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psnet.ahrq.gov/node/73200/psn-pdf
April 28, 2021 - Approach to Improving Safety & Patient Safety Target
https://psnet.ahrq.gov//#1
https://psnet.ahrq.gov … 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 … one of the most important means through which to empower physicians, trainees, and nurses
to improve safety … Educate patients, nursing staff, and physicians on risk factors for DKA and its symptoms in patients
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psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
January 29, 2021 - Approaches to Improving Patient Safety Avoid and discourage working while tired Clinicians should avoid … Christian Bohringer, MBBS Consulting Editor, AHRQ, Patient Safety Network (PSNet) Professor of Anesthesiology … Patient safety, resident education and resident well-being following implementation of the 2003 ACGME … Patient safety outcomes under flexible and standard resident duty-hour rules. … The fatigued anesthesiologist: a threat to patient safety?
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psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
September 18, 2024 - with abdominal pain; this is particularly true in patients with obesity. … The knowledge gained from such an analysis can be used to improve patient safety. … Effect of emergency department crowding on outcomes of admitted patients. … Assessing the Safety of Electronic Health Records: What Have We Learned? … August 30, 2023
The safety journal: lessons learned with an error reporting tool
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psnet.ahrq.gov/node/857059/psn-pdf
November 29, 2023 - safety. … Safety
Patients who require anticoagulant and/or antiplatelet therapy to minimize thrombotic risk are … Safety of percutaneous endoscopic gastrostomy in high-risk patients. … AHRQ Patient
Safety Network. Accessed November 6, 2023. [Free full text]
28. Pinto A, Brunese L. … Patient safety at handoff in rehabilitation medicine.
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psnet.ahrq.gov/web-mm/challenging-case-multiple-suicide-attempts-complex-patient-psychiatric-comorbidities
September 27, 2023 - Approaches to Improving Safety
The role of psychiatric consultants
The role of the psychiatric consultant … the primary treating physician could have rejected the psychiatry consultant’s opinion regarding the safety … Alcohol Withdrawal with Dexmedetomidine Infusion
July 31, 2023
Filling a gap in safety … June 14, 2023
Patients who die by suicide: a study of treatment patterns and patient … safety incidents in Norway.
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psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
February 01, 2017 - The relation between teamwork and patient safety. In: Carayon P, ed. … Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. … TeamSTEPPS: Team Strategies and Tools to Enhance Performance and Patient Safety. … In: Advances in Patient Safety: New Directions and Alternative Approaches. … Over the last 15 years, you have another overlay—the patient safety and quality movements.
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psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
May 16, 2022 - safety, and those are relatively new; what are some other ways that historically patient safety has … version of the surveys on patient safety, or the EMS SOPS. … monitoring patient safety in the prehospital setting suggests that safety surveillance systems have … Patient Safety Incidents
Perhaps one sign of EMS’s emergence in the field of patient safety is the … of patient safety, is also becoming feasible in the prehospital setting.
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psnet.ahrq.gov/node/33837/psn-pdf
July 01, 2017 - We spoke with her about legal issues in patient
safety.
Dr. Robert M. … How did the dynamic of that relationship change when the patient safety field became a thing 15
years … safety movement and additional research on the causality of medical error, we
become more aware that … They reduce the underlying
safety problems that can lead to injuries that lead to claims. … Then there's the possibility
that plaintiffs' attorneys and their clients will come to expect that when
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psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
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 … KH : If we could go to patient safety programs, the federal partners, or other organizations leading … patient safety work and say, listen, let's use five measures, whether process or outcome measures, that … I think we need to be thinking about what our quality improvement and patient safety initiatives achieved
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psnet.ahrq.gov/node/845472/psn-pdf
March 15, 2023 - s Maritime
Medical Access program, and patient safety considerations in the remote environment. … /perspective/telehealth-and-patient-safety-during-covid-19-response
https://psnet.ahrq.gov/perspective … How has patient safety been part of that evolution? … Sarah Mossburg: It sounds like one of the ways that you maintained patient safety with the increased … If you put all those things
together, you have a great impact on health outcomes and patient safety.
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psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
January 01, 2021 - Pennsylvania Patient Safety Advisory. 2014;11(1):1-7.
