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3681. Project BOOST Increases Patient Understanding of Treatment and Follow-up Care | PSNet
      psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
      February 26, 2025 - Innovation Patient Safety Focus This innovation reduces preventable readmissions, improve provider … Patient safety concerns arising from test results that return after hospital discharge. … AHRQ Patient Safety E-Newsletter . 2007 Aug 6;(34). … Safety February 26, 2025 Patient Safety Innovations … Safety Innovations Transition Coaches® Reduce Readmissions for Medicare Patients With

3682. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49396/psn-pdf
      April 01, 2003 - The patient took the medication for about 2 weeks, with no adverse sequelae. … psychiatrists and allergists), and pharmacists must be alert to the possibility of confusion when patients … chance of drug name confusion by adhering to the prescribing practices above and also by educating patients … Patients should be aware of potential for mix-ups, especially with problem name pairs. … ISMP Medication Safety Alert! Institute for Safe Medication Practices.

3683. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.308_slideshow.ppt
      October 01, 2013 - safety issues associated with transgender health Appreciate the challenges that transgender patients … Am J Public Health. 2001;91:869-872. http://www.ncbi.nlm.nih.gov/pubmed/11392924 10 Patient Safety … Available at http://www.thetaskforce.org/reports_and_research/ntds 11 Patient Safety Concerns: Access … Safety Concerns: Health Risks Transgender populations among groups at highest risk for HIV infection … J Homosex. 2006;51:53-69. http://www.ncbi.nlm.nih.gov/pubmed/17135115 14 Patient Safety Concerns: Transitioning

3684. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73953/psn-pdf
      October 27, 2021 - Deprescribing as a Patient Safety Strategy October 27, 2021 Takhar S, Nelson N. … Deprescribing as a Patient Safety Strategy. PSNet [internet]. 2021. … https://psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy Background Polypharmacy is defined … starting furosemide to treat edema caused by amlodipine) https://psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy … safety.

3685. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49640/psn-pdf
      November 01, 2011 - , gaps that endangered patient safety. … Timeliness is an extremely important determinant of patient safety—arguably as important as clinical … would take place in the emergency department.(16) In addition to improving patient safety and quality … of care and safety. … Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety

3686. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73650/psn-pdf
      August 25, 2021 - Creating more systematic and proactive follow-up safety nets to ensure patients are improving rather … Safety Research and Practice, and the State of Massachusetts Betsy Lehman Center for Patient Safety … Efficacy and safety of sirolimus in lymphangioleiomyomatosis. … Improving Clinical Communication and Patient Safety: Clinician- Recommended Solutions. … Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools

3687. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33754/psn-pdf
      September 01, 2013 - Robert Wachter, Editor, AHRQ WebM&M: What got you interested in patient safety? … She gave a calcium chloride overdose to one of her pediatric patients. … RW: Do you think that patients and the citizenry more broadly, the political apparatus, is willing to … If you're the patient or your loved one is the patient, it takes on a completely different nature. … https://psnet.ahrq.gov/issue/balancing-no-blame-accountability-patient-safety SD: I will first commit

3688. Microsoft PowerPoint - Spotlight Case_Suicide Attempts_03.17.2023 FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-03/challenging_case_of_multiple_suicide_attempts_in_a_complex_patient_with_psychiatric_comorbidities.pdf
      January 01, 2023 - SAFETY 19 Approaches to Improving Patient Safety: The role of psychiatric consultants (1) • The … Safety: Managing the suicidal patient (1) • Following serious, especially repeated suicide attempts … or milder psychiatric symptoms. 23 Approaches to Improving Patient Safety: Managing the suicidal … patient (2) • One factor that complicates management of medically stable suicidal patients in many … Safety: Family engagement (1) • There is a paucity of research to support the use of family members

3689. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49392/psn-pdf
      April 01, 2003 - bed rails.(15) Coagulopathic patients may represent a patient category in whom special precautions are … positionpapers/restrain.shtml common problem throughout our health care system, affecting the quality and safety … evidence for effectiveness is lacking, however.(17) Another solution might be to develop a checklist of safety-related … Walking, however, is critical to patients’ well-being. … Making Health Care Safer: A Critical Analysis of Patient Safety Practices.

3690. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73434/psn-pdf
      June 30, 2021 - Approach to Improving Safety & Patient Safety Target Given the importance of communication between radiologists … safety. … should be incorporated into a systems-level model for improving patient safety. … Available at: https://www.jointcommission.org/resources/patient-safety-topics/sentinel-event/. … https://www.merriam-webster.com/dictionary/communication https://www.jointcommission.org/resources/patient-safety-topics

3691. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49419/psn-pdf
      October 01, 2003 - for both physicians and patients. … safety issue. … Making Health Care Safer: A Critical Analysis of Patient Safety Practices. … National Patient Safety Agency. NPSA. [ go to related site ] 4. … Enhancing patient safety. London: BMJ Publications; 2001:461-79. 15.

