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Showing results for "patient safety indicators".
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3701. In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
      August 01, 2016 - In our Spanish Observatory for Dental Patient Safety database, we have five cases of patients dying … Now we have begun to convince dentists that patient safety is important for their patients and also for … patient safety practices; (iii) teaching, disseminating, and implementing effective patient safety practices … safety events (e.g., wrong site or wrong patient), creating a severity scale for dental patient safety … Is ambulatory patient safety just like hospital safety, only without the "stat"?

3702. Transfer Troubles | PSNet
      psnet.ahrq.gov/web-mm/transfer-troubles
      December 29, 2014 - The Commentary The quality and safety of patient transportation, whether it be for non-emergent or … 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.

3703. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33723/psn-pdf
      December 01, 2011 - safety challenge. … Frances Healey, RN, PhDHead of Patient Safety National Patient Safety Agency (UK) References   1. … Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective … Patient Safety First. The 'How to' Guide for Reducing Harm from Falls. … London, UK: National Patient Safety Agency; 2009. (risk tool calculator [Available at]) 13.

3704. Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up | PSNet
      psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
      September 27, 2023 - 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 … Safety Network (PSNet) Professor of Psychiatry Department of Psychiatry and Behavioral Sciences UC Davis … Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review.

3705. Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts. | PSNet
      psnet.ahrq.gov/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriate
      October 31, 2023 - Therefore, the use and safety of commonly prescribed analgesic agents in the setting of renal dysfunction … Table 2 : Opioids in Renal Dysfunction 13 Safety in Renal Dysfunction Opioid Starting Dose ( opioid naïve … and arthritic pain, with monitoring of renal function. 23 Approaches to Improving Patient Safety Computerized … December 18, 2024 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … Safety March 29, 2023 The potential for leveraging machine learning to filter

3706. Poor Prognosis | PSNet
      psnet.ahrq.gov/web-mm/poor-prognosis
      March 15, 2016 - those predictions to patients. … April 3, 2019 Professionalising patient safety? … Findings from a mixed-methods formative evaluation of the patient safety specialist role in the English … January 31, 2011 National Patient Safety Agency: combining stories with statistics to … Safety Innovations Preventing Falls Through Patient and Family Engagement to Create

3707. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73334/psn-pdf
      August 01, 2024 - More research into this patient safety issue should be conducted. … Pennsylvania Patient Safety Advisory. 2014;11(1):1-7. 25. Westbrook JI, Rob MI, Woods A, Parry D. … BMJ quality & safety. 2017 Feb 1;26(2):131-40. 27. … BMJ Quality & Safety. 2005 Apr 1;14(2):80-6. 28. … BMJ quality & safety. 2018 Nov 1;27(11):892-901. 29.

3708. Procedure Complications – Who is Responsible for Follow up? | PSNet
      psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
      July 31, 2023 - 4 Pain is the most frequent and sensitive finding in esophageal perforation, occurring in 70% of patients … Workflow for improving patient safety and communication after endoscopic perforation Procedural complications … Management and outcomes of esophageal perforation: a national study of 2,564 patients in england. … January 8, 2020 Assessing the effectiveness of engaging patients and their families in … Related Resources Patient Safety Innovations Rescue Improvement

3709. Spotlight Case September 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.29_slideshow.ppt
      September 01, 2003 - If so, did deviation have potential to cause patient harm? … Factors Patient condition Clinician–patient communication Availability/accuracy of test results … Organization/Management Financial resources Goals, policies, and standards Safety culture and priorities … : The 5 “C’s” Communication Team members communicate effectively/efficiently with each other, the patient … critical units Communication failures contributed to 16% (20/98) operating room events in anesthesia safety

3710. A Weighty Mistake | PSNet
      psnet.ahrq.gov/web-mm/weighty-mistake
      September 01, 2016 - How can information technology improve patient safety and reduce medication errors in children's health … in patient safety transformation. … May 1, 2015 Telehealth safety framework: addressing a new frontier in patient safety. … July 17, 2024 Development and evaluation of patient safety interventions: perspectives … of operational safety leaders and patient safety organizations.

