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Showing results for "patient safety indicators".
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3481. 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

3482. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49399/psn-pdf
      May 01, 2003 - The patient was then offered surgical management of her ectopic pregnancy. … Second, should this patient have been treated for an ectopic when she first presented? … However, the level should be used during counseling of the patient. … In summary, several patient safety issues must be addressed when caring for patients with ectopic pregnancies … has contraindications to its use and for counseling the patient.

3483. In Conversation With... Katie J. Suda, PharmD, MS | PSNet
      psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms
      December 07, 2020 - medical doctors to provide infection prophylaxis patients prior to dental visits, such as for patients … KH : Has anybody looked at what the safety culture is within dental practices and how that correlates … Safe Care February 23, 2022 Developing a patient safety culture in primary … concerned about safety? … May 6, 2020 Factors affecting patient safety culture among dental healthcare workers:

3484. 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?

3485. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841469/psn-pdf
      December 14, 2022 - Identify patients who should be tested for Strongyloides infection. … Reinfection can continue throughout the lifetime of the host patient, a process known as autoinfection … This patient was from a country in which Strongyloides is endemic and he should have been screened for … Schiff, MD Department of Internal Medicine Associate Director, Center for Patient Safety Research and … Safety Research and Practice, and the State of Massachusetts Betsy Lehman Center for Patient Safety

3486. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50927/psn-pdf
      February 21, 2020 - Patient Safety in Primary Care February 21, 2020 Schiff G, Hall KK, Fitall E. … Patient Safety in Primary Care. PSNet [internet]. 2020. … https://psnet.ahrq.gov/perspective/patient-safety-primary-care Introduction A strong primary care system … Articles AHRQ PSNet published on this topic in 2019 highlighted the scope of potential patient safety … Beyond acute patient safety events, some inappropriate prescribing can have broader public health safety

3487. 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. 

3488. Independent double-checks for high-alert medications: essential practice. | PSNet
      psnet.ahrq.gov/issue/independent-double-checks-high-alert-medications-essential-practice
      February 01, 2023 - November 20, 2024 Wake-up call: night shifts adversely affect nurse health and retention, patient … and public safety, and costs.

3489. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-12/spotlight_case_strongyloides_final_11.21.22.pdf
      January 01, 2022 - Learning Network, a collaborative project convened by the Brigham and Women’s Hospital Center for Patient … Safety Research and Practice, and the State of Massachusetts Betsy Lehman Center for Patient Safety … 1980s, travels frequently to Haiti, the Dominican Republic, Central America 6 Case Details • Patient … present case. 13 DIAGNOSIS AND TREATMENT 14 Diagnosis and Treatment • A key issue for this patient … • Any patient who is being considered for treatment with steroidal or immunosuppressive medications

3490. ECHO-Care Transitions Successfully Reduces Patient Readmissions from Skilled Nursing Facilities, Reduces Length of Stay | PSNet
      psnet.ahrq.gov/innovation/echo-care-transitions-successfully-reduces-patient-readmissions-skilled-nursing
      October 30, 2024 - Innovation Patient Safety Focus ECHO-CT seeks to prevent patient safety events (e.g., readmission) … Summary July 23, 2024 Patient Safety Innovations … and Quality April 26, 2023 Patient Safety Innovations … April 7, 2022 Patient Safety Innovations Missouri … Safety Innovations Transition Coaches® Reduce Readmissions for Medicare Patients With

3491. Charcoal Lavage of the Lungs | PSNet
      psnet.ahrq.gov/web-mm/charcoal-lavage-lungs
      January 01, 2016 - the volume of cases in the literature suggest that when an x-ray can be done without undue delay, all patients … with altered mental status (and probably alert patients as well) should have x-ray confirmation of NG … Capnography confirms correct feeding tube placement in intensive care unit patients. … An American View of the UK's Patient Safety Enterprise: Top Down vs. … The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety October 1, 2009

3492. 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?

3493. CE/MOC Quizzes | PSNet
      psnet.ahrq.gov/cme
      February 26, 2025 - commentary describes the appropriate evaluation for acute abdominal pain, the importance of imaging in patients … safety during spine surgery. … The commentary highlights the importance of thorough neurological investigation of patients presenting … discusses appropriate management of ongoing intraoperative and postoperative bleeding and how a culture of safety … can enable care team members to voice concerns about patient safety. 

3494. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49421/psn-pdf
      October 01, 2003 - 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. … Joint Commission on Accreditation of Healthcare Organizations. 2003 National Patient Safety Goals. [ … +safety/03+npsg/npsg_03.htm https://www.ahrq.gov/policy/electronic/disclaimers/index.html

3495. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery | PSNet
      psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
      September 27, 2023 - safety, and promote communication among all providers caring for a patient. … Approach to Improving Patient Safety Multiple practices can help reduce the risk of a similar medical … August 30, 2023 Perioperative patient safety recommendations: systematic review … Safety Primers Inpatient Transitions of Care: Challenges and Safety Practices … January 17, 2024 Patient Safety Primers Retained Surgical

3496. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33859/psn-pdf
      June 01, 2018 - safety and quality of care. … Take for example pediatric safety and quality around appendicitis—if a patient comes in with physical … These patients can go to the OR. … safety. … care in point-of-care ultrasound will be a huge benefit for both patient safety and quality of care

3497. Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough | PSNet
      psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
      September 01, 2003 - Two days later, the patient called the hospital and spoke with a patient safety officer speaking her … She asked the patient safety officer if that was a Foley and wanted to know why it was inside her. … Approach to Improving Patient Safety The design of system remedies to prevent retained vaginal … safety. … February 1, 2003 Patient Safety Primers Retained

3498. Flying Object Hits MRI | PSNet
      psnet.ahrq.gov/web-mm/flying-object-hits-mri
      September 01, 2005 - Clinicians are well acquainted with the risks that MR scanners pose to patients with implanted metal … Require special clothing for caregivers and patients (eg, pocketless pants and shirts for caregivers … and gowns for patients). … Eisenberg Patient Safety Awards. … System innovation: Veterans Health Administration National Center for Patient Safety.

3499. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836892/psn-pdf
      April 07, 2022 - ED also stresses the ED system which can impact safety for all patients.8 Description of the Innovative … Ongoing research endeavors include patient outcomes research; research on novel patient care diagnostics … study looked at patient outcomes and resource use associated with EC3 implementation. … Innovation Patient Safety Focus This patient safety innovation addresses the problem of longer ICU stays … as everyone’s patients.

3500. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73549/psn-pdf
      July 28, 2021 - This case highlights the importance of communication between team members to improve patient safety. … //#6 https://psnet.ahrq.gov//#7 https://psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge … Available at: https://www.who.int/teams/integrated-health-services/patient-safety/research/safe-surgery … Available at: https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-topics/ … /research/safe-surgery https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-topics