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3961. A Pill Organizing Plight | PSNet
      psnet.ahrq.gov/web-mm/pill-organizing-plight
      June 19, 2018 - enhance patient safety by mitigating drug discrepancies across the continuum of care. … Recommendations for Medication Management Resources to improve prescribing safety in older patients … The top patient safety strategies that can be encouraged for adoption now. … Discrepancies between in-home interviews and electronic medical records on regularly used drugs among home care clients … Geriatrics Medication Safety View More

3962. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-09/spotlight_lost_in_transitions_of_care_09.22.2021_final.pdf
      January 01, 2021 - care and safety for opioid-dependent patients with chronic pain: – Access Prescription Drug Monitoring … National Patient Safety Goals® Effective January 2021 for the Hospital Program. … Available at: https://www.jointcommission.org/- /media/tjc/documents/standards/national-patient-safety-goals … Patient Safety and Quality: An Evidence-Based Handbook for Nurses. … www.fda.gov/media/83883/download https://www.jointcommission.org/-/media/tjc/documents/standards/national-patient-safety-goals

3963. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49395/psn-pdf
      April 01, 2003 - As a result, the patient received approximately three times the indicated dose. … Lest readers think this error represents a tragic “fluke,” another breast cancer patient received an … safety practices related to order writing. … Doctor's orders killed cancer patient. Boston Globe. March 23, 1995. 2. … Incidence of adverse events and negligence in hospitalized patients.

3964. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843051/psn-pdf
      February 01, 2023 - Approach to Improving Safety & Patient Safety Target Multiple studies have demonstrated the safety of … must be carefully considered alongside important patient safety factors. … Even patients who are monitored overnight after surgery, such as the patient in Case #1, occasionally … Assessing safety and outcomes in outpatient versus inpatient thyroidectomy using the NSQIP: a propensity … score matched analysis of 16,370 patients.

3965. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49795/psn-pdf
      June 01, 2017 - The patient was evaluated by vascular surgery who recommended conservative management with intravenous … /min/1.73 m2, respectively.(7) In that study, only 1 patient out of the 520 studied (0.2%) had severe … enhancement.(10) According to the most recent consensus guidelines published by the Contrast Media Safety … The patient was taken emergently to the operating room and underwent aortic thrombectomy (removal of … Contrast induced nephropathy: updated ESUR Contrast Media Safety Committee guidelines.

3966. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866993/psn-pdf
      October 30, 2024 - In Conversation with Elizabeth Salisbury-Afshar about Harm Reduction Strategies to Improve Safety for … Sarah Mossburg: What are the main safety concerns for people who use substances? … In addiction treatment, harm reduction aims to be welcoming and patient centered. … to find evidence-based, patient-centered services. … It’s also one extra step for patients, but if you're prescribing other meds and you know your patient

3967. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837913/psn-pdf
      August 31, 2022 - Hospital-to-Hospital Transfers for Children are Relatively Common and Present a Risk to Patient Safety … safety. … and patients’ families. … Take Home Points The pediatric interfacility transfer process presents a potential risk to patient safety … Patient safety incidents during interhospital transport of patients: a prospective analysis.  

3968. Coming Up Short | PSNet
      psnet.ahrq.gov/web-mm/coming-short
      May 20, 2020 - The patient has since begun thyroid replacement therapy and is likely to grow and develop with thyroid … Related Resources From the Same Author(s) Apparent cause analysis: a safety

3969. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49389/psn-pdf
      February 01, 2003 - The patient had undesired fertility and was sure of her decision for permanent sterilization. … The patient had an uncomplicated postoperative course. … Serial Dopplers of distal arterial pulses were normal, and the patient was discharged home in stable … The patient was obese, which added somewhat to the complexity, but nevertheless the procedure was considered … Administration by manufacturers from 1993 through 1996, injuries occurred both with the use of a trocar with a safety

3970. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837958/psn-pdf
      December 01, 2021 - 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.

3971. Disclosure of Medical Error | PSNet
      psnet.ahrq.gov/perspective/disclosure-medical-error
      January 01, 2009 - safety efforts. … Recent presidential candidates have touted using disclosure as part of a centerpiece of patient safety … Making patient safety the centerpiece of medical liability reform. … March 1, 2012 Quality and patient safety improvement is never finished. … April 22, 2016 Legal and policy interventions to improve patient safety.

