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psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc
October 01, 2016 - We spoke with him about big data and patient safety. Dr. Robert M. … safety fields: prevention of health care–associated infections, for both patients and health care workers … A great deal of additional work is usually required to make it useful for new purposes like patient safety … RW : As the patient safety field emerged, we looked to infection control as maybe the only example within … Health Care Data Science for Quality Improvement and Patient Safety
October 1, 2016
Perspective
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psnet.ahrq.gov/node/49661/psn-pdf
August 01, 2012 - regional anesthesia use has grown in ambulatory surgery, a key contributing factor to the
increased safety … Appropriate policies and procedures should assist facilities in ensuring patient safety. … Maximum score = 10; patients scoring ? 9 are fit for discharge.
Table 2. … Patients should have NO pain, PONV, and shivering Yes/No
3. … Patient has voided Yes/No
5.
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psnet.ahrq.gov/node/49689/psn-pdf
August 21, 2013 - The patient reported no history of bleeding disorders, tobacco use, anesthetic complications, or
other … The following week, the patient underwent an uneventful left hip arthroplasty with general anesthesia … If the patient could not receive a block for technical reasons, patient
preference, or contraindications … satisfaction and decreased patient-controlled analgesia narcotics use.(5) Finally, a patient in this … Efficacy and safety of single and repeated administration of 1
gram intravenous acetaminophen injection
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psnet.ahrq.gov/web-mm/cognitive-overload-icu
June 01, 2005 - safety. … While not an excessive volume of patients, the workload can quickly become unmanageable if multiple patients … safety. … A systematic review of the psychological literature on interruption and its patient safety implications … May 27, 2011
Clinical cognition and biomedical informatics: issues of patient safety.
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psnet.ahrq.gov/node/72835/psn-pdf
March 10, 2021 - If we think about
patient family engagement as an active patient safety strategy, as an engaged person … It’s using that patient
connection as an additional resource and as a strategy to improve safety and … CMS
mandated patient family engagement in the QIOs and in the Partnership for Patients (PfP) and Hospital … KH: If we could go to patient safety programs, the federal partners, or other organizations leading patient … I think we need to be thinking about what our quality improvement and
patient safety initiatives achieved
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psnet.ahrq.gov/perspective/conversation-jose-morfin-md-fasn
April 28, 2021 - KH : In terms of patient safety, how would you describe your role in terms of making sure that patients … safety for every patient and family. … Focusing on the patient safety aspect, what are some of the risks for patients? … Safety in Home Dialysis
April 28, 2021
Dialysis Care and Patient Safety Concerns In patients … April 7, 2022
Perspectives on Safety
Patient Safety
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psnet.ahrq.gov/sites/default/files/2021-11/spotlight_integration_and_coordination_of_disesase_treatment_and_palliative_care_final.pdf
January 01, 2021 - :
Palliative Care and Hospice as Patient
Safety
22
Palliative Care and Hospice as Patient Safety … patients safe do not keep the
hospice patient safe … : Palliative Care and Hospice as Patient Safety
Palliative Care and Hospice as Patient Safety (1) … Palliative Care and Hospice as Patient Safety (2)
Palliative Care and Hospice as Patient Safety (3) … Safety and Communication
Improving Patient Safety and Communication (1)
Take Home Points
Take-Home
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psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
June 01, 2011 - safety. … In some cases, the patients themselves might be interested in procedures or medications that might increase … U.S. inaction lets look-alike tubes kill patients. New York Times. August 21, 2010:A1.
6. … Safety
February 26, 2025
Patient Safety Innovations … Patient Safety Innovations
Remote Response Team and Customized
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psnet.ahrq.gov/node/33785/psn-pdf
May 01, 2015 - issues for patients. … Does your work have
broader implications to the way we're thinking about quality measurement and patient … safety? … RW: If you were a patient and you saw those videos, you would be quite scared that you were going to … What should a patient do today?
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psnet.ahrq.gov/web-mm/compare-and-contrast
July 16, 2019 - Therefore, if a contrast study is what is required to appropriately manage a patient at patient at high … safety outcomes among early-career hospital nurses. … patient safety in hospital nurses. … safety events from home. … July 8, 2020
Engaging patients and informal caregivers to improve safety and facilitate
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psnet.ahrq.gov/node/33756/psn-pdf
October 01, 2013 - She is a national leader in the impact of radiologic testing on patient outcomes, and in the
safety—particularly … Robert Wachter, Editor, AHRQ WebM&M: How did you get interested in the topic of safety in
radiology? … RW: For some safety hazards, when things go wrong you see the results right away. … We should be
leading efforts to increase its safety as opposed to trying to suppress those efforts or … This is what it means to be a radiologist now—it means we have to ensure the safety of what we do.
