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psnet.ahrq.gov/web-mm/discharge-against-medical-advice
July 01, 2017 - ( 5 ) and 13% of patients with HIV/AIDS leave AMA.( 6 ) It is not clear why the patient in this case … Patient Outcomes in Discharges AMA It seems likely that discharge AMA puts patients at increased … autonomy and patient safety, physicians should ensure that a patient with a severe life-threatening … Why patients sign out against medical advice (AMA): factors motivating patients to sign out AMA. … August 24, 2015
The business case for patient safety.
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psnet.ahrq.gov/node/33812/psn-pdf
August 01, 2016 - In our
Spanish Observatory for Dental Patient Safety database, we have five cases of patients dying, … RW: You have been a leader in dental education in patient safety. … I think we have a reasonable level of patient safety. … And we have more work to do here in Spain on dental patient safety. … Now we have begun to convince dentists that patient safety is important for their patients and
also
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psnet.ahrq.gov/node/49862/psn-pdf
May 01, 2019 - Typically the patient completes a pre-MRI screening questionnaire that helps clarify if the patient has … Technologists may stop patients or clinicians
prior to their entering the MRI room and insist on prescreening … For the safety of patients and any attendant health care workers, it is critically important to cooperate … Strong MRI safety programs prevent safety events. Quick Safety. March 2017;(31):1-3. … /quick-safety-issue-31-strong-mri-safety-programs-prevent-safety-events/
https://www.fda.gov/MedicalDevices
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psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
October 01, 2016 - Health Care Data Science for Quality Improvement and Patient Safety
Alvin Rajkomar, MD | October 1, … Health Care Data Science for Quality Improvement and Patient Safety. PSNet [internet]. … Health Care Data Science for Quality Improvement and Patient Safety. PSNet [internet]. … We spoke with him about big data and patient safety. Dr. Robert M. … safety fields: prevention of health care–associated infections, for both patients and health care workers
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psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-high-risk
November 13, 2024 - Innovation Patient Safety Focus
Increasing access to specialized obstetric services for patients in … rural communities via telehealth reduced patient safety events associated with high-risk pregnancies … High patient satisfaction: All patients receiving the program’s telemedicine consultation services … April 17, 2024
Patient Safety Innovations
Preventing Falls … April 21, 2021
Patient Safety Innovations
Team-Developed
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psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
January 01, 2023 - Safety Leads to Patient Falls in
Nursing Homes
Source and Credits
• This presentation is based … safety leads to patient falls in
nursing homesessional liability insurers across the country to provide … SAFETY
LEADS TO PATIENT FALLS IN NURSING
HOMES
Two cases of falls in older patients in nursing homes … .
10
FAILURE TO ENSURE PATIENT SAFETY LEADS
TO PATIENT FALLS IN NURSING HOMES
THE COMMENTARY
By … Z-drugs and falls in nursing home patients: data from the INCUR study.
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psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
October 31, 2023 - Systematic Approach to Improving Patient Safety
Diagnosis
This case demonstrates how a delay in diagnosis … Safety
September 1, 2013
Perspective
Our Maturing … Understanding of Safety Culture: How to Change It and How It Changes Safety
March 1, 2017 … ' engagement in hospital medication safety behaviours. … March 23, 2022
Improving general practice computer systems for patient safety: qualitative
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psnet.ahrq.gov/primer/never-events
June 15, 2024 - safety field. … However, when Never Events occur, they are devastating to patients and may indicate a fundamental safety … Sentinel events are defined as "a patient safety event (not primarily related to the natural course … These variations prevent comparisons and learning from the international patient safety community. … Safety Primers
Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery
December
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psnet.ahrq.gov/node/33781/psn-pdf
March 01, 2015 - him about the development of hospital standardized mortality ratios, and their role
in monitoring safety … The regulators also received complaints from patients that also drew attention to the problems at Mid … They increased patients' satisfaction, and they reduced the mortality. … Another thing Bruce said, and I agree, was that monitoring patient
and staff complaints and surveys … report-mid-staffordshire-nhs-foundation-trust-public-inquiry
https://psnet.ahrq.gov/issue/promise-learn-commitment-act-improving-safety-patients-england
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psnet.ahrq.gov/web-mm/slippery-slide-life
January 21, 2017 - to patients and those treating them) occur? … Or should practice occur in a medical simulator on simulated patients with the threat of only simulated … Patient safety is an important issue at every health care institution in our country. … safety competencies. … safety principles.
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psnet.ahrq.gov/node/33794/psn-pdf
November 01, 2015 - She has also been Cybrarian
for AHRQ Patient Safety Network since its inception.
