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Showing results for "patient safety indicators".
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3381. Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science Curricula | PSNet
      psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems
      February 01, 2019 - safety, interprofessional education) and GME (e.g., quality improvement, patient safety) curricula. … safety issues across the continuum for individual patients and populations of patients are critical … Boston, MA: National Patient Safety Foundation; 2015. [Available at] 5. … Create centralized and coordinated oversight of patient safety 3. … Increase funding for research in patient safety and implementation science 5.

3382. 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.

3383. 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.

3384. Life-Threatening Infant Overdose of Sodium Chloride | PSNet
      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.

3385. Spotlight: Mistaken Attribution, Diagnostic Misstep | PSNet
      psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
      July 01, 2011 - List the patient safety interventions that inpatient psychiatry units can implement to improve safety … Even though patient safety events are common in psychiatry and can harm patients, much of the foundational … Fortunately, the vast majority (95%) of patient safety events caused minimal or no harm. … The time is ripe for psychiatry to fully embrace the patient safety movement. … Defining patient safety events in inpatient psychiatry.

3386. Why do nurses miss nursing care? A qualitative meta-synthesis. | PSNet
      psnet.ahrq.gov/issue/why-do-nurses-miss-nursing-care-qualitative-meta-synthesis
      January 23, 2017 - presents nurses' strategies to overcome challenges such as incorporating informal teaching into every patient … September 25, 2024 Status of patient safety culture in community pharmacy settings: a … August 23, 2023 Effect of genetic diagnosis on patients with previously undiagnosed disease … March 8, 2023 The impact of health care strikes on patient mortality: a systematic review

3387. Safe chemotherapy administration: using failure mode and effects analysis in computerized prescriber order entry. | PSNet
      psnet.ahrq.gov/issue/safe-chemotherapy-administration-using-failure-mode-and-effects-analysis-computerized
      October 19, 2022 - Citation Related Resources From the Same Author(s) Optimizing Pediatric Patient … Safety in the Emergency Care Setting. … an adjunct to manual counting protocols for tracking surgical sponges: a prospective trial of 2,285 patients … October 10, 2012 Talking with patients about other clinicians' errors. … diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient

3388. Methicillin-resistant Staphylococcus aureus disease in three communities. | PSNet
      psnet.ahrq.gov/issue/methicillin-resistant-staphylococcus-aureus-disease-three-communities
      July 03, 2014 - November 14, 2018 Vital signs: improving antibiotic use among hospitalized patients. … intervention with daily round checklists, goal setting, and clinician prompting on mortality of critically ill patients … November 30, 2023 Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions … September 21, 2016 Patient notification for bloodborne pathogen testing due to unsafe … October 21, 2010 Active surveillance of vaccine safety: a system to detect early signs

3389. Opportunities to enhance laboratory professionals' role on the diagnostic team. | PSNet
      psnet.ahrq.gov/issue/opportunities-enhance-laboratory-professionals-role-diagnostic-team
      April 13, 2022 - Diagnostic error represents a significant source of patient harm. … Download Citation Related Resources From the Same Author(s) Inviting patients … July 29, 2020 Signs and symptoms to determine if a patient presenting in primary care … September 18, 2013 Operational rounds: a practical administrative process to improve safety … November 26, 2008 Missed injuries in trauma patients: a literature review.

3390. Interprofessional training and communication practices among clinicians in the postoperative ICU handoff. | PSNet
      psnet.ahrq.gov/issue/interprofessional-training-and-communication-practices-among-clinicians-postoperative-icu
      February 06, 2019 - Jt Comm J Qual Patient Saf . 2021; 47 (4) :242-249 . … October 28, 2020 Communication with patients and families regarding health care-associated … harm during operating room to intensive care unit patient handoffs. … March 12, 2025 Beyond the surgical safety checklist: using intraoperative handoff to … April 6, 2022 Care transition of trauma patients: processes with articulation work before

3391. 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.

3392. 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.

3393. Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids. | PSNet
      psnet.ahrq.gov/issue/association-dose-tapering-overdose-or-mental-health-crisis-among-patients-prescribed-long
      July 13, 2022 - Study Association of dose tapering with overdose or mental health crisis among patients … Sudden discontinuation of opioids has been linked to increased patient harm. … diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient … August 10, 2022 Association of patient and family reports of hospital safety climate … Related Resources Evaluation of policies limiting opioid exposure on opioid prescribing and patient

3394. 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.

3395. 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.

3396. 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.

3397. 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.

3398. 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.

3399. 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

3400. 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.