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Showing results for "patient safety indicators".
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3241. The Dropped Lung | PSNet
      psnet.ahrq.gov/web-mm/dropped-lung
      February 06, 2012 - safety and supervision of trainees. … safety vulnerability in our teaching institutions. … This strategy may also promote teamwork and communication, in addition to improving procedural safety … ACGME requirements will enhance patient safety by expanding the boundaries of resident education to include … safety.

3242. The implementation of communication didactics for OB/GYN residents on the disclosure of adverse perioperative events. | PSNet
      psnet.ahrq.gov/issue/implementation-communication-didactics-obgyn-residents-disclosure-adverse-perioperative
      July 21, 2021 - Medical residents are frequently involved in difficult patient conversations, including error disclosure … July 21, 2021 Chief resident indirect supervision in training safety study: is a chief … resident general surgery service safe for patients? … August 18, 2021 We asked the experts: the WHO Surgical Safety Checklist and the COVID … November 9, 2022 More than words: patients' views on apology and disclosure when things

3243. Association of state opioid duration limits with postoperative opioid prescribing. | PSNet
      psnet.ahrq.gov/issue/association-state-opioid-duration-limits-postoperative-opioid-prescribing
      April 18, 2019 - April 18, 2019 Persistent opioid use among pediatric patients after surgery. … August 4, 2021 View More Related Resources Fire safety in the operating … 11, 2024 Evaluation of policies limiting opioid exposure on opioid prescribing and patient … March 10, 2021 WebM&M Cases Fatal Patient-Controlled … Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety

3244. Managing patients with identical names in the same ward. | PSNet
      psnet.ahrq.gov/issue/managing-patients-identical-names-same-ward
      November 16, 2022 - Study Managing patients with identical names in the same ward. … Managing patients with identical names in the same ward. … Managing patients with identical names in the same ward. … December 12, 2012 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … Related Resources Using incident reports to assess communication failures and patient

3245. Harm From Alarm Fatigue | PSNet
      psnet.ahrq.gov/web-mm/harm-alarm-fatigue
      February 14, 2018 - is typically displayed for each patient so that all patients' data can fit on one or two display screens … Patient safety concerns surrounding excessive alarm burden garnered widespread attention in 2010 after … alert ( 6 ); they established alarm safety as a National Patient Safety Goal in 2014, with further regulations … Alarm safety is a National Patient Safety Goal, highlighting the importance of developing institutional … The Joint Commission announces 2014 National Patient Safety Goal.

3246. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866618/psn-pdf
      December 31, 2024 - 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

3247. Failure to Latch | PSNet
      psnet.ahrq.gov/web-mm/failure-latch
      November 27, 2012 - The Case The patient is a full-term, 8.5-pound, healthy infant whose parents were strongly committed … Newborn wet and soiled diaper counts and timing of onset of lactation as indicators of breastfeeding … Perspective Accreditation and Regulation: Can They Help Improve Patient … Safety? … safety.

3248. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73336/psn-pdf
      May 26, 2021 - As one goal of patient safety, organizations such as the Joint Commission list steps that may be taken … These steps comprise multiple approaches to improving safety as no single system can ensure that all … patients are made aware of their laboratory test results. … Take-Home Points  https://psnet.ahrq.gov/issue/national-patient-safety-goals https://psnet.ahrq.gov/ … issue/advancing-safety-closed-loop-communication-test-results https://psnet.ahrq.gov//#17 Take the

3249. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49608/psn-pdf
      August 01, 2010 - The patient experienced no major long-term consequences. … between two levels; this approach favors patient safety over resource allocation. … The patient would likely be sent to the waiting room. … Take-Home Points Triage is very challenging in the context of crowding, but it is critical to ED safety … (CTAS) in the principality of Andorra: can triage parameters serve as emergency department quality indicators

3250. ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011. | PSNet
      psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-dispensing-and-administration-2011
      September 30, 2020 - 1400 hospitals by the American Society of Health-System Pharmacists found that uptake of medication safety … 2022 ASHP national survey of pharmacy practice in hospital settings: monitoring and patient … 2017 ASHP national survey of pharmacy practice in hospital settings: monitoring and patient … September 23, 2020 Effect of bar-code technology on the safety of medication administration … December 23, 2016 Intravenous infusion safety technology: return on investment.

