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Showing results for "patient safety indicators".
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3861. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49782/psn-pdf
      January 01, 2017 - The patient now complained of severe pain. … The patient eventually recovered from his sepsis and was discharged home. … references Although our study focused on the length of the infusion, other evidence points to the relative safety … be inserted may prolong the time the patient is in shock. … Safety of peripheral intravenous administration of vasoactive medication.

3862. The Impact of Communication on Medication Errors | PSNet
      psnet.ahrq.gov/web-mm/impact-communication-medication-errors
      August 01, 2009 - Patient Safety and Quality , 1–14. Andreica, Ivyruth; Grissinger, Matthew; 2015. … Pennsylvania Patient Safety Authority 12 (No. 2): 49–83. Horton, Jon D., and Bruce M. … https://www.ahrq.gov/patient-safety/reports/engage/interventions/teachb… . … council: a model for satisfying CLER Pathways to Excellence patient safety goals. … Safety Primers Deprescribing as a Patient Safety Strategy October 27, 2021

3863. In Conversation with…William B. Weeks, MD, MBA | PSNet
      psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
      May 01, 2009 - We asked him to speak with us about the business case for improving patient safety. Dr. … I also think that patient safety is kind of a moral imperative. … Patient Safety: A Perspective from Office Practice May 1, 2009 Perspective Most patient … Many potential and actual safety problems occur there as well.( 1 ) Yet patient safety literature and … Patient Safety Issues in the Office-Based Setting.

3864. Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue. | PSNet
      psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
      October 28, 2020 - Patients may also report salt craving if mineralocorticoid production is affected. … symptoms, particularly during an isolated patient encounter. … safety in several ways. … Adrenal crisis: prevention and management in adult patients. … safety, healing, and satisfaction in an adult inpatient environment.

3865. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/84413/psn-pdf
      February 23, 2022 - low back pain management Discuss how pain-related stigma can compromise effective, timely care for patients … Lung cancer is the leading cause of cancer deaths and must be considered in patients with historical … Systematic Approach to Improving Patient Safety Diagnosis This case demonstrates how a delay in diagnosis … can lead to significant and catastrophic outcomes for patients. … Red flags to screen for malignancy and fracture in patients with low back pain: systematic review.

3866. In Conversation With… Paul H. O'Neill, MPA | PSNet
      psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
      January 01, 2017 - He also has a strong interest in patient safety. … We spoke with him about workplace safety and its relationship to patient safety and organizational excellence … It's about the patient, and such a focus might be a distraction from patient safety. … PO : It would be such a blessing if we could raise our game in both worker safety and patient safety … Workplace Safety in Health Care January 1, 2017 Perspective The patient safety movement

3867. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression | PSNet
      psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
      May 26, 2021 - PCA Prescribing and Administration The safety of opioid use in high-risk patients can be improved through … Safety Issues with Patient Controlled Analgesia Part II - How To Prevent Errors ISMP Medication Safety … Safety and patient-controlled analgesia: part 2: how to prevent errors. P T. 2008;33(1):8-9. … San Diego Patient Safety Council. … Capnography monitoring enhances safety of postoperative patient-controlled analgesia.

3868. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49660/psn-pdf
      August 01, 2012 - 200 mg/dL) were never followed up by patients' clinicians, and about 9% of these patients likely had … Patient safety in the ambulatory setting. A clinician- based approach. … Timely follow-up of abnormal outpatient test results: perceived barriers and impact on patient safety … J Patient Saf. 2008;4:241-244. … safety.

3869. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60362/psn-pdf
      April 13, 2018 - The maternal safety bundles currently being implemented in the state include bundles for hypertensive … High patient satisfaction: All patients receiving the program’s telemedicine consultation services indicated … saving each patient on average $75-$150. … Innovation Patient Safety Focus Increasing access to specialized obstetric services for patients in … rural communities via telehealth reduced patient safety events associated with high-risk pregnancies

3870. Chest Tube Complications | PSNet
      psnet.ahrq.gov/web-mm/chest-tube-complications
      September 27, 2023 - The committee noted that this variation led to confusion among bedside nurses about how to monitor patients … 9 ) recommends a few hours of clamping followed by chest radiography when there is doubt about the safety … data and recommends a clamp trial if there is any doubt whether an air leak has sealed (or for all patients … March 15, 2023 Diagnostic Safety Across Transitions of Care Throughout the Healthcare … April 5, 2013 Exploring the barriers and facilitators of psychological safety in primary

