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Showing results for "patient safety indicators".
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3961. The Hidden Danger of Unseen Intravenous Catheters | PSNet
      psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
      October 04, 2023 - A Systematic Approach to Improving Patient Safety This case illustrates how failure to adhere to patient … classification level III or higher. 7 Pediatric anesthesiologists are uniquely qualified to care for patients … saline, may be useful in determining the intravascular position of intravenous catheters in pediatric patients … In the operating room, patients receive greater volumes of fluids at higher administration rates. … catheter insertion is preferable to internal jugular central venous catheter insertion in pediatric patients

3962. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60857/psn-pdf
      August 26, 2020 - Many processes and procedures to promote patient safety in the operating room setting may be applied … Beware of finger tourniquets: a case report and update by the National Patient Safety Agency. … the National Patient Safety Agency. … National Patient Safety Agency rapid response report: reducing the risk of tourniquets left on after … National Patient Safety Agency, 2009a. 

3963. Playing Well with Others: "Translocational Research" in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
      September 01, 2005 - Playing Well with Others: "Translocational Research" in Patient Safety Robert M. … Playing Well with Others: "Translocational Research" in Patient Safety. PSNet [internet]. … Playing Well with Others: "Translocational Research" in Patient Safety. PSNet [internet]. … In: Making Health Care Safer: A Critical Analysis of Patient Safety Practices. … An American View of the UK's Patient Safety Enterprise: Top Down vs.

3964. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836892/psn-pdf
      April 07, 2022 - ED also stresses the ED system which can impact safety for all patients.8 Description of the Innovative … Ongoing research endeavors include patient outcomes research; research on novel patient care diagnostics … study looked at patient outcomes and resource use associated with EC3 implementation. … Innovation Patient Safety Focus This patient safety innovation addresses the problem of longer ICU stays … as everyone’s patients.

3965. Procedure Complications – Who is Responsible for Follow up? | PSNet
      psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
      July 31, 2023 - 4 Pain is the most frequent and sensitive finding in esophageal perforation, occurring in 70% of patients … Workflow for improving patient safety and communication after endoscopic perforation Procedural complications … Management and outcomes of esophageal perforation: a national study of 2,564 patients in england. … January 8, 2020 Assessing the effectiveness of engaging patients and their families in … Related Resources Patient Safety Innovations Rescue Improvement

3966. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33754/psn-pdf
      September 01, 2013 - Robert Wachter, Editor, AHRQ WebM&M: What got you interested in patient safety? … She gave a calcium chloride overdose to one of her pediatric patients. … RW: Do you think that patients and the citizenry more broadly, the political apparatus, is willing to … If you're the patient or your loved one is the patient, it takes on a completely different nature. … https://psnet.ahrq.gov/issue/balancing-no-blame-accountability-patient-safety SD: I will first commit

3967. The Wrongful Resuscitation | PSNet
      psnet.ahrq.gov/web-mm/wrongful-resuscitation
      October 12, 2012 - Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety November 27, 2023 … Nursing Education in Patient Safety November 27, 2023 Association of current … and patients in a national sample. … March 6, 2005 Improving patient safety by repeating (read-back) telephone reports of … December 23, 2008 Crew resource management improved perception of patient safety in the

3968. Medication Reconciliation: Whose Job Is It? | PSNet
      psnet.ahrq.gov/web-mm/medication-reconciliation-whose-job-it
      May 01, 2018 - against the physician's admission, transfer, and/or discharge orders.( 14 ) Given the patient safety … risk posed by medication discrepancies during transitions of care, leading patient safety organizations … Patient-physician communication at hospital discharge and patients' understanding of the postdischarge … Joint Commission. 2006 Critical access hospital and hospital national patient safety goals. … OSF healthcare's journey in patient safety. Qual Manag Health Care. 2004;13:53-59.

