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

3462. 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

3463. 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

3464. 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

3465. Influence of opioid prescription policy on overdoses and related adverse effects in a primary care population. | PSNet
      psnet.ahrq.gov/issue/influence-opioid-prescription-policy-overdoses-and-related-adverse-effects-primary-care
      March 24, 2021 - This study analyzed the rates of opioid overdose and adverse effects in primary care patients before … with chronic opioid prescriptions and opioid-naïve patients. … March 24, 2021 Effect of patient- and medication-related factors on inpatient medication … October 12, 2022 Patient race and opioid misuse history influence provider risk perceptions … Resources Perspective Harm Reduction Strategies to Improve Safety

3466. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49481/psn-pdf
      May 01, 2005 - (5) and 13% of patients with HIV/AIDS leave AMA.(6) It is not clear why the patient in this case wanted … Patient Outcomes in Discharges AMA It seems likely that discharge AMA puts patients at increased risk … autonomy and patient safety, physicians should ensure that a patient with a severe life-threatening … Physicians may be under the mistaken impression that discharging a patient AMA (with the patient presumably … Why patients sign out against medical advice (AMA): factors motivating patients to sign out AMA.

3467. 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.

3468. Simulation study of rested versus sleep-deprived anesthesiologists. | PSNet
      psnet.ahrq.gov/issue/simulation-study-rested-versus-sleep-deprived-anesthesiologists
      September 13, 2017 - September 13, 2017 Effects of nurse-to-patient ratio legislation on nurse staffing and … patient mortality, readmissions, and length of stay: a prospective study in a panel of hospitals. … September 23, 2020 Evaluation of communication and safety behaviors during hospital-wide

3469. 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

3470. 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

3471. 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

3472. Lethal Vertigo | PSNet
      psnet.ahrq.gov/web-mm/lethal-vertigo
      September 20, 2011 - When patients experience vertigo for the first time, especially if associated with nausea and vomiting … A small percentage of patients with vertigo will require admission to the hospital to treat dehydration … ENG in the emergency room: subtest results in acutely dizzy patients. … Safety Innovations Remote Response Team and Customized Alert Settings Help Improve … 31, 2023 Annual Perspective Improving Diagnostic Safety

3473. 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.

3474. 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.

3475. 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.

3476. Urine a Tough Position | PSNet
      psnet.ahrq.gov/web-mm/urine-tough-position
      January 01, 2009 - Both patients were asked to resubmit urine samples; in fact, the patient was pregnant. … Gandhi, MD, MPH Director of Patient Safety Brigham and Women´s Hospital Boston, MA References 1 … Classifying laboratory incident reports to identify problems that jeopardize patient safety. … May 8, 2017 A prospective study of patient safety in the operating room. … July 17, 2024 Bringing the equity lens to patient safety event reporting.

3477. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49636/psn-pdf
      October 01, 2011 - Describe potential exercises and activities for a patient in the ICU. … While not every patient admitted to a hospital requires a physical therapy evaluation, patients most … abilities, the discharge environment (e.g., availability of assistance and accessibility of the home), safety … , and the types of services the patient will require. … patient mobility is required.

3478. 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

3479. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49507/psn-pdf
      April 01, 2006 - Is the "Surgical Personality" a Threat to Patient Safety? April 1, 2006 Bosk CL. … Is the "Surgical Personality" a Threat to Patient Safety? PSNet [internet]. 2006. … https://psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety Case Objectives Describe the … https://psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety One of the surgeons I shadowed … “True surgeons” will not allow what they feel is in their patients’ best interest to be compromised

3480. 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