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Showing results for "patient safety indicators".
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3621. 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.

3622. 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

3623. 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

3624. 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

3625. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49726/psn-pdf
      March 01, 2015 - Wrong- patient surgery is a misidentification of the patient leading to a procedure performed on the … wrong 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

3626. Opioid Overdose as a Patient Safety Problem | PSNet
      psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
      May 01, 2017 - Opioid Overdose as a Patient Safety Problem Irene Berita Murimi, PhD, MA, and G. … Opioid Overdose as a Patient Safety Problem. PSNet [internet]. … Opioid Overdose as a Patient Safety Problem. PSNet [internet]. … Rethinking opioid prescribing to protect patient safety and public health. … Opioid Overdose as a Patient Safety Problem. PSNet [internet].

3627. 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.

3628. 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

3629. 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.

3630. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49404/psn-pdf
      June 01, 2003 - Plateauing or declining patterns may prompt early intervention (uterine aspiration) in symptomatic patients … These two classifications systems are often used together when assessing patients with first trimester … of her bicornuate uterus, several important safety nets also failed. … Pre-anesthesia checklists to improve patient safety. … Making health care safer: a critical analysis of patient safety practices.

3631. 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

3632. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.242_slideshow.ppt
      June 01, 2011 - ), he acted chaotically, driven by fear * * Safety in the Digital Hospital Technology can lead … time of medication administration In most hospitals, only the medical records department can provide patients … Effect of bar-code technology on the safety of medication administration. … is in caring for the patient” Physicians must balance too little love with too much—a difficult balance … The care of the patient. JAMA. 1927;88:877-882.

3633. 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

3634. 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

3635. 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. 

3636. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
      January 01, 2024 - safety risks inherent to wounds contaminated by foreign material. … antibiotic treatment (termed “prophylactic” by the authors) for patients with non-bite wounds. … For some patients, probably including the one in this case, even delayed closure is not feasible or may … Alternatively, patients should be instructed to return to the index ED for re-evaluation. 49 49 … Take Home Points 50 Take-Home Points (1) 51 Evaluate all patients for their risk of wound infection

3637. 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.

3638. Not a Miscarriage | PSNet
      psnet.ahrq.gov/web-mm/not-miscarriage
      June 01, 2005 - of her bicornuate uterus, several important safety nets also failed. … Pre-anesthesia checklists to improve patient safety. … Making health care safer: a critical analysis of patient safety practices. … Agreement September 24, 2024 Predictors of likelihood of speaking up about safety … Related Resources Annual Perspective Improving Diagnostic Safety

3639. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841468/psn-pdf
      December 14, 2022 - The patient was placed under general anesthesia and intubated. … This surgeon recommended taking the patient back to the operating room so that her tongue laceration … /issue/can-we-make-airway-management-even-safer-lessons-national-audit https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-airway-devices-critical-care-review-reports-uk-national … Improving Patient Safety The most widely recommended approach to prevent intraoperative bite injuries … Safety of intraoperative transcranial electrical stimulation motor evoked potential monitoring. 

3640. Diffusion of Responsibility Leads to Danger | PSNet
      psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
      November 08, 2013 - When high acuity and patient volume requires that admitted patients be held in the ED for prolonged periods … The long road to patient safety: a status report on the patient safety systems. … safety climate. … design guarantee patient safety? … safety culture in hospital setting: a systematic review.