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Showing results for "patient safety indicators".
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3921. The role of the medical emergency team in end-of-life care: a multicenter, prospective, observational study. | PSNet
      psnet.ahrq.gov/issue/role-medical-emergency-team-end-life-care-multicenter-prospective-observational-study
      July 13, 2010 - In this study, conducted at seven hospitals in three countries, nearly one-third of patients seen by … February 1, 2023 Creating psychological safety in interprofessional simulation for health … Resources Consumers' perspectives on their involvement in recognizing and responding to patient … June 2, 2010 The impact of Rapid Response System on delayed emergency team activation patient

3922. Patient Safety Amid Nursing Workforce Challenges | PSNet
      psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
      April 24, 2024 - Patient Safety Amid Nursing Workforce Challenges . PSNet [internet]. … Patient Safety Amid Nursing Workforce Challenges . PSNet [internet]. … Specifically, having fewer nurses caring for patients is associated with higher patient mortality. … safety—namely, that more effective teamwork and communication mitigate patient safety risks. … Nurse-patient ratios as a patient safety strategy: a systematic review.

3923. Patient Safety Events Involving Opioid Dose Stacking | PSNet
      psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
      July 08, 2022 - SPOTLIGHT CASE Patient Safety Events Involving Opioid Dose Stacking Citation Text … Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. … Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. … sophisticated types of patient monitoring should be considered, specifically for patients with coexisting … Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet].

3924. Microsoft PowerPoint - Spotlight Case_Suicide Attempts_03.17.2023 FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-03/challenging_case_of_multiple_suicide_attempts_in_a_complex_patient_with_psychiatric_comorbidities.pdf
      January 01, 2023 - SAFETY 19 Approaches to Improving Patient Safety: The role of psychiatric consultants (1) • The … Safety: Managing the suicidal patient (1) • Following serious, especially repeated suicide attempts … or milder psychiatric symptoms. 23 Approaches to Improving Patient Safety: Managing the suicidal … patient (2) • One factor that complicates management of medically stable suicidal patients in many … Safety: Family engagement (1) • There is a paucity of research to support the use of family members

3925. Medication Reconciliation Victory After an Avoidable Error | PSNet
      psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
      April 01, 2015 - Safety Goals (NPSG) to reduce the impact of medication errors on patient safety.( 4 ) This case identifies … filled by the patient. … [go to PubMed] 4. 2009 Hospitals' National Patient Safety Goals. … Organization (HRO) Principles and Patient Safety February 26, 2025 … Discrepancies between in-home interviews and electronic medical records on regularly used drugs among home care clients

3926. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33743/psn-pdf
      December 01, 2012 - Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care … within quality improvement programs and routine clinical care.(7,8) It is our belief that every ICU patient … passed safety criteria; (iii) Sedatives were not restarted for patients that passed the SAT and no … longer required them; and (iv) If the patient clinically required restarting sedatives or analgesics … Reducing patient harm from sedation, immobility, and delirium. [Available at] 20.

3927. A Weighty Mistake | PSNet
      psnet.ahrq.gov/web-mm/weighty-mistake
      September 01, 2016 - How can information technology improve patient safety and reduce medication errors in children's health … in patient safety transformation. … May 1, 2015 Telehealth safety framework: addressing a new frontier in patient safety. … July 17, 2024 Development and evaluation of patient safety interventions: perspectives … of operational safety leaders and patient safety organizations.

3928. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866578/psn-pdf
      August 28, 2024 - safety.11 Approaches to Improving Safety  Optimize Human Factors Engineering Clinicians in both the … Reported medication events in a paediatric emergency research network: sharing to improve patient safety … Racial/ethnic disparities and patient safety. Pediatr Clin North Am. 2006;53(6):1197-1215. … Human factors engineering and patient safety. … Minimizing medication errors in pediatric patients. US Pharm. 2018;44(4):20-23.

3929. Pocket Syringe Swap | PSNet
      psnet.ahrq.gov/web-mm/pocket-syringe-swap
      July 01, 2006 - Safety Foundation ( 8 ) has issued a set of recommendations intended to improve safety. … Most anesthesiologists believe that during the transfer of relatively unstable patients from the OR to … These patients are just emerging from anesthesia, and are notoriously subject to several abrupt physiological … Effect of bar-code technology on the safety of medication administration. … ISMP Medication Safety Alert! Acute Care Edition. July 15, 2010;15:1-2.

