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Showing results for "patient safety indicators".
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3741. Microsoft PowerPoint - Spotlight Case_The Risks of a Malpositioned Gastrostomy Tube_FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-11/spotlight_case_the_risk_of_malpositioned.pdf
      January 01, 2023 - SAFETY 30 Approach to Improving Patient Safety (1) • Patients who require anticoagulant and/or … and their families and support networks.38,40,42,46-48 32 Approach to Improving Patient Safety ( … Safety of percutaneous endoscopic gastrostomy in high-risk patients. … AHRQ Patient Safety Network. Accessed November 6, 2023. [Free full text] 28. Pinto A, Brunese L. … Patient safety at handoff in rehabilitation medicine.

3742. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
      January 01, 2020 - but recommendations differ: – The Anesthesia Patient Safety Foundation (APSF) recommends continuous … Safety Issues with Patient Controlled Analgesia Part II - How To Prevent Errors ISMP Medication Safety … Safety and patient-controlled analgesia: part 2: how to prevent errors. P T. 2008;33(1):8-9. 17. … San Diego Patient Safety Council. … Capnography monitoring enhances safety of postoperative patient-controlled analgesia.

3743. Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy | PSNet
      psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
      July 01, 2008 - safety. 11 Approaches to Improving Safety  Optimize Human Factors Engineering Clinicians in both the … Reported medication events in a paediatric emergency research network: sharing to improve patient safety … Racial/ethnic disparities and patient safety. … Human factors engineering and patient safety. … safety event investigations.

3744. Premature Extubation | PSNet
      psnet.ahrq.gov/web-mm/premature-extubation
      May 25, 2011 - February 17, 2011 Improving patient safety in intensive care units in Michigan. … May 11, 2011 The impact of the use of employee functional flexibility on patient safety … Safety Network November 1, 2015 View More Related Resources … Patient Safety Innovations The I-READI Quality and Safety Framework … Safety: What They Don't Tell You in Training About Feedback and Burnout June 1, 2019

3745. Outbreak | PSNet
      psnet.ahrq.gov/web-mm/outbreak
      January 29, 2015 - 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 … 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 … See More About The Topic Emergency Departments Health Care Providers Quality and Safety

3746. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60363/psn-pdf
      March 01, 2021 - Use of a patient-centered Personal Health Record: Patient understands and utilizes the Personal Health … The PHR is managed by the patient or by the informal caregiver. … Knowledge of “red flags”: The patient is knowledgeable of indicators that his or her condition is worsening … Innovation Patient Safety Focus CTI focuses on patient empowerment during the care transition process … Use of patient-centered record: Patients need to understand, manage, and use a personal health record

3747. Autopsy Revelation | PSNet
      psnet.ahrq.gov/web-mm/autopsy-revelation
      December 01, 2007 - and inpatient records for ambulatory patients) "Premature closure"—Failure to alter initial … Safety Signals? … Computerized Provider Order Entry and Patient Safety January 1, 2015 … November 20, 2015 The top patient safety strategies that can be encouraged for adoption … March 13, 2013 Advancing the science of patient safety.

3748. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49790/psn-pdf
      April 01, 2017 - When challenge testing has been performed, only around 10% of these patients demonstrate allergy to … Diagnosis of true drug allergy is challenging and patients have often had adverse drug reactions recorded … Patients should expect and anticipate that both adverse drug reactions and allergies to drugs are appropriately … Other safety mechanisms should include the addition of drug allergy status to all correspondence between … Penicillin allergy: a study of incidence as reported by patients. Br J Clin Pract. 1994;48:5-7.

3749. The Role of Undergraduate Nursing Education in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
      November 27, 2023 - (3) work environments that enable nurses to care for patients effectively. … cases that involve safety-related challenges and compel students to consider patient safety principles … Patient safety curriculum. Acad Med . 2000;75(5):551-552. … harm to patients and providers through system and individual performance.” … for Patient Safety July 31, 2023 Patient Safety Innovations

3750. The Fluidity of Diagnostic "Wet Reads" | PSNet
      psnet.ahrq.gov/web-mm/fluidity-diagnostic-wet-reads
      April 24, 2018 - April 24, 2018 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … LP or Not LP October 1, 2003 Perspective The Safety … and Safety-II Frameworks December 14, 2022 Association between parent comfort … November 11, 2020 Patient centred diagnosis: sharing diagnostic decisions with patients … Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of

