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Showing results for "patient safety indicators".
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3521. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72587/psn-pdf
      December 23, 2020 -  whose care involves anesthesiology.8 The Wake Up Safe Patient Safety Organization, a quality improvement … Safety and Quality of Patient Care  Efforts to mitigate the risks associated with intrahospital transport … that both the safety climate (measured using the short form of the “Patient Safety Climate in Healthcare … https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-topics/sentinel- event … View AHRQ Disclaimers https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-topics

3522. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33779/psn-pdf
      March 01, 2015 - From its earliest days, the patient safety field identified transitions of care as an important latent … https://psnet.ahrq.gov/perspective/handoffs-and-transitions Handoffs For the past decade, the safety … First, a randomized trial by Goldman and colleagues conducted in an urban safety-net hospital tested … Moving to the challenges of medication safety in care transitions, two studies published in 2014 further … AHRQ Patient Safety Network. https://psnet.ahrq.gov/perspective/handoffs-and-transitions http://dx.doi.org

3523. Hidden Mystery | PSNet
      psnet.ahrq.gov/web-mm/hidden-mystery
      December 01, 2011 - from research, experienced personnel, and technological and mechanical aides—must be applied to ensure safety … What Can Be Done to Improve Quality and Safety in the Care of the Obese Patient? … of 23,056 patients. … safety. … April 24, 2018 Patient safety after implementation of a coproduced family centered communication

3524. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49667/psn-pdf
      October 01, 2012 - The Commentary Patients who present to the emergency department (ED) are highly vulnerable to medication … Clinicians also need to be cognizant of the safety features of automated pharmacy dispensing systems. … Many of the steps and techniques described above fall under the field of medication safety engineering … through active listening and engagement is crucial for effective interactions between clinicians, patients … Patient safety—the role of human factors and systems engineering.

3525. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849661/psn-pdf
      June 28, 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 … opportunity for technology to https://psnet.ahrq.gov//#21 https://psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles … also implement a more succinct checklist for use prior to emergency cesarean deliveries to optimize safety … National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism.

3526. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33679/psn-pdf
      January 01, 2009 - safety efforts. … Recent presidential candidates have touted using disclosure as part of a centerpiece of patient safety … Making patient safety the centerpiece of medical liability reform. … Jt Comm J Qual Patient Saf. 2006;32:344-350. … The patient's right to safety--improving the quality of care through litigation against hospitals.

3527. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33873/psn-pdf
      February 01, 2019 - that movement, but it's also coming from the disappointment that many of us have about the overall indicators … It's not just how we're doing in patient safety and quality, but what's missing that's not helping us … They don't understand quality and safety and how to work in teams. … safety project area. … safety and the health care systems.

3528. Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. | PSNet
      psnet.ahrq.gov/issue/diagnostic-errors-uncommon-conditions-systematic-review-case-reports-diagnostic-errors
      June 19, 2024 - November 9, 2022 Effect of contextual factors on the prevalence of diagnostic errors among patients … March 28, 2018 Culture of safety: impact on improvement in infection prevention process

3529. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49804/psn-pdf
      September 01, 2017 - On the third day of hospitalization, the patient developed bloody ostomy output. … to exclude an upper GI source.(11) In patients with GIB, it is important to identify high-risk patients … Several hours later, the patient passed even more blood through his ostomy. … Electronic health records provide templates for care and play a significant role in patient safety. … Does this patient have a severe upper gastrointestinal bleed? JAMA. 2012;307:1072-1079.

3530. “Behavioral Health Vital Signs” Initiative Increases Patient Education and Disclosure about Interpersonal Violence (IPV) | PSNet
      psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-disclosure
      February 26, 2025 - Innovation Patient Safety Focus The objective of this initiative is to teach healthcare teams to provide … for People Who Use Substances October 30, 2024 Patient Safety … April 5, 2023 Patient Safety Innovations Enhancing Support … , 2023 Patient Safety Innovations U.S. … July 21, 2021 Patient Safety Innovations Team-Developed

3531. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50697/psn-pdf
      November 27, 2019 - metoclopramide, are commonly used in seriously ill patients. … The pharmacy department should regularly review and update this list as part of its patient safety efforts … Drug-drug interactions are common, but some are especially dangerous and increase patients’ risk for … In patients who are already receiving QTc prolonging medications, an electrocardiogram should be obtained … Patient Safety Primer: Alert Fatigue. Patient Safety Network 2019. 

3532. Missed Patient Assignment: Is Anyone There? | PSNet
      psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
      September 01, 2017 - Near the end of the shift, the nurse recorded a report on her four patients. … This would acknowledge communication of assigned patients. … Joint Commission on Accreditation of Health Care Organizations. 2007 National Patient Safety Goals Hospital … safety. … July 1, 2017 Current challenges in health information technology–related patient safety

3533. Missing Trauma | PSNet
      psnet.ahrq.gov/web-mm/missing-trauma
      March 03, 2011 - Trauma patients are those who have sustained a physical injury. … Hemorrhagic shock is by far the most common type of shock seen in trauma patients. … In fact, survival rates in modern urban trauma centers for patients with stab wounds to the heart who … Safety Primers COVID-19 and Dentistry: Challenges and Opportunities for Providing … July 2, 2014 Optimizing Pediatric Patient Safety in the Emergency Care Setting.

3534. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49495/psn-pdf
      December 01, 2005 - Perhaps more germane to the patient safety question, Sexton asked both surgeons and commercial airline … It’s the only way we can keep our patients safe.” … I recently posed this test to an audience of 1000 at the National Patient Safety Foundation’s annual … patients will be harmed unnecessarily. … The University of Texas Center of Excellence for Patient Safety Research and Practice.

3535. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49436/psn-pdf
      February 26, 2004 - The Commentary Defects in the process of transfusion currently pose a greater hazard to patient safety … Patient safety and blood transfusion: new solutions. … National patient safety goals. … Practical methods to improve transfusion safety by using novel blood unit and patient identification … The Patient Safety Discussion Forum. NPSF Listserv. August 8, 2002. Accessed January 13, 2004.

3536. Looking for Meds in All the Wrong Places | PSNet
      psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
      June 16, 2021 - Unfortunately, there are limits to medication-safety engineering. … Patient safety—the role of human factors and systems engineering. … ' engagement in hospital medication safety behaviours. … May 26, 2021 The safety of health care for ethnic minority patients: a systematic review … safety?

3537. Discharge Planning and Transitions of Care | PSNet
      psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
      June 15, 2024 - https://www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/index.html Peter D, Robinson P, Jordan … Patient Engagement and Safety. … https://psnet.ahrq.gov/primer/patient-engagement-and-safety Albrecht JS, Gruber-Baldini AL, Hirshon JM … March 27, 2024 Patient Safety Primers Post-Acute … View More Related Resources Patient Safety Primers

3538. 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

3539. Medication Safety Events Related to Diagnostic Imaging | PSNet
      psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
      January 26, 2022 - Patient Safety Opioids and benzodiazepines are commonly used medications in the acute care setting. … ensure safety and to avoid medication dose stacking . … Classifying safety events related to diagnostic imaging from a safety reporting system using a human … Road Map to a Medication Safety Program. … September 20, 2023 Radiographers' experience of preventing patient safety incidents in

3540. It's All in the Syringe | PSNet
      psnet.ahrq.gov/web-mm/its-all-syringe
      February 01, 2013 - Clinicians certainly cannot abdicate responsibility for patient safety.( 13 ) Nevertheless, patients … 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.