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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.
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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.
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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
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psnet.ahrq.gov/node/49407/psn-pdf
July 01, 2003 - The patient was discharged to a skilled nursing facility (SNF) for physical therapy on low-
molecular-weight … Although hemorrhage can occur in any
patient receiving warfarin, the risk is magnified when the anticoagulant … monitoring of oral anticoagulants in dedicated thrombosis clinics, using intelligent computer
programs or patient … The use of published standard dosing algorithms may increase the safety of initial warfarin dosing. … Conservative treatment of overanticoagulated patients.
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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
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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
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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
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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.
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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
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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.
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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
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psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
January 31, 2024 - safety incidents do occur, and given the volume of patients receiving care in office-based settings, … safety hazards because patients may be prescribed medications from many different providers, and these … Notably, better communication between clinicians and patients may reduce patient-reported non-routine … , especially the culture of patient safety. … Patient Safety in Primary Care: Conceptual Meanings to the Health Care Team and Patients.
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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
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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
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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
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psnet.ahrq.gov/web-mm/wrongful-resuscitation
October 12, 2012 - Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety
November 27, 2023 … Nursing Education in Patient Safety
November 27, 2023
Association of current … and patients in a national sample. … March 6, 2005
Improving patient safety by repeating (read-back) telephone reports of … December 23, 2008
Crew resource management improved perception of patient safety in the
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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
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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
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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
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psnet.ahrq.gov/node/49626/psn-pdf
May 01, 2011 - One reality that is difficult to avoid is the ED patient–provider interaction, which is critical to patient … disseminating information
to providers while allowing EDs and infection control experts to implement new safety … practices that protect
patients and HCWs. … dedicated departments and teams, such as Hospital Epidemiology and Infection Control or
Occupational Safety … safety measures for daily infectious exposures (e.g., handwashing) as well as
unanticipated infectious