3751. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49668/psn-pdf
      October 01, 2012 - This too can be difficult for patients, and communication between programs can be challenging. … Patients unwilling to participate in recommended psychosocial therapies may not be good candidates for … Patients who drop out of psychosocial treatments need to be reevaluated for continued opioid therapy. … treatment for opioid dependence should be based on the assessment of the patient's clinical needs and safety … The risk is increased in patients with pre-existing respiratory compromise and with some abused drugs

3752. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866995/psn-pdf
      October 30, 2024 - Garth Utter, MD MSc Consulting Editor, AHRQ’s Patient Safety Network (PSNet)  Professor Department … Patient safety over power hierarchy: a scoping review of healthcare professionals' speaking-up skills … AHRQ Patient Safety Network (PSNet). October 31, 2023. Accessed July 15, 2024. [Free full text] 6. … Patient safety issues from information overload in electronic medical records. … Advancing safety with closed-loop communication of test results. Quick Safety.

3753. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49697/psn-pdf
      December 01, 2013 - The anesthesiologist then injected 2 mg of midazolam to sedate the patient. … The patient did not experience any obvious harm from the uncontrolled inhalation induction. … while overdoses of inhalational anesthetics could be administered in other ways, thus bypassing such a safety … etiology is multifactorial and includes a distracting environment and production pressure that limit safety … Patient injuries from anesthesia gas delivery equipment: a closed claims update.

3754. Steroids and Safety: Preventing Medication Adverse Events During Transitions of Care | PSNet
      psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adverse-events-during-transitions-care
      September 09, 2013 - Steroids and Safety: Preventing Medication Adverse Events During Transitions of Care. … Steroids and Safety: Preventing Medication Adverse Events During Transitions of Care. … in their own safety, including programs to facilitate patient-reported medication adverse events and … Lucier, MD, MBA, MPH Director of Quality Improvement and Patient Safety Hospital Medicine Unit Department … Patient Safety Primer: Patient Engagement and Safety.

3755. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49777/psn-pdf
      December 01, 2016 - to ensure their safety by asking patients to promise that they won't self-harm and will follow up as … Safety planning empowers patients to recognize their own triggers and warning signs. … Conduct safety planning c. Restrict access to lethal means d. … Educate all staff in patient care settings how to identify and respond to patients with suicidal ideation … Safety Planning Intervention.(23) Patients (with doctor/staff/therapist/peer specialist) develop and

3756. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.158_slideshow.ppt
      September 01, 2007 - Patient-physician communication at hospital discharge and patients' understanding of the postdischarge … Medication Reconciliation in Hospitalized Patients For patients admitted to hospital, this process involves … Accessed August 7, 2007. 16. 2006 Critical Access Hospital and Hospital National Patient Safety Goals … ISMP Medication Safety Alert! Acute Care Edition. July 13, 2006. … Education Patients should participate in the medication reconciliation process Encourage patients

3757. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867850/psn-pdf
      February 26, 2025 - Sarah Mossburg: AHRQ has published a primer on high reliability, which is on the Patient Safety Net … Are there patient safety contexts in which one principle or another is more critical? … Sarah Mossburg: You have noted that while healthcare systems have improved patient safety outcomes, … Large sample high reliability surveys are another area where patient safety could be advanced.  … of all the patients currently on the unit.

3758. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49788/psn-pdf
      March 01, 2017 - EHR use and adoption impacts how health care professionals care for their patients and communicate with … Improving medication safety during hospital-based transitions of care. … Evaluation of medication list completeness, safety, and annotations. … Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and " … Jt Comm J Qual Patient Saf. 2012;38:339-347.

3759. A Complicated Course: Severe Alcohol Withdrawal with Dexmedetomidine Infusion | PSNet
      psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
      June 14, 2023 - Safety Network (PSNet) Associate Physician Diplomate Department of Internal Medicine, Division of Hospital … Efficacy and safety of pharmacological interventions for the treatment of the Alcohol Withdrawal Syndrome … Proper titration orders are essential for patient safety. … Safety Primers Deprescribing as a Patient Safety Strategy October 27, 2021 … October 13, 2018 Optimizing Pediatric Patient Safety in the Emergency Care Setting.

3760. Nothing Called Small Surgery | PSNet
      psnet.ahrq.gov/web-mm/nothing-called-small-surgery
      February 01, 2023 - 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. … National Patient Safety Agency. … National Patient Safety Agency, 2009a.  … February 1, 2023 Patient Safety: Emerging Applications of Safety Science.