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psnet.ahrq.gov/web-mm/perils-contrast-media
March 01, 2007 - The patient was evaluated by vascular surgery who recommended conservative management with intravenous … enhancement.( 10 ) According to the most recent consensus guidelines published by the Contrast Media Safety … Contrast induced nephropathy: updated ESUR Contrast Media Safety Committee guidelines. … Safety: A Perspective from Office Practice
May 1, 2009
WebM&M … Department
May 1, 2017
WebM&M Cases
Complaints as Safety
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psnet.ahrq.gov/node/33814/psn-pdf
September 01, 2016 - We spoke with him about telemedicine and patient safety.
Dr. Robert M. … RW: Objections to telehealth are often framed in terms of concerns about quality or safety. … There are tools today that will enable a remote physician to see the patient and examine the patient … https://psnet.ahrq.gov/issue/patient-centered-medical-home-resource-center-quality-and-safety
https:/ … /psnet.ahrq.gov/issue/patient-centered-medical-home-resource-center-quality-and-safety
http://health.usnews.com
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psnet.ahrq.gov/node/846915/psn-pdf
March 29, 2023 - Borderline personality disorder is common in patients with a history of substance abuse. … Approaches to Improving Safety
The role of psychiatric consultants
The role of the psychiatric consultant … share responsibility for the patient’s care, either must be able to challenge the other if they have safety … the primary treating physician could have rejected the psychiatry
consultant’s opinion regarding the safety … psnet.ahrq.gov//#13
https://psnet.ahrq.gov//#13
https://psnet.ahrq.gov//#13
https://psnet.ahrq.gov/issue/patient-and-family-engagement-potential-approach-improving-patient-safety-systematic-review
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psnet.ahrq.gov/node/865778/psn-pdf
May 29, 2024 - KDOQI1 and the
Society for Hospital Medicine.3 In the largest published meta-analysis, involving 5,108 patients … psnet.ahrq.gov//#9
https://psnet.ahrq.gov/issue/making-health-care-safer-ii-updated-critical-analysis-evidence-patient-safety-practices … by multidisciplinary teams; all involved urgent and complex procedures in hemodynamically
unstable patients … InMaking Health Care Safer II: An Updated Critical Analysis of the Evidence for
Patient Safety Practices … Profiles in patient safety: misplaced femoral line
guidewire and multiple failures to detect the foreign
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psnet.ahrq.gov/web-mm/navigating-complications-unintended-journey-guidewire-during-dialysis-catheter-placement
February 23, 2022 - and the Society for Hospital Medicine. 3 In the largest published meta-analysis, involving 5,108 patients … by multidisciplinary teams; all involved urgent and complex procedures in hemodynamically unstable patients … InMaking Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices … Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign … Safety Innovations
Remote Response Team and Customized Alert Settings Help Improve
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psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
August 20, 2018 - Murphy, MD, PhD Patient Safety Officer, Emory Healthcare Director of Quality, Emory Critical Care Center … November 16, 2022
To the point: integrating patient safety education Into the obstetrics … August 25, 2010
Teamwork, communication and safety climate: a systematic review of interventions … June 21, 2015
Results of an effort to integrate quality and safety into medical and nursing … October 7, 2011
Patient safety and error reduction in surgical pathology.
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psnet.ahrq.gov/node/49775/psn-pdf
November 01, 2016 - The
admitting team noted the patient had recently been started on abiraterone, an antiandrogen drug … accompany
potassium replacement, and that, by separating out the order sets electronically, an important safety … psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
in patients … ISMP Medication Safety Alert! Acute Care Edition. … Mixed results in the safety performance of
computerized physician order entry.
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psnet.ahrq.gov/perspective/conversation-jane-brice-md-mph
May 01, 2019 - Despite these potential yet known threats, the annual incidence of poor patient safety outcomes in EMS … for both patients and EMS clinicians are higher among EMS organizations with lower safety culture scores … for patients and clinicians. … Promoting a culture of safety as a patient safety strategy: a systematic review. … EMS Provider & Patient Safety in Ambulances project.
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psnet.ahrq.gov/web-mm/transitions-adolescent-medicine
August 04, 2021 - January 25, 2017
Pragmatic insights on patient safety priorities and intervention strategies … safety. … July 19, 2023
Description and evaluation of an interprofessional patient safety course … safety. … safety implications.
