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Showing results for "patient safety indicators".
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3281. 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

3282. Treatment Challenges After Discharge | PSNet
      psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
      January 03, 2017 - Describe current best practices for reducing patient safety risks associated with hospital discharge. … Consequently, patient care suffers, and often, patients recently discharged return to the hospital for … safety and continuity of care. … Patient safety concerns arising from test results that return after hospital discharge. … Safety Innovations Preventing Falls Through Patient and Family Engagement to Create

3283. 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.

3284. Clinical reasoning education at US medical schools: results from a national survey of internal medicine clerkship directors. | PSNet
      psnet.ahrq.gov/issue/clinical-reasoning-education-us-medical-schools-results-national-survey-internal-medicine
      October 12, 2022 - In recent years , diagnostic error has gained widespread attention as a major patient safety issue … September 21, 2022 Advancing diagnostic safety research: results of a systematic research … Related Resources Annual Perspective Improving Diagnostic Safety … July 2, 2014 Patient safety stories: a project utilizing narratives in resident training … Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety

3285. CVC Placement: Speak Now or Do Not Use the Line | PSNet
      psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
      November 01, 2003 - Making Health Care Safer: a Critical Analysis of Patient Safety Practices: Summary. … Phase I of the Procedural Patient Safety Initiative. J Gen Intern Med. 2006;21:514-517. … Phase II of the Procedural Patient Safety Initiative (PPSI-II). J Hosp Med. 2009;4:423-429. … Proceduralists—leading patient safety initiatives. N Engl J Med. 2007;356:1789-1790. … Safety?

3286. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49723/psn-pdf
      January 01, 2015 - Appreciate the importance of safety culture on labor and delivery units. … They compromise safety and can result in fatalities. … Labor and delivery is a busy environment, which involves patient transitions from triage to a labor … This complicated patient flow requires dedicated specialized teams with strong commitment to safety. … Problems with intrapartum fetal heart rate monitoring interpretation and patient management.

3287. First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit | PSNet
      psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
      October 30, 2019 - First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit Jochen Profit, MD … First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit. … First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit. … Conceptual Model of Value-based Patient Safety in the NICU. … First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit.

3288. 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

3289. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49715/psn-pdf
      August 21, 2014 - The patient was admitted directly for an ultrasound-guided liver biopsy. … The Commentary Ensuring Safety With Liver Biopsy The use of liver biopsy to obtain tumor or liver histology … A patient who is not able to follow commands poses a risk to both the patient and the proceduralist. … Although evidence is limited, the safety of the different techniques appears to be similar. … It should be recognized that all patients have bleeding from the liver after biopsy.

3290. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49835/psn-pdf
      January 01, 2020 - The patient was discharged and completed 6 weeks of antibiotics and wound care, with healing of the … Dialysis access planning was initiated, but unfortunately, when the patient was evaluated by a vascular … Safety and efficacy of outpatient parenteral antibiotic therapy in an academic infectious disease clinic … Inpatient venous access practices: PICC culture and the kidney patient. … Evaluating safety of tunneled small bore central venous catheters in chronic kidney disease population

3291. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49679/psn-pdf
      March 01, 2013 - safety when using CVCs. … Swayze, RN, MA Senior Project Manager for Communications Patient Safety Staff Partnerships/MedSun … Evidence-based practice: improving outcomes for patients with a central venous access device. … An organizational approach to understanding patient safety and medical errors. … Patient Safety and Quality: An Evidenced-based Handbook for Nurses.

3292. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49739/psn-pdf
      August 21, 2015 - For many patients, a tracheostomy doesn't preclude the ability to communicate. … These valves may only be used in patients with patent upper airways. … Presentation may be subtle in a stable patient. … Each institution should develop standard tracheostomy management protocols to enhance patient safety … : a pilot patient safety initiative.

3293. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33657/psn-pdf
      September 01, 2007 - safety officers that this conference can be transformed into a vibrant patient safety curriculum. … Critical issues of patient safety are discussed. … What is done to preserve those essential patient safety and error-reducing points? … never canonized patient safety. Until now. … a patient safety curriculum generated from a reconfigured morbidity and mortality conference.

3294. In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO | PSNet
      psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
      January 12, 2022 - Safety Organizations (PSOs) are organizations dedicated to improving patient safety and healthcare quality … safety risks in both COVID-19 and non-COVID-19 patients. … Many aspects of patient safety had to be adapted. … Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic January … data voluntarily submitted by federally listed Patient Safety Organizations (PSOs) to the Patient Safety

3295. Incidence and predictors of opioid prescription at discharge after traumatic injury. | PSNet
      psnet.ahrq.gov/issue/incidence-and-predictors-opioid-prescription-discharge-after-traumatic-injury
      July 02, 2019 - Investigators found that patients with more severe injuries were more likely to be prescribed opioids … August 20, 2018 The occurrence of potential patient safety events among trauma patients … October 11, 2012 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … January 23, 2019 Opioid prescribing and adverse events in opioid-naive patients treated … May 2, 2018 Opioid prescribing for opioid-naive patients in emergency departments and

3296. Significant reduction in preanalytical errors for nonphlebotomy blood draws after implementation of a novel integrated specimen collection module. | PSNet
      psnet.ahrq.gov/issue/significant-reduction-preanalytical-errors-nonphlebotomy-blood-draws-after-implementation
      May 29, 2019 - December 4, 2016 Association of display of patient photographs in the electronic health … record with wrong-patient order entry errors. … May 29, 2019 Assessing the effectiveness of engaging patients and their families in the … safety surveillance and improvement. … safety.

3297. 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

3298. Potential uses of AI for perioperative nursing handoffs: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/potential-uses-ai-perioperative-nursing-handoffs-qualitative-study
      September 01, 2021 - Handoffs and transitions of care represent a vulnerable time for patients as important information … June 14, 2023 Patient Safety Innovations Remote Response … Perspective Surveillance Monitoring to Improve Patient … Safety in Acute Hospital Care Units April 26, 2023 An observational study

3299. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72618/psn-pdf
      December 23, 2020 - In implementing patient safety interventions, requiring a provider or patient to deviate from a previous … safety. … Safety Focus The framework for nudge projects, like The Nudge Unit at Penn Medicine, is to guide patient … safety. … Examples of Nudge Unit projects with a patient safety component include: Using default options to decrease

3300. Diagnostic Errors | PSNet
      psnet.ahrq.gov/primer/diagnostic-errors
      June 15, 2024 - Background The past decade's quest to improve patient safety has chiefly addressed quantifiable problems … Diagnostic error has received comparatively less attention, despite the fact that landmark patient safety … Safety Primers Measurement of Patient Safety June 15, 2024 Reporting Patient Safety Events … Safety Primers Patient Safety 101 June 15, 2024 Reimagining … Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety.