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Showing results for "patient safety indicators".
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3761. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49594/psn-pdf
      December 01, 2009 - Recognize safety risks associated with being part of a stigmatized group. … From the perspective of patient safety, this case emphasizes how important it is to focus on our competencies … The patient smokes on the ward. The staff wants to treat patients with respect and empathy. … Outreach workers spend months trying to develop trusting relationships with homeless clients and even … Patients whom staff find difficult to like, or care for, are vulnerable to safety risks created by reduced

3762. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.290_slideshow.ppt
      February 01, 2013 - safety issue Appreciate that failing to contact a patient about abnormal test results is a source of … Health care systems are increasingly providing test results directly to patients Some EMRs allow patients … CLIA program and HIPAA privacy rule; patients’ access to test reports. … Should patients get direct access to their laboratory test results? An answer with many questions. … Two steps that could reduce the harm from failure to contact patients about abnormal test results are

3763. To Transfer or Not to Transfer | PSNet
      psnet.ahrq.gov/web-mm/transfer-or-not-transfer
      November 23, 2016 - The answer brings up several issues in patient safety for prehospital, ED, and hospital care: Issue … For "unstable" patients, EMS policies are designed to match hospital capabilities with patient complaints … reported approach to identify medical errors and improve patient safety in the emergency department. … September 7, 2016 Profiles in patient safety: confirmation bias in emergency medicine … July 2, 2011 Using information technology to improve the quality and safety of emergency

3764. 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

3765. The Wrong Shot: Error Disclosure | PSNet
      psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
      May 01, 2011 - be told about all harmful errors, to demonstrate respect for patients and foster honesty in the patient-provider … safety program. … Effective error disclosure could enhance patient safety and improve the quality of care. … Revisions to joint commission standards in support of patient safety and medical health care error reduction … December 30, 2014 Implementing patient safety practices in small ambulatory care settings

3766. Watch the Warfarin! | PSNet
      psnet.ahrq.gov/web-mm/watch-warfarin
      December 01, 2013 - Discuss patient safety risks of anticoagulation. … For many patients, however, including the patient in this case, the new anticoagulants will present attractive … Safety August 22, 2014 Injuries before and after diagnosis of cancer: nationwide … Improving Diagnostic Safety and Quality April 26, 2023 … About The Topic Hospitals Ambulatory Clinic or Office Health Care Providers Quality and Safety

3767. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857260/psn-pdf
      November 30, 2023 - medical illness, poor fluid and food intake, and relative insulin deficiency.7,8 Approach to Improving Safety … & Patient Safety Target Studies have shown that patients with diabetes mellitus on any SGLT2i have … safety, including soliciting feedback from patients about the clarity of medication management instructions … Drug Safety Communication. … 10.1016/j.ejim.2019.03.014 https://doi.org/10.1016/j.eprac.2022.06.006 https://www.fda.gov/drugs/drug-safety-and-availability

3768. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840175/psn-pdf
      November 16, 2022 - The patient safety issues center on confirming the aortic valve-associated thrombosis, providing appropriate … Patients in the intermediate risk group (4-10% per year) include those with a bi-leaflet aortic valve … Conversely, most valve-related thromboembolism events occur in patients with INR values between 2.0 … Approach to Improving Safety and Patient Safety Target Although we do not know this patient’s INR value … safety.

3769. When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)! | PSNet
      psnet.ahrq.gov/web-mm/when-taking-sglt2-inhibitor-remember-sstop-stop-sglt2-inhibitor-three-days-bef-o-re
      February 01, 2023 - & Patient Safety Target Studies have shown that patients with diabetes mellitus on any SGLT2i have an … safety, including soliciting feedback from patients about the clarity of medication management instructions … Endocr Pract . 2022;28(9):884-888. [ Free full text ] Drug Safety Communication. … March 21, 2018 A mixed methods study exploring patient safety culture at 4 VHA Hospitals … Safety August 1, 2019 WebM&M Cases Primary

3770. The Role of Bar Coding and Smart Pumps in Safety | PSNet
      psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
      September 01, 2008 - defense in detecting patient deterioration and protecting patients by recovering errors caused by other … A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. … Poon's research has focused on using health information technology to improve patient safety. … Poon: Many patient safety technologies are available to prevent medication errors, and CPOE certainly … Patient Safety March 29, 2023 ISMP medication error report analysis.

