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Showing results for "patient safety indicators".
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3741. 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.

3742. 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

3743. 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.

3744. 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

3745. 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.

3746. 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

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. 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

3749. 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.

3750. 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.

3751. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849679/psn-pdf
      June 28, 2023 - The patient subsequently underwent surgical repair of the tracheal injury. … An open approach should be considered in patients with morbid obesity, short necks, tracheal deviation … ://psnet.ahrq.gov//#6 https://psnet.ahrq.gov//#8 https://psnet.ahrq.gov//#7 Approach to Improving Safety … The patient in this clinical scenario was noted to have COVID-19 pneumonia. … Percutaneous tracheostomy in critically ill patients.

3752. 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

3753. 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.

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/49580/psn-pdf
      March 21, 2009 - Safety Goals (NPSG) to reduce the impact of medication errors on patient safety.(4) This case identifies … patients take medications that should always be avoided.(3,9) A study evaluating medication use in … Glintborg and colleagues found that patients admitted to a hospital in Denmark failed to report 27% … filled by the patient. … [go to PubMed] 4. 2009 Hospitals' National Patient Safety Goals.

3756. 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.

3757. 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.

3758. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33637/psn-pdf
      August 01, 2006 - You're not going to be able to take care of your patients. … Looking at 30,000 patients gives you some clout. … RW: So, a medical school librarian set off the modern patient safety movement? … RW: What are the most enduring legacies of your work in patient safety? … conversation-withpeter-j-pronovost-md-phd https://psnet.ahrq.gov/issue/making-health-care-safer-critical-analysis-patient-safety-practices

3759. Suicidal Ideation in the Family Medicine Clinic | PSNet
      psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
      October 01, 2007 - 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. … For lower risk states and for all patients with suicidal ideation: Provide patient and family the National … 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

3760. Residual Anesthesia: Tepid Burn | PSNet
      psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
      February 10, 2010 - regional anesthesia use has grown in ambulatory surgery, a key contributing factor to the increased safety … Appropriate policies and procedures should assist facilities in ensuring patient safety. … May 26, 2010 Office-based anesthesia: safety and outcomes. … July 1, 2020 Impact of a daily huddle on safety in perioperative services. … Safety?