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Showing results for "patient safety indicators".
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3161. The Role of Graduate Medical Education (GME) in Improving Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
      February 01, 2010 - The Role of Graduate Medical Education (GME) in Improving Patient Safety Arpana R. … The Role of Graduate Medical Education (GME) in Improving Patient Safety. PSNet [internet]. … Residency training is an extraordinarily important area for patient safety. … We asked him to speak with us about the role of the ACGME in patient safety. Dr. … We have dual responsibilities not only for the safety of patients in the training environment, but also

3162. Identification of in-hospital complications from claims data. Is it valid? | PSNet
      psnet.ahrq.gov/issue/identification-hospital-complications-claims-data-it-valid
      June 13, 2011 - February 18, 2011 The nature of adverse events in hospitalized patients. … April 24, 2018 Changes in safety attitude and relationship to decreased postoperative … August 17, 2022 Speaking up about patient-perceived serious visit note errors: patient … September 2, 2020 TRIAD XII: are patients aware of and agree with DNR or POLST orders … July 27, 2018 Improving health care quality and patient safety through peer-to-peer assessment

3163. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.302_slideshow.ppt
      June 01, 2013 - The case raised many questions about the safety of and errors associated with emergency surgery. 6 … Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. … A surgical safety checklist to reduce morbidity and mortality in a global population. … Effect of a 19-item surgical safety checklist during urgent operations in a global patient population … Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit

3164. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848109/psn-pdf
      April 26, 2023 - A recent retrospective cohort study evaluated the safety of 10% calcium chloride administration via … 3 patients) were associated with low-grade infusion-related adverse events (IRAE). … The median time to IRAE was 71 hours and no patient received plastic surgery consultation or medications … and Patient Safety Target As this case highlights, selecting the safest feasible mode of infusion for … When a patient complains of pain or discomfort around the IV site, the infusion should be stopped, and

3165. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33765/psn-pdf
      April 01, 2014 - Our staff is in the weeds every day on issues around patient safety and quality issues and measurement … That gives us a different space in the world of advocacy around patient safety, simply because we're … For instance, we're still seeing persistent problems with patient safety. … We have not seen the kind of progress in patient safety that we would have expected to see in 10 years … if they hear it from their patients.

3166. Evaluating the implementation and impact of a pharmacy technician-supported medicines administration service designed to reduce omitted doses in hospitals: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/evaluating-implementation-and-impact-pharmacy-technician-supported-medicines-administration
      November 14, 2018 - for patients with monitored dosage systems following hospital discharge. … January 23, 2019 Prevalence, severity, and nature of preventable patient harm across … July 31, 2019 Medication safety in mental health hospitals: a mixed-methods analysis … Related Resources WebM&M Cases Medication Mix-Up Leads to Patient … Annual Perspective Annual Perspective: Topics in Medication Safety

3167. Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST). | PSNet
      psnet.ahrq.gov/issue/evaluation-second-victim-peer-support-program-perceptions-second-victim-experiences-and
      December 23, 2020 - victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse patient … victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse patient … January 17, 2024 Experience of learning from everyday work in daily safety huddles: a … Assessing the perceived level of institutional support for the second victim after a patient … safety event.

3168. A Little Shuteye | PSNet
      psnet.ahrq.gov/web-mm/little-shuteye
      December 22, 2018 - Other complications (infection, erythema, etc.) were not different, but patients had less pain and the … .( 6 ) In order to avoid patient movement, the patient must understand, in advance, what the physician … Incidence of adverse events and negligence in hospitalized patients. … The nature of adverse events in hospitalized patients. … Patient safety: a curriculum for teaching patient safety in emergency medicine.

3169. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39163/psn-pdf
      June 28, 2010 - burnout-and-medical-errors-among-american-surgeons Duty-hour restrictions for resident physicians are intended to improve safety … rates-medication-errors-among-depressed-and-burnt-out-residents-prospective-cohort-study https://psnet.ahrq.gov/issue/hospital-nurse-staffing-and-patient-mortality-nurse-burnout-and-job-dissatisfaction

3170. Haste Makes Care Unsafe | PSNet
      psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
      January 07, 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 inappropriately … 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.

