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Showing results for "patient safety indicators".
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3801. “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

3802. 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.

3803. Identifying Safety Events in the Prehospital Setting | PSNet
      psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
      May 16, 2022 - monitoring patient safety in the prehospital setting suggests that safety surveillance systems have … Patient Safety Incidents Perhaps one sign of EMS’s emergence in the field of patient safety is the … safety, and those are relatively new; what are some other ways that historically patient safety has … version of the surveys on patient safety, or the EMS SOPS. … The project is huge, not just for patients, but for providers, as well as the communities.

3804. 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.

3805. In Conversation With… Michelle Mello, MPhil, JD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
      July 01, 2017 - We spoke with her about legal issues in patient safety. Dr. Robert M. … How did the dynamic of that relationship change when the patient safety field became a thing 15 years … We're going to continue to take care of patients." … Then there's the possibility that plaintiffs' attorneys and their clients will come to expect that when … Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety November 27, 2023

3806. 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.

3807. Right? Left? Neither! | PSNet
      psnet.ahrq.gov/web-mm/right-left-neither
      November 16, 2022 - Examples of such defenses include training programs; safety protocols, policies, and procedures; and … Many defenses failed to protect this patient. … Safety March 27, 2024 Patient Safety Innovations … Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer July 31, 2023 … Annual Perspective Improving Diagnostic Safety and Quality

3808. 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

3809. In Conversation with...Richard Ricciardi about Office-Based Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
      January 31, 2024 - safety incidents do occur, and given the volume of patients receiving care in office-based settings, … safety hazards because patients may be prescribed medications from many different providers, and these … Notably, better communication between clinicians and patients may reduce patient-reported non-routine … , especially the culture of patient safety.  … Patient Safety in Primary Care: Conceptual Meanings to the Health Care Team and Patients.

3810. Mechanical Prosthetic Valve Thrombosis with Thromboembolism. | PSNet
      psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
      August 21, 2005 - The surgical consultant arrived and told the patient that amputation of the limb might be needed. … The patient safety issues center on confirming the aortic valve-associated thrombosis, providing appropriate … Approach to Improving Safety and Patient Safety Target Although we do not know this patient’s INR value … safety. … Related Resources Annual Perspective Improving Diagnostic Safety

3811. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49678/psn-pdf
      March 01, 2013 - safety is at risk. … Although there is obvious safety benefit of taking these complex weight-based treatment calculations … of reaching patients. … How can information technology improve patient safety and reduce medication errors in children's health … Weighing pediatric patients in kilograms. Position statement. [Available at] 15.

3812. In Conversation With… Sidney Dekker, MA, MSc, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-sidney-dekker-ma-msc-phd
      February 26, 2025 - Safety: A Human Factors Approach. … Robert Wachter, Editor, AHRQ WebM&M : What got you interested in patient safety? … She gave a calcium chloride overdose to one of her pediatric patients. … RW : Do you think that patients and the citizenry more broadly, the political apparatus, is willing to … If you're the patient or your loved one is the patient, it takes on a completely different nature.

3813. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications | PSNet
      psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
      February 01, 2004 - safety issue. … does not appear to offer any evidence-based patient safety measures proven to prevent harm by decreasing … The safety implications of missed test results for hospitalised patients: a systematic review. … safety. … December 21, 2014 Patient safety and quality care.

3814. After-Visit Confusion | PSNet
      psnet.ahrq.gov/web-mm/after-visit-confusion
      August 21, 2007 - Patient portals are secure Web-based platforms that allow patients to view information about their ongoing … The impact of eHealth on the quality and safety of health care: a systematic overview. … Safety Research December 1, 2003 WebM&M Cases … Related Resources Annual Perspective Improving Diagnostic Safety … Emergency Departments Ambulatory Clinic or Office Health Care Providers Quality and Safety

3815. In Conversation With... Georgia Galanou Luchen, Pharm. D. | PSNet
      psnet.ahrq.gov/perspective/conversation-georgia-galanou-luchen-pharm-d
      October 24, 2021 - safety include the patient education component. … This again affects the timing and safety of working with patients. … These are all factors that play into patient safety. … Patient safety is best achieved in organizations that have a strong culture of safety . … Organizations with a strong culture of safety are not only better positioned to ensure patient safety

3816. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
      January 01, 2022 - – In patients with schizophrenia, patients often have poverty of speech and thought that prevent … – Patients with delusions may believe a doctor is trying to harm the patient instead. … Can the patient decide? Evaluating patient capacity in practice. … to Improving Systemic Safety (2) Approach to Improving Systemic Safety (3) Approach to Improving Systemic … Safety (4) Approach to Improving Systemic Safety (5) Approach to Improving Systemic Safety (6) Take

3817. Discharge Instructions in the PACU: Who Remembers? | PSNet
      psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
      August 05, 2009 - For verbal communication with patients, it is important to limit the quantity of information that patients … this case highlights the importance of pursuing innovative approaches that can enhance the quality and safety … May 16, 2012 Improving departmental psychological safety through a medical school-wide … Health system redesign of cardiac monitoring oversight to optimize alarm management, safety … More See More About The Topic Hospitals Health Care Providers Quality and Safety

3818. Unexpected Drawbacks of Electronic Order Sets | PSNet
      psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
      December 01, 2017 - accompany potassium replacement, and that, by separating out the order sets electronically, an important safety … As an example, in patients with congestive heart failure and chronic kidney disease taking diuretic therapy … ISMP Medication Safety Alert! Acute Care Edition. ISMP develops guidelines for standard order sets. … Mixed results in the safety performance of computerized physician order entry. … December 16, 2020 Computerized prescriber order entry–related patient safety reports:

3819. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_a_cognitive_and_communication_blind_spot_slides.pptx
      January 01, 2024 - Describe some of the considerations for and against administering prophylactic anticoagulation to patients … 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. … Patient Safety Issues From Information Overload in Electronic Medical Records.  … [Free full text] Advancing safety with closed-loop communication of test results. Quick Safety.

3820. Remote Patient Monitoring | PSNet
      psnet.ahrq.gov/perspective/remote-patient-monitoring
      March 15, 2023 - safety mechanism to limit potential patient exposure to infected patients by replacing in-person visits … patients daily, and escalated patients for further care in case of worsening symptoms. 8 Patient Safety … infrastructure is paramount in ensuring patient safety, including team composition, patient selection … Building a real-time remote patient monitoring patient safety program for COVID-19 patients. … How has patient safety been part of that evolution?