 Identifying electronic health record usability and safety challenges … November 28, 2018 Randomized trial of reducing ambulatory malpractice and safety risk … More See More About The Topic Hospitals Health Care Providers Quality and Safety

3116. Effectiveness of interventions to improve patient handover in surgery: a systematic review. | PSNet
      psnet.ahrq.gov/issue/effectiveness-interventions-improve-patient-handover-surgery-systematic-review
      June 25, 2018 - Review Effectiveness of interventions to improve patient handover in surgery: a systematic … Effectiveness of interventions to improve patient handover in surgery: A systematic review. … Effectiveness of interventions to improve patient handover in surgery: A systematic review. … A narrative review of Surgical Safety Checklist knowledge as developed in 25 highly cited papers from … July 1, 2016 The impact of surgical safety checklists on theatre departments: a critical

3117. Effect of contextual factors on the prevalence of diagnostic errors among patients managed by physicians of the same specialty: a single-centre retrospective observational study. | PSNet
      psnet.ahrq.gov/issue/effect-contextual-factors-prevalence-diagnostic-errors-among-patients-managed-physicians-same
      February 02, 2022 - Study Effect of contextual factors on the prevalence of diagnostic errors among patients … Context, such as patient, clinician, location, or specialty, can affect the type and frequency of diagnostic … Resources From the Same Author(s) Medication-related interventions to improve medication safety … August 26, 2020 National improvements in resident physician-reported patient safety after … Related Resources Annual Perspective Improving Diagnostic Safety

3118. Effects of sleep inertia on cognition. | PSNet
      psnet.ahrq.gov/issue/effects-sleep-inertia-cognition
      April 21, 2021 - Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient … May 20, 2019 Computerized prescriber order entry–related patient safety reports: analysis … July 23, 2010 The effects of work-hour limitations on resident well-being, patient care … July 10, 2008 Perceived impact of duty hours limits on the fragmentation of patient care … View More See More About The Topic Physicians Risk Managers Quality and Safety

3119. Pharmacy-led medication reconciliation is best practice. | PSNet
      psnet.ahrq.gov/issue/pharmacy-led-medication-reconciliation-best-practice
      September 30, 2020 - September 20, 2023 Pharmacy leadership amid the pandemic: maintaining patient safety … 11, 2024 Impact of pharmacist-led discharge medication reconciliation on error and patient … July 17, 2024 Impact of pharmacist-led admission medication reconciliation on patient … Interdisciplinary collaboration across secondary and primary care to improve medication safety … November 30, 2022 Criteria for the selection of paediatric patients susceptible to reconciliation

3120. 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.