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  1. psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
    September 28, 2022 - FS: I think about patient safety very broadly. … And what does patient safety mean, in that context? … 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
  2. psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
    May 22, 2017 - We spoke with him about the opioid epidemic and strategies to address this growing patient safety concern … RW : You're painting a picture of what life was like in the mid to late 1990s—and the patient safetysafety specifically? … Opioid Overdose as a Patient Safety Problem May 22, 2017 Perspective Opioids serve a valuable … Rethinking opioid prescribing to protect patient safety and public health.
  3. psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device
    April 01, 2006 - The next day, the patient developed bleeding from the catheter site in his groin. … The patient subsequently had complications related to the retroperitoneal hematoma, including persistent … In this patient, given the delay in the development of the hematoma, the likely cause of the bleeding … September 9, 2020 Integrating patient safety education into early medical education utilizing … Safety in Orthopedic Surgery.
  4. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.344_slideshow.ppt
    April 01, 2015 - . * Case: Dissecting the Presentation (2) The patient was diagnosed with a transient ischemic attack … Despite maximal resuscitation efforts, the patient could not be resuscitated and died. * Case: Dissecting … The dissection likely worsened while the patient was hospitalized, and its rupture into her chest cavity … pain in this patient may seem unusual, it is not — one-third of patients with a dissection do not present … Available at https://www.cmpa-acpm.ca/en/safety/-/asset_publisher/N6oEDMrzRbCC/content/aortic-dissections-tearing-apart-the-data
  5. psnet.ahrq.gov/perspective/care-transitions
    December 01, 2007 - 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. … RW: One of the key epiphanies of the patient safety movement is that it's mostly about systems. … In other words, 5 months after the coach had disengaged with the patient, these patients were still staying
  6. psnet.ahrq.gov/web-mm/spinal-epidural-abscess
    November 13, 2019 - The patient was taken to the operating room for drainage of the abscess. … Patients suspected of having spinal epidural abscess should be referred for timely imaging. … Spinal epidural abscess: a meta-analysis of 915 patients. Neurosurg Rev. 2000;23:175-204. … Advances in Patient Safety: From Research to Implementation, Vol 2. … safety.
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846769/psn-pdf
    March 29, 2023 - Patients may also report salt craving if mineralocorticoid production is affected. … Safety This case highlights the challenge of diagnosing a rare condition with non-specific presenting … symptoms, particularly during an isolated patient encounter. … safety in several ways. … Adrenal crisis: prevention and management in adult patients.
  8. psnet.ahrq.gov/perspective/innovations-promoting-hand-hygiene-compliance
    May 01, 2014 - Patient Safety. WHO Guidelines on Hand Hygiene in Health Care. … Regarding the patient position, I completely agree that patients should have the right to benefit from … We have been involving patients in patient participation and/or patient empowerment strategies for some … health care workers on these simple hand hygiene actions that improve patient safety. … in Patient Safety: Have Things Changed?
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49796/psn-pdf
    June 01, 2017 - The nurse gave the patient pain medication. … among bedside nurses about how to https://psnet.ahrq.gov/web-mm/chest-tube-complications monitor patients … At that point, some would remove the chest tube and monitor the patient. … references recommends a few hours of clamping followed by chest radiography when there is doubt about the safety … data and recommends a clamp trial if there is any doubt whether an air leak has sealed (or for all patients
  10. psnet.ahrq.gov/web-mm/crossing-line
    December 01, 2012 - Importantly, patients generally find subclavian catheters more comfortable than the internal jugular … These can be divided into patient factors and operator factors. … The patient suffered permanent neurologic deficits, including left hemiplegia. … Incidence and predictors of central venous catheter related infection in intensive care patients. … Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of
  11. psnet.ahrq.gov/perspective/comprehensivist-model-care-hospitalists-view
    November 01, 2018 - We haven't measured patient safety outcomes in the way you might imagine—like errors and things like … An American View of the UK's Patient Safety Enterprise: Top Down vs. … The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety October 1, 2009 … the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet) April 1, 2005 … safety.
