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Showing results for "patient safety indicators".
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4061. In Conversation with…Eric G. Poon, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-witheric-g-poon-md-mph
      September 01, 2008 - 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 … Some of the uses of barcode technology may not have any direct patient safety impact but definitely could … 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.

4062. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33861/psn-pdf
      July 01, 2018 - Schiff is Associate Director of Brigham and Women's Center for Patient Safety Research and Practice, … AHRQ funded 93 patient safety grants in that period, and only one was related to diagnosis, and that … Increasingly with OpenNotes, patients are reading my notes (all of my patient now are able to). … /issue/patient-feedback-reporting-tool-opennotes-implications-patient-clinician-safety-and-quality https … psnet.ahrq.gov/issue/improving-diagnosis-health-care https://psnet.ahrq.gov/issue/betsy-lehman-center-patient-safety

4063. WebM&M: Case Studies | PSNet
      psnet.ahrq.gov/webmm-case-studies
      March 25, 2025 - Commentaries are written by patient safety experts and published monthly. … Have you encountered medical errors or patient safety issues? … Read More Have you encountered medical errors or patient safety … Have you encountered medical errors or patient safety issues? … can enable care team members to voice concerns about patient safety. 

4064. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33637/psn-pdf
      August 01, 2006 - You're not going to be able to take care of your patients. … Looking at 30,000 patients gives you some clout. … RW: So, a medical school librarian set off the modern patient safety movement? … RW: What are the most enduring legacies of your work in patient safety? … conversation-withpeter-j-pronovost-md-phd https://psnet.ahrq.gov/issue/making-health-care-safer-critical-analysis-patient-safety-practices

4065. Two Wrongs Don't Make a Right (Kidney) | PSNet
      psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
      April 01, 2010 - patient. … safety experts would maintain that even one wrong-site surgery is too many. … the patient. … Wrong Patient A misidentification of the patient leading to a procedure performed on the wrong patient … Cost-effectiveness of a computerized provider order entry system in improving medication safety

4066. Medication Handling and Compounding Errors in the Operating Room. | PSNet
      psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
      May 16, 2022 - in the compounding pharmacy setting. 5 Approach to Improving Safety & Patient Safety Target As a … It is critical for patient safety to discuss medications with zero distractions and interruptions. … As a high-level intervention, system changes should be addressed and implemented to improve patient safety … Loop Closure For this specific case, important patient safety issues were identified. … Safety.

4067. Delay in Initiating Antibiotics Results in Fatal Error | PSNet
      psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
      August 02, 2015 - and manage patients. … safety. … safety. … We now have monthly patient safety discussions at residents' report. … Importantly, the vice president for hospital quality and patient safety moderates these sessions.

4068. In Conversation with...Lucian Leape, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
      August 01, 2006 - patient safety began in 1972. … We stumbled into patient safety, a term that had yet to be coined. … tell, that was the first use of the term "patient safety." … This focus on safety led to significant decreases in risks to patients. … Safety in anesthesia is still not absolute, however, and high-risk patients still suffer far too many

4069. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications | PSNet
      psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
      February 01, 2004 - safety issue. … does not appear to offer any evidence-based patient safety measures proven to prevent harm by decreasing … The safety implications of missed test results for hospitalised patients: a systematic review. … safety. … December 21, 2014 Patient safety and quality care.

4070. Independent double-checks for high-alert medications: essential practice. | PSNet
      psnet.ahrq.gov/issue/independent-double-checks-high-alert-medications-essential-practice
      February 01, 2023 - November 20, 2024 Wake-up call: night shifts adversely affect nurse health and retention, patient … and public safety, and costs.

4071. In Conversation with…William B. Weeks, MD, MBA | PSNet
      psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
      May 01, 2009 - We asked him to speak with us about the business case for improving patient safety. Dr. … I also think that patient safety is kind of a moral imperative. … Patient Safety: A Perspective from Office Practice May 1, 2009 Perspective Most patient … Many potential and actual safety problems occur there as well.( 1 ) Yet patient safety literature and … Patient Safety Issues in the Office-Based Setting.

