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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. 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.

3643. 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.

3644. 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.

3645. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49540/psn-pdf
      August 21, 2007 - The patient was ultimately stabilized and transferred to the cardiac intensive care unit. … crucial need to strictly follow checklist procedures and must be motivated to embrace a culture of safety … Delaying defibrillation to give basic cardiopulmonary resuscitation to patients with out-of-hospital … Indicators/ECG Display    a. Power "on"    b. Self test ok    c. Monitor display functional    d. … Delaying defibrillation to give basic cardiopulmonary resuscitation to patients with out-of-hospital

3646. 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.

3647. 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

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. 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

3650. Picking Up the Cause of the Stroke | PSNet
      psnet.ahrq.gov/web-mm/picking-cause-stroke
      August 07, 2024 - 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?

3651. 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.

3652. 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

3653. 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.

3654. Radiology Missed an Intracranial Bleed in a Lethargic Infant. | PSNet
      psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
      August 21, 2016 - In fact, abused patients often have a delayed presentation. … Approach to Improving Safety Get a Head CT First for Evaluation of Possible AHT In this case, an ultrafast … Radiologic head CT interpretation errors in pediatric abusive and non-abusive head trauma patients. … Safety October 1, 2017 WebM&M Cases When the … safety in the hospital: a mixed methods study.

3655. 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

3656. 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.

3657. 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

3658. 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

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. 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.