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Showing results for "patient safety indicators".
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3601. Is the Admission Drug Dose Too Low? | PSNet
      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

3602. How to Identify and Manage Problem Behaviors | PSNet
      psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
      December 01, 2009 - We certainly agree that improving system design and process flow will enhance patient safety, but our … The long road to patient safety: a status report on patient safety systems. … Understanding Patient Safety. New York, NY: McGraw-Hill Professional; 2008. 5. Rosenstein AH. … A survey of the impact of disruptive behaviors and communication defects on patient safety. … June 16, 2011 Improving patient safety: the comparative views of patient-safety specialists

3603. Infused, Not Ingested | PSNet
      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.

3604. Procedural Mishap: Learning Curve? | PSNet
      psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
      April 28, 2021 - The patient had an uncomplicated postoperative course. … September 1, 2003 Patient Safety Primers Retained … surgical patient safety practices in the complex modern operating room. … November 2, 2014 Patient Safety Primers Retained Surgical … safety in obstetrics and gynecology: an agenda for the future.

3605. Liposuction Gone Awry | PSNet
      psnet.ahrq.gov/web-mm/liposuction-gone-awry
      July 01, 2003 - 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. … Iverson R, Lynch D, and the American Society of Plastic Surgeons Committee on Patient Safety. … Surgical Patient Safety: Essential Information for Surgeons in Today's Environment.

3606. Chemotherapy Extravasation | PSNet
      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

3607. Insert Omission | PSNet
      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.

3608. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857258/psn-pdf
      November 30, 2023 - Approaches to Improving Patient Safety Educate patients about the dangers of super obesity https:// … Older patients and patients with impaired renal and hepatic function are at particular risk for persistent … Christian Bohringer, MBBS Consulting Editor, AHRQ, Patient Safety Network (PSNet) Professor Department … Patient Safety and Quality Healthcare. December 2019. Accessed November 29, 2023. … Safety of sugammadex for reversal of neuromuscular block.

3609. Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability | PSNet
      psnet.ahrq.gov/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability
      May 27, 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/ … safety threats.

3610. Hospital-Acquired Diabetic Ketoacidosis. | PSNet
      psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
      October 28, 2020 - No nurse was assigned to the patient in the hallway, and the patient was given a multitude of small carbohydrate-containing … Approach to Improving Safety Both the cases described above present opportunities for system improvements … safety culture at 4 VHA Hospitals. … February 6, 2013 Innovative patient safety curriculum using iPad game (PASSED) improved … patient safety concepts in undergraduate medical students.

3611. The Need to Eat | PSNet
      psnet.ahrq.gov/web-mm/need-eat
      February 10, 2021 - of the patient. … effects of errors in diet ordering. 23 Approach to Improving Safety & Patient Safety Target … For cases like this one, improving patient safety starts with diagnosing malnutrition. … July 10, 2008 The impact of prescribing safety alerts for elderly persons in an electronic … Safety in Acute Hospital Care Units April 26, 2023 WebM&M Cases

3612. Patient Safety Amid Nursing Workforce Challenges | PSNet
      psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
      April 24, 2024 - Patient Safety Amid Nursing Workforce Challenges . PSNet [internet]. … Patient Safety Amid Nursing Workforce Challenges . PSNet [internet]. … Specifically, having fewer nurses caring for patients is associated with higher patient mortality. … safety—namely, that more effective teamwork and communication mitigate patient safety risks. … Nurse-patient ratios as a patient safety strategy: a systematic review.

3613. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49415/psn-pdf
      September 01, 2003 - safety and then devise strategies to minimize the risk to future patients. … The increasing use of standardized patients is a welcome addition to health care professional education … for the next patient. … Weinger, MD Director, Center for Healthcare Simulation of the San Diego Center for Patient Safety Professor … Framework for analysing risk and safety in clinical medicine.

3614. Psn-Pdf (pdf file)
      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.

3615. Preventing PICC Complications: Whose Line Is It? | PSNet
      psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
      October 01, 2017 - Technology also plays a part in establishing safety for a patient. … Improving patient safety in intensive care units in Michigan. J Crit Care. 2008;23:207-221. … AHRQ Patient Safety Project Reduces Bloodstream Infections by 40 Percent. … August 3, 2016 Does an insulin double-checking procedure improve patient safety? … April 20, 2016 National trends in patient safety for four common conditions, 2005–2011

3616. Updates in the Management of High-Risk Pulmonary Embolism | PSNet
      psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism
      December 02, 2020 - The patient quickly lost his pulse and a code was called. … The use of standardized handoff tools has been shown to decrease adverse events and improve safety.( … Lawrence Center for Quality and Safety Assistant Professor of Emergency Medicine, Harvard Medical School … Morbidity and mortality conference in emergency medicine residencies and the culture of safety … Safety Innovations Remote Response Team and Customized Alert Settings Help Improve

3617. In Conversation With… Richard Hoppmann, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-richard-hoppmann-md
      June 01, 2018 - Take for example pediatric safety and quality around appendicitis—if a patient comes in with physical … care in point-of-care ultrasound will be a huge benefit for both patient safety and quality of care. … Prioritizing patient safety in building and implementing a POCUS program involves careful attention and … Building a POCUS program that optimizes patient safety and patient-centered outcomes requires judgment … Making Health Care Safer: A Critical Analysis of Patient Safety Practices.

3618. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/860015/psn-pdf
      September 01, 2024 - An RFO or RFB is not the result of medical error, whereas an RSI is a multi-stakeholder patient safety … All RSI cases are usually required to be reported to internal hospital risk management and patient safety … Safety Organizations (PSOs), collaborations authorized under the Patient Safety and Quality Improvement … to the intensive care unit (ICU), where additional assistance for patient safety and monitoring is … Obesity may be a risk factor specifically among patients who have an abdominopelvic operation.

3619. Spotlight Case July 2008 (ppt file)
      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. * Case: One Toxic Drug (5) Concerned for the patient’s safety … Effect of board certification on antihypertensive treatment intensification in patients with diabetes

3620. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33822/psn-pdf
      January 01, 2017 - He also has a strong interest in patient safety. … We spoke with him about workplace safety and its relationship to patient safety and organizational excellence … RW: Once you started getting interested in health care, what were your thoughts about patient safety … It's about the patient, and such a focus might be a distraction from patient safety. … PO: It would be such a blessing if we could raise our game in both worker safety and patient safety in