3972. In Conversation with...Eric Coleman, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
      December 01, 2007 - RW: One of the key epiphanies of the patient safety movement is that it's mostly about systems. … More importantly, what can be done to improve patient safety in this setting? … However, other domains crucial to patient safety and continuity of care—such as discharge medications … safety and continuity of care. … Safety January 31, 2024 Patient Safety Innovations

3973. In Conversation With… David M. Gaba, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-david-m-gaba-md
      March 01, 2013 - safety. … The conceptual arguments for patient safety are compelling ( 1 ) and these, together with the empiric … safety concerns, and available resources. … Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety November 27, 2023 … May 26, 2010 Enhancing patient safety during pediatric sedation: the impact of simulation-based

3974. An Ounce of Prevention | PSNet
      psnet.ahrq.gov/web-mm/ounce-prevention
      February 17, 2011 - The alert was sent once for each patient ( Figure 2 ). … Assess VTE risk for each hospitalized patient individually. … Deep-vein thrombosis: advancing awareness to protect patient lives. … February 17, 2011 Patient safety in home care: a multicenter cross-sectional study about … August 24, 2022 Patient safety.

3975. One ACE Too Many | PSNet
      psnet.ahrq.gov/web-mm/one-ace-too-many
      June 21, 2016 - 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 failure … Although we generally collect such information from the patient, any clinician will attest that doing … 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

3976. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73128/psn-pdf
      July 01, 2022 - Patient eligibility for in-home hospital care is assessed in the health care setting; eligible patients … Features of the program include: Patient eligibility and consent: Patients who present in an emergency … The cost per patient day was 32percent lower for Hospital at Home patients than for hospital inpatients … , COPD, or asthma) found that the cost per patient day was 38 percent lower for Hospital at Home patients … Safety Focus The Hospital at Home program provides inpatient-level care to patients in their homes

3977. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49683/psn-pdf
      April 01, 2013 - Acute Care Admission of the Behavioral Health Patient April 1, 2013 Weiss AP, Rosenbaum JF. … Acute Care Admission of the Behavioral Health Patient. PSNet [internet]. 2013. … Tragically, 2 weeks after discharge the patient committed suicide. … In part related to this perceived neurological safety profile, and in part related to studies showing … Risk of suicide should be considered in all hospitalized patients with mental illness.

3978. From Possible to Probable to Sure to Wrong—Premature Closure and Anchoring in a Complicated Case | PSNet
      psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
      October 02, 2013 - The Commentary Diagnostic errors have gained recent visibility as a patient safety and public health … Diagnostic errors—the next frontier for patient safety. JAMA. 2009;301:1060-1062. … The nature of adverse events in hospitalized patients. … October 28, 2020 COVID-19: the dark side and the sunny side for patient safety. … March 24, 2021 Patient centred diagnosis: sharing diagnostic decisions with patients

3979. In Conversation with... Dr. Neal Sikka and Dr. Colton Hood about Remote Patient Monitoring | PSNet
      psnet.ahrq.gov/perspective/conversation-dr-neal-sikka-and-dr-colton-hood-about-remote-patient-monitoring
      March 15, 2023 - How has patient safety been part of that evolution? … safety mechanism to limit potential patient exposure to infected patients by replacing in-person visits … patients daily, and escalated patients for further care in case of worsening symptoms. 8 Patient Safety … infrastructure is paramount in ensuring patient safety, including team composition, patient selection … Building a real-time remote patient monitoring patient safety program for COVID-19 patients.

3980. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74251/psn-pdf
      January 26, 2022 - current case, one can reasonably infer that peripheral cannulation would also be safer in patients … In patients such as the two-year-old in this case, the risk of bleeding into the pleural space must … and more cephalad rib spaces.13,14 Furthermore, incision or needle insertion should be made in the safety … Approach to Improving Patient Safety Errors in both judgement and technique led to this adverse outcome … Intercostal artery laceration during thoracocentesis: increased risk in elderly patients.