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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
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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 safety … safety 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.
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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.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.344_slideshow.ppt
April 01, 2015 - .
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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.
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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
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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
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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.
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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.
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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?
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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
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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
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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.
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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.
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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
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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
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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.
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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.
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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
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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.
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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.
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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