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psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
July 28, 2021 - Also, patient safety should always be the priority in the OR and should not be jeopardized by the time … March 15, 2016
Systematic review of patient safety interventions in dentistry. … May 31, 2017
A comprehensive obstetric patient safety program reduces liability claims … June 22, 2017
Patient safety strategies: are we on the same team? … hazards associated with intravenous vancomycin through the analysis of patient safety event reports.
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psnet.ahrq.gov/perspective/conversation-charles-ornstein
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. … The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety
October 1, 2009 … Pushing the profession: how the news media turned patient safety into a priority. … Understanding Patient Safety. New York, NY: McGraw-Hill Professional; 2007.
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psnet.ahrq.gov/web-mm/lp-or-not-lp
February 01, 2018 - particular scenario from unfolding: Health care providers should establish a system to provide patients … Designated ED staff (perhaps triage nurses) should confirm the reason for referral of all patients sent … The nature of adverse events in hospitalized patients. … April 24, 2018
Patient safety after implementation of a coproduced family centered communication … July 15, 2020
Effect on patient safety of a resident physician schedule without 24-hour
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psnet.ahrq.gov/web-mm/check-bags
January 03, 2017 - safety. … An Illustration of the Large Number of IV Medications Administered to Some ICU Patients … safety. … July 19, 2023
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … Results from a quality/safety project.
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psnet.ahrq.gov/node/836976/psn-pdf
April 27, 2022 - Intraosseous Line Extravasation in a Pediatric Trauma Patient. PSNet [internet]. 2022. … 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.
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psnet.ahrq.gov/web-mm/chemotherapy-extravasation
September 24, 2010 - The patient arrived for her first day of treatment. … The patient immediately began complaining of pain at the infusion site. … Safety in Medical, Nursing, and Other Clinical Education
March 16, 2020 … March 22, 2006
Patient misidentification in oncology care. … A model of chemotherapy education for novice oncology nurses that supports a culture of safety
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psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
January 31, 2024 - , and worsening of symptoms, leading to suboptimal patient care quality and safety. … sign out AMA.In balancing patient autonomy and safety, health professionals must ensure that a patient … Patient Safety Primers
Simulation Training
March 1, 2023 … Patient Safety Primers
Debriefing for Clinical Learning
November … Safety?
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psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing-home-residents
July 23, 2024 - Innovation Patient Safety Focus
The patient safety focus of this innovation is to prevent avoidable … 31, 2024
Patient Safety Innovations
Patient and … Safety Innovations
Enhancing Support for Patients’ Social Needs to Reduce Hospital … of Stay
August 25, 2021
Patient Safety Innovations … Safety Innovations
Transition Coaches® Reduce Readmissions for Medicare Patients With
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psnet.ahrq.gov/node/33694/psn-pdf
April 01, 2010 - the Institute of Medicine, where
she had a major hand in crafting the IOM's reports on quality and safety … functioning, and very few measures of patient engagement in decision making. … In the community, the patient may receive rehabilitative care or home health care. … All of those
providers and health care professionals contribute to the patient outcomes. … disincentives in our current payment programs that make it difficult to coordinate care for chronically ill
patients
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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
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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.
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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].
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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
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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.
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psnet.ahrq.gov/web-mm/not-all-headaches-are-due-migraine-red-flags-dont-miss-diagnoses-and-diagnostic-pitfalls
February 17, 2021 - A neurologist examined the patient and diagnosed migraine headaches. … and safety. … , timely, efficient, and equitable.” 3 This means identifying strategies that improve diagnostic safety … May 29, 2024
Education for the next frontier in patient safety: a longitudinal … July 12, 2023
Optimizing Pediatric Patient Safety in the Emergency Care Setting.
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psnet.ahrq.gov/node/49504/psn-pdf
March 01, 2006 - Is patient safety better assured if
surgery is performed in a hospital outpatient facility versus an … Accreditation tells the potential patient that a certain standard of patient safety has been achieved … In view of this, the ASPS convened a task force on patient safety in office-based facilities. … Patient safety in accredited office surgical
facilities. … Surgical Patient Safety: Essential Information for Surgeons in Today's
Environment.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.233_slideshow.ppt
February 01, 2011 - safety. … He saw the patient in the hospital's outpatient oncology unit. … After 6 weeks of therapy, the HCV viral load was unchanged, and the patient exhibited pancytopenia. … medication with little possibility of benefit.
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Case: One Toxic Drug (5)
Concerned for the patient’s safety … Effect of board certification on antihypertensive treatment intensification in patients with diabetes
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psnet.ahrq.gov/web-mm/admission-drug-dose-too-low
September 01, 2011 - In 2005, The Joint Commission made inpatient medication reconciliation a National Patient Safety Goal … For patients presenting with low theophylline levels, doses should be increased by 25% and then monitored … Reduced theophylline clearance has been documented in patients older than 55 years, particularly in males … hospitalized patients: Check, then double-check the medication history prior to writing medication … July 23, 2008
Implementing a patient safety and quality program across two merged pediatric
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psnet.ahrq.gov/web-mm/insert-omission
May 09, 2014 - Follow-up should occur approximately 1 month after IUC placement for all patients. … Most clinics use checklists to help ensure that appropriate patients receive IUCs. … July 29, 2009
Quality and patient safety metrics: developing a structured program for … October 11, 2023
Patient Safety Innovations
Ambulatory … July 22, 2020
Patient safety in the obstetric and gynecologic office setting.
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psnet.ahrq.gov/web-mm/infused-not-ingested
February 01, 2017 - Less research exists on the relationship between scheduling issues or competency and patient safety. … Keeping Patients Safe: Transforming the Work Environment of Nurses. … Available at: /perspective/unfinished-patient-safety-agenda . Accessed October 18, 2005.
6. … Patient Safety and the “Just Culture”: A Primer for Health Care Executives. … Keeping Patients Safe: Transforming the Work Environment of Nurses.