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Showing results for "patient safety indicators".
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3421. The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety | PSNet
      psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
      October 01, 2009 - The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety Robert M. … Understanding Patient Safety. New York, NY: McGraw-Hill Professional; 2007. … I'm most passionate about patient safety and medical errors. … An American View of the UK's Patient Safety Enterprise: Top Down vs. … The Role of the Patient in Improving Patient Safety March 1, 2007

3422. 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

3423. Spotlight Case [MONTH] 2003 (ppt file)
      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.

3424. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49497/psn-pdf
      December 01, 2005 - Does it make sense to “practice” patient care in the real environment where real consequences (to patients … 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 organizations will be necessary to fully realize the potential of this methodology. … safety competencies.

3425. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33873/psn-pdf
      February 01, 2019 - that movement, but it's also coming from the disappointment that many of us have about the overall indicators … It's not just how we're doing in patient safety and quality, but what's missing that's not helping us … They don't understand quality and safety and how to work in teams. … safety project area. … safety and the health care systems.

3426. Psn-Pdf (pdf file)
      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.

3427. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865698/psn-pdf
      April 24, 2024 - Patient Safety Amid Nursing Workforce Challenges April 24, 2024 Leary KB, Lee M, Mossburg S. … Patient Safety Amid Nursing Workforce Challenges . PSNet [internet]. 2024. … Specifically, having fewer nurses caring for patients is associated with higher patient mortality. … Addressing Workforce Challenges Nurses are essential to patient care and patient safety, as they are … safety—namely, that more effective teamwork and communication mitigate patient safety risks.

3428. 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

3429. Improving Diagnostic Safety and Quality | PSNet
      psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
      January 31, 2024 - Perspective authors reviewed articles related to clinical misdiagnosis and patient safety added to the … Reducing misdiagnosis in these situations may have broader, population-level effects on patient safety … In patient-centered work to categorize diagnostic error, patients emphasized that communication breakdowns … patients. … Organization (HRO) Principles and Patient Safety February 26, 2025

3430. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon | PSNet
      psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
      January 29, 2021 - Approaches to Improving Patient Safety Educate patients about the dangers of super obesity The prevalence … Older patients and patients with impaired renal and hepatic function are at particular risk for persistent … Christian Bohringer, MBBS Consulting Editor, AHRQ, Patient Safety Network (PSNet) Professor Department … Patient Safety and Quality Healthcare . December 2019. … Safety of sugammadex for reversal of neuromuscular block.

3431. In Conversation With… Lorri Zipperer, MA | PSNet
      psnet.ahrq.gov/perspective/conversation-lorri-zipperer-ma
      February 26, 2025 - 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

3432. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33564/psn-pdf
      March 15, 2025 - widespread implementation of CPOE into electronic health systems (EHR) has benefited clinicians and patients … In hospitalized patients, nurses are generally responsible for this step, but in the outpatient setting … /psnet.ahrq.gov/primer/clinical-decision-support-systems https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem … Yet even as CPOE improves some aspects of patient safety, there is growing recognition that it can also … Alert fatigue is now a recognized safety threat in itself and is discussed in detail in a related Patient

3433. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33757/psn-pdf
      October 01, 2013 - Safety in Radiology October 1, 2013 Pinto A. Safety in Radiology. PSNet [internet]. 2013. … Many imaging modalities deploy ionizing radiation, and, as a consequence, the exposure of patients to … , bringing radiation safety under the broad umbrella of the patient safety field. … Instead, the patient needs to be informed. … safety, radiologists must function as both gatekeepers and imaging experts.

3434. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33775/psn-pdf
      December 01, 2014 - Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients … National patient safety policy 2. Knowledge and learning in patient safety 3. … Patient safety awareness 4. Health services for patient safety 5. … Medication safety 10. Partnerships (patients, family, health professionals, and policymakers) 11. … Patient safety funding 12.

3435. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50756/psn-pdf
      December 18, 2019 - not provide any naloxone education to the patient.  … A root cause analysis was performed by the hospital's safety committee, which revealed that pharmacists … Use of video-assisted patient educational materials may benefit patients and their caregivers in some … While policies such as the requirement of co-prescribing naloxone are intended to improve public safety … Opioid Safety and How to Use Naloxone. California Board of Pharmacy. 

3436. The Magnetic Deflection | PSNet
      psnet.ahrq.gov/web-mm/magnetic-deflection
      November 18, 2016 - 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. … WebM&M Cases Supervision and Entrustment in Clinical Training: Protecting Patients

3437. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33581/psn-pdf
      December 15, 2024 - in elderly patients. … The Joint Commission has named improving medication safety as a National Patient Safety Goal for both … of its key goals for improving patient safety. … https://psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge https … ://psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge

3438. Computerized Provider Order Entry | PSNet
      psnet.ahrq.gov/primer/computerized-provider-order-entry
      March 15, 2025 - widespread implementation of CPOE into electronic health systems (EHR) has benefited clinicians and patients … In hospitalized patients, nurses are generally responsible for this step, but in the outpatient setting … Yet even as CPOE improves some aspects of patient safety, there is growing recognition that it can also … Alert fatigue is now a recognized safety threat in itself and is discussed in detail in a related Patient … safety.

3439. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-06/final_spotlight_miscommunication_possible_artifact_06.21.2021.pdf
      January 01, 2021 - & Patient Safety Target 15 Approach to Improving Safety & Patient Safety Target (1) • The American … Available at: https://www.jointcommission.org/resources/patient-safety-topics/sentinel- event/. … & Patient Safety Target Approach to Improving Safety & Patient Safety Target (1) Approach to Improving … Safety & Patient Safety Target (2) Approach to Improving Safety & Patient Safety Target (3) Approach … to Improving Safety & Patient Safety Target (4) Approach to Improving Safety & Patient Safety Target

3440. Opioid-prescribing patterns of emergency physicians and risk of long-term use. | PSNet
      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