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Showing results for "patient safety indicators".
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3461. 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?

3462. 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

3463. Human Factors Engineering Can Teach You How to Be Surprised Again | PSNet
      psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
      November 01, 2006 - Using Human Factors Engineering to Improve Patient Safety. … SEIPS: Systems Engineering Initiative for Patient Safety. … Eisenberg Patient Safety Awards. … tools to improve patient safety. … March 1, 2011 Special Section: Patient Safety.

3464. 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.

3465. Cups of Error | PSNet
      psnet.ahrq.gov/web-mm/cups-error
      January 12, 2011 - Take-Home Points To promote safety as new trainees carry out patient care procedures, schools and health … sound investment for quality and safety of patient care in the future; and Modeling the best practices … Blegen, RN, PhD Professor in Community Health System Director of the Center for Patient Safety University … January 3, 2017 AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses … November 25, 2009 Competence and certification of registered nurses and safety of patients

3466. The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department. | PSNet
      psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-emergency-department
      September 27, 2023 - The PES staff member stated that other patients needed to be seen first and that the patient would be … For safety purposes, restrained patients must have constant 1:1 watch; therefore, “q15min” checks are … An MHW completes a safety check on each assigned patient every 15-20 minutes. … Bourgeois, OD, MD Consulting Editor, AHRQ, Patient Safety Network (PSNet) Clinical Professor, Department … Barnes, MD Consulting Editor, AHRQ, Patient Safety Network (PSNet) Health Sciences Clinical Professor

3467. Effects of state opioid prescribing laws on use of opioid and other pain treatments among commercially insured U.S. adults. | PSNet
      psnet.ahrq.gov/issue/effects-state-opioid-prescribing-laws-use-opioid-and-other-pain-treatments-among-commercially
      October 13, 2018 - diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient … Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients … January 18, 2023 Inappropriate prescribing of opioids for patients undergoing surgery … Annual Perspective Annual Perspective: Topics in Medication Safety … January 22, 2020 Potentially inappropriate medication use among elderly home care patients

3468. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853772/psn-pdf
      September 27, 2023 - for all parties involved .9 This patient’s case highlights a patient safety issue that can arise during … In this patient’s case, a patient safety event was avoided due to the inpatient discharge medication … Systems Change Needed Patient safety is an inherent responsibility of the clinical microsystem. … Improving patient safety within clinical microsystems begins with raising the work unit’s understanding … https://psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication https://psnet.ahrq.gov

3469. Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit | PSNet
      psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
      December 01, 2012 - passed safety criteria; (iii) Sedatives were not restarted for patients that passed the SAT and no longer … 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

3470. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60167/psn-pdf
      April 12, 2024 - Patient-physician communication at hospital discharge and patients' understanding of the postdischarge … https://www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/index.html https://psnet.ahrq.gov/ … Patient Engagement and Safety. https://psnet.ahrq.gov/primer/patient-engagement-and-safety 13. … http://www.ncbi.nlm.nih.gov/pmc/articles/pmc5497308/ https://psnet.ahrq.gov/primer/patient-engagement-and-safety … /resources/improve-discharge/index.html https://www.ahrq.gov/patient-safety/resources/improve-discharge

3471. Patient Identification Errors: A Systems Challenge | PSNet
      psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
      February 23, 2011 - Nevertheless, even these minor misidentifications can be taxing on patients and jeopardize their safety … patient information may result in mislabeling patients with the wrong wristbands. … Are patients with similar names at greater risk for wrong-patient orders? … Interruptions of nurses' activities and patient safety: an integrative literature review. … Safety Solutions: Patient Identification. 

3472. In Conversation With...Donald A. Norman, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
      November 01, 2006 - These revelations create the elusive "teachable moments," and the patient safety world should do its … To illuminate your own mindset, quickly think of remedies to the following two patient safety events. … In: Making Health Care Safer: A Critical Analysis of Patient Safety Practices. … Using Human Factors Engineering to Improve Patient Safety. … SEIPS: Systems Engineering Initiative for Patient Safety.

3473. Medication Safety in Nursing Homes: What's Wrong and How to Fix It | PSNet
      psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
      August 01, 2012 - The Value of Close Calls in Improving Patient Safety. … weren't really that good with patient safety culture. … There is not one per se that highlights patient safety. … says this is a patient safety score or this is a patient safety culture score or anything along those … Safety in Frail Older Patients November 26, 2019 Adverse events in long-term

3474. The role of the medical emergency team in end-of-life care: a multicenter, prospective, observational study. | PSNet
      psnet.ahrq.gov/issue/role-medical-emergency-team-end-life-care-multicenter-prospective-observational-study
      July 13, 2010 - In this study, conducted at seven hospitals in three countries, nearly one-third of patients seen by … February 1, 2023 Creating psychological safety in interprofessional simulation for health … Resources Consumers' perspectives on their involvement in recognizing and responding to patient … June 2, 2010 The impact of Rapid Response System on delayed emergency team activation patient

3475. Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. | PSNet
      psnet.ahrq.gov/issue/automatable-algorithms-identify-nonmedical-opioid-use-using-electronic-data-systematic-review
      July 27, 2016 - Safer opioid prescribing requires that providers and systems are able to identify patients who misuse … Problems with health information technology and their effects on care delivery and patient … rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient … safety.

3476. New Patient Mistakenly Checked in as Another | PSNet
      psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another
      October 01, 2013 - (EHR) are common and pose a significant risk to patient safety. … have fewer wrong-patient errors as compared to hospital or emergency department patients. … Wrong-patient errors are a serious threat to patient safety. … a significant risk to patient safety. … Are patients with similar names at greater risk for wrong-patient orders?

3477. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33597/psn-pdf
      April 10, 2024 - Long-term Care and Patient Safety April 10, 2024 Bakerjian D. Long-term Care and Patient Safety. … https://psnet.ahrq.gov/primer/long-term-care-and-patient-safety Background For many years, the patient … population, and these patients—who are often medically complex and https://psnet.ahrq.gov/primer/long-term-care-and-patient-safety … The AHRQ Surveys on Patient Safety Culture™ (SOPS®) Nursing Home Survey is used to assess safety culture … faced by patients, education, patient safety training for health care providers in long-term care settings

3478. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861882/psn-pdf
      January 31, 2024 - safety incidents do occur, and given the volume of patients receiving care in office-based settings … safety hazards because patients may be prescribed medications from many different providers, and these … Notably, better communication between clinicians and patients may reduce patient-reported non-routine … , especially the culture of patient safety.  … Patient Safety in Primary Care: Conceptual Meanings to the Health Care Team and Patients.

3479. Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-systemic-lupus-erythematosus-psychiatric-presentation
      September 27, 2023 - Approaches to Improving Patient Safety The tragedy in this case is that there was clinical suspicion … James Bourgeois, OD, MD Consulting Editor, AHRQ, Patient Safety Network (PSNet) Professor of Psychiatry … April 10, 2024 Implementing and evaluating patient-focused safety technology on adult … August 9, 2023 To what extent are patients involved in researching safety in acute mental … December 23, 2020 Nurses' influence on consumers' experience of safety in acute mental

3480. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33834/psn-pdf
      May 22, 2017 - Opioid Overdose as a Patient Safety Problem May 22, 2017 Murimi IB, Alexander CG. … Opioid Overdose as a Patient Safety Problem. PSNet [internet]. 2017. … https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem Perspective Opioids serve … https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem https://psnet.ahrq.gov//#ref1 … Rethinking opioid prescribing to protect patient safety and public health.