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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
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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.
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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.
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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.
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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.
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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
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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
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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
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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
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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.
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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.
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psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
November 01, 2012 - The Evidence-Based Physical Examination as a Patient Safety Practice
Steven McGee, MD | November 1, … The Evidence-Based Physical Examination as a Patient Safety Practice. PSNet [internet]. … The Evidence-Based Physical Examination as a Patient Safety Practice. PSNet [internet]. … That disappoints me, and I think it has both cost and patient safety consequences. … The Evidence-Based Physical Examination as a Patient Safety Practice. PSNet [internet].
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psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
February 26, 2025 - Beyond particular patient safety incidents like medication error or patient misidentification, an academic … Work system design for patient safety: the SEIPS model. … of all the patients currently on the unit. … It gives a view of where the workload is and who might have the most vulnerable patients. … Health Systems for Patient Safety
February 26, 2025
Patient Safety
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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.
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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.
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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
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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 culturethe culture of medicinenever canonized patient safety.
Until now.
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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.
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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
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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