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Showing results for "patient safety indicators".
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3901. Psn-Pdf (pdf file)
      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

3902. Microsoft PowerPoint - FINAL Spotlight Case_A Complicated Course-Severe Alcohol Withdrawal - SLIDES.pptx (pdf file)
      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.

3903. In Conversation With… Eric J. Topol, MD | PSNet
      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.

3904. Multiple Missed Opportunities for Suicide Risk Assessment in Emergency and Primary Care Settings | PSNet
      psnet.ahrq.gov/web-mm/multiple-missed-opportunities-suicide-risk-assessment-emergency-and-primary-care-settings
      May 26, 2021 - assess patients. … safety risk. … Safety Research and Practice, and the State of Massachusetts Betsy Lehman Center for Patient Safety, … September 23, 2020 Cybersecurity in health is an urgent patient safety concern: we can … learn from existing patient safety improvement strategies to address it.

3905. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74120/psn-pdf
      November 30, 2021 - Approaches to Improving Safety Palliative Care and Hospice as Patient Safety Systems-based interprofessional … Together, the two approaches to care improve quality, including patient safety. … When a patient is not on hospice, safety concerns focus on keeping the patient alive and free from complications … While preventing complications remains part of patient safety, preventing death is no longer a safety … Patient Safety and Quality: An Evidence-Based Handbook for Nurses.

3906. Diuretics and Electrolyte Abnormalities | PSNet
      psnet.ahrq.gov/web-mm/diuretics-and-electrolyte-abnormalities
      February 15, 2017 - At the visit, the patient complained of worsening lower extremity edema over the prior few weeks. … The patient was treated with hypertonic (3%) normal saline, potassium repletion, and supportive care. … However, the patient should be monitored closely, and diuretic treatment should be stopped if weight … July 6, 2011 MRI safety: prepare for new guidance. … Transitioning between electronic health records: effects on ambulatory prescribing safety

3907. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851099/psn-pdf
      June 28, 2023 - The radial artery, in particular, follows a variable course in different patients. … Approaches to Improving Patient Safety Avoid injecting drugs and air bubbles into arterial lines All … Christian Bohringer, MBBS Consulting Editor, AHRQ, Patient Safety Network (PSNet) Professor of Clinical … The Pennsylvania Patient Safety Authority. … Tubing Misconnections: Making the Connection to Patient Safety.

3908. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.314_slideshow.ppt
      February 01, 2014 - The nurse informed the physician that the patient was having significant pain and liquid opioids had … For added safety, the pharmacist personally retrieved, labeled, and delivered the drug and a calibrated … A covering nurse checked on the patient and found him unconscious—a code blue was called. … Pa Patient Saf Advis. 2013;10:27-33. … he was taking Solutions: Patients and families should be empowered to ask questions about their medications

3909. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49811/psn-pdf
      November 01, 2017 - A new hospitalist assumed care of the patient on the third hospital day. … The mortality rates for thyroid storm range from 10%–75% of hospitalized patients.(1) Myxedema coma … presents in older women—frequently in the winter months—but it can occur in both sexes and in younger patients … amiodarone-induced thyrotoxicosis or amiodarone-induced hypothyroidism may develop in 14% to 18% of all patients … Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain

3910. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49420/psn-pdf
      October 01, 2003 - adult hospital, investigators at Brigham and Women’s Hospital found that cross-coverage of unfamiliar patients … communication develop, as working conditions improve, and as the culture of medicine gradually becomes more safety-conscious … this particular scenario from unfolding: Health care providers should establish a system to provide patients … Designated ED staff (perhaps triage nurses) should confirm the reason for referral of all patients sent … The nature of adverse events in hospitalized patients.

3911. Doctor, Don't Treat Thyself | PSNet
      psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself
      August 21, 2024 - If you are anxious about treating other physicians, you should not accept such patients. … Between two worlds: physicians as patients. In: Sickness and healing. … August 16, 2017 Learning from patient safety incidents involving acutely sick adults … safety. … Related Resources Annual Perspective Improving Diagnostic Safety

3912. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74149/psn-pdf
      January 07, 2022 - better assess patients. … safety risk. … Safety Research and Practice, and the State of Massachusetts Betsy Lehman Center for Patient Safety … j.jad.2018.02.045 https://doi.org/10.1001/jama.294.16.2064 https://www.jointcommission.org/resources/patient-safety-topics … Why therapists stopped creating no-harm contracts for safety. Pollen.

3913. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49579/psn-pdf
      March 21, 2009 - Although the majority of patients seen in EDs present directly or are brought by ambulance, many are … The 2008 Joint Commission Patient Safety Goal 2E requires all health care providers to "implement a … 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.

3914. Inpatient Stroke Management in an Adolescent with Type 1 Diabetes and Home Insulin Pump | PSNet
      psnet.ahrq.gov/web-mm/inpatient-stroke-management-adolescent-type-1-diabetes-and-home-insulin-pump
      February 01, 2023 - safety when managing hospitalized patients on home insulin pumps   The Case  A 14-year-old girl … Safety   In the case outlined above, patient/caregiver resistance coupled with provider knowledge … recognition of hypoglycemia. 1 0  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

3915. Assessing the Safety of Electronic Health Records: What Have We Learned? | PSNet
      psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
      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.

3916. When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy | PSNet
      psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
      March 18, 2020 - Safety and sedation-associated adverse event reporting among patients undergoing endoscopic cholangiopancreatography … Procedural sedation for adult patients: an overview. … safety. … November 2, 2011 Perspective Establishing a Safety Culture … November 15, 2023 Facilitators and barriers to the implementation of surgical safety

3917. In Conversation With… Reed V. Tuckson, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md
      September 01, 2016 - We spoke with him about telemedicine and patient safety. Dr. Robert M. … Telemedicine and Patient Safety September 1, 2016 Perspective A paradigm shift is ongoing … Suggestions to increase patient safety in telemedicine include: (i) patient safety awareness should permeate … Doing so should allow us to use these technologies to improve patient safety. … Patient safety and telephone medicine: some lessons from closed claim case review.

3918. Antiseizure Medication Disorder | PSNet
      psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
      April 01, 2006 - The therapeutic index (ratio between toxic dose and therapeutic dose, a measure of the relative safety … April 1, 2006 AHRQ's Hospital Survey on Patient Safety Culture: psychometric … Safety (TOPS) experience. … outcomes: results from the Triad for Optimal Patient Safety (TOPS) project. … Safety and Adherence to Self-Administered Medications July 1, 2011 View More

3919. Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation | PSNet
      psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
      November 25, 2020 - to chronic opioid use in 20% of these patients, but can also be idiopathic in nature. 5 All patients … Barnes, MD, FACEP Consulting Editor, AHRQ, Patient Safety Network (PSNet) Health Science Clinical Professor … An accuracy study in critically ill patients. … Reducing the risk of delayed colorectal cancer diagnoses through an ambulatory safety … June 12, 2024 Patient Safety Innovations Journal

3920. Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy | PSNet
      psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertion-latex-drain-patient-known-latex-allergy
      July 08, 2022 - Efforts to improve safety of patients and workers led to the introduction of Universal Precautions (now … and Patient Safety Target When the increasing incidence of latex allergy was initially identified, … The Pennsylvania Patient Safety Authority (PPSA) undertook such research and published the results on … Individuals involved in patient safety should work on such automatic preventions to avert adverse events … September 23, 2020 Emergency medicine quality improvement and patient safety curriculum