3930. An Inadvertent Bolus of Norepinephrine. | PSNet
      psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
      December 04, 2016 - Lastly, vasopressor titration is another high-profile patient safety topic; however, discussion of the … More research into this patient safety issue should be conducted. … Pennsylvania Patient Safety Advisory. 2014;11(1):1-7. Westbrook JI, Rob MI, Woods A, Parry D. … May 20, 2019 Challenges and strategies for patient safety in primary care: a qualitative … September 28, 2022 Patient perceptions of safety in primary care: a qualitative study

3931. Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax | PSNet
      psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
      December 14, 2022 - Creating more systematic and proactive follow-up safety nets to ensure patients are improving rather … Safety Research and Practice, and the State of Massachusetts Betsy Lehman Center for Patient Safety, … Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions. … Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools … December 23, 2020 Annual Perspective Patient Safety

3932. In Conversation with…Gerald B. Hickson, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
      December 01, 2009 - We certainly agree that improving system design and process flow will enhance patient safety, but our … The long road to patient safety: a status report on patient safety systems. … Understanding Patient Safety. New York, NY: McGraw-Hill Professional; 2008. 5. Rosenstein AH. … A survey of the impact of disruptive behaviors and communication defects on patient safety. … safety by shifting power from health professionals to patients.

3933. Debriefing for Clinical Learning | PSNet
      psnet.ahrq.gov/primer/debriefing-clinical-learning
      September 15, 2024 - safety and patient care based on a recent event or a hypothetical situation. 1 Debriefing is an important … situation may provide cause for a debrief, highly emotional resuscitations, those involving pediatric patients … They decide to focus on the patient and staff safety concerns and identify gaps in systems, teamwork, … Safety January 31, 2024 Nature of blame in patient safety incident reports: … Patient Safety Primers Improving Patient Safety and Team Communication

3934. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49631/psn-pdf
      July 01, 2011 - Patient Safety and Adherence to Self-Administered Medications July 1, 2011 Spall H, Van-Spall C, Nieuwlaat … Patient Safety and Adherence to Self-Administered Medications. PSNet [internet]. 2011. … https://psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications The Case A … https://psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications The Commentary … Take-Home Points Low adherence is ubiquitous and should be considered in all patients.

3935. In Conversation With… Rebecca Smith-Bindman, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
      October 01, 2013 - She is a national leader in the impact of radiologic testing on patient outcomes, and in the safety—particularly … The 400 or so patients who underwent those CTs—some were older patients who had strokes or were suspected … , bringing radiation safety under the broad umbrella of the patient safety field. … Instead, the patient needs to be informed. … Safety February 26, 2025 Patient Safety Innovations

3936. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.257_slideshow.ppt
      December 01, 2011 - devices among clinicians and their common health care uses Describe the benefits of mobile technology to safety … * * Case: Multitasking Mishap (2) The patient underwent successful PEG tube replacement on hospital … rounding with the attending, the resident was able to enter orders in real time as team members evaluated patients … Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled … enhance communication, access to literature, and connectivity to clinical systems, enhancing quality, safety

3937. Lethal Vertigo | PSNet
      psnet.ahrq.gov/web-mm/lethal-vertigo
      September 20, 2011 - When patients experience vertigo for the first time, especially if associated with nausea and vomiting … A small percentage of patients with vertigo will require admission to the hospital to treat dehydration … ENG in the emergency room: subtest results in acutely dizzy patients. … Safety Innovations Remote Response Team and Customized Alert Settings Help Improve … 31, 2023 Annual Perspective Improving Diagnostic Safety

3938. In Conversation with...Katie Boston-Leary about Patient Safety Amid Nursing Workforce Challenges | PSNet
      psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
      April 24, 2024 - Nurse-patient ratios as a patient safety strategy: a systematic review. … to patient care, and having an appropriate nurse staffing level is critical to patient safety. … Specifically, having fewer nurses caring for patients is associated with higher patient mortality. … Addressing Workforce Challenges Nurses are essential to patient care and patient safety, as they are … safety—namely, that more effective teamwork and communication mitigate patient safety risks.

3939. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73434/psn-pdf
      June 30, 2021 - Approach to Improving Safety & Patient Safety Target Given the importance of communication between radiologists … safety. … should be incorporated into a systems-level model for improving patient safety. … Available at: https://www.jointcommission.org/resources/patient-safety-topics/sentinel-event/. … https://www.merriam-webster.com/dictionary/communication https://www.jointcommission.org/resources/patient-safety-topics

3940. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838220/psn-pdf
      September 27, 2019 - Through primary care, patients can develop a long-standing https://psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface … AHRQ is the lead federal agency for patient safety research. … A Closer Focus on Access and its Impact on Patient Safety In addition to enhancing diagnostic safety … Settings by Engaging Patients and Families Toolkit for Engaging Patients to Improve Diagnostic Safety … Patient safety in primary care. 2020.