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Showing results for "patient safety indicators".
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3441. 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

3442. Computer physician order entry: benefits, costs, and issues. | PSNet
      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.

3443. Artificial Intelligence and Patient Safety: Promise and Challenges | PSNet
      psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
      March 27, 2024 - Current Applications for Patient Safety Most uses of AI to increase patient safety are still in the research … Risks to Patient Safety While the potential for improving patient safety is high, AI also comes with … safety goals, such as identifying patient decompensation. … How have those uses intersected with patient safety? … Safety Potential Contributions to Patient Safety Risks to Patient Safety Implementation Best Practices

3444. 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.

3445. 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

3446. Patient race and opioid misuse history influence provider risk perceptions for future opioid-related problems. | PSNet
      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.

3447. 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.

3448. Patient Safety in Home Dialysis | PSNet
      psnet.ahrq.gov/perspective/patient-safety-home-dialysis
      April 28, 2021 - Patient Safety in Home Dialysis. PSNet [internet]. … Patient Safety in Home Dialysis. PSNet [internet]. … KH : In terms of patient safety, how would you describe your role in terms of making sure that patients … safety for every patient and family. … Focusing on the patient safety aspect, what are some of the risks for patients?

3449. 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

3450. 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

3451. 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

3452. 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

3453. Two fatal cases of accidental intrathecal vincristine administration: learning from death events. | PSNet
      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

3454. Vital signs: trends in emergency department visits for suspected opioid overdoses- United States, July 2016- September 2017. | PSNet
      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

3455. Toxic Tachycardia | PSNet
      psnet.ahrq.gov/web-mm/toxic-tachycardia
      March 01, 2005 - The patient had no evidence of thyroid storm. … In patients with systemic illness, the T3 is uniformly low due to inhibition of conversion of T4. … Perioperative management of patients with hypothyroidism. … March 1, 2005 Perspective Update on Safety Culture … November 8, 2023 Safety culture and workforce well-being associations with Positive Leadership

3456. 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

3457. 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

3458. 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.

3459. 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.

3460. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848110/psn-pdf
      April 26, 2023 - Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. … April 26, 2023 Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. … https://psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes Disclosure … The Cases https://psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes … safety risks.