3711. Around the Block | PSNet
      psnet.ahrq.gov/web-mm/around-block
      March 04, 2020 - As DVT prevention is one of the top safety priorities of the Agency for Healthcare Research and Quality … Orthopedic surgery patients are a special focus of most guidelines, since such patients are at extremely … safety and quality culture--a scoping review. … April 24, 2024 Authentic leadership at the Cleveland Clinic: psychological safety in … November 15, 2023 Safety culture and workforce well-being associations with Positive

3712. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33772/psn-pdf
      September 01, 2014 - We spoke with her about overuse of medical care and its effect on patient safety. Dr. … The patient is exposed to risks of the procedure. … Overuse is a patient safety concern, not just a financial burden. … RW: How about patient-driven demand? … At a National Patient Safety Foundation meeting, 80% of people raised their hand indicating that they

3713. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49446/psn-pdf
      August 30, 2021 - (including the one presented here) must place a premium on safety. … to distinguish between patient harm in a clinical trial vs. … "practical safety"—that which can be expected in real world practice. … Safety in clinical trials differs from safety in practice. … Improving medication safety across a multihospital system.

3714. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49474/psn-pdf
      March 01, 2005 - Upon transfer, the patient was febrile with stable vital signs. … research, experienced personnel, and technological and mechanical aides—must be applied to ensure safety … Surgery in the obese patient presents special challenges. … What Can Be Done to Improve Quality and Safety in the Care of the Obese Patient? … Management of the obese critically ill patient.

3715. Transfusion Overload | PSNet
      psnet.ahrq.gov/web-mm/transfusion-overload
      September 23, 2020 - At the time, the patient remained weak but had no new symptoms. … The patient was given the blood and the diuretics. … If the patient is stable, blood may not be needed. … Orthopaedic Error Index: development and application of a novel national indicator for assessing the relative safety … transfusion safety.

3716. Adolescent Diabetes: A Routine Visit? | PSNet
      psnet.ahrq.gov/web-mm/adolescent-diabetes-routine-visit
      November 18, 2016 - , within the limits of state law and patient safety; normalization of the topic as a routine component … safety events and harms during medical and surgical hospitalizations for persons with serious mental … November 18, 2016 Patient, provider, and system factors contributing to patient safety … November 30, 2016 Nurses' perceived skills and attitudes about updated safety concepts … February 1, 2023 Patient identification of diagnostic safety blindspots and participation

3717. Discharging Our Responsibility | PSNet
      psnet.ahrq.gov/web-mm/discharging-our-responsibility
      January 16, 2019 - Successful patient education is an interactive process in which patients and caregiver participate by … February 19, 2013 A case for safety leadership team training of hospital managers. … February 15, 2017 Transforming concepts in patient safety: a progress report. … safety infrastructure. … Safety Innovations Preventing Falls Through Patient and Family Engagement to Create

3718. The Wrong Channel | PSNet
      psnet.ahrq.gov/web-mm/wrong-channel
      February 01, 2003 - Heuristic evaluation of infusion pumps: implications for patient safety in intensive care units. … Using usability heuristics to evaluate patient safety of medical devices. … safety efforts in cardiac surgery. … Eisenberg Patient Safety Awards. … System innovation: Veterans Health Administration National Center for Patient Safety.

3719. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49861/psn-pdf
      May 01, 2019 - The patient was tachycardic (heart rate 100 beats per minute), but not hypotensive. … The patient quickly lost his pulse and a code was called. … The use of standardized handoff tools has been shown to decrease adverse events and improve safety.( … 19) Implementing such a tool may have helped the patient in this case. … Lawrence Center for Quality and Safety Assistant Professor of Emergency Medicine, Harvard Medical School

3720. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49543/psn-pdf
      September 01, 2007 - against the physician's admission, transfer, and/or discharge orders.(14) Given the patient safety … risk posed by medication discrepancies during transitions of care, leading patient safety organizations … Patient-physician communication at hospital discharge and patients' understanding of the postdischarge … Joint Commission. 2006 Critical access hospital and hospital national patient safety goals. … OSF healthcare's journey in patient safety. Qual Manag Health Care. 2004;13:53-59.