3692. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49583/psn-pdf
      April 01, 2009 - The nurse on duty was harried because he was caring for six patients instead of the usual four. … system can further help to improve medication safety. … In the case above, the nurse programming the pump was caring for a larger number of patients than usual … care providers about the roles and responsibilities for each discipline in caring for acutely ill patients … Patient safety and computerized medication ordering at Brigham and Women's Hospital.

3693. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848107/psn-pdf
      April 26, 2023 - Perspective authors reviewed articles related to clinical misdiagnosis and patient safety added to the … Reducing misdiagnosis in these situations may have broader, population-level effects on patient safety … In patient-centered work to categorize diagnostic error, patients emphasized that communication breakdowns … patients. … https://psnet.ahrq.gov//#_edn7 https://psnet.ahrq.gov//#_edn8 https://www.ahrq.gov/patient-safety/settings

3694. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49414/psn-pdf
      September 01, 2003 - Newer hospital policies and federal requirements mandate that patients confirm the proposed surgery with … before the patient is anesthetized. … Nevertheless, as depicted by Reason in his "Swiss Cheese Model," these safety mechanisms each have enough … this sort of improvisation occurs, the surgeon must ensure that the system provides the same level of safety … Take-Home Points Gynecologists can improve outcomes and enhance patient safety with comprehensive pre-operative

3695. Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture. | PSNet
      psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
      November 25, 2020 - Trainees and Patient Safety Diagnostic uncertainty was not the only factor that contributed to the errors … In addition, we recommend concurrent bedside patient examination of patients who are being evaluated … Barnes, MD, FACEP Consulting Editor, AHRQ, Patient Safety Network (PSNet) Health Sciences Clinical Professor … Agency for Healthcare Research and Quality Patient Safety Network. 2006 [Accessed April 18, 2024) [ Free … September 13, 2023 Patient Safety Innovations Remote Response

3696. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60857/psn-pdf
      August 26, 2020 - Many processes and procedures to promote patient safety in the operating room setting may be applied … Beware of finger tourniquets: a case report and update by the National Patient Safety Agency. … the National Patient Safety Agency. … National Patient Safety Agency rapid response report: reducing the risk of tourniquets left on after … National Patient Safety Agency, 2009a. https://marmed.com/wp- content/uploads/2019/08/NRLS-1153A-RRR-Tourniquet-mation

3697. The Hidden Danger of Unseen Intravenous Catheters | PSNet
      psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
      October 04, 2023 - A Systematic Approach to Improving Patient Safety This case illustrates how failure to adhere to patient … classification level III or higher. 7 Pediatric anesthesiologists are uniquely qualified to care for patients … saline, may be useful in determining the intravascular position of intravenous catheters in pediatric patients … In the operating room, patients receive greater volumes of fluids at higher administration rates. … catheter insertion is preferable to internal jugular central venous catheter insertion in pediatric patients

3698. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865655/psn-pdf
      April 24, 2024 - Trainees and Patient Safety Diagnostic uncertainty was not the only factor that contributed to the errors … engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf https://psnet.ahrq.gov//#18 https://www.ahrq.gov/patient-safety … redtool5.html#:~:text=This%20postdischarge%20followup%20phone%20call,Medicines https://www.ahrq.gov/patient-safety … Barnes, MD, FACEP Consulting Editor, AHRQ, Patient Safety Network (PSNet) Health Sciences Clinical … Agency for Healthcare Research and Quality Patient Safety Network. 2006 [Accessed April 18, 2024) [Free

3699. Delayed Diagnosis of Kidney Transplant Complications | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
      January 29, 2020 - 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 … Saline to Treat Hyponatremia January 29, 2020 Perspectives on Safety … Patient Safety in Home Dialysis April 28, 2021 … May 22, 2024 View More Related Resources Patient Safety

3700. Retained Surgical Items: Definition and Epidemiology. | PSNet
      psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
      September 15, 2024 - An RFO or RFB is not the result of medical error, whereas an RSI is a multi-stakeholder patient safety … Safety Organizations (PSOs), collaborations authorized under the Patient Safety and Quality Improvement … February 1, 2003 Patient Safety Primers Retained … Death November 30, 2023 Patient Safety Primers … December 14, 2022 Thinking in three's: changing surgical patient safety practices