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Showing results for "patient safety indicators".
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3481. 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:

3482. 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

3483. 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.

3484. 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

3485. 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

3486. 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

3487. 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

3488. 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

3489. 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

3490. 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

3491. 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

3492. 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

3493. 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.

3494. The Safety of Medical Devices | PSNet
      psnet.ahrq.gov/perspective/safety-medical-devices
      June 01, 2011 - The back of a patient chair on a tomography system bent and broke off, allowing a patient to fall. … U.S. inaction lets look-alike tubes kill patients. New York Times. August 21, 2010:A1. 6. … In some cases, the patients themselves might be interested in procedures or medications that might increase … November 17, 2010 Variation in medication information for elderly patients during initial … July 5, 2023 Patient safety of perioperative medication through the lens of digital health

3495. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33619/psn-pdf
      September 01, 2005 - Robert Wachter, Editor, AHRQ WebM&M: How do you think the nation is doing in patient safety 5 years … One is building the evidence base about patient safety in settings beyond the hospital. … A second great area is health information technology [HIT] to improve patient safety. … We don't just struggle with this in patient safety, we struggle with it on the U.S. … https://psnet.ahrq.gov/issue/surveys-patient-safety-culture https://psnet.ahrq.gov/issue/surveys-patient-safety-culture

3496. 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

3497. 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

3498. 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

3499. 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

3500. A Room Without Orders | PSNet
      psnet.ahrq.gov/web-mm/room-without-orders
      September 01, 2011 - Discuss poor communication as a potential underlying cause of safety risks, including missed nursing … , ambulating patients, repositioning patients, and bathing patients. … in all aspects of their care so patients and staff work together to ensure patient safety. … September 29, 2017 Patient safety and collaboration of the intensive care unit team. … October 10, 2015 Leveraging patient safety research: efforts made fifteen years since