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Showing results for "patient safety indicators".
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3701. 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

3702. 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.

3703. The Wrongful Resuscitation | PSNet
      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

3704. 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

3705. 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.

3706. 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.

3707. 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"?

3708. 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

3709. Psn-Pdf (pdf file)
      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

3710. Playing Well with Others: "Translocational Research" in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
      September 01, 2005 - Playing Well with Others: "Translocational Research" in Patient Safety Robert M. … Playing Well with Others: "Translocational Research" in Patient Safety. PSNet [internet]. … Playing Well with Others: "Translocational Research" in Patient Safety. PSNet [internet]. … In: Making Health Care Safer: A Critical Analysis of Patient Safety Practices. … An American View of the UK's Patient Safety Enterprise: Top Down vs.

3711. Psn-Pdf (pdf file)
      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.

3712. 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

3713. 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.

3714. 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

3715. 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

3716. 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

3717. 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.

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/50949/psn-pdf
      February 26, 2020 - encountered during the analytic phase typically resides with improper instrument operation, faulty reagents … tracked For mislabeled specimens, studies show the failure points occur at the time of collection where patients … wrong diagnoses due to lost or mislabeled specimens can be devastating or catastrophic to individual patients … caused patients to receive inappropriate treatment.17 In the end, the price for testing errors have … Blood bank safety practices: Mislabeled samples and wrong blood in tube – a Q-Probes analysis of 122

3720. 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