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3201. X-ray Flip | PSNet
      psnet.ahrq.gov/web-mm/x-ray-flip
      August 10, 2019 - Incidence of adverse events and negligence in hospitalized patients. … The nature of adverse events in hospitalized patients. … Improving patient safety by identifying side effects from introducing bar coding in medication administration … July 13, 2016 Profiles in patient safety: medication errors in the emergency department … April 6, 2011 View More Related Resources Patient Safety

3202. Reconciling Doses | PSNet
      psnet.ahrq.gov/web-mm/reconciling-doses
      August 14, 2017 - safety initiative. … National Patient Safety Goals for 2006 and 2005. … Available at: http://www.jcaho.org/accredited+organizations/patient+safety/npsg.htm . … OSF Healthcare’s journey in patient safety. … Effectiveness of a pharmacist-acquired medication history in promoting patient safety.

3203. A Fatal Twist in Pseudohyperkalemia | PSNet
      psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
      February 10, 2021 - 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 Professor

3204. 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.

3205. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33665/psn-pdf
      March 01, 2008 - Creation of a Medical Procedure Service to Improve Patient Safety March 1, 2008 Smith CC, CHuang G … Creation of a Medical Procedure Service to Improve Patient Safety. PSNet [internet]. 2008. … https://psnet.ahrq.gov/perspective/creation-medical-procedure-service-improve-patient-safety Perspective … Configuration https://psnet.ahrq.gov/perspective/creation-medical-procedure-service-improve-patient-safety … In addition to enhancing education and patient safety, the direct supervision and assessment provided

3206. 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

3207. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49616/psn-pdf
      December 01, 2010 - A medication safety goal should be the preparation of patient-specific doses for all patients: infants … An approach to minimize both labor and drug cost and maximize patient safety can be adopted. … These costs must be balanced by the associated improvements in patient safety. … Patient dose individualization is a safe and effective method for delivering medications to patients. … Patient Safety. Bethesda, MD: American Society of Health-System Pharmacists Web site.

3208. Impatient Inpatient Dosing | PSNet
      psnet.ahrq.gov/web-mm/impatient-inpatient-dosing
      June 24, 2020 - safety.( 2 ) Pharmacology of Warfarin First, warfarin acts by inhibiting the action of vitamin … Clinical Rules for Initial Dosing of Warfarin Among hospitalized patients, particularly elderly patients … WARFDOCs was developed as part of an AHRQ-funded patient-safety project. … November 16, 2022 How valid is the ICD-9-CM based AHRQ Patient Safety Indicator … as well as patients.

3209. The effect of the electronic transmission of prescriptions on dispensing errors and prescription enhancements made in English community pharmacies: a naturalistic stepped wedge study. | PSNet
      psnet.ahrq.gov/issue/effect-electronic-transmission-prescriptions-dispensing-errors-and-prescription-enhancements
      December 16, 2020 - April 14, 2011 Multiple component patient safety intervention in English hospitals: controlled … February 23, 2011 Exploring safety systems for dispensing in community pharmacies: focusing … February 26, 2014 e-Prescribing: characterisation of patient safety hazards in community … More See More About The Topic Outpatient Pharmacy Pharmacists Quality and Safety

3210. One Bronchoscopy, Two Errors | PSNet
      psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
      December 09, 2020 - safety culture? … July 14, 2021 Clinical efficacy of combined surgical patient safety system and the World … April 12, 2019 Development of patient safety measures to identify inappropriate diagnosis … residents based on experiential knowledge related to patient safety culture at the nursing home front … of patients in intensive care units.

3211. Beeline to Spine | PSNet
      psnet.ahrq.gov/web-mm/beeline-spine
      March 01, 2014 - February 14, 2017 Speaking up about traditional and professionalism-related patient safety … July 10, 2019 View More Related Resources Patient Safety … Primers Patient Safety 101 June 15, 2024 Perspective … Patient Safety in Office-Based Care Settings January 31, 2024 … Safety January 31, 2024 WebM&M Cases The Risks

3212. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867035/psn-pdf
      October 30, 2024 - A 2024 National Patient Safety Goal set forth by The Joint Commission is to “reduce the likelihood of … /psnet.ahrq.gov//%2420 https://psnet.ahrq.gov//#21 https://psnet.ahrq.gov//#22 https://www.ahrq.gov/patient-safety … Proactively ensuring environmental safety for patients who are not able to call for assistance would … Inpatient fall prevention programs as a patient safety strategy: a systematic review. … The Joint Commission. 2024 Hospital National Patient Safety Goals. Accessed July 5, 2024.

3213. PSNet Curated Library (pdf file)
      psnet.ahrq.gov/print/pdf/node/866100
      August 30, 2023 - Safety Curated Library Foundations Keeping Patients Safe: Transforming the Work Environment of Nurses … patient safety risks such as misdiagnosis. … patient safety risks such as misdiagnosis. … https://psnet.ahrq.gov/issue/magnet-support-patient-safety https://psnet.ahrq.gov/issue/ten-years-after-keeping-patients-safe-have-nurses-work-environments-been-transformed … Keeping Patients Safe: Transforming the Work Environment of Nurses.

3214. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73427/psn-pdf
      June 23, 2021 - Patient Saf Surg. 2021;15(1):14. doi:10.1186/s13037-021-00287-5. … sentinel-event-statistics-1995-2019 https://psnet.ahrq.gov/issue/are-we-missing-near-misses-or-underreporting-safety-incidents-pediatric-surgery

3215. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841149/psn-pdf
      December 07, 2022 - performance of two validated tools (Safer Dx and the DEER taxonomy) to identify diagnostic errors among patients … https://psnet.ahrq.gov/issue/application-electronic-trigger-tools-identify-targets-improving-diagnostic-safety

3216. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837628/psn-pdf
      July 06, 2022 - multilevel-factors-associated-time-biopsy-after-abnormal-screening- mammography-results-race Delays in breast cancer diagnosis and treatment can threaten patient … safety.

3217. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50886/psn-pdf
      February 12, 2020 - Results indicate that checking patient allergies and medication doses, especially for intravenous and … transdermal medications, should be a focus of efforts to increase medication administration safety.

3218. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865656/psn-pdf
      April 24, 2024 - Bourgeois, OD, MD Consulting Editor, AHRQ, Patient Safety Network (PSNet) Vice Chair, Hospital Service … Are verbal orders a threat to patient safety?. Qual Saf Health Care. 2009;18(3):165-168. … department patients with acute agitation. … doi.org/10.1093/ajhp/zxab325 https://www.ashp.org/-/media/assets/pharmacy-practice/resource-centers/patient-safety … /patient-safety-practice-resource-for-automated-dispensing-cabinet-overrides.ashx https://doi.org/10.2146

3219. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-04/final_psnet_spotlight_retained_vaginal_packing_04.08.2021.pdf
      January 01, 2021 - called the hospital’s patient safety officer – In her native language, the patient said that while … Safety 17 18 Approach to Improving Patient Safety (1) • Retained vaginal packing results from a … Safety (5) • The armband serves as a reminder for the patient care nurses to remove the packing or … Safety (6) • At each handoff and as care progresses, nurses can remind the patient why the armband … safety.

3220. In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
      October 06, 2021 - project, and her team at the National Birth Equity Collaborative, is a difference between frameworks and indicators … By integrating these frameworks, we can optimally support equity and safety in patient care. … and family needs; strengthening of services for patients with limited English proficiency; patient-centered … https://psnet.ahrq.gov/primer/maternal-safety Patient Safety Bundles. … safety, quality improvement, and implementation of a patient safety bundle.