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Showing results for "patient safety indicators".
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3361. Safer and more appropriate opioid prescribing: a large healthcare system's comprehensive approach. | PSNet
      psnet.ahrq.gov/issue/safer-and-more-appropriate-opioid-prescribing-large-healthcare-systems-comprehensive-approach
      June 10, 2020 - intervention study describes a large health care system's initiative to improve opioid prescribing, patient … monitoring, and care coordination for patients with chronic pain . … May 7, 2008 Effect of medication reconciliation with and without patient counseling on … Related Resources Controlled substance drug diversion by healthcare workers as a threat to patient … safety.

3362. A Statewide Collaborative to Support Vaginal Birth and Reduce Unnecessary Cesarean Deliveries | PSNet
      psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
      July 23, 2024 - Innovation Patient Safety Focus High rates of cesarean delivery are a concern in the United States … A multi-pronged patient safety bundle that includes a toolkit for clinicians and educational resources … A multi-pronged patient safety bundle that includes a toolkit for clinicians and educational resources … Patient Safety Innovations Preventing Falls Through … September 29, 2010 Improving patient safety with team coordination: challenges and strategies

3363. Never Events | PSNet
      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

3364. Safety In Dentistry | PSNet
      psnet.ahrq.gov/perspective/safety-dentistry
      August 01, 2016 - patient safety practices; (iii) teaching, disseminating, and implementing effective patient safety practices … safety events (e.g., wrong site or wrong patient), creating a severity scale for dental patient safety … Is ambulatory patient safety just like hospital safety, only without the "stat"? … In our Spanish Observatory for Dental Patient Safety database, we have five cases of patients dying … Now we have begun to convince dentists that patient safety is important for their patients and also for

3365. Statewide Telehealth Program Enhances Access to Care, Improves Outcomes for High-Risk Pregnancies in Rural Area | PSNet
      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

3366. Psn-Pdf (pdf file)
      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

3367. Timing of the diagnosis of attention-deficit/hyperactivity disorder and autism spectrum disorder. | PSNet
      psnet.ahrq.gov/issue/timing-diagnosis-attention-deficithyperactivity-disorder-and-autism-spectrum-disorder
      February 03, 2016 - Same Author(s) Impact of pharmacist involvement in the transitional care of high-risk patients … February 5, 2020 Using incident reports to assess communication failures and patient … June 18, 2019 Learning to overcome hierarchical pressures to achieve safer patient care … September 11, 2024 Failure to rescue as a patient safety indicator for neurosurgical … patients: are we there yet?

3368. A Loss of Trust and a Missed Diagnosis | PSNet
      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

3369. Bleeding Risk | PSNet
      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.

3370. Psn-Pdf (pdf file)
      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.

3371. Slippery Slide Into Life | PSNet
      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.

3372. Microsoft PowerPoint - FINAL Spotlight_Falls in Skilled Nursing Units_04.12.2023.pptx (pdf file)
      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.

3373. Psn-Pdf (pdf file)
      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

3374. Pseudo-obstruction But a Real Perforation | PSNet
      psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation
      April 01, 2015 - Case & Commentary—Part 2 This conservative management did not work, as the patient developed worsening … All patients who receive neostigmine should be on a cardiac monitor. … Veterans Affairs National Quality Scholars Program: a model for interprofessional education in quality and safety … March 9, 2016 WebM&M Cases Chemotherapy Administration Safety … Safety Innovations Rescue Improvement Conference Innovation Summary July 23, 2024

3375. Pharmacist medication assessments in a surgical preadmission clinic. | PSNet
      psnet.ahrq.gov/issue/pharmacist-medication-assessments-surgical-preadmission-clinic
      October 15, 2008 - diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient … July 20, 2016 Impact of pharmacist involvement in the transitional care of high-risk patients … February 24, 2011 Assessment of a safety enhancement to the hospital medication reconciliation … process for elderly patients.

3376. Psn-Pdf (pdf file)
      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.

3377. Psn-Pdf (pdf file)
      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.

3378. Medication Errors and Adverse Drug Events | PSNet
      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

3379. Health Care Data Science for Quality Improvement and Patient Safety | PSNet
      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

3380. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33827/psn-pdf
      February 01, 2017 - organizational outcomes.(3) A decade of research indicates that TeamSTEPPS improves the care delivered to patients … The relation between teamwork and patient safety. In: Carayon P, ed. … Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. … TeamSTEPPS: Team Strategies and Tools to Enhance Performance and Patient Safety. … In: Advances in Patient Safety: New Directions and Alternative Approaches.