25. Westbrook JI, Rob MI, Woods A, Parry D. … BMJ quality
& safety. 2011 Dec 1;20(12):1027-34.
26. … BMJ quality & safety. 2017 Feb 1;26(2):131-40.
27. … BMJ Quality & Safety. 2005 Apr 1;14(2):80-6.
28. … BMJ quality & safety. 2018 Nov 1;27(11):892-901.
29.
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psnet.ahrq.gov/node/49748/psn-pdf
December 01, 2015 - Is the patient taking antacids rich
in salt? Has the patient stopped a prescribed diuretic? … patients presenting with tense and large
volume, such as the patient in this case. … Does the patient have SBP? And if so, does that affect your management? … There are no data on the safety
of large volume paracentesis in patients with SBP. … When should the patient be given albumin?
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psnet.ahrq.gov/node/72911/psn-pdf
March 15, 2021 - Patient Safety and Quality,
1–14. … Pennsylvania Patient Safety Authority 12 (No. 2): 49–83.
9. Horton, Jon D., and Bruce M. … “National Patient Safety Goals.” 2006. Bulletin of the American College of Surgeons 91 (8): 49. … “Teach-Back:
Intervention,” 1–2. https://www.ahrq.gov/patient-safety/reports/engage/interventions/teachb … //doi.org/10.23937/2469-5793/1510013
https://doi.org/10.1007/978-3-319-16068-9
https://www.ahrq.gov/patient-safety
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psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
July 20, 2016 - The patient now complained of severe pain. … The patient eventually recovered from his sepsis and was discharged home. … 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.
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psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
August 01, 2018 - He holds the Norman Ty Smith Chair in Patient Safety and Medical Simulation. … Wachter : From the early days, was your view of simulation that it was about patient safety? … You ask a question that gets at a fundamental problem with patient safety in health care; we cannot measure … Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety
November 27, 2023 … Five topics health care simulation can address to improve patient safety: results
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psnet.ahrq.gov/node/33870/psn-pdf
November 01, 2018 - In other words, a patient's PCP remained the physician-of-record when a patient
needed to be hospitalized … Finally, growing pressures to improve quality and safety created a new paradigm which emphasized
systems … No: discontinuity can improve patient care. West J Med.
2001;175:5. [go to PubMed]
5. … Response to David Meltzer's paper "Hospitalists and the doctor-patient relationship." … Trying to put a value on the doctor-patient relationship. New York Times Magazine. May 16,
2018.
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psnet.ahrq.gov/web-mm/deadly-duo
April 28, 2021 - Patient Safety in Home Dialysis
April 28, 2021 … Safety Collaborative. … March 20, 2019
Resource-based view on safety culture's influence on hospital performance … September 19, 2018
Hospital cultural competency and attributes of patient safety culture … October 27, 2021
Speaking up about patient safety in psychiatric hospitals - a cross-sectional
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.127_slideshow.ppt
May 01, 2006 - Due to signs of dehydration, the patient was directly admitted to the hospital. … The x-ray was clearly labeled as belonging to the patient. … Cheese Model"
Hospitals put defenses into place to prevent errors from doing harm
Training programs; safety … This good fortune might reflect robustness of the patient (eg, a patient with penicillin allergy receives … penicillin
postoperative wound infection
hospital-acquired delirium (or "sun downing") in elderly patients
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psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
November 16, 2022 - constitute as many as half or more of all positive blood cultures in some centers, are very costly to patients … Clinical utility of blood cultures drawn from indwelling central venous catheters in hospitalized patients … October 16, 2024
Understanding the peer, manager, and system influence on patient safety … October 7, 2011
Point-of-care testing, medical error, and patient safety: a 2007 assessment … August 9, 2011
Patient safety and error reduction in surgical pathology.
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psnet.ahrq.gov/sites/default/files/2024-11/spotlight_case_neurological_red_flags_final.pptx
January 01, 2024 - SAFETY
36
Approaches to Improving Patient Safety (1)
Misdiagnosis of patients with acute dizziness … Safety (2)
It is not uncommon for emergency clinicians to use symptom-only diagnoses. … with episodic dizziness has been proposed.45
39
39
Approaches to Improving Patient Safety (4) … Safety (5)
41
Note: This algorithm applies to patients who have episodes of dizziness, are currently … Safety (6)
Another systems-based issue is the rational use of imaging.