3171. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867676/psn-pdf
      February 26, 2025 - Responding to Patient Safety Events February 26, 2025 Shaikh U. … Responding to Patient Safety Events. PSNet [internet]. 2025. … https://psnet.ahrq.gov/primer/responding-patient-safety-events Background Patient safety events that … https://psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events … The timing of an apology to patients and families could be guided by an assessment of the benefits of

3172. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49817/psn-pdf
      January 01, 2018 - The patient reportedly had not taken his beta-blocker in the 36 hours prior to admission. … Center for patient safety organizations, health IT users, vendors, and researchers to share resources … Computerized prescriber order entry-related patient safety reports: analysis of 2522 medication errors … Rockville, MD: Center for the Advancement of Patient Safety, US Pharmacopeia; 2008. … WHO Collaborating Center for Patient Safety Solutions. May 2007;1:solution 1. [Available at] 14.

3173. Disruptive and Unprofessional Behavior | PSNet
      psnet.ahrq.gov/primer/disruptive-and-unprofessional-behavior
      September 15, 2024 - Background Disruptive and unprofessional behavior by clinicians poses a definite threat to patient safety … Safety Primers Long-term Care and Patient Safety April 10, 2024 … and Safety Practices March 27, 2024 Patient Safety Primers … National Patient Safety Goals March 27, 2024 Patient … Patient Safety Primers Deprescribing as a Patient Safety Strategy

3174. How Does Infection Prevention Fit Into a Safety Program? | PSNet
      psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
      March 01, 2014 - of patients in the health care system. … We spoke with her about infection prevention and patient safety. Dr. … What could be more appropriate than applying the patient safety agenda to infection prevention? … RW : Infection prevention has been around much longer than the patient safety field. … Are We Getting Better at Measuring Patient Safety?

3175. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867986/psn-pdf
      March 24, 2025 - Sarah Mossburg: Suicide prevention is one The Joint Commission’s National Patient Safety Goals. … One tool that we have created and validated is called the Patient Safety Screener. … For example, the Patient Safety Screener, which is the screening tool that we have created and that … Sarah Mossburg: Could you tell us more about the Patient Safety Screener? Edwin Boudreaux: Sure. … It is designed by the patient and provider together so that patients have, in their own words, things

3176. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836843/psn-pdf
      April 07, 2022 - esimpler-dynamic-electronic-health-record-integrated-checklist-clinical- decision-support Checklists are used in many clinical settings to improve patient … safety, but prior research as documented challenges related to provider fatigue related to checklist … rates were similar to eSIMPLE, but that the enhanced checklist required less time to complete per patient

3177. Reducing warfarin medication interactions: an interrupted time series evaluation. | PSNet
      psnet.ahrq.gov/issue/reducing-warfarin-medication-interactions-interrupted-time-series-evaluation
      May 27, 2011 - Citation Related Resources From the Same Author(s) The impact of prescribing safety … Related Resources Analysis of the nature and contributory factors of medication safety … June 7, 2023 Perspectives on Safety Annual Perspective … Technology as a Tool for Improving Patient Safety March 29, 2023 … February 6, 2019 Pediatric medication safety in adult community hospital settings: a

3178. Rapid Response Systems | PSNet
      psnet.ahrq.gov/primer/rapid-response-systems
      July 18, 2024 - Such teams have become a widely used patient safety intervention due in large part to their inclusion … Patient Safety Primers Long-term Care and Patient Safety April 10, 2024 … Patient Safety Primers Inpatient Transitions of Care … : Challenges and Safety Practices March 27, 2024 Patient Safety … Safety Primers Deprescribing as a Patient Safety Strategy October 27, 2021

3179. Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening. | PSNet
      psnet.ahrq.gov/issue/improving-approach-defining-classifying-reporting-and-monitoring-adverse-events-seriously-ill
      July 29, 2020 - When serious adverse events such as death are reported, they are typically associated with poor patient … safety. … safety imperative. … Related Resources Annual Perspective Improving Diagnostic Safety … adverse events, adverse drug events, and quality of life in older patients: an observational study.

3180. Preventability of adverse drug events involving multiple drugs using publicly available clinical decision support tools. | PSNet
      psnet.ahrq.gov/issue/preventability-adverse-drug-events-involving-multiple-drugs-using-publicly-available-clinical
      December 21, 2017 - record with wrong-patient order entry errors. … July 2, 2014 What are the safety risks for patients undergoing treatment by multiple … specialties: a retrospective patient record review study. … October 29, 2012 Electronic alerts to prevent venous thromboembolism among hospitalized patients … View More See More About The Topic Hospitals Physicians Quality and Safety