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Showing results for "patient safety indicators".
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3981. Suicidal Ideation in the Family Medicine Clinic | PSNet
      psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
      October 01, 2007 - to ensure their safety by asking patients to promise that they won't self-harm and will follow up as … Safety planning empowers patients to recognize their own triggers and warning signs. … For lower risk states and for all patients with suicidal ideation: Provide patient and family the National … Educate all staff in patient care settings how to identify and respond to patients with suicidal ideation … Safety Planning Intervention.( 23 ) Patients (with doctor/staff/therapist/peer specialist) develop and

3982. Delayed Diagnosis of Endocrinologic Emergencies | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-endocrinologic-emergencies
      November 13, 2024 - The mortality rates for thyroid storm range from 10%–75% of hospitalized patients.( 1 ) Myxedema coma … presents in older women—frequently in the winter months—but it can occur in both sexes and in younger patients … amiodarone-induced thyrotoxicosis or amiodarone-induced hypothyroidism may develop in 14% to 18% of all patients … safety: systematic review and meta-analysis. … transfusion safety.

3983. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49543/psn-pdf
      September 01, 2007 - 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.

3984. Around the Block | PSNet
      psnet.ahrq.gov/web-mm/around-block
      March 04, 2020 - As DVT prevention is one of the top safety priorities of the Agency for Healthcare Research and Quality … Orthopedic surgery patients are a special focus of most guidelines, since such patients are at extremely … safety and quality culture--a scoping review. … April 24, 2024 Authentic leadership at the Cleveland Clinic: psychological safety in … November 15, 2023 Safety culture and workforce well-being associations with Positive

3985. In Conversation with...Dean Schillinger, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withdean-schillinger-md
      March 01, 2009 - Most of the initial work in patient safety was in hospitals. … DS: Patient safety is a lever. … is increasingly recognized as essential for promoting patient safety. … : Improving Health Literacy to Protect Patient Safety. … Health Literacy and Patient Safety: Help Patients Understand. Manual for Clinicians, 2nd ed.

3986. In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
      February 26, 2025 - Even if they miss only 10% of the time, that is a lot of patients for whom they do not have all the details … of all the patients currently on the unit. … It gives a view of where the workload is and who might have the most vulnerable patients. … Beyond particular patient safety incidents like medication error or patient misidentification, an academic … Work system design for patient safety: the SEIPS model.

3987. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.233_slideshow.ppt
      February 01, 2011 - safety. … He saw the patient in the hospital's outpatient oncology unit. … After 6 weeks of therapy, the HCV viral load was unchanged, and the patient exhibited pancytopenia. … medication with little possibility of benefit. * Case: One Toxic Drug (5) Concerned for the patient’s safety … Effect of board certification on antihypertensive treatment intensification in patients with diabetes

3988. Delayed Diagnosis of Kidney Transplant Complications | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
      January 29, 2020 - Approach to Improving Safety Safety in management of kidney transplant patients in the early post-transplant … This patient’s case demonstrated potential areas for improvement in safety, as earlier transplant kidney … Saline to Treat Hyponatremia January 29, 2020 Perspectives on Safety … Patient Safety in Home Dialysis April 28, 2021 … May 22, 2024 View More Related Resources Patient Safety

3989. High Reliability Organization (HRO) Principles and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
      February 26, 2025 - Beyond particular patient safety incidents like medication error or patient misidentification, an academic … Work system design for patient safety: the SEIPS model. … of all the patients currently on the unit. … It gives a view of where the workload is and who might have the most vulnerable patients. … Health Systems for Patient Safety February 26, 2025 Patient Safety

3990. Nothing Called Small Surgery | PSNet
      psnet.ahrq.gov/web-mm/nothing-called-small-surgery
      February 01, 2023 - 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. … National Patient Safety Agency. … National Patient Safety Agency, 2009a.  … February 1, 2023 Patient Safety: Emerging Applications of Safety Science.

3991. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49446/psn-pdf
      August 30, 2021 - (including the one presented here) must place a premium on safety. … to distinguish between patient harm in a clinical trial vs. … "practical safety"—that which can be expected in real world practice. … Safety in clinical trials differs from safety in practice. … Improving medication safety across a multihospital system.

