-
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.
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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
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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
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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
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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
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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
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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
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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
-
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
-
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.
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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.
-
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
-
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.
-
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
-
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
-
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
-
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?
-
psnet.ahrq.gov/node/72563/psn-pdf
December 07, 2020 - I've also worked with specific patient populations as well as some
national groups to try to provide … As a result, dentists are not only in charge of
providing patient care, they’re also the boss. … medical
doctors to provide infection prophylaxis patients prior to dental visits, such as for patients … KH: Has anybody looked at what the safety culture is within dental practices and how that correlates … My team randomized a cohort of patients to look at the impact of a brief pre-visit intervention in patients
-
psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_intraoperative_awareness_during_rhinoplasty_slides_final.pptx
January 01, 2024 - safety when anesthetizing patients with significant cardiopulmonary disease.
10
10
Background … Memory of this type of event after the operation is uncommon because patients usually start moving in … Patients with a previous history of awareness during general anesthesia are also at increased risk. … This is important because many patients think that they had a stroke when they are not able to move. … SAFETY
20
Increase the amount of anesthetic for physically active patients (1)
Young patients who
-
psnet.ahrq.gov/web-mm/lot-pain-medications
September 23, 2020 - Embedded in this question are issues relating to efficacy and safety; specifically, finding the right … Achieving adequate analgesia in patients on chronic opioid therapy is challenging. … analgesia in an alert patient. … Acute pain management in opioid-tolerant patients: a growing challenge. … safety, systems design and ergonomics.