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psnet.ahrq.gov/node/49606/psn-pdf
August 01, 2010 - Weighing In on Surgical Safety
August 1, 2010
Brodsky JB, Margarson M. … Weighing In on Surgical Safety. PSNet [internet]. 2010. … https://psnet.ahrq.gov/web-mm/weighing-surgical-safety
Case Objectives
Identify the comorbidites associated … comorbidities are probably the most important factors
https://psnet.ahrq.gov/web-mm/weighing-surgical-safety … For any high-risk
patient (and many morbidly obese patients fit into this category), an awake fiberoptic-assisted
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - Commentaries are written by patient safety experts and published monthly. … Have you encountered medical errors or patient safety issues? … Read More
Have you encountered medical errors or patient safety … Have you encountered medical errors or patient safety issues? … can enable care team members to voice concerns about patient safety.
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psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
February 26, 2025 - Even if they miss only 10% of the time, that is a lot of patients for whom they do not have all the details … 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. … Beyond particular patient safety incidents like medication error or patient misidentification, an academic … Work system design for patient safety: the SEIPS model.
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psnet.ahrq.gov/node/61078/psn-pdf
October 28, 2020 - safety when managing hospitalized patients on
home insulin pumps
The Case
https://psnet.ahrq.gov … Safety
In the case outlined above, patient/caregiver resistance coupled with provider knowledge deficits … recognition of hypoglycemia.10 However, there are currently insufficient data on clinical
outcomes and safety … to recommend widespread CGM use in hospitalized patients.22,23 Even if the patient
uses a CGM, point-of-care … An Overview of Safety Issues on Use of Insulin
Pumps and Continuous Glucose Monitoring Systems in the
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.64_slideshow.ppt
June 01, 2004 - words carefully to avoid explicitly stating that an error occurred
Concern that information may harm patient … Physician-patient communication. … A study of patients and relatives taking legal action. … Interventions to Improve Error Disclosure
Provide emotional support to clinicians as component of patient … safety program
Offer communication skills training
Standardized patients, role-playing
Educate physicians
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psnet.ahrq.gov/node/49450/psn-pdf
June 01, 2004 - be told about all harmful errors, to demonstrate respect for
patients and foster honesty in the patient-provider … safety program. … Effective error disclosure could enhance patient safety and improve the quality of care.
Thomas H. … Revisions to joint commission standards in support of patient safety and medical health care error
reduction … Physician-patient communication.
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psnet.ahrq.gov/node/33766/psn-pdf
May 01, 2014 - He is Lead Advisor of the WHO First Global Patient Safety Challenge: Clean Care is Safer
Care. … Regarding the patient position, I completely agree that patients should have the right to benefit from … We have been
involving patients in patient participation and/or patient empowerment strategies for some … They should be partnering with their health care
worker for patient safety and certainly not judging … health care workers on these simple hand hygiene
actions that improve patient safety.
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psnet.ahrq.gov/node/50841/psn-pdf
January 29, 2020 - https://psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
Disclosure … the key aspects of the closed-loop blood delivery pathway and how they ensure transfusion
recipient safety … The Commentary
By Sarah Barnhard, MD
Introduction: Transfusion Safety
The history of the blood supply … safety event in transfusion services must include:
1. … Emily Cooley Lecture 2002: Transfusion safety in the hospital. Transfusion. 2003; 43:1190-
1199.
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psnet.ahrq.gov/node/851568/psn-pdf
July 31, 2023 - Safety Network (PSNet)
Associate Physician Diplomate
Department of Internal Medicine, Division of … Safety Network (PSNet)
Health Sciences Clinical Professor
Department of Psychiatry and Behavioral … Rhew T, Harris S, Degenkolb K, et al. 726: Evaluating the safety and efficacy of lorazepam
continuous … Efficacy and safety of pharmacological interventions for the treatment
of the Alcohol Withdrawal Syndrome … Proper titration orders are essential for patient safety. Am J Crit
Care. 2022;31(2):158-160.