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Showing results for "patient safety indicators".
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3821. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74713/psn-pdf
      January 26, 2022 - Patient Safety Events Involving Opioid Dose Stacking January 26, 2022 Porras H, Lammers C. … Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. 2022. … https://psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking Disclosure of Relevant … A Systematic Approach to Improving Patient Safety The prevalence of opioid use has increased and consequently … types of patient monitoring should be considered, specifically for patients with coexisting disease

3822. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/842923/psn-pdf
      February 01, 2023 - safety practices. … This finding raises questions about the safety of performing post-cardiac open surgical procedures in … Multipronged Approach to Improving Safety Epidemiology After identifying this case, the hospital’s … unit manager and representatives from units such as Environmental Services, Environmental Health & Safety … An investigation of Aspergillus cardiac surgical site infections in 3 pediatric patients.

3823. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49765/psn-pdf
      August 21, 2016 - safety. … safety.(6,7) Yet, interruptions are an inescapable component of clinical work. … safety. … A systematic review of the psychological literature on interruption and its patient safety implications … Sensemaking, safety, and cooperative work in the intensive care unit.

3824. 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.

3825. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49693/psn-pdf
      October 01, 2013 - Delineate patient safety issues associated with transgender health. … Transgender health raises a number of patient safety issues: lack of access to health care, increased … The clearest and most troubling patient safety issue for transgender individuals is refusal of medical … Transitioning transgender individuals face a number of patient safety issues. … Primary care protocol for transgender patient care.

3826. 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?

3827. A Sweet Case of Hidden Hydrogen Ions | PSNet
      psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
      November 30, 2023 - Approach to Improving Safety & Patient Safety Target  The process of admitting patients from the ED … Effective communication between medical teams can improve patient safety and decrease preventable errors … with diabetes, and is never appropriate in patients with type 1 diabetes. 8  In this case, the patient … & Patient Safety Target  Systems Change Needed/Quality Improvement Approach  Take-Home Points  … May 19, 2021 Perspective Medical Scribes and Patient Safety

3828. Dropping to New Lows | PSNet
      psnet.ahrq.gov/web-mm/dropping-new-lows
      December 18, 2024 - The patient had previously had a stroke. … safety improvement staff, lab, dietary and nutrition services, and hospital administration. … Falls December 18, 2024 Optimizing Pediatric Patient Safety in the Emergency … April 22, 2016 Perspectives on Safety Interview … Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety August 30, 2023

3829. In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles | PSNet
      psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
      August 28, 2024 - President for Patient Safety at Inova Health System. … after coronary artery bypass grafting, and then in two months, we had three patients experience SSI, … patients with behavioral health needs on medical-surgical units. … This includes the words we use to talk about safety, how we talk to patients differently around safety … This approach to patient safety is referred to as Safety-I , which defines safety as a condition where

3830. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50755/psn-pdf
      December 18, 2019 - For 10 days this patient frequently refused oral intake. … reason.9 How long is it safe to keep patients fasting? … of the patient. … effects of errors in diet ordering.23 Approach to Improving Safety & Patient Safety Target For cases … like this one, improving patient safety starts with diagnosing malnutrition.

3831. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865373/psn-pdf
      March 27, 2024 - We spoke to him about the current and potential impacts of artificial intelligence (AI) on patient safety … I’m currently the Executive Director of the Quality and Patient Safety Initiative in the College of … How have those uses intersected with patient safety? … Sarah Mossburg: What has research shown about AI and its potential to improve patient safety? … What are some risks of AI implementation to patient safety that we should be cognizant of?

3832. All in the History | PSNet
      psnet.ahrq.gov/web-mm/all-history
      February 28, 2011 - The 2008 Joint Commission Patient Safety Goal 2E requires all health care providers to "implement a standardized … As with all transfers of care, this should be done in accordance with the 2008 Patient Safety Goal 2E … [Available at] 6. 2008 National Patient Safety Goals Hospital Program. The Joint Commission. … The Joint Commission Accreditation Program: Ambulatory Health Care National Patient Safety Goals. … Safety Innovations Remote Response Team and Customized Alert Settings Help Improve

3833. Rediscovering the Power of the Surgical M&M Conference: The M M Matrix | PSNet
      psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
      September 01, 2007 - safety officers that this conference can be transformed into a vibrant patient safety curriculum. … Critical issues of patient safety are discussed. … Somewhere in these discussions are the essential patient safety lessons so necessary to the education … This culture—the culture of medicine—never canonized patient safety. Until now. … We have patients who die. We have patients in pain.

3834. Medication Handling and Compounding Errors in the Operating Room. | PSNet
      psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
      May 16, 2022 - in the compounding pharmacy setting. 5 Approach to Improving Safety & Patient Safety Target As a … It is critical for patient safety to discuss medications with zero distractions and interruptions. … As a high-level intervention, system changes should be addressed and implemented to improve patient safety … Loop Closure For this specific case, important patient safety issues were identified. … Safety.

3835. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49551/psn-pdf
      December 01, 2007 - Use in Patients with Pain A Cochrane review of the use of warming therapy in rheumatoid arthritis (RA … application in relieving pain found that acute low back pain was relieved by active warming.(10) The Safety … Other strategies to increase the safety of heat application include: Placing the heating device on top … of, not underneath, the patient, if possible. … Patient education and instruction regarding use of a heating device are important parts of any therapy

3836. In Conversation with...Dean Schillinger, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withdean-schillinger-md
      March 01, 2009 - Most of the initial work in patient safety was in hospitals. … DS: Patient safety is a lever. … is increasingly recognized as essential for promoting patient safety. … : Improving Health Literacy to Protect Patient Safety. … Health Literacy and Patient Safety: Help Patients Understand. Manual for Clinicians, 2nd ed.

3837. Order Interrupted by Text: Multitasking Mishap | PSNet
      psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
      August 21, 2015 - 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. … This is particularly important because the clinical condition of hospitalized patients so often changes … safety.

3838. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60328/psn-pdf
      May 27, 2020 - Safety Issues with Patient Controlled Analgesia Part II - How To Prevent Errors ISMP Medication Safety … San Diego Patient Safety Council. … Safety). … Capnography monitoring enhances safety of postoperative patient-controlled analgesia. … Safety.

3839. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33861/psn-pdf
      July 01, 2018 - Schiff is Associate Director of Brigham and Women's Center for Patient Safety Research and Practice, … AHRQ funded 93 patient safety grants in that period, and only one was related to diagnosis, and that … Increasingly with OpenNotes, patients are reading my notes (all of my patient now are able to). … /issue/patient-feedback-reporting-tool-opennotes-implications-patient-clinician-safety-and-quality https … psnet.ahrq.gov/issue/improving-diagnosis-health-care https://psnet.ahrq.gov/issue/betsy-lehman-center-patient-safety

3840. Managing Ascites: Hazards of Fluid Removal | PSNet
      psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
      June 01, 2018 - Is the patient taking antacids rich in salt? Has the patient stopped a prescribed diuretic? … patients presenting with tense and large volume, such as the patient in this case. … There are no data on the safety of large volume paracentesis in patients with SBP. … Related Resources From the Same Author(s) Perspective Safety … Safety at Academic Medical Centers August 1, 2010 WebM&M Cases