3871. Duplicate Therapies in Retail Pharmacy | PSNet
      psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
      August 05, 2022 - Patients' memory for medical information. … safety concerns during the COVID-19 pandemic. … October 28, 2020 Patient safety education 20 years after the Institute of Medicine report … enhancing collaboration between community pharmacists and primary care providers to improve medication safety … The impact of electronic communication of medication discontinuation (CancelRx) on medication safety

3872. In Conversation with...Lucian Leape, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
      August 01, 2006 - patient safety began in 1972. … We stumbled into patient safety, a term that had yet to be coined. … tell, that was the first use of the term "patient safety." … This focus on safety led to significant decreases in risks to patients. … Safety in anesthesia is still not absolute, however, and high-risk patients still suffer far too many

3873. Recurrent Hypoglycemia: A Care Transition Failure? | PSNet
      psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
      December 23, 2020 - encounter, would provide additional safety. … The more potent layer is the involvement of people who know the patient best—patients themselves and … November 9, 2022 Advancing the future of patient safety in oncology: implications of … patient safety education on cancer care delivery. … Safety Innovations Preventing Falls Through Patient and Family Engagement to Create

3874. Communication Failure—Who's in Charge? | PSNet
      psnet.ahrq.gov/web-mm/communication-failure-whos-charge
      April 01, 2018 - Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review. … Jt Comm J Qual Patient Safety. 2008;34:333-341. [go to PubMed] 14. … May 18, 2022 Transforming the morbidity and mortality conference to promote safety and … April 28, 2021 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … safety implications.

3875. Mismanagement of Delirium | PSNet
      psnet.ahrq.gov/web-mm/mismanagement-delirium
      February 13, 2014 - ' safety and well-being.( 12 ) The outcomes in this case might have been dramatically improved if … Safety in the Emergency Care Setting. … Error June 1, 2018 WebM&M Cases Complaints as Safety … Johnson February 1, 2013 Perspective Quality and Safety … Inouye, MD, MPH December 1, 2012 The neurologist and patient safety.

3876. In Conversation with…Eric G. Poon, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-witheric-g-poon-md-mph
      September 01, 2008 - Poon's research has focused on using health information technology to improve patient safety. … Poon: Many patient safety technologies are available to prevent medication errors, and CPOE certainly … Some of the uses of barcode technology may not have any direct patient safety impact but definitely could … defense in detecting patient deterioration and protecting patients by recovering errors caused by other … A controlled trial of smart infusion pumps to improve medication safety in critically ill patients.

3877. Acute Care Admission of the Behavioral Health Patient | PSNet
      psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
      July 19, 2023 - Acute Care Admission of the Behavioral Health Patient. PSNet [internet]. … Acute Care Admission of the Behavioral Health Patient. PSNet [internet]. … Tragically, 2 weeks after discharge the patient committed suicide. … In part related to this perceived neurological safety profile, and in part related to studies showing … safety.

3878. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843234/psn-pdf
      January 01, 2013 - Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate … Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate … Therefore, the use and safety of commonly prescribed analgesic agents in the setting of renal dysfunction … Table 2: Opioids in Renal Dysfunction13 Safety in Renal Dysfunction Opioid Starting Dose (opioid naïve … and arthritic pain, with monitoring of renal function.23 Approaches to Improving Patient Safety Computerized

3879. AHRQ PSNet Webinar (pdf file)
      psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
      January 01, 2025 - 6 MHS: Making Healthcare Safer; PSPs: patient safety practices https://www.ahrq.gov/research/findings … /making-healthcare-safer/comparison.html MHS IV Purpose: provide health systems & patient safety leaders … safety issues, & patient/consumer perspective … • STRONGLY DISCOURAGED for improving patient safety: Evidence on this PSP indicates that it is harmful … • Neutral/Prefer not to rate. 15 Today’s Topics • Two patient safety practices: ► Rapid Response

3880. In Conversation With… John D. Birkmeyer, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
      January 31, 2024 - issues for patients. … safety? … or the diligence of postoperative care that drives how patients do. … 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?