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Showing results for "patient safety indicators".
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3381. 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

3382. 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

3383. 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.

3384. Improving Patient Safety and Team Communication through Daily Huddles | PSNet
      psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
      December 15, 2024 - for patients to be seen on the current day. … , patients with indwelling central venous or urinary catheters, or patients with similar names. … Patient Safety Toolkit Essentials: Huddles. … in Patient Safety April 1, 2021 Patient Safety Primers … and Patient Safety.

3385. Health Care Worker Presenteeism: A Challenge for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/health-care-worker-presenteeism-challenge-patient-safety
      November 03, 2015 - Health Care Worker Presenteeism: A Challenge for Patient Safety Julia E. … Health Care Worker Presenteeism: A Challenge for Patient Safety. PSNet [internet]. … Health Care Worker Presenteeism: A Challenge for Patient Safety. PSNet [internet]. … Both logistic resources and social supports are required to make the choice to prioritize patient safety … Health Care Worker Presenteeism: A Challenge for Patient Safety. PSNet [internet].

3386. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33817/psn-pdf
      October 01, 2016 - Health Care Data Science for Quality Improvement and Patient Safety October 1, 2016 Rajkomar A. … Health Care Data Science for Quality Improvement and Patient Safety. PSNet [internet]. 2016. … https://psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety Perspective … https://psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety https … safety and quality is challenging.

3387. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49602/psn-pdf
      April 01, 2010 - Safety Goals (NPSGs).(18) The NPSG includes eight specific elements of performance, including using … approved protocols for the management of anticoagulant therapy and evaluating the safety of anticoagulation … Application of these requirements and patient safety principles to bridging therapy is essential but … safety. … Accreditation Program: Hospital. 2009 National Patient Safety Goals.

3388. Statewide identification of adverse events using retrospective nurse review: methods and outcomes. | PSNet
      psnet.ahrq.gov/issue/statewide-identification-adverse-events-using-retrospective-nurse-review-methods-and-outcomes
      November 21, 2021 - November 21, 2021 Indication-specific opioid prescribing for US patients with Medicaid … July 16, 2018 Do patients' disruptive behaviours influence the accuracy of a doctor's … September 27, 2016 Do clinicians know which of their patients have central venous catheters … September 12, 2012 Registered nurses' judgments of the classification and risk level of patient … View More See More About The Topic Nurses Nurse Managers Quality and Safety

3389. Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-dimer. | PSNet
      psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-dimer
      May 01, 2005 - with impaired exercise capacity. 5 Approach to Improving Safety & Patient Safety Target When approaching … Lastly, ED patient volumes have been steadily increasing, motivating the demand for faster patient triage … Shift-to-shift handoff effects on patient safety and outcomes. … Engagement and Patient Safety February 1, 2013 WebM&M Cases … March 10, 2011 Leapfrog safety grades in California hospitals: a data analysis.

3390. Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
      January 01, 2023 - safety, and promote communication among all providers caring for a patient. … SAFETY 21 Approach to Improving Patient Safety (1) Multiple practices can help reduce the risk … guidelines.7,8,13,14 24 Approach to Improving Patient Safety (4) • The indication for anticoagulation … use in this specific patient is unclear. … National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism.

3391. 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.

3392. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk | PSNet
      psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
      January 31, 2024 - Having an electronic scanning system can further contribute to patient safety by not only alerting the … These actions, in turn, will continue to strengthen patient safety practices to support a safe environment … Best practices for communicating after patient safety errors have occurred may include the following: … safety. … January 17, 2024 Hiding in plain sight: inconvenient facts for patient safety in non-

3393. A Laceration that Needed a Proper Exam, Not an X-Ray | PSNet
      psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
      November 25, 2020 - Flexor tendons are more difficult to visualize during wound exploration. 3 Approach to Patient Safety … However, there are several important management considerations that will improve patient safety and functional … Optimizing working conditions is critical to patient safety, and in this case may include adequate clinician … Barnes, MD, FACEP Consulting Editor, AHRQ, Patient Safety Network Health Sciences Clinical Professor … Safety of epinephrine in digital nerve blocks: a literature review.

3394. Anticoagulation: Held Too Long | PSNet
      psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
      April 01, 2008 - Safety Goals (NPSGs).( 18 ) The NPSG includes eight specific elements of performance, including using … Application of these requirements and patient safety principles to bridging therapy is essential but … safety. … Accreditation Program: Hospital. 2009 National Patient Safety Goals. … October 7, 2015 Hospital quality and patient safety competencies: development, description

3395. 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?

3396. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73146/psn-pdf
      April 28, 2021 - Patient Safety in Home Dialysis April 28, 2021 Morfín JA, Fitall E, Hall KK, et al. … Patient Safety in Home Dialysis. PSNet [internet]. 2021. … https://psnet.ahrq.gov/perspective/patient-safety-home-dialysis Dialysis Care and Patient Safety Concerns … Training of Patients and Care Partners https://psnet.ahrq.gov/perspective/patient-safety-home-dialysis … Experiences of safety among patients receiving home dialysis therapies.

3397. Another Fall | PSNet
      psnet.ahrq.gov/web-mm/another-fall
      June 01, 2010 - rails.( 15 ) Coagulopathic patients may represent a patient category in whom special precautions are … Walking, however, is critical to patients’ well-being. … Making Health Care Safer: A Critical Analysis of Patient Safety Practices. … December 9, 2014 The World Federation of Chiropractic Global Patient Safety Task Force … Safety Innovations Preventing Falls Through Patient and Family Engagement to Create

3398. Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix Health Care System. | PSNet
      psnet.ahrq.gov/issue/interim-report-review-vhas-patient-wait-times-scheduling-practices-and-alleged-patient-deaths
      September 10, 2014 - Practices, and Alleged Patient Deaths at the Phoenix Health Care System. … Patient Deaths at the Phoenix Health Care System. … This discrepancy was due to systematic manipulation of the scheduling system—more than 1700 patients … An investigation of specific cases of deaths among patients who were waiting for appointments is ongoing … July 24, 2019 Advances in Patient Safety: New Directions and Alternative Approaches.

3399. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33713/psn-pdf
      June 01, 2011 - The Safety of Medical Devices June 1, 2011 Nemeth CP. The Safety of Medical Devices. … The back of a patient chair on a tomography system bent and broke off, allowing a patient to fall. … While the team adjusted the table, it swung loose and the patient fell to the floor but sustained no … Too few clinicians question the effect a new technology may have on the patient. … U.S. inaction lets look-alike tubes kill patients. New York Times. August 21, 2010:A1. 6.

3400. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33807/psn-pdf
      May 01, 2016 - The patient was discovered dead. … , but it's also a real safety concern. … Maybe it would be better for all the other patients to take that patient off the monitor if it isn't … So the more that these devices can be user-friendly and interactive, we could really improve the safety … Many of those patients are also on cardiac monitors, and there are fewer nurses per patient.