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Showing results for "patient safety indicators".
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3941. Psn-Pdf (pdf file)
      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.

3942. The Deadly Duo | PSNet
      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

3943. Spotlight Case (ppt file)
      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

3944. Spotlight
      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.

3945. Contaminated or Not? Guidelines for Interpretation of Positive Blood Cultures | PSNet
      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.

3946. Miscommunication During the Interhospital Transport of a Critically Ill Child | PSNet
      psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
      March 27, 2024 - Hospital-to-Hospital Transfers for Children are Relatively Common and Present a Risk to Patient Safety … risks to patients and their families. … safety. … and patients’ families. … Patient safety incidents during interhospital transport of patients: a prospective analysis.  

3947. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60722/psn-pdf
      February 06, 2023 - Background Diagnostic error has been increasingly recognized as an important and evolving patient safety … In two WebM&M cases published on Patient Safety Network (PSNet), the diagnosis of aortic dissection—diagnosis … crushing-chest-pain-missed-opportunity https://psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department https://psnet.ahrq.gov/issue/patient-safety-recommendations-covid … patients is 80%. … Romano, MD, MPH Co-Editor-in-Chief, AHRQ's Patient Safety Network (PSNet) Professor Departments of

3948. Dissecting the Presentation | PSNet
      psnet.ahrq.gov/web-mm/dissecting-presentation
      May 05, 2021 - and up to 70% in high-risk groups.( 2,4 ) As with the patient in this case, patients with AAD do not … While the absence of chest pain in this patient may seem unusual, it is not—fully one-third of patients … In this patient, a right hilar fullness was noted. … in older patients. … Safety July 1, 2018 WebM&M Cases Missing ECG

3949. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61082/psn-pdf
      July 23, 2020 - Traditional care structures require frequent points of physical interaction, putting both patients and … As such, policymakers and providers must find a balance between ensuring that patients receive needed … care and ensuring the safety of both the patient and the healthcare workforce. … risks associated with usual care needs for this patient population, such as falls and pressure ulcers … https://www.washingtonpost.com/graphics/2020/local/social-issues/coronavirus/nursing-homes-patients-

3950. How Does Health Care Simulation Affect Patient Care? | PSNet
      psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
      August 01, 2018 - Simulations involving standardized patients are a means to assess selected competencies in patient care … for patients.( 9 ) This finding is superior to the effect sizes for patient outcomes reported for conferences … 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? … Safety September 1, 2016 Optimizing Pediatric Patient Safety in the Emergency

3951. A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care. | PSNet
      psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
      July 08, 2022 - Patients with delusions may believe a doctor is trying to harm the patient instead. … Approach to Improving Systemic Safety: Palliative Care and the Interdisciplinary Team Model System … May 12, 2021 Why is patient safety a challenge? … Organization (HRO) Principles and Patient Safety February 26, 2025 … Social risk, health inequity, and patient safety.

3952. In Conversation With... Jack Westfall, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
      September 28, 2022 - patient safety fits into primary care. … Lab safety was one of the conditions for which we found a larger number of patient safety events like … safety on behalf of our patients. … efforts to improve patient safety. … Settings by Engaging Patients and Families Toolkit for Engaging Patients to Improve Diagnostic Safety

3953. In Conversation With… Amy C. Edmondson, PhD, AM | PSNet
      psnet.ahrq.gov/perspective/conversation-amy-c-edmondson-phd-am
      February 01, 2017 - Over the last 15 years, you have another overlay—the patient safety and quality movements. … 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.

3954. Copy and Paste | PSNet
      psnet.ahrq.gov/web-mm/copy-and-paste
      December 10, 2014 - The safety issue raised by this case is not limited to EHRs: how to insure that information specified … Electronic alerts to prevent venous thromboembolism among hospitalized patients. … safety issues. … Safety December 1, 2010 Antibiotic shortages in pediatrics. … , 2012 Electronic alerts to prevent venous thromboembolism among hospitalized patients

3955. The Literature on Health Care Simulation Education: What Does It Show? | PSNet
      psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
      March 01, 2013 - safety. … The conceptual arguments for patient safety are compelling ( 1 ) and these, together with the empiric … safety competency. … February 14, 2015 Aviation tools to improve patient safety. … safety and outcome?

3956. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49675/psn-pdf
      February 01, 2013 - safety issue. … does not appear to offer any evidence-based patient safety measures proven to prevent harm by decreasing … The safety implications of missed test results for hospitalised patients: a systematic review. … CLIA program and HIPAA privacy rule; patients' access to test reports. … Engage patients in following up on pending tests 2.

3957. Challenges of Diabetes Management and Medication Reconciliation | PSNet
      psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
      March 15, 2023 - safety concern as patients move across various levels of care and care settings. … comorbidities, patients with long diabetes duration, or patients with a prior history of hypoglycemia … safety during hospital admission. 15 Additionally, there may be challenges related to providers accessing … safety through medication reconciliation. … Cases Duplicate Insulin Order March 1, 2019 Addressing safety

3958. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846170/psn-pdf
      March 15, 2023 - Patient counseling strategies are an important part of limiting discrepancies and may empower the patient … understand the information provided is https://psnet.ahrq.gov/issue/duplicate-medication-order-errors-safety-gaps-and-recommendations-improvement … Patient counseling, including teach-back, written directions for the patient, and smartphone medication … https://psnet.ahrq.gov//#5 https://www.ahrq.gov/patient-safety/reports/engage/interventions/teachback.html … psnet.ahrq.gov//#8 https://psnet.ahrq.gov//#8 https://psnet.ahrq.gov/primer/pharmacists-role-medication-safety

3959. EMS Perils from Hospital Overcrowding | PSNet
      psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
      November 25, 2020 - Barnes, MD This case highlights several related patient safety issues that can arise when a patient … 1) the harmful effects of hospital and ED crowding on patient safety, 2) the necessity for a safe and … Background Hospital crowding is emerging as an important theme in relation to patient safety. … Officially termed Ambulance Patient Offload Time (APOT) by the California Health and Safety Code, wall … safety, patient experience, and the morale of hospital staff.

3960. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60267/psn-pdf
      March 01, 2021 - Innovation Patient Safety Focus The SASH program personalized care coordination services successfully … and stakeholders to identify ways that providers of affordable housing could support the health and safety … Older Americans 2010: Key indicators of Well- Being. December 2010.