3969. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest | PSNet
      psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
      February 01, 2023 - Approach to Improving Safety & Patient Safety Target  Protocol-based management of medical problems … are key points of potential intervention for ensuring patient safety.  … Shift-to-shift handoff effects on patient safety and outcomes.  … Management of Sepsis May 31, 2023 Patient Safety Innovations … and Quality April 26, 2023 Patient Safety Innovations

3970. Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient. | PSNet
      psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
      February 21, 2020 - Approaches to Improving Patient Safety Effective use of electronic health records (EHRs) One of the strengths … 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 … and latent safety threats in adult tracheostomy care. … October 21, 2020 Association of rapid response teams with hospital mortality in Medicare patients

3971. In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles | PSNet
      psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
      August 28, 2024 - President for Patient Safety at Inova Health System. … after coronary artery bypass grafting, and then in two months, we had three patients experience SSI, … patients with behavioral health needs on medical-surgical units. … This includes the words we use to talk about safety, how we talk to patients differently around safety … This approach to patient safety is referred to as Safety-I , which defines safety as a condition where

3972. Discharging Our Responsibility | PSNet
      psnet.ahrq.gov/web-mm/discharging-our-responsibility
      January 16, 2019 - Successful patient education is an interactive process in which patients and caregiver participate by … February 19, 2013 A case for safety leadership team training of hospital managers. … February 15, 2017 Transforming concepts in patient safety: a progress report. … safety infrastructure. … Safety Innovations Preventing Falls Through Patient and Family Engagement to Create

3973. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73334/psn-pdf
      August 01, 2024 - More research into this patient safety issue should be conducted. … Pennsylvania Patient Safety Advisory. 2014;11(1):1-7. 25. Westbrook JI, Rob MI, Woods A, Parry D. … 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.

3974. Too Hot For Comfort | PSNet
      psnet.ahrq.gov/web-mm/too-hot-comfort
      May 19, 2015 - Use in Patients with Pain A Cochrane review of the use of warming therapy in rheumatoid arthritis … (RA) found no objective improvements but also found no adverse reactions and that patients preferred … top of, not underneath, the patient, if possible. … Patient education and instruction regarding use of a heating device are important parts of any therapy … for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical

3975. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851158/psn-pdf
      June 28, 2023 - In a recent contemporary review of more than 1.09 million diagnostic left heart catheterizations in patients … Although these pigtail catheters have an established safety record, at least one such product was recalled … If patient safety is jeopardized at any point, all team members should feel free to voice their concern … periprocedural bleeding and long-term outcomes following percutaneous coronary intervention in older patients … Validation of the Academic Research Consortium High Bleeding Risk Definition in Contemporary PCI Patients

3976. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49404/psn-pdf
      June 01, 2003 - Plateauing or declining patterns may prompt early intervention (uterine aspiration) in symptomatic patients … These two classifications systems are often used together when assessing patients with first trimester … of her bicornuate uterus, several important safety nets also failed. … Pre-anesthesia checklists to improve patient safety. … Making health care safer: a critical analysis of patient safety practices.

3977. Poor Prognosis | PSNet
      psnet.ahrq.gov/web-mm/poor-prognosis
      March 15, 2016 - those predictions to patients. … April 3, 2019 Professionalising patient safety? … Findings from a mixed-methods formative evaluation of the patient safety specialist role in the English … January 31, 2011 National Patient Safety Agency: combining stories with statistics to … Safety Innovations Preventing Falls Through Patient and Family Engagement to Create

3978. In Conversation with...Atul Gawande, MD, MA, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph
      September 01, 2007 - We asked him to speak with us about professionalism, training, patient safety, and the writing process … We have patients who die. We have patients in pain. … safety officers that this conference can be transformed into a vibrant patient safety curriculum. … Critical issues of patient safety are discussed. … This culture—the culture of medicine—never canonized patient safety. Until now.

3979. Overdose on Oxygen? | PSNet
      psnet.ahrq.gov/web-mm/overdose-oxygen
      August 02, 2023 - Role of Graduate Medical Education (GME) in Improving Patient Safety February 1, 2010 … December 2, 2020 The Anesthesia Patient Safety Foundation Stoelting Conference 2019: … patient safety concepts in undergraduate medical students. … April 30, 2014 Effects of a team-based assessment and intervention on patient safety … February 9, 2011 The WHO patient safety curriculum guide for medical schools.

3980. In Conversation with…Carolyn Clancy, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
      September 01, 2005 - One is building the evidence base about patient safety in settings beyond the hospital. … A second great area is health information technology [HIT] to improve patient safety. … We don't just struggle with this in patient safety, we struggle with it on the U.S. … In: Making Health Care Safer: A Critical Analysis of Patient Safety Practices. … Improving patient safety by repeating (read-back) telephone reports of critical information.