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psnet.ahrq.gov/web-mm/rapid-mis-strep
February 01, 2004 - The clinical diagnosis of streptococcal pharyngitis is frequently difficult, in part because patients … One problem with RADTs is illustrated by the patient presented here. … A positive RADT should result in antibiotic therapy for patients with consistent signs and symptoms. … Safety Primers
Simulation Training
March 1, 2023
Implementation … November 16, 2022
Prospective study of the multisite spread of a medication safety intervention
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psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
September 01, 2017 - Of course, EHR-related patient safety exists as a subset of an organization's overall safety programs … Identification and Prioritization of HIT Patient Safety Measures. … Measuring and improving patient safety through health information technology: The Health IT Safety Framework … Health IT and patient safety: a paradigm shift to shared responsibility. … Patient safety goals for the proposed Federal Health Information Technology Safety Center.
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psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
March 27, 2024 - The impact of cognitive and implicit bias on patient safety and quality. … Safety Primers
National Patient Safety Goals
March 27, 2024 … Patient Safety Primers
Improving Patient Safety and Team Communication … Strategies and Approaches for Tracking Improvements in Patient Safety
April 1, … Safety Primers
Telehealth and Patient Safety.
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_hindsight_is_2020_slides_final_revised_05.03.2024.pdf
January 01, 2024 - Approach to Improving Safety & Patient
Safety Target
40
Approach to Improving Safety & Patient Safety … & Patient Safety Target (2)
• Although the medical history and the physical examination are the
bedrock … & Patient Safety Target (3)
• Practice-changing laboratory information should be considered for high … & Patient Safety Target (4)
• Emerging imaging technologies may be useful in patients presenting with … Safety and efficacy of thrombolysis in telestroke: a systematic review and meta-analysis.
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psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
November 27, 2023 - safety into classroom and clinical instruction, and how this affects patient safety as a whole. … harm to patients and providers through system and individual performance.” … (3) work environments that enable nurses to care for patients effectively. … cases that involve safety-related challenges and compel students to consider patient safety principles … Patient safety curriculum. Acad Med . 2000;75(5):551-552.
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psnet.ahrq.gov/node/860049/psn-pdf
January 04, 2024 - Myasthenia Crisis after a Delayed Diagnosis in a
Medically Complex Patient. … Approaches to Improving Patient Safety
Effective use of electronic health records (EHRs)
One of the … Harnessing the
power of problem representation can help us continue to think critically about our patients … that prioritize to-do
lists and clarify loose ends may help us coordinate optimal follow-up care for patients … Notification of abnormal lab test results in an electronic medical
record: Do any safety concerns remain
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psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
July 01, 2004 - The patient was admitted to the orthopedic surgery service to fix the fracture; the surgery was initially … The patient was not placed on venous thromboembolism prophylaxis prior to surgery. … After discussion with his family, the patient was ultimately transitioned to hospice and died several … Several weeks after surgery, this patient was readmitted with a pulmonary embolism, which was likely … Hospitals' Patient Safety Performance
April 1, 2010
Patient safety, systems
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psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - April 8, 2019
Perspective
Implementing a Patient Safety … and public safety, and costs. … August 24, 2022
Identifying and reconciling patients' allergy information within the … safety initiative. … Safety Goals.
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psnet.ahrq.gov/node/49514/psn-pdf
July 01, 2006 - The patient had previously been receiving outpatient care from an ancillary clinic of the hospital. … The patient had two apparent indications for an ACE inhibitor: type 2 diabetes and congestive
heart … Regardless
of whether the patient knew the reason why the drug was discontinued, awareness of the previous … adverse events, which is characteristic of most drugs, highlights the importance of early monitoring for
safety … A patient with left
ventricular systolic dysfunction and diabetes who is receiving a maximal dose of
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psnet.ahrq.gov/sites/default/files/2023-07/spotlight_a_complicated_course.pdf
January 01, 2023 - • The patient was admitted to an intensive care step down unit for close
observation as his CIWA … communicating medication
management plans; improved computerized physician order entry options may improve safety … 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.
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psnet.ahrq.gov/perspective/conversation-eric-j-topol-md
February 26, 2025 - How does a patient do that? … RW : Let's turn to some of the safety issues, and one that readily comes to mind is patient self-management … Right now, I would not think that we have a whole lot of bragging rights to the safety that exists in … to help other patients. … RW : When a patient comes to see Dr.