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Showing results for "patient safety indicators".
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3821. 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.

3822. 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:

3823. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865984/psn-pdf
      May 29, 2024 - The patient passed away at home two days later. … with impaired exercise capacity.5 Approach to Improving Safety & Patient Safety Target When approaching … psnet.ahrq.gov//#6 https://psnet.ahrq.gov//#7 https://psnet.ahrq.gov/issue/shift-shift-handoff-effects-patient-safety-and-outcomes-systematic-review … Lastly, ED patient volumes have been steadily increasing, motivating the demand for faster patient triage … Shift-to-shift handoff effects on patient safety and outcomes. Am J Med Qual. 2017;32:34-42.

3824. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33864/psn-pdf
      January 01, 2019 - Simulations involving standardized patients are a means to assess selected competencies in patient care … benefit for patients.(9) This finding is superior to the effect sizes for patient outcomes reported … safety (latent safety threats).(16) In that study, researchers made extensive use of simulation before … /psnet.ahrq.gov//#ref1 https://psnet.ahrq.gov//#ref1back https://www.ahrq.gov/professionals/quality-patient-safety … /patient-safety-resources/research/simulation-dictionary/index.html https://psnet.ahrq.gov//#ref2back

3825. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
      April 01, 2008 - and more cephalad rib spaces. 13,14 Furthermore, incision or needle insertion should be made in the safety … Approach to Improving Patient Safety Errors in both judgement and technique led to this adverse outcome … safety: past, present, and future. … December 11, 2024 Patient Safety Innovations Rescue Improvement … April 3, 2024 Facilitators and barriers to the implementation of surgical safety checklist

3826. 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

3827. 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.

3828. 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.

3829. 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

3830. 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.

3831. 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

3832. 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

3833. 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?

3834. 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.

3835. 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

3836. 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.

3837. 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.

3838. 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

3839. 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.

3840. 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.