3771. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846770/psn-pdf
      March 29, 2023 - esophagus.4 Pain is the most frequent and sensitive finding in esophageal perforation, occurring in 70% of patients … second most common presenting sign or symptom of esophageal perforation after pain was fever (44% 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. … Diagnostic endoscopic ultrasonography: assessment of safety and prevention of complications.

3772. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49681/psn-pdf
      April 01, 2013 - Patient safety is worth the time it takes to verify the order. … Providers should take the opportunity to enhance patient safety and reduce PN-related medication errors … ISMP Medication Safety Alert! Acute Care Edition. … ISMP Medication Safety Alert! Acute Care Edition. … ISMP Medication Safety Alert! Acute Care Edition.

3773. Delay in Initiating Antibiotics Results in Fatal Error | PSNet
      psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
      August 02, 2015 - and manage patients. … safety. … safety. … We now have monthly patient safety discussions at residents' report. … Importantly, the vice president for hospital quality and patient safety moderates these sessions.

3774. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33838/psn-pdf
      July 01, 2017 - about the medicolegal histories of their affiliated physicians would help improve the quality and safety … Alternatively, the may signal a much larger quality problem that afflicts many of the patients that … medicolegal event–proneness correlates with other, more sensitive physician-level measures of quality and safety … But prediction will have limited impact on quality and safety unless it can be linked to effective interventions … Physician–patient communication.

3775. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60168/psn-pdf
      March 25, 2020 - The incorrect patient documentation on the EKG caused EKG results to be uploaded to the wrong patients … private health analytics firm, which has logged over 15,000 electronic health record (EHR) related safety … Fortunately, there were no adverse effects on any of the patients involved in the cases of mentioned … Effect of Bar-Code Technology on the Safety of Medication Administration. … An observational study of how patients are identified before medication administrations in medical and

3776. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33594/psn-pdf
      November 18, 2021 - safety field. … safety and patient care based on a recent event or a hypothetical situation.1 Debriefing is an important … teamgains-tool-structured-debriefings-simulation-based-team-trainings https://psnet.ahrq.gov/issue/teamstepps-strategies-and-tools-enhance-performance-and-patient-safety … situation may provide cause for a debrief, highly emotional resuscitations, those involving pediatric patients … They decide to focus on the patient and staff safety concerns and identify gaps in systems, teamwork

3777. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.215_slideshow.ppt
      April 01, 2010 - The patient delivered the prescription to the clinic pharmacy and it was filled. … harm while the medication is in the control of the health care professional, patient, or consumer” … Most states require the offer of pharmacist counseling for new prescriptions only When offered, patients … dispensing might have provided opportunity to catch error Patient empowerment might have prompted patient … implemented correctly, will mitigate certain types of medication errors, thereby improving medication safety

3778. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49432/psn-pdf
      February 09, 2004 - and manage patients. … safety. … safety. … We now have monthly patient safety discussions at residents' report. … Importantly, the vice president for hospital quality and patient safety moderates these sessions.

3779. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61083/psn-pdf
      October 28, 2020 - KH: What about impact on other safety concerns? … practice nurses started looking intensely at those transfers and really figuring out where to tighten the safety … You put in a system of delivery of fluids for patients. … The hospitals were trying to move patients out, not keep them in a hospital forever. … best practices of an initiative like yours, what do we do right now to help the quality of care and safety

3780. Renal Failure Due to Benign Prostatic Hyperplasia | PSNet
      psnet.ahrq.gov/web-mm/renal-failure-due-benign-prostatic-hyperplasia
      February 01, 2004 - options are now available to treat LUTS attributed to BPH if medications don't work ( 13 ), giving patients … The AUA guideline on BPH emphasizes shared decision-making and a focus on how symptoms affect patients … Safety at Academic Medical Centers August 1, 2010 WebM&M Cases … Safety in the Emergency Care Setting. … October 19, 2022 Improving patient safety by identifying latent failures in successful