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Showing results for "patient safety indicators".
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3441. 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

3442. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.362_slideshow.ppt
      December 01, 2015 - physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients … physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients … as a National Patient Safety Goal in 2014 17 A siren call to action: priority issues from the medical … Safety Goal. … to avoid excessive alarms and alarm fatigue Alarm safety is a National Patient Safety Goal, highlighting

3443. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33684/psn-pdf
      May 01, 2009 - Patient Safety: A Perspective from Office Practice May 1, 2009 Baron RJ. … Patient Safety: A Perspective from Office Practice. PSNet [internet]. 2009. … https://psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice Perspective Most patient … Many potential and actual safety problems occur there as well.(1) Yet patient safety literature and … Patient Safety Issues in the Office-Based Setting.

3444. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33850/psn-pdf
      January 01, 2018 - EHR Copy and Paste and Patient Safety January 1, 2018 Dean SM. … EHR Copy and Paste and Patient Safety. PSNet [internet]. 2018. … https://psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety Perspective Although the ability … review of published studies identified 13 https://psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety … Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; February 2016.

3445. Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture | PSNet
      psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
      March 15, 2023 - use, tracheal infection, and tracheostomy below the third tracheal ring. 7,8 Approach to Improving Safety … Percutaneous tracheostomy in critically ill patients. … November 16, 2022 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … June 21, 2023 Patient Safety Innovations Remote Response … April 26, 2023 Implementing strategies to identify and mitigate adverse safety

3446. An initiative to reduce insulin-related adverse drug events in a children's hospital. | PSNet
      psnet.ahrq.gov/issue/initiative-reduce-insulin-related-adverse-drug-events-childrens-hospital
      March 24, 2021 - Insulin is a high-risk medication and can contribute to adverse events in pediatric patients. … The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients … March 10, 2021 Predictors of serious opioid-related adverse drug events in hospitalized patients … with Type 1 Diabetes and Home Insulin Pump October 28, 2020 Is one-pen, one-patient … More See More About The Topic Children's Hospitals Nurse Managers Quality and Safety

3447. In Conversation With… Sharon K. Inouye, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-sharon-k-inouye-md-mph
      December 01, 2012 - RW : Let's turn to delirium as a patient safety issue. … It seems to me it's entered the patient safety world over the last 3 or 4 years. … And that is not necessarily practical for these large-scale patient safety initiatives. … Now that it is on the patient safety radar screen, one would want to take advantage of that light and … passed safety criteria; (iii) Sedatives were not restarted for patients that passed the SAT and no longer

3448. Microsoft PowerPoint - Spotlight Case_Delayed Diagnosis and Treatment of Lupus_SLIDES - FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2024-03/delayed_diagnosis_and_treatment_of_sle.pdf
      January 01, 2024 - APPROACHES TO IMPROVING PATIENT SAFETY 23 Approaches to Improving Patient Safety (1) • The tragedy … Safety (2) • Failure to follow-up on abnormal laboratory results is not an uncommon system or process … error and can lead to dire consequences for patients … Safety (3) • In this case, the lack of apparent systemic symptoms and predominant presentation of …  Psychotic presentations in patients with strong family history or personal history of SLE mandate

3449. 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

3450. Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis. | PSNet
      psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
      August 25, 2021 - Schiff, MD Department of Internal Medicine Associate Director, Center for Patient Safety Research … Safety Research and Practice, and the State of Massachusetts Betsy Lehman Center for Patient Safety, … Approach to patients with eosinophilia. … Safety in Primary Care February 21, 2020 WebM&M Cases … August 10, 2022 Patient Safety Primers Coronavirus Disease

3451. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49709/psn-pdf
      May 01, 2014 - perianesthesia nursing practice as it relates to patient safety. … Dropping off and leaving patients unattended—and without fall precautions—is a safety risk and can disrupt … Jim Stotts, RN, MS, CNS Patient Safety Manager Patient Safety and Quality Services University of … Patient safety and office-based anesthesia. Curr Opin Anaesthesiol. 2012;25:648-653. … Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the

3452. 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

3453. Microsoft PowerPoint - Spotlight Case_Gabapentin Overdose_12.21.2022 FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-01/spotlight_overdose_of_gabapentin_and_oxycodone_in_a_patient_with_end-stage_renal_disease.pdf
      January 01, 2023 - Opioids in Renal Dysfunction13 Safety in Renal Dysfunction Opioid Starting Dose (opioid naïve patients … pain, with monitoring of renal function.23  26 APPROACH TO IMPROVING PATIENT SAFETY 27 Approach … to Improving Patient Safety (1) • Computerized clinical decision support (CDS) provides timely patient … leading to inappropriate alerts or failure to alert. 30 Approach to Improving Patient Safety (4) … Safety (5) • To reduce alert fatigue and provider dissatisfaction with the EHR, many institutions

3454. Premature or Overdue? | PSNet
      psnet.ahrq.gov/web-mm/premature-or-overdue
      December 23, 2020 - The patient also was not compliant with attempts to begin fetal surveillance. … Coordination of Disease Treatment and Palliative Care November 30, 2021 Patients … 21, 2014 Moving toward improved teamwork in cancer care: the role of psychological safety … Related Resources Annual Perspective Improving Diagnostic Safety … Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through Quality, Safety

3455. Patient Allergies and Electronic Health Records | PSNet
      psnet.ahrq.gov/web-mm/patient-allergies-and-electronic-health-records
      August 21, 2005 - Other safety mechanisms should include the addition of drug allergy status to all correspondence between … Penicillin allergy: a study of incidence as reported by patients. Br J Clin Pract. 1994;48:5-7. … safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch … safety situations in transplantation. … July 6, 2022 Allergy safety events in healthcare: development and application of a classification

3456. Systems Approach | PSNet
      psnet.ahrq.gov/primer/systems-approach
      June 15, 2024 - 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 … Safety July 31, 2023 Related Resources Patient Safety Innovations … and Quality April 26, 2023 Patient Safety Primers … March 4, 2020 Patient Safety Curriculum.

3457. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74253/psn-pdf
      January 12, 2022 - Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic January … Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic. … https://psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid … voluntarily submitted by federally listed Patient Safety Organizations (PSOs) to the Patient Safety … Patient Safety. 2020;2(2):16-27.

3458. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33719/psn-pdf
      October 01, 2011 - Most health personnel untrained in patient safety theories often assume avoidable patient injuries are … thinking related to patient safety.(10) The aspects of context first to be studied are those that are … culture, there have been fewer studies of the contribution of the social context to patient safety, … Human factors engineering and patient safety. Qual Saf Health Care. 2002;11:352-354. … How does context affect interventions to improve patient safety?

3459. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49565/psn-pdf
      July 01, 2008 - Therefore, the patient did not receive this supplemental nutrition for 24 hours. … viewed as a routine task, while in reality the administration of medications to frail and elderly patients … Lucian Leape on patient safety in U.S. hospitals. Interview by Peter I. Buerhaus. … Is hospital patient care becoming safer? A conversation with Lucian Leape. Interview by Peter I. … Technology to improve medication safety in nursing homes.

3460. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49522/psn-pdf
      November 01, 2006 - Later that day, the patient complained of pain over her right upper arm. … For example, patient safety indicators derived from administrative data sources can be valuable https … about where to seek care or direct patients. … First, the current immunization measures apply only to patients with pneumonia, so while this patient … Safety of intramuscular influenza immunization among patients receiving long-term warfarin anticoagulation