Dr. Robert M. … Through access to the tremendous people that
were around when NPSF [National Patient Safety Foundation … RW: Lucian Leape told me that the patient safety field was discovered by a librarian. … LZ: I've been monitoring the patient safety literature since I started doing it at NPSF back when we … You don't get
everything you need on safety by putting "patient safety" into any search engine anywhere
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psnet.ahrq.gov/web-mm/dont-pick-picc
December 01, 2011 - Dialysis access planning was initiated, but unfortunately, when the patient was evaluated by a vascular … Instead of a fistula, the patient had an arteriovenous graft placed, and dialysis was initiated 3 months … 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
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psnet.ahrq.gov/web-mm/bleeding-risk
November 01, 2003 - The patient was discharged to a skilled nursing facility (SNF) for physical therapy on low-molecular-weight … The use of published standard dosing algorithms may increase the safety of initial warfarin dosing. … Safety
February 1, 2016
Perspective
Diagnostic … View More
Related Resources
Perspectives on Safety … Safety
March 29, 2023
ISMP medication error report analysis.
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psnet.ahrq.gov/node/866839/psn-pdf
September 25, 2024 - Barnes, MD, FACEP and Garth Utter, MD, MSc, FACS
Background
This case illustrates the patient safety … Alternatively, patients should be instructed to return
to the index ED for re-evaluation. … Take-Home Points
Evaluate all patients for their risk of wound infection and poor wound healing. … Barnes, MD, FACEP
Consulting Editor, AHRQ’s Patient Safety Network (PSNet)
Health Sciences Clinical … Safety Network (PSNet)
Professor
Department of Surgery, Division of Trauma
UC Davis Health
ghutter
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psnet.ahrq.gov/node/33868/psn-pdf
October 01, 2018 - Safety in the Retail Pharmacy
October 1, 2018
Chui MA. Safety in the Retail Pharmacy. … Additionally, if a patient fills
https://psnet.ahrq.gov/perspective/safety-retail-pharmacy
https://psnet.ahrq.gov … This is inconsistent with the recommendation for health care organizations to improve
patient safety … Improving patient safety through transparency. N Engl J Med. 2013;369:1677-1679. … Odukoya O, Chui MA. e-Prescribing: characterisation of patient safety hazards in community
pharmacies
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psnet.ahrq.gov/node/49401/psn-pdf
May 01, 2003 - acute risk, and noted that prompt removal of gun from the patient’s possession was
paramount to his safety … back on
it, “help-seeking, help-rejecting” patients.(4) When these patients present at suicide risk, … respecting the resident’s autonomy is often laudable, the supervisor’s first
priority must be the patient’s safety … risk
assessment allows the clinician to weigh risk and protective factors that inform treatment and safety … Countertransference hate in the treatment of suicidal patients.
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psnet.ahrq.gov/node/33824/psn-pdf
January 01, 2016 - Patient Safety and Opioid Medications
January 1, 2016
Sarkar U, Shojania KG. … Patient Safety and Opioid Medications. PSNet [internet]. 2016. … https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
Annual Perspective 2016
Opioid … How Is This a Patient Safety Issue? … a minimum, to better educate and monitor patients on opioids as part of a broad safety
strategy.
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psnet.ahrq.gov/node/33681/psn-pdf
March 01, 2009 - The Role of Health Literacy in Patient Safety
March 1, 2009
Wolf MS, Bailey SC. … The Role of Health Literacy in Patient Safety. PSNet [internet]. 2009. … is increasingly recognized as essential for promoting patient safety. … : Improving Health Literacy to Protect Patient Safety. … Health Literacy and Patient Safety: Help Patients
Understand. Manual for Clinicians, 2nd ed.
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psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
December 23, 2020 - Examples of tools in the toolkit include: the daily Safety Huddles Tool, 22 weekly Patient Safety Leadership … to increase patient safety awareness, improve the identification of patient safety issues, and reduce … patient safety events.
… Patient Safety Essentials Toolkit. Boston, MA: Institute for Healthcare Improvement. … Patient safety walk rounds: views of frontline staff members and managers in Sweden.
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psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
December 15, 2024 - The Joint Commission has named improving medication safety as a National Patient Safety Goal for both … of its key goals for improving patient safety. … June 19, 2024
Patient Safety Primers
Patient Safety 101 … Patient Safety Primers
Post-Acute Transitional Services: Safety in Home-Based … Patient Safety Primers
Nursing and Patient Safety
April 21, 2021