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Showing results for "patient safety indicators".
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3501. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866841/psn-pdf
      September 23, 2024 - unfavorable social determinants of health (SDOH) can lead to poor health outcomes.1 With access to patient-level … robust component within its electronic health record based on validated questionnaires that collect patient-level … for financial resource strain (18%), it was the top domain for which screening indicated patient needs … such as domestic violence and home repairs.3 Planning and Development The keys to success of any patient … safety innovation or intervention include leadership and staff buy-in, staff involvement in planning

3502. 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

3503. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49518/psn-pdf
      August 01, 2006 - Clinicians certainly cannot abdicate responsibility for patient safety.(13) Nevertheless, patients and … Weingart, MD, PhD Vice President for Patient Safety and Director of the Center for Patient Safety, Dana-Farber … USP Patient Safety CAPSLink. July 2003. … PA- PSRS Patient Safety Advisory. October 24, 2004. … Advising patients about patient safety: current initiatives risk shifting responsibility.

3504. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33690/psn-pdf
      December 01, 2009 - Gerald Hickson: Our early studies simply affirmed what all good risk managers already knew: patients … we feel so strongly that early sharing of risk status is one element needed to promote a culture of safety … The second is the involvement of The Joint Commission and the National Patient Safety Goal around disruptive … The Joint Commission sentinel event alert, Behaviors That Undermine a Culture of Safety, helped focus … /behaviors-undermine-culture-safety https://psnet.ahrq.gov/issue/behaviors-undermine-culture-safety

3505. Delayed Clozapine Prescription in an Elderly Man With Dementia | PSNet
      psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
      August 06, 2014 - The clozapine REMS program requires both prescribers and patients to be registered in an online database … The clozapine REMS was developed to reduce the likelihood of patients experiencing severe neutropenia … to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety … September 4, 2024 Towards understanding and improving medication safety for patients … February 14, 2024 Patients' and doctors' views and experiences of the patient safety

3506. 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

3507. Handoffs and Transitions | PSNet
      psnet.ahrq.gov/perspective/handoffs-and-transitions
      February 01, 2007 - From its earliest days, the patient safety field identified transitions of care as an important latent … AHRQ Patient Safety Network. … July 2, 2014 AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses. … November 25, 2009 Quality improvement and patient safety activities in academic departments … safety.

3508. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33701/psn-pdf
      October 01, 2010 - principles has led to two strikingly successful and widely discussed medical checklists: a surgical safety … A surgical safety checklist to reduce morbidity and mortality in a global population. … Surgical safety checklist: a redesign using human factors guidelines background to the surgical safety … University of Calgary, Canadian Patient Safety Institute, Calgary, Canada; 2009. 

3509. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49656/psn-pdf
      June 01, 2012 - When the hospitalist next saw the patient (postoperative day 3), the patient was even more hypoxic. … However, as illustrated by this case, it can also pose patient safety risks. … safety. … Who is responsible for routine patient safety measures, such as deep venous thrombosis prophylaxis? … Potential safety risks of comanagement arise from fragmentation of care and inadequate communication

3510. What Makes a Good Checklist | PSNet
      psnet.ahrq.gov/perspective/what-makes-good-checklist
      October 01, 2010 - University of Calgary, Canadian Patient Safety Institute, Calgary, Canada; 2009. … large academic medical center, focused on patient safety. … So if the nurses see them not doing something that they should be doing for patient safety, then they … I think patients deserve better than that. … August 7, 2024 Development of patient safety measures to identify inappropriate diagnosis

3511. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50842/psn-pdf
      January 29, 2020 - care hospital; all cases were reported to the hospital’s patient safety committee within a 4-week period … Nevertheless, even these minor misidentifications can be taxing on patients and jeopardize their safety … Are patients with similar names at greater risk for wrong-patient orders? … Interruptions of nurses' activities and patient safety: an integrative literature review. … WHO Collaborating Centre on Patient Safety Solutions: Patient Identification.  May 2007.  

3512. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49390/psn-pdf
      February 01, 2003 - The scissors hit a patient causing a cut on the patient’s head.” … The patient received injuries requiring sutures.” … and gowns for patients). … MRI safety: everyone's job. Radiol Manage. 2001;23:36-9.[ go to PubMed ] 6. … American College of Radiology White Paper on MR Safety.

3513. Raise the Bar | PSNet
      psnet.ahrq.gov/web-mm/raise-bar
      May 29, 2024 - of 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 … 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

3514. The Context Is the Intervention | PSNet
      psnet.ahrq.gov/perspective/context-intervention
      August 05, 2020 - Most health personnel untrained in patient safety theories often assume avoidable patient injuries 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? … Perspective The Role of the Patient in Improving Patient Safety

3515. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867980/psn-pdf
      March 25, 2025 - A neurologist examined the patient and diagnosed migraine headaches. … Approach to Improving Safety https://psnet.ahrq.gov/issue/measuring-and-improving-diagnostic-safety-primary-care-addressing-twin-pandemics-diagnostic … psnet.ahrq.gov//#1 Diagnostic excellence is an emerging idea in the field of diagnostic quality and safety … , timely, efficient, and equitable.”3 This means identifying strategies that improve diagnostic safety … Measuring and Improving Diagnostic Safety in Primary Care: Addressing the “Twin” Pandemics of Diagnostic

3516. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33688/psn-pdf
      October 01, 2009 - We asked him to speak with us about the role of the media in patient safety. … I'm most passionate about patient safety and medical errors. … CO: The second thing that had us interested in the hospitals was less to do with direct patient care. … RW: What did you learn about patient safety and medical errors from covering King/Drew that you didn't … I understood about safety problems. I understood about system problems.

3517. Coming Up Short: Maintaining Safety in the Face of Drug Shortages | PSNet
      psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
      November 01, 2012 - safety concerns. … This case raises two different patient safety concerns: (i) errors involving heparin and saline and ( … safety. … Several strategies can help minimize the effects of drug shortages on patient safety. … Look-alike medication packages and patient safety. J Patient Saf. 2018;14:e47-e48.

3518. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49838/psn-pdf
      August 01, 2018 - safety in the ICU. … End of Life Care: A Patient Safety Issue. Quick Safety. July 2015;(15):1-4.  5. … Keeping patients safe. 7. … Preventing harm in the ICU—building a culture of safety and engaging patients and families. … Safety and Quality Committee.

3519. Intubation Mishap | PSNet
      psnet.ahrq.gov/web-mm/intubation-mishap
      April 26, 2023 - safety and then devise strategies to minimize the risk to future patients. … Weinger, MD Director, Center for Healthcare Simulation of the San Diego Center for Patient Safety Professor … April 28, 2021 Distractions in the anesthesia work environment: impact on patient safety … Report of a meeting sponsored by the Anesthesia Patient Safety Foundation. … October 25, 2023 Human factors engineering in patient safety.

3520. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49506/psn-pdf
      March 01, 2006 - The patient was admitted for pain control with intravenous morphine and started on patient-controlled … radiology residents have traditionally provided preliminary interpretations during off- hours for patients … To provide the safety net for these resident preliminary readings while protecting the residents' training … Around-the-clock attending radiology coverage is essential to avoid mistakes in the care of trauma patients … improper bolus timing (which may obscure PE or, occasionally, simulate PE), mottle (seen in large patients