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3781. No News May Not Be Good News | PSNet
      psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
      December 07, 2009 - Patient safety in the ambulatory setting. A clinician-based approach. … Timely follow-up of abnormal outpatient test results: perceived barriers and impact on patient safety … safety. … safety. … July 10, 2024 Patient Safety Innovations Remote Response

3782. Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure. | PSNet
      psnet.ahrq.gov/web-mm/aspergillus-mediastinitis-endocarditis-pediatric-patient-complicating-cardiac-surgery-and
      November 16, 2022 - safety practices. … An investigation of Aspergillus cardiac surgical site infections in 3 pediatric patients. … May 15, 2024 The safety of inpatient health care. … January 25, 2023 Patient safety after implementation of a coproduced family centered … June 1, 2007 Optimizing Pediatric Patient Safety in the Emergency Care Setting.

3783. In Conversation with...Katie Boston-Leary about Patient Safety Amid Nursing Workforce Challenges | PSNet
      psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
      April 24, 2024 - Nurse-patient ratios as a patient safety strategy: a systematic review. … to patient care, and having an appropriate nurse staffing level is critical to patient safety. … Specifically, having fewer nurses caring for patients is associated with higher patient mortality. … Addressing Workforce Challenges Nurses are essential to patient care and patient safety, as they are … safety—namely, that more effective teamwork and communication mitigate patient safety risks.

3784. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838220/psn-pdf
      September 27, 2019 - Through primary care, patients can develop a long-standing https://psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface … AHRQ is the lead federal agency for patient safety research. … A Closer Focus on Access and its Impact on Patient Safety In addition to enhancing diagnostic safety … Settings by Engaging Patients and Families Toolkit for Engaging Patients to Improve Diagnostic Safety … Patient safety in primary care. 2020.

3785. Undetected Foreign Object | PSNet
      psnet.ahrq.gov/web-mm/undetected-foreign-object
      April 24, 2018 - RSIs can result in significant patient morbidity and even mortality.( 3,9,10 ) Patients can experience … There are no studies that have evaluated the patient safety and economics risk–benefit of introducing … Cima, MD, MA Vice-chair, Quality and Safety, Department of Surgery Associate Professor of Surgery … Improving safety in the operating room: systematic literature review of retained surgical sponges. … See More About The Topic Operating Room Health Care Providers Quality and Safety

3786. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49642/psn-pdf
      December 01, 2011 - Describe the benefits of mobile technology to safety, quality, and efficiency. … international normalized ratio (INR) was 1.4 (the INR is a measure of anticoagulation intensity in patients … safety, and care without increasing bedside interruptions. … safety. … Interruptions to workflow can be associated with medical errors and risks to patients.(18) Mitigating

3787. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49665/psn-pdf
      September 01, 2012 - RSIs can result in significant patient morbidity and even mortality.( 3,9,10) Patients can experience … There are no studies that have evaluated the patient safety and economics risk–benefit of introducing … eliminate sponge or instrument RSIs.(21) However, key findings from a number of studies on operating room safety … Cima, MD, MA Vice-chair, Quality and Safety, Department of Surgery Associate Professor of Surgery, … Improving safety in the operating room: systematic literature review of retained surgical sponges.

3788. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72837/psn-pdf
      September 01, 2022 - multidisciplinary provider team is to build trust and confidence in a nonjudgmental way to promote health and safety … In recent years, the program has focused resources on patient care rather than on data collection. … Innovation Patient Safety Focus https://psnet.ahrq.gov//#2 Project Nurture focuses on working with … How do patients enter the program? What questions are asked of the patient? … However, finding providers who already have experience treating this nuanced patient population may

3789. In Conversation with…Carolyn Clancy, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
      September 01, 2005 - One is building the evidence base about patient safety in settings beyond the hospital. … A second great area is health information technology [HIT] to improve patient safety. … We don't just struggle with this in patient safety, we struggle with it on the U.S. … In: Making Health Care Safer: A Critical Analysis of Patient Safety Practices. … Improving patient safety by repeating (read-back) telephone reports of critical information.

