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Showing results for "patient safety indicators".
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3621. 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

3622. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865376/psn-pdf
      March 27, 2024 - The Commentary By Caitlin Loseth, MD The management of severely injured patients requires complex … Patients with cirrhosis exist in a delicate physiologic homeostasis where https://psnet.ahrq.gov//#4 … There was no mention of abdominal wall varices, but this is a common pitfall in operating on patients … When such patients are hypotensive at presentation, and progress to require CPR in the field or in the … CPR often needs to be paused in the setting of acute ATLS procedures in order to ensure safety.

3623. Good Catch in the Operating Room | PSNet
      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.

3624. Psn-Pdf (pdf file)
      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

3625. Psn-Pdf (pdf file)
      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.

3626. An Easily Forgotten Tube | PSNet
      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

3627. Lost in the Black Hole | PSNet
      psnet.ahrq.gov/web-mm/lost-black-hole
      December 01, 2005 - The impact of follow-up telephone calls to patients after hospitalization. … An American View of the UK's Patient Safety Enterprise: Top Down vs. … The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety October 1, 2009 … the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet) April 1, 2005 … Patient Safety Innovations Remote Response Team and Customized Alert Settings

3628. High-Risk Medications, High-Risk Transfers | PSNet
      psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers
      December 21, 2017 - However, the medication issue could be a proxy for any number of patient safety issues that can arise … safety information. … Interdisciplinary communication should be expanded to include critical patient safety information. … Health information technology should be enhanced so that it supports communication about patient safety … March 1, 2011 Perspective Patient Safety in the Physician

3629. Psn-Pdf (pdf file)
      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.

3630. Psn-Pdf (pdf file)
      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.

3631. A Fumbled Handoff to Inpatient Rehab | PSNet
      psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
      December 21, 2018 - caring for the most complex patients and IRFs and SNFs caring for patients of lesser complexity. … to variation in postacute care utilization ( 1 ), but also to patient–provider mismatch, in which patients … The quality of services and safety of patients are threatened by the lack of transfer coordination and … hospitals and postacute care facilities, increasing costs while reducing quality and safety. … Take-Home Points Transitions to postacute care pose important safety risks.

3632. Application of Safety-II Principles | PSNet
      psnet.ahrq.gov/perspective/application-safety-ii-principles
      August 28, 2024 - This approach to patient safety is referred to as Safety-I , which defines safety as a condition where … President for Patient Safety at Inova Health System. … after coronary artery bypass grafting, and then in two months, we had three patients experience SSI, … patients with behavioral health needs on medical-surgical units. … This includes the words we use to talk about safety, how we talk to patients differently around safety

3633. Misidentifying the Unidentified – John Doe and the EHR | PSNet
      psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
      September 27, 2017 - Patient 1, who was the more critical of the two patients, was mistakenly booked for emergent trauma surgery … Safety in the Emergency Care Setting. … October 19, 2022 Patient safety after implementation of a coproduced family centered … the technological revolution help address patient safety? … June 14, 2019 Transfusion safety: the nature and outcomes of errors in patient registration

3634. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49674/psn-pdf
      December 01, 2012 - The patient ultimately died during the hospitalization. … safety project by the Agency for Healthcare Research and Quality (AHRQ), infections were reduced by … 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.

3635. The Forgotten Med | PSNet
      psnet.ahrq.gov/web-mm/forgotten-med
      July 01, 2006 - Three days later, a physician evaluated the patient and reviewed her progress. … Four days later, the patient became unresponsive. … CPOE is undoubtedly among our most powerful tools to enhance patient safety, but its optimal implementation … Take-Home Points Policy- and paper-based medication safety improvement strategies, while useful, … Computerized provider order entry (CPOE) is a powerful tool to address a range of patient safety issues

3636. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/612828/psn-pdf
      February 23, 2022 - multiple procedural interventions are performed simultaneously in high-risk kidney transplantation patients … Approach to Improving Safety Safety in management of kidney transplant patients in the early post-transplant … This patient’s case demonstrated potential areas for improvement in safety, as earlier transplant kidney … , and https://psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication shared understanding … When patients such as the individual in this case do need multiple interventions, it is essential to

3637. Workplace Safety in Health Care | PSNet
      psnet.ahrq.gov/perspective/workplace-safety-health-care
      January 01, 2017 - safety movement has highlighted the risks that patients face when receiving health care. … ideas about workforce safety, which emerged from our thinking about patient safety and improvement more … He also has a strong interest in 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

3638. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853773/psn-pdf
      September 27, 2023 - Root cause analysis revealed that the patients were two beds apart in the same unit. … A sentinel event is defined as a “patient safety event (not primarily related to the natural course of … TeamSTEPPS Framework Team Strategies and Tools to Enhance Performance and Patient Safety, or TeamSTEPPS … TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety. … Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools

3639. Medication Overdose | PSNet
      psnet.ahrq.gov/web-mm/medication-overdose
      September 01, 2011 - safety practices related to order writing. … Incidence of adverse events and negligence in hospitalized patients. … The effects of electronic prescribing by community-based providers on ambulatory medication safety … 2013 View More Related Resources Perspectives on Safety … Safety March 29, 2023 ASHP national survey of pharmacy practice in hospital

3640. Don’t Bite Your Tongue. | PSNet
      psnet.ahrq.gov/web-mm/dont-bite-your-tongue
      September 18, 2024 - The patient was placed under general anesthesia and intubated. … Improving Patient Safety The most widely recommended approach to prevent intraoperative bite injuries … Lastly, patients who will undergo this type of monitoring should be educated regarding potential risks … While incidence of bite injuries is low, a small number of patients will require further interventions … Safety of intraoperative transcranial electrical stimulation motor evoked potential monitoring.