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4001. Simulation study of rested versus sleep-deprived anesthesiologists. | PSNet
      psnet.ahrq.gov/issue/simulation-study-rested-versus-sleep-deprived-anesthesiologists
      September 13, 2017 - September 13, 2017 Effects of nurse-to-patient ratio legislation on nurse staffing and … patient mortality, readmissions, and length of stay: a prospective study in a panel of hospitals. … September 23, 2020 Evaluation of communication and safety behaviors during hospital-wide

4002. Meaningful Measurement in Patient and Family Engagement | PSNet
      psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement
      March 10, 2021 - If we think about patient family engagement as an active patient safety strategy, as an engaged person … on Safety Patient Safety in Home Dialysis April 28, 2021 … Perspectives on Safety EMS Patient Safety in the Field July 28, 2021 … Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic January … Health Plan Patient Safety Initiatives July 10, 2024 Patient

4003. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851971/psn-pdf
      July 31, 2023 - revealed multiple metallic foreign bodies throughout the gastrointestinal tract including an open safety … and family. 24,25 Approaches to Improving Patient Safety Clear communication among staff The physician … Put an “NPO” or “Nothing by Mouth” wristband on the patient When patients are mobile, they often move … Christian Bohringer, MBBS Consulting Editor, AHRQ, Patient Safety Network (PSNet) Professor of Anesthesiology … Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review.

4004. The Role of Bar Coding and Smart Pumps in Safety | PSNet
      psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
      September 01, 2008 - defense in detecting patient deterioration and protecting patients by recovering errors caused by other … A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. … Poon's research has focused on using health information technology to improve patient safety. … Poon: Many patient safety technologies are available to prevent medication errors, and CPOE certainly … Patient Safety March 29, 2023 ISMP medication error report analysis.

4005. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49415/psn-pdf
      September 01, 2003 - safety and then devise strategies to minimize the risk to future patients. … The increasing use of standardized patients is a welcome addition to health care professional education … for the next patient. … Weinger, MD Director, Center for Healthcare Simulation of the San Diego Center for Patient Safety Professor … Framework for analysing risk and safety in clinical medicine.

4006. In Conversation With... José A, Morfín, MD, FASN | PSNet
      psnet.ahrq.gov/perspective/conversation-jose-morfin-md-fasn
      April 28, 2021 - KH : In terms of patient safety, how would you describe your role in terms of making sure that patients … safety for every patient and family. … Focusing on the patient safety aspect, what are some of the risks for patients? … Safety in Home Dialysis April 28, 2021 Dialysis Care and Patient Safety Concerns In patients … April 7, 2022 Perspectives on Safety Patient Safety

4007. Updates in the Management of High-Risk Pulmonary Embolism | PSNet
      psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism
      December 02, 2020 - The patient quickly lost his pulse and a code was called. … The use of standardized handoff tools has been shown to decrease adverse events and improve safety.( … Lawrence Center for Quality and Safety Assistant Professor of Emergency Medicine, Harvard Medical School … Morbidity and mortality conference in emergency medicine residencies and the culture of safety … Safety Innovations Remote Response Team and Customized Alert Settings Help Improve

4008. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event | PSNet
      psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
      July 01, 2017 - Still, in day-to-day counseling of patients regarding the risks of a red blood cell transfusion, most … Flow Management November 1, 2011 Patient Safety Primers … Safety Initiatives July 10, 2024 Perspectives on Safety … Health Plan Patient Safety Initiatives July 10, 2024 … Perspective Patient Safety in Office-Based Care Settings January 31, 2024

4009. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-11/spotlight_integration_and_coordination_of_disesase_treatment_and_palliative_care_final.pdf
      January 01, 2021 - : Palliative Care and Hospice as Patient Safety 22 Palliative Care and Hospice as Patient Safety … patients safe do not keep the hospice patient safe … : Palliative Care and Hospice as Patient Safety  Palliative Care and Hospice as Patient Safety (1) … Palliative Care and Hospice as Patient Safety (2) Palliative Care and Hospice as Patient Safety (3) … Safety and Communication Improving Patient Safety and Communication (1) Take Home Points Take-Home

4010. Premature Extubation | PSNet
      psnet.ahrq.gov/web-mm/premature-extubation
      May 25, 2011 - February 17, 2011 Improving patient safety in intensive care units in Michigan. … May 11, 2011 The impact of the use of employee functional flexibility on patient safety … Safety Network November 1, 2015 View More Related Resources … Patient Safety Innovations The I-READI Quality and Safety Framework … Safety: What They Don't Tell You in Training About Feedback and Burnout June 1, 2019

4011. The Consequences of Miscommunication Regarding a Possible Artifact | PSNet
      psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
      May 11, 2019 - Approach to Improving Safety & Patient Safety Target Given the importance of communication between … safety. … should be incorporated into a systems-level model for improving patient safety. … the patient and the referring clinician, and between the patient and the radiologist. 12 Take-Home … Available at: https://www.jointcommission.org/resources/patient-safety-topics/sentinel-event/ .

