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Showing results for "patient safety indicators".
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3201. Reducing errors resulting from commonly missed chest radiography findings. | PSNet
      psnet.ahrq.gov/issue/reducing-errors-resulting-commonly-missed-chest-radiography-findings
      August 20, 2018 - July 25, 2018 Optimal preoperative assessment of the geriatric surgical patient: a best … October 10, 2012 Handoffs causing patient harm: a survey of medical and surgical house … September 27, 2017 Impact of pharmacist-led admission medication reconciliation on patient … September 20, 2023 Patient Safety Innovations Ambulatory … Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer July 31, 2023 Diagnostic

3202. The nature and occurrence of registration errors in the emergency department. | PSNet
      psnet.ahrq.gov/issue/nature-and-occurrence-registration-errors-emergency-department
      September 28, 2016 - This study describes several instances of near misses that occurred due to patient misidentification … , such as physicians being unable to access previous test results because—unknown to them—the patient … Previous studies in adult and pediatric inpatients have also identified patient misidentification … December 10, 2014 Patient safety in the ED. … View More See More About The Topic Emergency Departments Quality and Safety

3203. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73901/psn-pdf
      September 29, 2021 - and pharmacists reviewing relevant clinical electronic health record (EHR) data for all hospitalized patients … Using the Safer Dx instrument, the research team retrospectively reviewed patient electronic health record … antimicrobial-stewardship https://psnet.ahrq.gov/issue/using-good-catches-promote-just-culture-and-perioperative-patient-safety

3204. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
      October 01, 2011 - activity (e.g., post-operative setting) Safe monitoring of response to therapy (e.g., physiological safety … Early activity is feasible and safe in respiratory failure patients. … Managing the patient on mechanical ventilation in ICU: early mobility and walking program. … Managing the patient on mechanical ventilation in ICU: early mobility and walking program. … Managing the patient on mechanical ventilation in ICU: early mobility and walking program.

3205. 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.

3206. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74691/psn-pdf
      January 01, 2021 - feedback, and patient safety research. … safety program with patient safety specialists or risk managers. … https://www.ahrq.gov/patient-safety/diagnostic-error-grants/index.html https://www.ahrq.gov/patient-safety … Toolkit for Engaging Patients To Improve Diagnostic Safety . Content last reviewed November 2021. … https://www.ahrq.gov/patient-safety/diagnostic-error-grants/index.html https://www.ahrq.gov/patient-safety

3207. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2024-01/spotlight_case_laceration_needed_exam_not_x-ray_final.pdf
      January 01, 2024 - SAFETY 13 Approach to Improving Patient Safety (1) • Failure to perform a thorough hand examination … • However, there are several important management considerations that will improve patient safety … safety, and in this case may include adequate clinician rest, sufficient lighting, patient comfort … Safety of Epinephrine in Digital Nerve Blocks: A Literature Review. … safety Approach to Improving Patient Safety (1) Approach to Improving Patient Safety (2) Hand Examination

3208. Deprescribing as a Patient Safety Strategy | PSNet
      psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
      December 15, 2024 - Deprescribing as a Patient Safety Strategy Citation Text: Takhar S, Nelson N. … Deprescribing as a Patient Safety Strategy. PSNet [internet]. … Deprescribing as a Patient Safety Strategy. PSNet [internet]. … safety. … Deprescribing as a Patient Safety Strategy. PSNet [internet].

3209. 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

3210. Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. | PSNet
      psnet.ahrq.gov/issue/prescribing-patterns-heart-failure-exacerbating-medications-following-heart-failure
      January 26, 2022 - Harmful prescribing practices were most strongly associated with small hospital size and patients with … The authors call for development of strategies to improve prescribing practices for heart failure patients … July 22, 2020 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … thromboembolism chemoprophylaxis is associated with increased VTE events in high-risk general surgery patients … 5, 2012 View More See More About The Topic Hospitals Quality and Safety

3211. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions | PSNet
      psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
      November 13, 2024 - a patient safety event within the past year that caused personal problems such as anxiety, depression … J Patient Saf. 2007;3:107-119. [Available at] 17. Surveys on Patient Safety Culture. … December 21, 2016 Patient safety culture and the second victim phenomenon: connecting … Organization (HRO) Principles and Patient Safety February 26, 2025 … behavior: a persistent threat to patient safety.

3212. Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records. | PSNet
      psnet.ahrq.gov/issue/concordance-urgent-referral-guidelines-patients-presenting-any-six-alarm-features-possible
      February 17, 2021 - Study Concordance with urgent referral guidelines in patients presenting with any … December 16, 2020 Evaluating the safety of mental health-related prescribing in UK primary … June 29, 2022 Safety implications of remote assessments for suspected COVID-19: qualitative … March 16, 2022 The abrupt expansion of ambulatory telemedicine: implications for patient … safety.

3213. 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.

3214. 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

3215. Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout | PSNet
      psnet.ahrq.gov/web-mm/speaking-patient-safety-what-they-dont-tell-you-training-about-feedback-and-burnout
      January 22, 2020 - Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout … Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout. … Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout. … Patients often have many complex illnesses; treatments have the ability to be extraordinarily precise … to do so, especially when one is in a busy work setting, enduring lots of change, and managing sick patients

3216. Missed Opportunities for Suicide Risk Assessment | PSNet
      psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
      September 27, 2023 - In situations such as these, suicide risk—and its impact on patient safety—may not be the highest initial … To ensure patient safety, protocols for further assessment and referral to treatment must be linked to … National Patient Safety Goal for suicide prevention, R3 Report, Requirement, Rationale, Reference. (2019 … Safety at Academic Medical Centers August 1, 2010 Patient Safety … Primers Nursing and Patient Safety April 21, 2021 CancelRx

3217. 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.

3218. Spike in fatal medication errors at the beginning of each month. | PSNet
      psnet.ahrq.gov/issue/spike-fatal-medication-errors-beginning-each-month
      January 26, 2022 - Effects on resident work hours, sleep duration and work experience in a Randomized Order Safety … June 9, 2011 Effect of genetic diagnosis on patients with previously undiagnosed disease … All consumer medication information is not created equal: implications for medication safety … March 27, 2013 Diagramming patients' views of root causes of adverse drug events in ambulatory

3219. In Conversation With… Leah Binder, MA, MGA | PSNet
      psnet.ahrq.gov/perspective/conversation-leah-binder-ma-mga
      February 26, 2025 - 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.

3220. The “Great Pretender” (Syphilis) is Still Stumping Healthcare Providers | PSNet
      psnet.ahrq.gov/web-mm/great-pretender-syphilis-still-stumping-healthcare-providers
      January 07, 2022 - As one goal of patient safety , organizations such as the Joint Commission list steps that may be taken … patients are made aware of their laboratory test results. … safety. … A comparison of 24 surgical safety checklists in Switzerland. … safety of complex elderly patients in primary care during the COVID-19 pandemic in the UK-Qualitative