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Showing results for "patient safety indicators".
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3561. Intraosseous Line Extravasation in a Pediatric Trauma Patient | PSNet
      psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
      September 29, 2021 - Intraosseous Line Extravasation in a Pediatric Trauma Patient. PSNet [internet]. … Compartment syndrome is a clinical diagnosis and patients’ reported symptoms are the earliest indicators … Approach to Improving Patient Safety Overall, this case demonstrates how an unstable pediatric patient … Ideally, two large bore peripheral IV lines should be placed in unstable patients. … The “3 As” is a useful to assess for compartment syndrome in pediatric patients.

3562. Two Wrongs Don't Make a Right (Kidney) | PSNet
      psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
      April 01, 2010 - patient. … safety experts would maintain that even one wrong-site surgery is too many. … the patient. … Wrong Patient A misidentification of the patient leading to a procedure performed on the wrong patient … Cost-effectiveness of a computerized provider order entry system in improving medication safety

3563. Misconnection Leading to Arterial Thrombosis | PSNet
      psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
      January 29, 2021 - The radial artery, in particular, follows a variable course in different patients. … Approaches to Improving Patient Safety Avoid injecting drugs and air bubbles into arterial lines All … Christian Bohringer, MBBS Consulting Editor, AHRQ, Patient Safety Network (PSNet) Professor of Clinical … Safety Authority. … Tubing Misconnections: Making the Connection to Patient Safety.

3564. Falling Between the Cracks in the Software | PSNet
      psnet.ahrq.gov/web-mm/falling-between-cracks-software
      March 09, 2011 - This access is essential when providing medical care to patients who receive care from multiple delivery … Inadequate availability of patient information is a widely recognized problem that results in patient … safety failures and could be solved by interoperability. … safety. … safety.

3565. 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

3566. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49540/psn-pdf
      August 21, 2007 - The patient was ultimately stabilized and transferred to the cardiac intensive care unit. … crucial need to strictly follow checklist procedures and must be motivated to embrace a culture of safety … Delaying defibrillation to give basic cardiopulmonary resuscitation to patients with out-of-hospital … Indicators/ECG Display    a. Power "on"    b. Self test ok    c. Monitor display functional    d. … Delaying defibrillation to give basic cardiopulmonary resuscitation to patients with out-of-hospital

3567. 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.

3568. An Untimely End Despite End-of-Life Care Planning | PSNet
      psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning
      February 01, 2012 - Engagement of patients and families and frontline clinicians is necessary to establish a culture of safety … End of Life Care: A Patient Safety Issue. Quick Safety. July 2015;(15):1-4.  5. … Preventing harm in the ICU—building a culture of safety and engaging patients and families. … December 18, 2014 Outcomes of Michigan Medicine's integrated patient safety and communication … October 23, 2024 Trainees' perceptions of patient safety practices: recounting failures

3569. 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

3570. EHR Copy and Paste and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
      January 01, 2018 - EHR Copy and Paste and Patient Safety Shannon M. … EHR Copy and Paste and Patient Safety. PSNet [internet]. … EHR Copy and Paste and Patient Safety. PSNet [internet]. … Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; February 2016. … EHR Copy and Paste and Patient Safety. PSNet [internet].

3571. Getting Into Patient Safety: A Personal Story | PSNet
      psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
      August 01, 2006 - Getting Into Patient Safety: A Personal Story Jeffrey B. … Getting Into Patient Safety: A Personal Story. PSNet [internet]. … Getting Into Patient Safety: A Personal Story. PSNet [internet]. … This focus on safety led to significant decreases in risks to patients. … relationship for patient safety.

3572. The Role of Community Pharmacists in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
      October 24, 2021 - Patient safety is best achieved in organizations that have a strong culture of safety . … safety include the patient education component. … This again affects the timing and safety of working with patients. … These are all factors that play into patient safety. … Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic

3573. The Role of Health Literacy in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
      March 22, 2009 - The Role of Health Literacy in Patient Safety Michael S. … The Role of Health Literacy in Patient Safety. PSNet [internet]. … : Improving Health Literacy to Protect Patient Safety. … Health Literacy and Patient Safety: Help Patients Understand. Manual for Clinicians, 2nd ed. … DS: Patient safety is a lever.

3574. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49492/psn-pdf
      November 01, 2005 - National Patient Safety Goals for 2006 and 2005. … Available at: http://www.jcaho.org/accredited+organizations/patient+safety/npsg.htm. … OSF Healthcare’s journey in patient safety. … Effectiveness of a pharmacist-acquired medication history in promoting patient safety. … +safety/npsg.htm http://www.jcaho.org/accredited+organizations/patient+safety/npsg.htm http://www.ncbi.nlm.nih.gov

3575. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.323_slideshow.ppt
      May 01, 2014 - Medication reconciliation during transitions of care as a patient safety strategy: a systematic review … Arch Intern Med. 2012;172:1057-1069. http://www.ncbi.nlm.nih.gov/pubmed/22733210 14 Patient Safety … Goal Medication reconciliation widely embraced as an important patient safety strategy worldwide The … National Patient Safety Goals: Hospital Accreditation Program. January 2014. … safety Future research should focus on Determining the highest risk patients Building tools which allow

3576. Anesthesia: A Weighty Issue | PSNet
      psnet.ahrq.gov/web-mm/anesthesia-weighty-issue
      September 01, 2006 - If the patient could not receive a block for technical reasons, patient preference, or contraindications … satisfaction and decreased patient-controlled analgesia narcotics use.( 5 ) Finally, a patient in this … March 10, 2011 Improving safety and eliminating redundant tests: cutting costs in U.S … June 2, 2021 Using event reports in real-time to identify and mitigate patient safety … February 23, 2022 Creating a stronger culture of safety within US community pharmacies

3577. Right Electrocardiogram, Wrong Patient | PSNet
      psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
      April 24, 2024 - The incorrect patient documentation on the EKG caused EKG results to be uploaded to the wrong patients … Fortunately, there were no adverse effects on any of the patients involved in the cases of mentioned … Effect of Bar-Code Technology on the Safety of Medication Administration. … January 15, 2020 Inappropriate prescribing of opioids for patients undergoing surgery … September 27, 2023 Patient Safety Innovations Remote

3578. Check the Anesthesia Machine | PSNet
      psnet.ahrq.gov/web-mm/check-anesthesia-machine
      August 01, 2006 - Safety: A Personal Story August 1, 2006 WebM&M Cases … safety, teamwork, safety leadership, and simulation to healthcare leaders and managers. … August 31, 2011 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … Safety Research December 1, 2003 Critical role of the surgeon–anesthesiologist … relationship for patient safety.

3579. In Conversation with...Peter J. Pronovost, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
      October 01, 2010 - safety. … 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. … University of Calgary, Canadian Patient Safety Institute, Calgary, Canada; 2009.

3580. Delayed Diagnosis of Endocrinologic Emergencies | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-endocrinologic-emergencies
      November 13, 2024 - The mortality rates for thyroid storm range from 10%–75% of hospitalized patients.( 1 ) Myxedema coma … presents in older women—frequently in the winter months—but it can occur in both sexes and in younger patients … amiodarone-induced thyrotoxicosis or amiodarone-induced hypothyroidism may develop in 14% to 18% of all patients … safety: systematic review and meta-analysis. … transfusion safety.