-
psnet.ahrq.gov/issue/computer-physician-order-entry-benefits-costs-and-issues
May 27, 2011 - Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients … May 27, 2011
Potassium and phosphorus repletion in hospitalized patients: implications … clinical practice and the potential use of healthcare information technology to improve prescribing and patient … safety.
-
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-
-
psnet.ahrq.gov/web-mm/real-heartache
October 01, 2018 - Clinical predictors of acute coronary syndromes in patients with undifferentiated chest pain. … Same Author(s)
WebM&M Cases
Coming Up Short: Maintaining Safety … Safety Practice
November 1, 2012
WebM&M Cases … safety tool. … Effects on resident work hours, sleep duration and work experience in a Randomized Order Safety
-
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].
-
psnet.ahrq.gov/issue/opioid-prescribing-patterns-emergency-physicians-and-risk-long-term-use
August 15, 2018 - The opioid epidemic is currently one of the most pressing patient safety challenges, as discussed in … Prior research has shown that patients often receive opioids following low-risk procedures, and they … departments, with some physicians prescribing opioids almost three times as often even after controlling for patient … Notably, patients who received opioids from a high-intensity prescriber were significantly more likely … RIS
Download Citation
Related Resources From the Same Author(s)
Patient
-
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
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.107_slideshow.ppt
November 01, 2005 - Safety Goals
100K Lives Campaign. … National Patient Safety Goals for 2006 and 2005. JCAHO Web site.
4. 100K Lives Campaign. … National Patient Safety Goals for 2006 and 2005. … Available at: http://www.jcaho.org/accredited+organizations/patient+safety/npsg.htm. … Effectiveness of a pharmacist-acquired medication history in promoting patient safety.
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.104_slideshow.ppt
September 01, 2005 - According to the patient, his only medication was Glucophage. … Adverse events among medical patients after discharge from hospital. … Improving Medication Safety in the Elderly
“Start low and go slow”
Anticipate confusion from sound-alike … Transitions Program at University of Colorado at Denver and Health Sciences Center
ISMP and Safety … ISMP Medication Safety Alert! Institute for Safe Medication Practices Web site.
-
psnet.ahrq.gov/issue/patient-race-and-opioid-misuse-history-influence-provider-risk-perceptions-future-opioid
March 24, 2021 - Study
Patient race and opioid misuse history influence provider risk perceptions … Findings indicate that black patients were perceived by both residents and fellows to be at greater … December 16, 2020
The tradeoffs between safety and alert fatigue: data from a national … September 9, 2020
Predictors of serious opioid-related adverse drug events in hospitalized patients … March 1, 2023
Inappropriate prescribing of opioids for patients undergoing surgery.
-
psnet.ahrq.gov/node/49845/psn-pdf
October 01, 2018 - safety
concerns. … This case raises two different patient
safety concerns: (i) errors involving heparin and saline and … safety. … Several strategies can help minimize the effects of drug shortages on patient safety. … Look-alike medication packages and patient safety. J
Patient Saf. 2018;14:e47-e48.
-
psnet.ahrq.gov/node/49510/psn-pdf
May 01, 2006 - After this process was
completed, the students left each of their patients' medication(s) in a “cup” … designed to ensure safety, thereby creating new potential safety issues. … Take-Home Points
To promote safety as new trainees carry out patient care procedures, schools and health … of patient care in the future; and
Modeling the best practices for protecting patients from error, … Blegen, RN, PhD Professor in Community Health System Director of the Center for Patient Safety
University
-
psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - Innovation Patient Safety Focus
This innovation is designed to reduce medical errors during the critical … Safety Innovations
Remote Response Team and Customized Alert Settings Help Improve … August 24, 2022
Patient Safety Innovations
The University … culture and patient safety in emergency departments: a systematic review. … safety: a point prevalence study.
-
psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
July 19, 2023 - plan, experience more patient safety-related issues, and visit emergency departments more often. 21 … Martin, MSN, RN, CIC, CNL, NEA-BC, FACHE Executive Director Patient Care Services, Quality & Safety, … Cultural Competence and Patient Safety. PSNet Patient Safety Network. Published December 27, 2019. … safety. … Safety Innovations
Preventing Falls Through Patient and Family Engagement to Create
-
psnet.ahrq.gov/node/33579/psn-pdf
September 15, 2024 - safety field. … Three widely used tools for investigating and responding to patient safety events
and near misses are … discussed in detail in the Strategies and Approaches for Investigating Patient Safety
Events primer … universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
https://psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events … https://psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
https://
-
psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
September 01, 2016 - opioids on sedation and respiratory depression, differences between opioid-naïve and opioid-tolerant patients … To help them prevent errors, patients and families should be empowered to detect medication errors by … Pa Patient Saf Advis. 2013;10:27-33. [ Available at ]
8. ISMP Medication Safety Alert! … of patient input n quality improvement and safety initiatives
Quality processes and risk management … March 13, 2024
Overnight stay in the emergency department and mortality in older patients
-
psnet.ahrq.gov/node/49489/psn-pdf
September 01, 2005 - Starting therapy in an elderly patient with a single agent is generally a safer
strategy, and many patients … According to the patient, his only medication was
Glucophage. … This case highlights many important opportunities to improve medication safety in older patients, including … Safety issues may arise soon after hospital discharge due to discontinuities in care or communication … ISMP Medication Safety Alert! Institute for Safe Medication Practices
Web site.
-
psnet.ahrq.gov/issue/vital-signs-trends-emergency-department-visits-suspected-opioid-overdoses-united-states-july
January 23, 2019 - January 23, 2019
Effect of genetic diagnosis on patients with previously undiagnosed … diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient … May 18, 2022
Development of a preliminary patient safety classification system for generative … November 1, 2017
Medication errors in injured patients. … September 27, 2017
Healthcare Inspection—Emergency Department Patient Deaths: Memphis
-
psnet.ahrq.gov/issue/two-fatal-cases-accidental-intrathecal-vincristine-administration-learning-death-events
March 24, 2021 - March 10, 2021
Comparing patient-reported hospital adverse events with medical record … review: do patients know something that hospitals do not? … August 4, 2021
View More
Related Resources
Analysis of patient-physician … concordance in the understanding of chemotherapy treatment plans among patients with cancer. … October 10, 2018
Prioritizing medication safety in care of people with cancer: clinicians
-
psnet.ahrq.gov/node/841493/psn-pdf
December 14, 2022 - Telehealth and Patient Safety.
December 14, 2022
O'Malley G, Shaikh U, Marcin JP. … Telehealth and Patient Safety. PSNet [internet]. 2022. … https://psnet.ahrq.gov/primer/telehealth-and-patient-safety
Background
In recent years, telehealth, … Compared to patients interacting with physicians in-person, patients are more likely
to accurately disclose … safety, ongoing review of protocols, safety reports,
patient feedback, and multi-disciplinary team
-
psnet.ahrq.gov/web-mm/ecg-not-normal
November 10, 2015 - violation to send a copy of a patient evaluation to the patient themselves. … revealed to third parties that some hospitals specify that only the medical records department may provide patients … Peabody that "the secret of the care of the patient is in caring for the patient. … Effect of bar-code technology on the safety of medication administration. … September 2, 2020
Keeping patients at risk for self-harm safe in the emergency department