3251. Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle. | PSNet
      psnet.ahrq.gov/issue/reducing-rate-catheter-associated-bloodstream-infections-surgical-intensive-care-unit-using
      November 16, 2022 - October 12, 2022 Teamwork, communication and safety climate: a systematic review of interventions … Building the bridge to quality: an urgent call to integrate quality improvement and patient … safety education with clinical care October 2, 2019 Realistic distractions and interruptions … February 7, 2022 AHRQ patient safety project reduces bloodstream infections by 40 percent

3252. Education initiatives in cognitive debiasing to improve diagnostic accuracy in student providers: a scoping review. | PSNet
      psnet.ahrq.gov/issue/education-initiatives-cognitive-debiasing-improve-diagnostic-accuracy-student-providers
      October 21, 2020 - January 26, 2022 Developing the Safer Dx Checklist of Ten Safety Recommendations for … June 21, 2023 Annual Perspective Improving Diagnostic Safety … September 16, 2020 Incoming interns recognize inadequate physical examination as a cause of patient … A qualitative study of emotions, triggers, regulation strategies, and effects on patient care. … October 30, 2019 Controversies in diagnosis: contemporary debates in the diagnostic safety

3253. Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers to aortic referral centers: an analysis of over 3700 patients. | PSNet
      psnet.ahrq.gov/issue/misdiagnosis-thoracic-aortic-emergencies-occurs-frequently-among-transfers-aortic-referral
      October 28, 2020 - Missed diagnosis of aortic emergencies can result in patient death, therefore patients with presumed … December 16, 2020 Measuring psychological safety and local learning to enable high reliability … November 9, 2022 View More Related Resources Patient outcomes compared … 15, 2014 Infrequent physician use of implantable cardioverter-defibrillators risks patient … safety.

3254. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74252/psn-pdf
      January 12, 2022 - Safety Organizations (PSOs) are organizations dedicated to improving patient safety and healthcare … safety risks in both COVID-19 and non- COVID-19 patients. … I believe our leadership—even before COVID-19—has been very focused on patient safety and avoiding patient … Many aspects of patient safety had to be adapted. … PS: Teammate health and safety became a critical issue, and some of the established patient safety practices

3255. In Conversation with...Bradley T. Rosen, MD, MBA | PSNet
      psnet.ahrq.gov/perspective/conversation-withbradley-t-rosen-md-mba
      March 01, 2008 - RW: What data do you have that demonstrate that in fact this improves patient safety? … Not necessarily from a patient safety standpoint, but we have found that the decision of whether a line … In the real world I think that we have to find ways to maximize patient safety while taking into account … Creation of a Medical Procedure Service to Improve Patient Safety March 1, 2008 Perspective … In addition to enhancing education and patient safety, the direct supervision and assessment provided

3256. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33598/psn-pdf
      June 15, 2024 - safety field. … Of course, some of these may represent patient safety issues if, for example, a sedating medication … Healthcare Settings https://psnet.ahrq.gov/primer/falls https://psnet.ahrq.gov/primer/long-term-care-and-patient-safety … Current Context Fall prevention is a National Patient Safety Goal for both hospitals and long-term care … https://psnet.ahrq.gov/primer/leadership-role-improving-safety https://psnet.ahrq.gov/primer/national-patient-safety-goals

3257. The Forgotten Line | PSNet
      psnet.ahrq.gov/web-mm/forgotten-line
      March 11, 2011 - patients. … March 11, 2011 Improving patient safety by identifying side effects from introducing … safety intervention. … February 20, 2008 Gaps in the continuity of care and progress on patient safety. … April 21, 2015 The impact of rationing nursing care on patient safety: a systematic review

3258. A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients. | PSNet
      psnet.ahrq.gov/issue/clinical-pharmacist-led-integrated-approach-evaluation-medication-errors-among-medical
      December 09, 2020 - pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients … The clinical pharmacist performed medication chart review, patient monitoring, and attended medical … prescribing physicians, approximately half of medication errors were intercepted before reaching the patient … Related Resources From the Same Author(s) Factors influencing family member perspectives on safety … More About The Topic Intensive Care Units Facility and Group Administrators Quality and Safety

3259. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49747/psn-pdf
      December 01, 2015 - is typically displayed for each patient so that all patients' data can fit on one or two display screens … alert (6); they established alarm safety as a National Patient Safety Goal in 2014, with further regulations … Alarm safety is a National Patient Safety Goal, highlighting the importance of developing institutional … safety. … The Joint Commission announces 2014 National Patient Safety Goal.

3260. Extraneous tissue a potential source for diagnostic error in surgical pathology. | PSNet
      psnet.ahrq.gov/issue/extraneous-tissue-potential-source-diagnostic-error-surgical-pathology
      October 27, 2010 - January 31, 2018 Making a move: using simulation to identify latent safety threats before … the care of injured patients in a new physical space. … August 4, 2021 The effectiveness of inking needle core prostate biopsies for preventing patient … specimen identification errors: a technique to address Joint Commission patient safety goals in specialty