3992. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49583/psn-pdf
      April 01, 2009 - The nurse on duty was harried because he was caring for six patients instead of the usual four. … system can further help to improve medication safety. … In the case above, the nurse programming the pump was caring for a larger number of patients than usual … care providers about the roles and responsibilities for each discipline in caring for acutely ill patients … Patient safety and computerized medication ordering at Brigham and Women's Hospital.

3993. Missing Trauma | PSNet
      psnet.ahrq.gov/web-mm/missing-trauma
      March 03, 2011 - Trauma patients are those who have sustained a physical injury. … Hemorrhagic shock is by far the most common type of shock seen in trauma patients. … In fact, survival rates in modern urban trauma centers for patients with stab wounds to the heart who … Safety Primers COVID-19 and Dentistry: Challenges and Opportunities for Providing … July 2, 2014 Optimizing Pediatric Patient Safety in the Emergency Care Setting.

3994. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841468/psn-pdf
      December 14, 2022 - The patient was placed under general anesthesia and intubated. … This surgeon recommended taking the patient back to the operating room so that her tongue laceration … /issue/can-we-make-airway-management-even-safer-lessons-national-audit https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-airway-devices-critical-care-review-reports-uk-national … Improving Patient Safety The most widely recommended approach to prevent intraoperative bite injuries … Safety of intraoperative transcranial electrical stimulation motor evoked potential monitoring. 

3995. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49777/psn-pdf
      December 01, 2016 - to ensure their safety by asking patients to promise that they won't self-harm and will follow up as … Safety planning empowers patients to recognize their own triggers and warning signs. … Conduct safety planning c. Restrict access to lethal means d. … Educate all staff in patient care settings how to identify and respond to patients with suicidal ideation … Safety Planning Intervention.(23) Patients (with doctor/staff/therapist/peer specialist) develop and

3996. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866995/psn-pdf
      October 30, 2024 - Garth Utter, MD MSc Consulting Editor, AHRQ’s Patient Safety Network (PSNet)  Professor Department … Patient safety over power hierarchy: a scoping review of healthcare professionals' speaking-up skills … AHRQ Patient Safety Network (PSNet). October 31, 2023. Accessed July 15, 2024. [Free full text] 6. … Patient safety issues from information overload in electronic medical records. … Advancing safety with closed-loop communication of test results. Quick Safety.

3997. Identifying Safety Events in the Prehospital Setting | PSNet
      psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
      May 16, 2022 - monitoring patient safety in the prehospital setting suggests that safety surveillance systems have … Patient Safety Incidents Perhaps one sign of EMS’s emergence in the field of patient safety is the … safety, and those are relatively new; what are some other ways that historically patient safety has … version of the surveys on patient safety, or the EMS SOPS. … The project is huge, not just for patients, but for providers, as well as the communities.

3998. Procedural Mishap: Learning Curve? | PSNet
      psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
      April 28, 2021 - The patient had an uncomplicated postoperative course. … September 1, 2003 Patient Safety Primers Retained … surgical patient safety practices in the complex modern operating room. … September 14, 2011 Transforming healthcare: a safety imperative. … safety in obstetrics and gynecology: an agenda for the future.

3999. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857258/psn-pdf
      November 30, 2023 - Approaches to Improving Patient Safety Educate patients about the dangers of super obesity https:// … Older patients and patients with impaired renal and hepatic function are at particular risk for persistent … Christian Bohringer, MBBS Consulting Editor, AHRQ, Patient Safety Network (PSNet) Professor Department … Patient Safety and Quality Healthcare. December 2019. Accessed November 29, 2023. … Safety of sugammadex for reversal of neuromuscular block.

4000. Hospital-Acquired Diabetic Ketoacidosis. | PSNet
      psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
      October 28, 2020 - No nurse was assigned to the patient in the hallway, and the patient was given a multitude of small carbohydrate-containing … Approach to Improving Safety Both the cases described above present opportunities for system improvements … safety culture at 4 VHA Hospitals. … February 6, 2013 Innovative patient safety curriculum using iPad game (PASSED) improved … patient safety concepts in undergraduate medical students.