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psnet.ahrq.gov/node/49754/psn-pdf
February 01, 2016 - The
physicians caring for the patient assumed the PICC was safe to use, and the patient began receiving … How best to use PICCs is an important clinical and safety question. … Safety Enhancement Program and
Center for Clinical Management Research of the VA Ann Arbor Health System … J Patient Saf. 2015 Nov 10; [Epub ahead of print].
[go to PubMed]
4. … Do clinicians know which of their patients have central venous
catheters?
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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.
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psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
September 01, 2006 - It makes our patients safer, but it doesn't directly impinge on what we do for patient safety. … JB: Every one of our hospitals has a patient safety manager whose job is to run the patient safety program … I will say though—and this might sound strange—that most of the benefit to the patients for patient safety … Boston, MA: National Patient Safety Foundation; 2015. … April 23, 2014
The long road to patient safety: a status report on patient safety systems
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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.
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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.
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psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
July 08, 2022 - SPOTLIGHT CASE
Patient Safety Events Involving Opioid Dose Stacking
Citation Text … Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. … Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. … sophisticated types of patient monitoring should be considered, specifically for patients with coexisting … Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet].
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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.
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psnet.ahrq.gov/node/49627/psn-pdf
June 01, 2011 - violation to send a copy of a patient evaluation to the patient themselves. … The case highlights some of the safety issues we know well in the modern digitalized hospital, where … to third parties that some hospitals specify that only the medical records department
may provide patients … Peabody that "the secret of the care of the
patient is in caring for the patient. … Effect of bar-code technology on the safety of medication
administration.
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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
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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
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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
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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
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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.
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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.
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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
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psnet.ahrq.gov/web-mm/good-catch-operating-room
August 27, 2017 - Such strategies, like many others in patient safety, were originally developed outside health care—largely … safety. … Critical role of the surgeon–anesthesiologist relationship for patient safety. … Culture of safety: a foundation for patient care. Semin Pediatr Surg. 2015;24:283-287. … TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety.
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psnet.ahrq.gov/node/49631/psn-pdf
July 01, 2011 - Patient Safety and Adherence to Self-Administered
Medications
July 1, 2011
Spall H, Van-Spall C, Nieuwlaat … Patient Safety and Adherence to Self-Administered Medications.
PSNet [internet]. 2011. … https://psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications
The Case
A … https://psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications
The Commentary … Take-Home Points
Low adherence is ubiquitous and should be considered in all patients.
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psnet.ahrq.gov/web-mm/easily-forgotten-tube
June 01, 2016 - Safety—A Registered Nurse's Perspective
June 1, 2016
Perspective … —An OR Fire
April 1, 2015
Improving departmental psychological safety through … school-wide initiative
August 14, 2024
Strategies for Improving Clinician Psychological Safety … safety' to educate junior doctors about patient safety and the importance of reporting safety concerns … See More About The Topic
Intensive Care Units
Health Care Providers
Quality and Safety
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psnet.ahrq.gov/node/866622/psn-pdf
August 28, 2024 - President for Patient Safety at Inova Health System. … Kathy Helak: With both, the aim is to improve patient safety and reduce harm. … patients with behavioral health needs on medical-surgical units. … concern, such as patient falls, or patient identification. … This includes the words we use to talk about safety,
how we talk to patients differently around safety
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psnet.ahrq.gov/node/49844/psn-pdf
October 01, 2018 - by overcrowded EDs
necessitates having a proactive, systems-based approach grounded in a culture of safety … operational
resiliency in the face of a myriad of stressors.(7) In addition to a robust event reporting and safety … of pool nurses to the ED when inpatients are boarding there substantially
enhances the quality and safety … When high acuity and patient volume requires that admitted patients be held in the ED for prolonged … The long road to patient safety: a status report on the patient
safety systems.