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49750/psn-pdf
    January 01, 2016 - Discuss poor communication as a potential underlying cause of safety risks, including missed nursing … , ambulating patients, repositioning patients, and bathing patients. … Communication as a Contributor to Error Inadequate communication is a well-established cause of safety … Oncoming nurse rounds on new patients and reviews treatment plan. … in all aspects of their care so patients and staff work together to ensure patient safety.
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49597/psn-pdf
    February 01, 2010 - Review some common errors in the care of adolescent patients and strategies to prevent them. … Education about diet, exercise, and glucose monitoring should begin at diagnosis for all patients and … Although metformin and insulin are the only medications for T2DM approved in the United States for patients … The challenge for all providers who care for adolescent patients is to consider prevalent issues of … , within the limits of state law and patient safety; normalization of the topic as a routine component
  14. psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
    January 29, 2021 - safety when anesthetizing patients with significant cardiopulmonary disease. … Approaches to Improving Patient Safety Increase the amount of anesthetic for physically active patients … Christian Bohringer, MBBS Consulting Editor, AHRQ's Patient Safety Network (PSNet) Professor of Anesthesiology … Medication Error and Recovery January 31, 2024 Technology, Education and Safety … November 15, 2023 Facilitators and barriers to the implementation of surgical safety
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49703/psn-pdf
    March 01, 2014 - The summaries are either printed out for patients or provided electronically. … Patient portals are secure Web-based platforms that allow patients to view information about their ongoing … The impact of eHealth on the quality and safety of health care: a systematic overview. … Physicians, patients, and the electronic health record: an ethnographic analysis. … Patient web services integrated with a shared medical record: patient use and satisfaction.
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49576/psn-pdf
    January 01, 2009 - The patient was discharged 2 days later. … The answer brings up several issues in patient safety for prehospital, ED, and hospital care: Issue … Policies are different when dealing with these patients than when dealing with stable patients with … For "unstable" patients, EMS policies are designed to match hospital capabilities with patient complaints … ), and the patient died shortly after ED arrival.
  17. psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-who-use-substances
    October 30, 2024 - It’s also one extra step for patients, but if you're prescribing other meds and you know your patient … Cybersecurity and How to Maintain Patient Safety March 27, 2024 … Perspective Artificial Intelligence and Patient Safety: Promise … : The Evolution of Patient Safety Teamwork Training February 28, 2024 … Mental Health March 29, 2023 Patient Safety Innovations
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49688/psn-pdf
    August 21, 2013 - For verbal communication with patients, it is important to limit the quantity of information that patients … case highlights the importance of pursuing innovative approaches that can enhance the quality and safety … critically important aspect of patient care, which has significant implications for patient outcomes … Interventions to improve care for patients with limited health literacy. … Closing the loop: physician communication with diabetic patients who have low health literacy.
  19. psnet.ahrq.gov/web-mm/hindsight-2020-thrombolytics-alcohol-intoxication
    December 18, 2024 - Approach to Improving Safety & Patient Safety Target A few system changes could reduce the risk of similar … Safety Network (PSNet) Health Sciences Clinical Assistant Professor Department of Internal Medicine, … Barnes, MD, FACEP Consulting Editor, AHRQ, Patient Safety Network (PSNet) Health Sciences Clinical Professor … Safety and efficacy of thrombolysis in telestroke: a systematic review and meta-analysis. … Efficacy and safety of the telestroke drip-and-stay model: a systematic review and meta-analysis.
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72614/psn-pdf
    March 01, 2021 - births.10  Improved task completion, medication administration, and response times for eclampsia patients … : A randomized controlled trial (RCT) focused on the care of patients with eclampsia found that PROMPT … Increased safety attitude: As measured by Safety Attitude Questionnaire, this same RCT found a significant … increase in teamwork, safety, and perception of management scores following staff PROMPT training.   … Innovation Patient Safety Focus This innovation uses core patient safety communication and teamwork

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