4012. Continuing Education | PSNet
      psnet.ahrq.gov/continuing-education
      February 26, 2025 - commentary describes the appropriate evaluation for acute abdominal pain, the importance of imaging in patients … The commentary highlights the importance of thorough neurological investigation of patients presenting … adult, and the limitations of non-contrast brain CT for identifying TIA or early ischemic strokes in patients … safety during spine surgery. … can enable care team members to voice concerns about patient safety. 

4013. Rediscovering the Power of the Surgical M&M Conference: The M M Matrix | PSNet
      psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
      September 01, 2007 - safety officers that this conference can be transformed into a vibrant patient safety curriculum. … Critical issues of patient safety are discussed. … Somewhere in these discussions are the essential patient safety lessons so necessary to the education … This culture—the culture of medicine—never canonized patient safety. Until now. … We have patients who die. We have patients in pain.

4014. The Role of Undergraduate Nursing Education in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
      November 27, 2023 - (3) work environments that enable nurses to care for patients effectively. … cases that involve safety-related challenges and compel students to consider patient safety principles … Patient safety curriculum. Acad Med . 2000;75(5):551-552. … harm to patients and providers through system and individual performance.” … for Patient Safety July 31, 2023 Patient Safety Innovations

4015. Safety in the Prehospital Emergency Medical Services Setting | PSNet
      psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
      May 01, 2019 - Despite these potential yet known threats, the annual incidence of poor patient safety outcomes in EMS … for both patients and EMS clinicians are higher among EMS organizations with lower safety culture scores … for patients and clinicians. … Promoting a culture of safety as a patient safety strategy: a systematic review. … EMS Provider & Patient Safety in Ambulances project.

4016. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49481/psn-pdf
      May 01, 2005 - (5) and 13% of patients with HIV/AIDS leave AMA.(6) It is not clear why the patient in this case wanted … Patient Outcomes in Discharges AMA It seems likely that discharge AMA puts patients at increased risk … autonomy and patient safety, physicians should ensure that a patient with a severe life-threatening … Physicians may be under the mistaken impression that discharging a patient AMA (with the patient presumably … Why patients sign out against medical advice (AMA): factors motivating patients to sign out AMA.

4017. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49681/psn-pdf
      April 01, 2013 - Patient safety is worth the time it takes to verify the order. … Providers should take the opportunity to enhance patient safety and reduce PN-related medication errors … ISMP Medication Safety Alert! Acute Care Edition. … ISMP Medication Safety Alert! Acute Care Edition. … ISMP Medication Safety Alert! Acute Care Edition.

4018. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74830/psn-pdf
      June 01, 2022 - The Michigan Hospital Medicine Safety Consortium (HMS) Finds Infectious Diseases (ID) Physician Approval … safety strategy. … safety issues associated with them. … Innovation Patient Safety Focus The initiative addresses the inappropriate use of, and complications … Patient Safety Network. December 1, 2012. Accessed November 17, 2021.

4019. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865373/psn-pdf
      March 27, 2024 - We spoke to him about the current and potential impacts of artificial intelligence (AI) on patient safety … I’m currently the Executive Director of the Quality and Patient Safety Initiative in the College of … How have those uses intersected with patient safety? … Sarah Mossburg: What has research shown about AI and its potential to improve patient safety? … What are some risks of AI implementation to patient safety that we should be cognizant of?

4020. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866841/psn-pdf
      September 23, 2024 - unfavorable social determinants of health (SDOH) can lead to poor health outcomes.1 With access to patient-level … robust component within its electronic health record based on validated questionnaires that collect patient-level … for financial resource strain (18%), it was the top domain for which screening indicated patient needs … such as domestic violence and home repairs.3 Planning and Development The keys to success of any patient … safety innovation or intervention include leadership and staff buy-in, staff involvement in planning