3790. In Conversation with...Atul Gawande, MD, MA, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph
      September 01, 2007 - We asked him to speak with us about professionalism, training, patient safety, and the writing process … We have patients who die. We have patients in pain. … safety officers that this conference can be transformed into a vibrant patient safety curriculum. … Critical issues of patient safety are discussed. … This culture—the culture of medicine—never canonized patient safety. Until now.

3791. Meaningful Measurement in Patient and Family Engagement | PSNet
      psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement
      March 10, 2021 - If we think about patient family engagement as an active patient safety strategy, as an engaged person … on Safety Patient Safety in Home Dialysis April 28, 2021 … Perspectives on Safety EMS Patient Safety in the Field July 28, 2021 … Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic January … Health Plan Patient Safety Initiatives July 10, 2024 Patient

3792. The Result Stopped Here | PSNet
      psnet.ahrq.gov/web-mm/result-stopped-here
      December 01, 2006 - Understanding medical error and improving patient safety in the inpatient setting. … populations (oncology patients, pediatrics) Hematocrit   >60% Inpatient … populations (oncology patients, pediatrics) Prothrombin Time Not applicable International … November 3, 2015 A 2-year study of patient safety competency assessment in 29 clinical … May 18, 2011 Perspective The Media’s Role in Patient Safety

3793. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33661/psn-pdf
      December 01, 2007 - Goodbyes are said as patients pack their belongings and return home. … More importantly, what can be done to improve patient safety in this setting? … However, other domains crucial to patient safety and continuity of care—such as discharge medications … Patients' understanding of their treatment plans and diagnosis at discharge. … safety and continuity of care.

3794. Safety in the Prehospital Emergency Medical Services Setting | PSNet
      psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
      May 01, 2019 - Despite these potential yet known threats, the annual incidence of poor patient safety outcomes in EMS … for both patients and EMS clinicians are higher among EMS organizations with lower safety culture scores … for patients and clinicians. … Promoting a culture of safety as a patient safety strategy: a systematic review. … EMS Provider & Patient Safety in Ambulances project.

3795. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33642/psn-pdf
      November 01, 2006 - From there, I started looking at aviation safety, working for NASA and the military. … Instead of tending to the patient, you're spending all of your time turning off the alarms. … Instead of standing over the patient and monitoring them clinically, you are now sitting in front of … It's also common for the patient to come in with all sorts of printouts. … These kinds of conversations, not only between patients and physicians, but with physicians and their

3796. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event | PSNet
      psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
      July 01, 2017 - Still, in day-to-day counseling of patients regarding the risks of a red blood cell transfusion, most … Flow Management November 1, 2011 Patient Safety Primers … Safety Initiatives July 10, 2024 Perspectives on Safety … Health Plan Patient Safety Initiatives July 10, 2024 … Perspective Patient Safety in Office-Based Care Settings January 31, 2024

3797. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49476/psn-pdf
      March 02, 2005 - 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 issue, the American Society of Regional Anesthesia and Pain Medicine (ASRA) convened a Consensus … cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=7978443 http://www.fda.gov/medwatch/SAFETY/1997/antico.htm … Actual image not from the patient in case presentation.

3798. In Conversation With… Edward Kelley, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-edward-kelley-phd
      December 01, 2014 - and our Patients for Patient Safety program . … Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients … National patient safety policy 2. Knowledge and learning in patient safety 3. … Patient safety awareness 4. Health services for patient safety 5. … Patient safety funding 12.

3799. Spotlight
      psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
      January 01, 2025 - with severe abdominal pain and in patients with peritoneal tenderness. … The patient was discharged home with a diagnosis of “cholelithiasis”, prescriptions for ondansetron and … The patient was taken to the operating room for lysis of adhesions but died 3 days later. … Unfortunately, the patient was given an inadequate diagnosis and was discharged while still in pain. … SAFETY 29 Imaging in High-Risk Abdominal Pain (1) Patients presenting to the ED with abdominal pain

3800. Total Parenteral Nutrition, Multifarious Errors | PSNet
      psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
      January 23, 2017 - 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.