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Showing results for "patient safety indicators".
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4041. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.242_slideshow.ppt
      June 01, 2011 - ), he acted chaotically, driven by fear * * Safety in the Digital Hospital Technology can lead … time of medication administration In most hospitals, only the medical records department can provide patients … Effect of bar-code technology on the safety of medication administration. … is in caring for the patient” Physicians must balance too little love with too much—a difficult balance … The care of the patient. JAMA. 1927;88:877-882.

4042. In Conversation With… Andrew Gettinger, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
      September 01, 2017 - Of course, EHR-related patient safety exists as a subset of an organization's overall safety programs … Identification and Prioritization of HIT Patient Safety Measures. … Measuring and improving patient safety through health information technology: The Health IT Safety Framework … Health IT and patient safety: a paradigm shift to shared responsibility. … Patient safety goals for the proposed Federal Health Information Technology Safety Center.

4043. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49636/psn-pdf
      October 01, 2011 - Describe potential exercises and activities for a patient in the ICU. … While not every patient admitted to a hospital requires a physical therapy evaluation, patients most … abilities, the discharge environment (e.g., availability of assistance and accessibility of the home), safety … , and the types of services the patient will require. … patient mobility is required.

4044. Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure. | PSNet
      psnet.ahrq.gov/web-mm/aspergillus-mediastinitis-endocarditis-pediatric-patient-complicating-cardiac-surgery-and
      November 16, 2022 - safety practices. … An investigation of Aspergillus cardiac surgical site infections in 3 pediatric patients. … May 15, 2024 The safety of inpatient health care. … January 25, 2023 Patient safety after implementation of a coproduced family centered … June 1, 2007 Optimizing Pediatric Patient Safety in the Emergency Care Setting.

4045. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867672/psn-pdf
      February 26, 2025 - with severe abdominal pain and in patients with peritoneal tenderness. … Case Analysis This case involved a patient presenting with high-risk abdominal pain. … Safety Imaging in High-Risk Abdominal Pain Patients presenting to the ED with abdominal pain of uncertain … Safety Network (PSNet) Professor Department of Surgery, Division of Trauma, Acute Care Surgery, and … Barnes, MD, FACEP Consulting Editor, AHRQ’s Patient Safety Network (PSNet) https://psnet.ahrq.gov//

4046. Watch the Warfarin! | PSNet
      psnet.ahrq.gov/web-mm/watch-warfarin
      December 01, 2013 - Discuss patient safety risks of anticoagulation. … For many patients, however, including the patient in this case, the new anticoagulants will present attractive … Safety August 22, 2014 Injuries before and after diagnosis of cancer: nationwide … Improving Diagnostic Safety and Quality April 26, 2023 … About The Topic Hospitals Ambulatory Clinic or Office Health Care Providers Quality and Safety

4047. Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture. | PSNet
      psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
      November 25, 2020 - Trainees and Patient Safety Diagnostic uncertainty was not the only factor that contributed to the errors … In addition, we recommend concurrent bedside patient examination of patients who are being evaluated … Barnes, MD, FACEP Consulting Editor, AHRQ, Patient Safety Network (PSNet) Health Sciences Clinical Professor … Agency for Healthcare Research and Quality Patient Safety Network. 2006 [Accessed April 18, 2024) [ Free … September 13, 2023 Patient Safety Innovations Remote Response

4048. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865655/psn-pdf
      April 24, 2024 - Trainees and Patient Safety Diagnostic uncertainty was not the only factor that contributed to the errors … engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf https://psnet.ahrq.gov//#18 https://www.ahrq.gov/patient-safety … redtool5.html#:~:text=This%20postdischarge%20followup%20phone%20call,Medicines https://www.ahrq.gov/patient-safety … Barnes, MD, FACEP Consulting Editor, AHRQ, Patient Safety Network (PSNet) Health Sciences Clinical … Agency for Healthcare Research and Quality Patient Safety Network. 2006 [Accessed April 18, 2024) [Free

4049. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49540/psn-pdf
      August 21, 2007 - The patient was ultimately stabilized and transferred to the cardiac intensive care unit. … crucial need to strictly follow checklist procedures and must be motivated to embrace a culture of safety … Delaying defibrillation to give basic cardiopulmonary resuscitation to patients with out-of-hospital … Indicators/ECG Display    a. Power "on"    b. Self test ok    c. Monitor display functional    d. … Delaying defibrillation to give basic cardiopulmonary resuscitation to patients with out-of-hospital

4050. Steroids and Safety: Preventing Medication Adverse Events During Transitions of Care | PSNet
      psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adverse-events-during-transitions-care
      September 09, 2013 - Steroids and Safety: Preventing Medication Adverse Events During Transitions of Care. … Steroids and Safety: Preventing Medication Adverse Events During Transitions of Care. … in their own safety, including programs to facilitate patient-reported medication adverse events and … Lucier, MD, MBA, MPH Director of Quality Improvement and Patient Safety Hospital Medicine Unit Department … Patient Safety Primer: Patient Engagement and Safety.

