-
psnet.ahrq.gov/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
October 30, 2024 - It’s also one extra step for patients, but if you're prescribing other meds and you know your patient … Safety
The Role of Undergraduate Nursing Education in Patient Safety
November 27 … Perspective
Surveillance Monitoring to Improve Patient Safety in … Annual Perspective
Equity in Patient Safety
March 27, 2024 … Safety Teamwork Training
February 28, 2024
Patient Safety Innovations
-
psnet.ahrq.gov/web-mm/lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
October 27, 2022 - Various tools and strategies for improving care and safety for opioid-dependent patients with chronic … Methadone differs from other opioids in several important ways that have implications for patient safety … 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.
-
psnet.ahrq.gov/node/33879/psn-pdf
May 01, 2019 - We spoke with her about her experience working in
emergency medical systems and safety concerns particular … to focus on what
happens when they finally reach our door, what are some of the common mistakes or safety … And that's
one thing that makes it really hard, because 1% of the patients they're going to see will … We talked about super sick patients going to the right
place for their stroke and STEMI. … There's also the concept of getting the not really sick patients to the right
place so that they get
-
psnet.ahrq.gov/node/33792/psn-pdf
September 01, 2015 - How does a patient do that? … RW: Let's turn to some of the safety issues, and one that readily comes to mind is patient self-
management … Right now, I would not think that we have a whole lot of bragging rights to the safety
that exists in … to help other patients. … RW: When a patient comes to see Dr.
-
psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
May 01, 2014 - He is Lead Advisor of the WHO First Global Patient Safety Challenge: Clean Care is Safer Care. … 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. … Patient Safety. WHO Guidelines on Hand Hygiene in Health Care. … First Global Patient Safety Challenge Clean Care Is Safer Care. Geneva, Switzerland; 2009.
-
psnet.ahrq.gov/node/49758/psn-pdf
April 01, 2016 - are admitted to the hospital
Describe a guideline-recommended insulin regimen for a hospitalized patient … The patient had previously had a stroke. … The hospitalist caring for the patient consulted an
endocrinologist to help with the glucose management … safety improvement staff, lab, dietary and nutrition services, and hospital administration. … Enhancing insulin-use safety in hospitals: practical
recommendations from an ASHP Foundation expert
-
psnet.ahrq.gov/node/49512/psn-pdf
May 01, 2006 - The
x-ray was clearly labeled as belonging to the patient. … and
belonged to this other patient who already had surgery. … Examples of such defenses include training
programs; safety protocols, policies, and procedures; and … in not examining the
patient and her x-rays. … Many defenses
failed to protect this patient.
-
psnet.ahrq.gov/perspective/conversation-abraham-verghese-md
November 01, 2012 - That disappoints me, and I think it has both cost and patient safety consequences. … The Evidence-Based Physical Examination as a Patient Safety Practice
November 1, 2012
Perspective … safety and cut the costs of care? … It is up to our teaching programs, clinical leaders, and, perhaps, the patient safety movement to change … Skochelak, MD, PhD
February 1, 2019
A patient safety approach to setting pass
-
psnet.ahrq.gov/web-mm/crossing-borderline
June 01, 2022 - The patient had a history of suicide attempts, including episodes of self-inflicted trauma and abusive … Later that evening at home, the patient set herself on fire, prompting immediate return to the hospital … The priority treatment goal that characterizes the early phase of psychotherapy is to help the patient … Patients with BPD frequently demonstrate mood shifts, and this patient, in the structured setting of … safety simulation curriculum for residents and fellows.
-
psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis
May 26, 2021 - a patient has endometriosis. … This can be a compelling reason for patients to seek care but is often misinterpreted by patients and … Safety Research and Practice, and the State of Massachusetts Betsy Lehman Center for Patient Safety, … October 28, 2020
Cybersecurity in health is an urgent patient safety concern: we can … learn from existing patient safety improvement strategies to address it.
-
psnet.ahrq.gov/node/49768/psn-pdf
September 01, 2016 - Patient-specific risk factors for adverse outcomes
include patients with multiple comorbidities and … 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. … Yes/No
Does the patient use multiple pharmacies? Yes/No
Is the patient frail?
-
psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
January 01, 2018 - EHR Copy and Paste and Patient Safety
January 1, 2018
Perspective
Although the ability … safety. … safety. … safety outcomes. … Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; February 2016.
-
psnet.ahrq.gov/node/865419/psn-pdf
March 27, 2024 - Patient Safety Targets
Recognition of Pediatric Sepsis
Infections have been implicated in 25% of childhood … Approaches to Improving Safety
Improved Detection of Pediatric Sepsis
A potential intervention that … Michelle Hamline, MD, PhD, MAS
Assistant Professor
Associate Director of Quality and Safety
Department … Safety Network (PSNet)
Professor
Department of Pediatrics
Medical Director for Healthcare Quality … The impact of cognitive and implicit bias on patient safety and quality.
-
psnet.ahrq.gov/node/49486/psn-pdf
August 21, 2005 - safety.(2)
Pharmacology of Warfarin
First, warfarin acts by inhibiting the action of vitamin K, which … To summarize, in the elderly patient in this case, when we initiate warfarin therapy we should expect … Clinical Rules for Initial Dosing of Warfarin
Among hospitalized patients, particularly elderly patients … WARFDOCs was developed as part of
an AHRQ-funded patient-safety project. … The patient developed an acute episode of bleeding that required
transfusion.
-
psnet.ahrq.gov/node/851555/psn-pdf
July 31, 2023 - The
patient had no “chief complaint,” but admitted on “review of systems” to constipation for several … Three days later, the patient was admitted to a second hospital with perforated bowel and sepsis. … to chronic opioid use in 20% of these patients, but can also be idiopathic in nature.5 All
patients … Management
The management of stercoral colitis depends on the clinical status of the patient. … Barnes, MD, FACEP
Consulting Editor, AHRQ, Patient Safety Network (PSNet)
Health Science Clinical Professor
-
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
-
psnet.ahrq.gov/node/49872/psn-pdf
August 08, 2019 - The patient was taken to the operating room for drainage of the
abscess. … A severe, circumscribed tenderness is a frequent
early finding for patients developing early SEA. … 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.
-
psnet.ahrq.gov/node/49638/psn-pdf
January 01, 2012 - In post-event debriefings, staff identified several issues in the care of this patient. … cohorting also discovered procedures where
aggregation of patients offered no discernable benefit.( … Physician staffing patterns
and clinical outcomes in critically ill patients: a systematic review. … A qualitative study of expert and team cognition on complex
patients in the pediatric intensive care … Jt Comm J Qual Patient Safety. 2008;34:333-341. [go to
PubMed]
14.
-
psnet.ahrq.gov/node/73899/psn-pdf
September 29, 2021 - Various tools and strategies for improving care and safety for opioid-dependent patients with chronic … Methadone differs from other opioids in several important ways that have implications for patient
safety … 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.
-
psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md
January 01, 2009 - safety efforts. … Recent presidential candidates have touted using disclosure as part of a centerpiece of patient safety … increase the rate of malpractice suits, more lawsuits could actually lead to greater efforts to improve safety … Making patient safety the centerpiece of medical liability reform. … The patient's right to safety--improving the quality of care through litigation against hospitals.