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Showing results for "patient safety indicators".
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4021. Psn-Pdf (pdf file)
      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.

4022. Psn-Pdf (pdf file)
      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.

4023. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49417/psn-pdf
      October 01, 2003 - safety and quality has catalyzed the creation of teams (often physician-led) that can focus on improving … The days in which a single physician can be responsible for patients in all settings will live on only … Patients will constantly be moving from setting to setting and from provider to provider. … The incidence and severity of adverse events affecting patients after discharge from the hospital. … The impact of follow-up telephone calls to patients after hospitalization.

4024. In Conversation with…Thomas H. Gallagher, MD | PSNet
      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.

4025. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49630/psn-pdf
      July 01, 2011 - Discuss patient safety risks of anticoagulation. … for adverse drug events.(6,7) The patient described in this case was fortunate in that his INR, though … For the case patient, who was chronically taking warfarin, the medical team could have scheduled an … Though the case patient may not have been a good candidate for self-monitoring given his dementia, a … For many patients, however, including the patient in this case, the new anticoagulants will present

4026. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49806/psn-pdf
      September 01, 2017 - The emergency physician assessed the patient as having either new onset congestive heart failure or an … The patient was admitted for workup of his hypoxemia. … However, this patient was only empirically treated for one of the two potential diagnoses. … case, the patient remained afebrile even as he developed sepsis and progressed to septic shock. … Murphy, MD, PhD Patient Safety Officer, Emory Healthcare Director of Quality, Emory Critical Care Center

4027. Delirium or Dementia? | PSNet
      psnet.ahrq.gov/web-mm/delirium-or-dementia
      September 27, 2023 - Delirium poses several risks to the patient. … , too busy to see patient, etc.)? … Additionally, family may be willing to participate in the care of the patient, which may reduce patient … Elements of the hospital environment can contribute to delirium and expose patients to safety risk. … May 8, 2017 Patient safety and quality outcomes for ED patients admitted to alternative

4028. Hemolysis Holdup | PSNet
      psnet.ahrq.gov/web-mm/hemolysis-holdup
      July 03, 2016 - safety. … Doe and the EHR October 30, 2019 Disclosing harmful mammography errors to patients … 2011 Stepping out further from the shadows: disclosure of harmful radiologic errors to patients … February 15, 2012 Improving departmental psychological safety through a medical school-wide … Safety Problem September 1, 2014 View More Related Resources

4029. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
      January 01, 2024 - Safety Targets 11 Recognition of Pediatric Sepsis (1) • Infections have been implicated in 25% … laboratory results, or environmental distractions or interruptions. 24 Approaches to Improving Safety … The Impact of Cognitive and Implicit Bias on Patient Safety and Quality. … Background Background (1) Patient Safety Targets Recognition of Pediatric Sepsis (1) Recognition … Errors (1) Diagnostic Errors (2) Diagnostic Errors (3) Diagnostic Errors (4) Approaches to Improving Safety

4030. Preventable Rash | PSNet
      psnet.ahrq.gov/web-mm/preventable-rash
      October 01, 2012 - The patient was treated with penicillin in the urgent care clinic. … STDs is the only way to detect infection in many patients. … For patients diagnosed with reportable diseases, clinicians can help by telling their patients that their … This public health investigation may improve patient care by locating difficult-to-find patients (those … April 29, 2020 Differences in safety report event types submitted by graduate medical

4031. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60610/psn-pdf
      June 24, 2020 - Three years later, the patient experienced “sharp” right-sided abdominal pain. … The main types of pain experienced by patients with endometriosis include: 1. … likelihood 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

4032. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866370/psn-pdf
      July 31, 2024 - safety when anesthetizing patients with significant cardiopulmonary disease. … Awareness under anesthesia is more common in young patients taking medications for seizures or patients … Approaches to Improving Patient Safety https://psnet.ahrq.gov//#19 https://psnet.ahrq.gov//#20 https … patients to prevent awareness. … Christian Bohringer, MBBS Consulting Editor, AHRQ's Patient Safety Network (PSNet) Professor of Anesthesiology

4033. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846169/psn-pdf
      March 15, 2023 - The patient was breathing spontaneously. … Safety Avoid noxious stimulation of the patient before the depth of anesthesia is adequate This patient … care area where patients are likely to develop laryngospasm. … Incidence and associated factors of laryngospasm among pediatric patients who underwent surgery under … Office-based anesthesia: safety and outcomes in pediatric dental patients.  

4034. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49792/psn-pdf
      May 01, 2017 - This means that identifying patients that require emergent or urgent intervention is key. … with abdominal pain; this is particularly true in patients with obesity. … The knowledge gained from such an analysis can be used to improve patient safety. … Health Policy, Quality and Informatics Program Center for Innovations in Quality, Effectiveness, and Safety … Effect of emergency department crowding on outcomes of admitted patients.

4035. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49451/psn-pdf
      June 01, 2004 - large part because the patient was receiving vancomycin. … He asked why he was never notified and why the patient was not being treated. … Understanding medical error and improving patient safety in the inpatient setting. … outpatient) and patient populations (oncology patients, pediatrics) Hematocrit   >60% Inpatient settings … populations (oncology patients, pediatrics) Prothrombin Time Not applicable International Normalized

4036. Neurological Red Flags: A Missed Stroke after Intermittent Episodes of Dizziness and Headache | PSNet
      psnet.ahrq.gov/web-mm/neurological-red-flags-missed-stroke-after-intermittent-episodes-dizziness-and-headache
      February 08, 2023 - Thus, this patient likely had a spontaneous EVS. … Safety As the above background suggests, misdiagnosis of patients with acute dizziness is common 6 , … An approach to the dizzy patient. … February 7, 2024 The safety of outpatient health care: review of electronic health records … May 15, 2024 The safety of inpatient health care.

4037. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49570/psn-pdf
      October 01, 2008 - encounter, would provide additional safety. … viewable, managed, and shared by patients. … Features that support patient involvement include the ability for patients to review after-visit instructions … patients such as the one described in this case. … The more potent layer is the involvement of people who know the patient best—patients themselves and

4038. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49760/psn-pdf
      May 01, 2016 - Timely and accurate evaluation is critical in caring for patients with dementia. … Behavioral symptoms provide insight into the experience of patients with dementia. … Families provide critical knowledge about patients' preferences, habits, and routines, as well as how … This information is especially important for patients with dementia. … ' safety and well-being.(12) The outcomes in this case might have been dramatically improved if clinical

4039. The NSTEMI Curbside Consultation | PSNet
      psnet.ahrq.gov/web-mm/nstemi-curbside-consultation
      August 04, 2021 - that diagnostic errors remain a prevalent ‘blind spot’ in patient safety and contribute to poor patient … October 30, 2024 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … Safety Innovations Remote Response Team and Customized Alert Settings Help Improve … 31, 2023 Annual Perspective Improving Diagnostic Safety … and Quality April 26, 2023 Patient Safety Innovations

4040. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49440/psn-pdf
      March 01, 2004 - The patient nodded his assent throughout his mother's account. … safety literature, concerns the role of the autopsy as a tool for detecting important errors in clinical … No matter how advanced diagnostic technology may have become, the vast majority of patients do not undergo … up on) Inability to access necessary medical information (eg, outpatient records for hospitalized patients … and inpatient records for ambulatory patients) http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?