4072. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857260/psn-pdf
      November 30, 2023 - medical illness, poor fluid and food intake, and relative insulin deficiency.7,8 Approach to Improving Safety … & Patient Safety Target Studies have shown that patients with diabetes mellitus on any SGLT2i have … safety, including soliciting feedback from patients about the clarity of medication management instructions … Drug Safety Communication. … 10.1016/j.ejim.2019.03.014 https://doi.org/10.1016/j.eprac.2022.06.006 https://www.fda.gov/drugs/drug-safety-and-availability

4073. All in the History | PSNet
      psnet.ahrq.gov/web-mm/all-history
      February 28, 2011 - The 2008 Joint Commission Patient Safety Goal 2E requires all health care providers to "implement a standardized … As with all transfers of care, this should be done in accordance with the 2008 Patient Safety Goal 2E … [Available at] 6. 2008 National Patient Safety Goals Hospital Program. The Joint Commission. … The Joint Commission Accreditation Program: Ambulatory Health Care National Patient Safety Goals. … Safety Innovations Remote Response Team and Customized Alert Settings Help Improve

4074. Microsoft PowerPoint - Spotlight Case_Hindsight is 2020_SLIDES_FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_hindsight_is_2020_slides_final.pdf
      January 01, 2024 - Approach to Improving Safety & Patient Safety Target 39 Approach to Improving Safety & Patient Safety … & Patient Safety Target (2) • Although the medical history and the physical examination are the bedrock … & Patient Safety Target (3) • Practice-changing laboratory information should be considered for high … & Patient Safety Target (4) • Emerging imaging technologies may be useful in patients presenting with … Safety and efficacy of thrombolysis in telestroke: a systematic review and meta-analysis.

4075. Outbreak | PSNet
      psnet.ahrq.gov/web-mm/outbreak
      January 29, 2015 - 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 … 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 … See More About The Topic Emergency Departments Health Care Providers Quality and Safety

4076. Renal Failure Due to Benign Prostatic Hyperplasia | PSNet
      psnet.ahrq.gov/web-mm/renal-failure-due-benign-prostatic-hyperplasia
      February 01, 2004 - options are now available to treat LUTS attributed to BPH if medications don't work ( 13 ), giving patients … The AUA guideline on BPH emphasizes shared decision-making and a focus on how symptoms affect patients … Safety at Academic Medical Centers August 1, 2010 WebM&M Cases … Safety in the Emergency Care Setting. … October 19, 2022 Improving patient safety by identifying latent failures in successful

4077. A Sweet Case of Hidden Hydrogen Ions | PSNet
      psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
      November 30, 2023 - Approach to Improving Safety & Patient Safety Target  The process of admitting patients from the ED … Effective communication between medical teams can improve patient safety and decrease preventable errors … with diabetes, and is never appropriate in patients with type 1 diabetes. 8  In this case, the patient … & Patient Safety Target  Systems Change Needed/Quality Improvement Approach  Take-Home Points  … May 19, 2021 Perspective Medical Scribes and Patient Safety

4078. The Impact of Communication on Medication Errors | PSNet
      psnet.ahrq.gov/web-mm/impact-communication-medication-errors
      August 01, 2009 - Patient Safety and Quality , 1–14. Andreica, Ivyruth; Grissinger, Matthew; 2015. … Pennsylvania Patient Safety Authority 12 (No. 2): 49–83. Horton, Jon D., and Bruce M. … https://www.ahrq.gov/patient-safety/reports/engage/interventions/teachb… . … council: a model for satisfying CLER Pathways to Excellence patient safety goals. … Safety Primers Deprescribing as a Patient Safety Strategy October 27, 2021

4079. Assessing the Safety of Electronic Health Records: What Have We Learned? | PSNet
      psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
      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.

4080. Dropping to New Lows | PSNet
      psnet.ahrq.gov/web-mm/dropping-new-lows
      December 18, 2024 - The patient had previously had a stroke. … safety improvement staff, lab, dietary and nutrition services, and hospital administration. … Falls December 18, 2024 Optimizing Pediatric Patient Safety in the Emergency … April 22, 2016 Perspectives on Safety Interview … Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety August 30, 2023