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psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
January 01, 2022 - – In patients with schizophrenia, patients often have poverty of speech and
thought that prevent … – Patients with delusions may believe a doctor is trying to harm the patient
instead. … Can the patient decide? Evaluating patient capacity in practice. … to Improving Systemic Safety (2)
Approach to Improving Systemic Safety (3)
Approach to Improving Systemic … Safety (4)
Approach to Improving Systemic Safety (5)
Approach to Improving Systemic Safety (6)
Take
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psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
January 23, 2017 - 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.
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psnet.ahrq.gov/web-mm/wrong-channel
February 01, 2003 - Heuristic evaluation of infusion pumps: implications for patient safety in intensive care units. … Using usability heuristics to evaluate patient safety of medical devices. … safety efforts in cardiac surgery. … Eisenberg Patient Safety Awards. … System innovation: Veterans Health Administration National Center for Patient Safety.
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psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
August 01, 2012 - Safety Patients who require anticoagulant and/or antiplatelet therapy to minimize thrombotic risk are … Safety of percutaneous endoscopic gastrostomy in high-risk patients. … AHRQ Patient Safety Network. Accessed November 6, 2023. [ Free full text ] Pinto A, Brunese L. … Patient safety at handoff in rehabilitation medicine. … on patient safety of enabling the digital transfer of patients' prescription information in the English
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psnet.ahrq.gov/web-mm/dropped-no
October 30, 2019 - Fortunately, the patient tolerated the procedures well. … and aviation models to improve safety and quality. … June 9, 2010
Perspective
Patient and Family Roles in Safety … September 23, 2020
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of
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psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
November 27, 2023 - safety into classroom and clinical instruction, and how this affects patient safety as a whole. … harm to patients and providers through system and individual performance.” … (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.
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psnet.ahrq.gov/node/60328/psn-pdf
May 27, 2020 - Safety Issues with Patient Controlled Analgesia Part II - How To Prevent Errors
ISMP Medication Safety … San Diego Patient Safety Council. … Safety). … Capnography monitoring enhances safety of
postoperative patient-controlled analgesia. … Safety.
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psnet.ahrq.gov/web-mm/autopsy-revelation
December 01, 2007 - and inpatient records for ambulatory patients) "Premature closure"—Failure to alter initial … Safety Signals? … Computerized Provider Order Entry and Patient Safety
January 1, 2015 … November 20, 2015
The top patient safety strategies that can be encouraged for adoption … March 13, 2013
Advancing the science of patient safety.
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psnet.ahrq.gov/node/49414/psn-pdf
September 01, 2003 - Newer hospital policies and federal requirements mandate that patients confirm the proposed surgery with … before the patient is anesthetized. … Nevertheless, as depicted by Reason in his "Swiss Cheese Model," these
safety mechanisms each have enough … this sort of improvisation occurs, the
surgeon must ensure that the system provides the same level of safety … Take-Home Points
Gynecologists can improve outcomes and enhance patient safety with comprehensive pre-operative
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psnet.ahrq.gov/node/49399/psn-pdf
May 01, 2003 - The patient was then offered surgical management of her
ectopic pregnancy. … Second, should this patient have been treated for an ectopic when she first presented? … However, the level should be used during
counseling of the patient. … In summary, several patient safety issues must be addressed when caring for patients with ectopic
pregnancies … has contraindications to its use and for counseling the patient.
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psnet.ahrq.gov/node/33772/psn-pdf
September 01, 2014 - We spoke with her about overuse of medical
care and its effect on patient safety.
Dr. … The patient is exposed to risks of the procedure. … Overuse is a patient safety concern, not just a financial burden. … RW: How about patient-driven demand? … At a National Patient Safety Foundation meeting, 80% of people raised
their hand indicating that they
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psnet.ahrq.gov/web-mm/obstructed-view
August 07, 2019 - The nasogastric tube is really just for patient comfort and may be omitted if the patient is not retching … March 13, 2024
National survey of patient safety experiences in hospital medicine during … January 10, 2024
Patients' perspectives on quality and patient safety failures: lessons … May 8, 2024
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Related Resources
Patient Safety … Innovations
The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and
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psnet.ahrq.gov/Issues
June 23, 2021 - Patient Safety Authority. … Patient Safety Authority. … Older patients' engagement in hospital medication safety behaviours. … Patient Safety Authority. … Can patients contribute to enhancing the safety and effectiveness of test-result follow-up?
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psnet.ahrq.gov/issues
June 23, 2021 - Patient Safety Authority. … Patient Safety Authority. … Older patients' engagement in hospital medication safety behaviours. … Patient Safety Authority. … Can patients contribute to enhancing the safety and effectiveness of test-result follow-up?
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psnet.ahrq.gov/web-mm/missed-pneumonia
June 01, 2005 - The patient had taken a 2-hour plane ride the day before onset of symptoms. … The patient quickly improved on antibiotics and was discharged 2 days later. … Does this patient have community-acquired pneumonia? … April 12, 2023
Development of patient safety measures to identify inappropriate diagnosis … Perspective
The Role of Bar Coding and Smart Pumps in Safety
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psnet.ahrq.gov/perspective/conversation-jane-brice-md-mph
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.
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psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
January 01, 2017 - He also has a strong interest in patient safety. … We spoke with him about workplace safety and its relationship to patient safety and organizational excellence … It's about the patient, and such a focus might be a distraction from patient safety. … PO : It would be such a blessing if we could raise our game in both worker safety and patient safety … Workplace Safety in Health Care
January 1, 2017
Perspective
The patient safety movement
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psnet.ahrq.gov/web-mm/transfer-or-not-transfer
November 23, 2016 - The answer brings up several issues in patient safety for prehospital, ED, and hospital care: Issue … For "unstable" patients, EMS policies are designed to match hospital capabilities with patient complaints … reported approach to identify medical errors and improve patient safety in the emergency department. … September 7, 2016
Profiles in patient safety: confirmation bias in emergency medicine … July 2, 2011
Using information technology to improve the quality and safety of emergency
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psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
December 07, 2009 - Patient safety in the ambulatory setting. A clinician-based approach. … Timely follow-up of abnormal outpatient test results: perceived barriers and impact on patient safety … safety. … safety. … July 10, 2024
Patient Safety Innovations
Remote Response
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psnet.ahrq.gov/web-mm/fluidity-diagnostic-wet-reads
April 24, 2018 - April 24, 2018
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … LP or Not LP
October 1, 2003
Perspective
The Safety … and Safety-II Frameworks
December 14, 2022
Association between parent comfort … centred diagnosis: sharing diagnostic decisions with patients in clinical practice. … Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of