4051. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49626/psn-pdf
      May 01, 2011 - One reality that is difficult to avoid is the ED patient–provider interaction, which is critical to patient … disseminating information to providers while allowing EDs and infection control experts to implement new safety … practices that protect patients and HCWs. … dedicated departments and teams, such as Hospital Epidemiology and Infection Control or Occupational Safety … safety measures for daily infectious exposures (e.g., handwashing) as well as unanticipated infectious

4052. Microsoft PowerPoint - Spotlight Case_The Risks of a Malpositioned Gastrostomy Tube_FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-11/spotlight_case_the_risk_of_malpositioned.pdf
      January 01, 2023 - SAFETY 30 Approach to Improving Patient Safety (1) • Patients who require anticoagulant and/or … and their families and support networks.38,40,42,46-48 32 Approach to Improving Patient Safety ( … Safety of percutaneous endoscopic gastrostomy in high-risk patients. … AHRQ Patient Safety Network. Accessed November 6, 2023. [Free full text] 28. Pinto A, Brunese L. … Patient safety at handoff in rehabilitation medicine.

4053. When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)! | PSNet
      psnet.ahrq.gov/web-mm/when-taking-sglt2-inhibitor-remember-sstop-stop-sglt2-inhibitor-three-days-bef-o-re
      February 01, 2023 - & Patient Safety Target Studies have shown that patients with diabetes mellitus on any SGLT2i have an … safety, including soliciting feedback from patients about the clarity of medication management instructions … Endocr Pract . 2022;28(9):884-888. [ Free full text ] Drug Safety Communication. … March 21, 2018 A mixed methods study exploring patient safety culture at 4 VHA Hospitals … Safety August 1, 2019 WebM&M Cases Primary

4054. Chemotherapy Extravasation | PSNet
      psnet.ahrq.gov/web-mm/chemotherapy-extravasation
      September 24, 2010 - The patient arrived for her first day of treatment. … The patient immediately began complaining of pain at the infusion site. … Safety in Medical, Nursing, and Other Clinical Education March 16, 2020 … March 22, 2006 Patient misidentification in oncology care. … A model of chemotherapy education for novice oncology nurses that supports a culture of safety

4055. Residual Anesthesia: Tepid Burn | PSNet
      psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
      February 10, 2010 - regional anesthesia use has grown in ambulatory surgery, a key contributing factor to the increased safety … Appropriate policies and procedures should assist facilities in ensuring patient safety. … May 26, 2010 Office-based anesthesia: safety and outcomes. … July 1, 2020 Impact of a daily huddle on safety in perioperative services. … Safety?

4056. Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up | PSNet
      psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
      September 27, 2023 - 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 … Safety Network (PSNet) Professor of Psychiatry Department of Psychiatry and Behavioral Sciences UC Davis … Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review.

4057. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49594/psn-pdf
      December 01, 2009 - Recognize safety risks associated with being part of a stigmatized group. … From the perspective of patient safety, this case emphasizes how important it is to focus on our competencies … The patient smokes on the ward. The staff wants to treat patients with respect and empathy. … Outreach workers spend months trying to develop trusting relationships with homeless clients and even … Patients whom staff find difficult to like, or care for, are vulnerable to safety risks created by reduced

4058. Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts. | PSNet
      psnet.ahrq.gov/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriate
      June 24, 2020 - Therefore, the use and safety of commonly prescribed analgesic agents in the setting of renal dysfunction … Table 2 : Opioids in Renal Dysfunction 13 Safety in Renal Dysfunction Opioid Starting Dose ( opioid naïve … and arthritic pain, with monitoring of renal function. 23 Approaches to Improving Patient Safety Computerized … December 18, 2024 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … Safety March 29, 2023 The potential for leveraging machine learning to filter

4059. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33594/psn-pdf
      November 18, 2021 - safety field. … safety and patient care based on a recent event or a hypothetical situation.1 Debriefing is an important … teamgains-tool-structured-debriefings-simulation-based-team-trainings https://psnet.ahrq.gov/issue/teamstepps-strategies-and-tools-enhance-performance-and-patient-safety … situation may provide cause for a debrief, highly emotional resuscitations, those involving pediatric patients … They decide to focus on the patient and staff safety concerns and identify gaps in systems, teamwork

4060. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression | PSNet
      psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
      May 26, 2021 - PCA Prescribing and Administration The safety of opioid use in high-risk patients can be improved through … Safety Issues with Patient Controlled Analgesia Part II - How To Prevent Errors ISMP Medication Safety … Safety and patient-controlled analgesia: part 2: how to prevent errors. P T. 2008;33(1):8-9. … San Diego Patient Safety Council. … Capnography monitoring enhances safety of postoperative patient-controlled analgesia.