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Showing results for "patient safety indicators".
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3641. In Conversation With… Rebecca Smith-Bindman, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
      October 01, 2013 - She is a national leader in the impact of radiologic testing on patient outcomes, and in the safety—particularly … The 400 or so patients who underwent those CTs—some were older patients who had strokes or were suspected … , bringing radiation safety under the broad umbrella of the patient safety field. … Instead, the patient needs to be informed. … Safety February 26, 2025 Patient Safety Innovations

3642. 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.

3643. 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

3644. 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.

3645. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851971/psn-pdf
      July 31, 2023 - revealed multiple metallic foreign bodies throughout the gastrointestinal tract including an open safety … and family. 24,25 Approaches to Improving Patient Safety Clear communication among staff The physician … Put an “NPO” or “Nothing by Mouth” wristband on the patient When patients are mobile, they often move … Christian Bohringer, MBBS Consulting Editor, AHRQ, Patient Safety Network (PSNet) Professor of Anesthesiology … Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review.

3646. It's Sarah, Not Stephen! | PSNet
      psnet.ahrq.gov/web-mm/its-sarah-not-stephen
      January 01, 2015 - Delineate patient safety issues associated with transgender health. … Transgender health raises a number of patient safety issues: lack of access to health care, increased … The clearest and most troubling patient safety issue for transgender individuals is refusal of medical … Transitioning transgender individuals face a number of patient safety issues. … Analysis of incident reports from a patient safety organization.

3647. Emergency Error | PSNet
      psnet.ahrq.gov/web-mm/emergency-error
      January 18, 2013 - Effect of a 19-item surgical safety checklist during urgent operations in a global patient population … Effect of a comprehensive surgical safety system on patient outcomes. … Safe Surgery Saves Lives: The Second Global Patient Safety Challenge. September 2009. … November 16, 2022 Patient-led training on patient safety: a pilot study to test the feasibility … September 4, 2013 Optimizing Pediatric Patient Safety in the Emergency Care Setting.

3648. In Conversation with…Gerald B. Hickson, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
      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. … safety by shifting power from health professionals to patients.

3649. 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.

3650. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33842/psn-pdf
      January 01, 2018 - Of course, EHR-related patient safety exists as a subset of an organization's overall safety programs … Identification and Prioritization of HIT Patient Safety Measures. … Measuring and improving patient safety through health information technology: The Health IT Safety Framework … Health IT and patient safety: a paradigm shift to shared responsibility. … Patient safety goals for the proposed Federal Health Information Technology Safety Center.

3651. A Double “Never Event”: Wrong Patient and Wrong Side. | PSNet
      psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
      August 20, 2018 - A sentinel event is defined as a “patient safety event (not primarily related to the natural course … 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) … Safety Primers Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery December

3652. 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. 

3653. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization | PSNet
      psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
      September 01, 2012 - If patient safety is jeopardized at any point, all team members should feel free to voice their concern … safety: the Singapore experience. … February 22, 2023 Epidemiology, patterns of care, and mortality for patients with acute … March 9, 2016 A tool for the concise analysis of patient safety incidents. … October 18, 2023 Radiographers' experience of preventing patient safety incidents in

3654. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74830/psn-pdf
      June 01, 2022 - The Michigan Hospital Medicine Safety Consortium (HMS) Finds Infectious Diseases (ID) Physician Approval … safety strategy. … safety issues associated with them. … Innovation Patient Safety Focus The initiative addresses the inappropriate use of, and complications … Patient Safety Network. December 1, 2012. Accessed November 17, 2021.

3655. In Conversation with...Patrick Tighe about Artificial Intelligence | PSNet
      psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
      March 27, 2024 - How have those uses intersected with patient safety? … Safety: Promise and Challenges March 27, 2024 Introduction Ensuring patient safety in modern … Current Applications for Patient Safety Most uses of AI to increase patient safety are still in the research … Risks to Patient Safety While the potential for improving patient safety is high, AI also comes with … safety goals, such as identifying patient decompensation.

3656. 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

3657. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49654/psn-pdf
      June 01, 2012 - The Commentary The quality and safety of patient transportation, whether it be for non-emergent or critically … Institutions should learn from this case and continue to improve the quality and safety of care patients … Transporting patients entails inherent safety risks. … Which patients and where: a qualitative study of patient transfers from community hospitals. … Non-emergency patient transport: what are the quality and safety issues? A systematic review.

3658. Medication Reconciliation Victory After an Avoidable Error | PSNet
      psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
      April 01, 2015 - Safety Goals (NPSG) to reduce the impact of medication errors on patient safety.( 4 ) This case identifies … filled by the patient. … [go to PubMed] 4. 2009 Hospitals' National Patient Safety Goals. … Organization (HRO) Principles and Patient Safety February 26, 2025 … Discrepancies between in-home interviews and electronic medical records on regularly used drugs among home care clients

3659. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
      January 01, 2022 - SAFETY EVENTS INVOLVING OPIOID DOSE STACKING Two cases involving patients who experienced adverse … SAFETY: ADVANCED PATIENT MONITORING STRATEGIES 23 Advanced Patient Monitoring Strategies (1) … A systematic approach to improving patient safety A Systematic Approach to Improving Patient Safety … (1) A Systematic Approach to Improving Patient Safety (1) improving patient safety: Standardized sedation … safety: �Advanced Patient monitoring Strategies Advanced Patient Monitoring Strategies (1) improving

3660. A Painful Dilemma | PSNet
      psnet.ahrq.gov/web-mm/painful-dilemma
      September 01, 2013 - Safety September 1, 2013 Perspective Our Maturing … Understanding of Safety Culture: How to Change It and How It Changes Safety March 1, 2017 … December 6, 2023 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … October 19, 2022 Building comprehensive strategies for obstetric safety: simulation drills … April 1, 2008 WebM&M Cases Environmental Safety