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Showing results for "patient safety indicators".
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4081. In Conversation with… Edward Tenner, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
      June 01, 2011 - safety. … In some cases, the patients themselves might be interested in procedures or medications that might increase … U.S. inaction lets look-alike tubes kill patients. New York Times. August 21, 2010:A1. 6. … Safety February 26, 2025 Patient Safety Innovations … Patient Safety Innovations Remote Response Team and Customized

4082. In Conversation With... Remle P. Crowe, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
      May 16, 2022 - safety, and those are relatively new; what are some other ways that historically patient safety has … version of the surveys on patient safety, or the EMS SOPS. … monitoring patient safety in the prehospital setting suggests that safety surveillance systems have … Patient Safety Incidents Perhaps one sign of EMS’s emergence in the field of patient safety is the … of patient safety, is also becoming feasible in the prehospital setting.

4083. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49754/psn-pdf
      February 01, 2016 - The physicians caring for the patient assumed the PICC was safe to use, and the patient began receiving … How best to use PICCs is an important clinical and safety question. … Safety Enhancement Program and Center for Clinical Management Research of the VA Ann Arbor Health System … J Patient Saf. 2015 Nov 10; [Epub ahead of print]. [go to PubMed] 4. … Do clinicians know which of their patients have central venous catheters?

4084. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49804/psn-pdf
      September 01, 2017 - On the third day of hospitalization, the patient developed bloody ostomy output. … to exclude an upper GI source.(11) In patients with GIB, it is important to identify high-risk patients … Several hours later, the patient passed even more blood through his ostomy. … Electronic health records provide templates for care and play a significant role in patient safety. … Does this patient have a severe upper gastrointestinal bleed? JAMA. 2012;307:1072-1079.

4085. A Complicated Course: Severe Alcohol Withdrawal with Dexmedetomidine Infusion | PSNet
      psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
      June 14, 2023 - Safety Network (PSNet) Associate Physician Diplomate Department of Internal Medicine, Division of Hospital … Efficacy and safety of pharmacological interventions for the treatment of the Alcohol Withdrawal Syndrome … Proper titration orders are essential for patient safety. … October 13, 2018 Patient Safety Primers Deprescribing as … a Patient Safety Strategy October 27, 2021 Optimizing Pediatric Patient Safety

4086. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846770/psn-pdf
      March 29, 2023 - esophagus.4 Pain is the most frequent and sensitive finding in esophageal perforation, occurring in 70% of patients … second most common presenting sign or symptom of esophageal perforation after pain was fever (44% of patients … Workflow for improving patient safety and communication after endoscopic perforation Procedural complications … Management and outcomes of esophageal perforation: a national study of 2,564 patients in england. … Diagnostic endoscopic ultrasonography: assessment of safety and prevention of complications.

4087. The Evidence-Based Physical Examination as a Patient Safety Practice | PSNet
      psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
      November 01, 2012 - The Evidence-Based Physical Examination as a Patient Safety Practice Steven McGee, MD | November 1, … The Evidence-Based Physical Examination as a Patient Safety Practice. PSNet [internet]. … The Evidence-Based Physical Examination as a Patient Safety Practice. PSNet [internet]. … That disappoints me, and I think it has both cost and patient safety consequences. … The Evidence-Based Physical Examination as a Patient Safety Practice. PSNet [internet].

4088. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840175/psn-pdf
      November 16, 2022 - The patient safety issues center on confirming the aortic valve-associated thrombosis, providing appropriate … Patients in the intermediate risk group (4-10% per year) include those with a bi-leaflet aortic valve … Conversely, most valve-related thromboembolism events occur in patients with INR values between 2.0 … Approach to Improving Safety and Patient Safety Target Although we do not know this patient’s INR value … safety.

4089. Undetected Foreign Object | PSNet
      psnet.ahrq.gov/web-mm/undetected-foreign-object
      April 24, 2018 - RSIs can result in significant patient morbidity and even mortality.( 3,9,10 ) Patients can experience … There are no studies that have evaluated the patient safety and economics risk–benefit of introducing … Cima, MD, MA Vice-chair, Quality and Safety, Department of Surgery Associate Professor of Surgery … Improving safety in the operating room: systematic literature review of retained surgical sponges. … See More About The Topic Operating Room Health Care Providers Quality and Safety

4090. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49642/psn-pdf
      December 01, 2011 - Describe the benefits of mobile technology to safety, quality, and efficiency. … international normalized ratio (INR) was 1.4 (the INR is a measure of anticoagulation intensity in patients … safety, and care without increasing bedside interruptions. … safety. … Interruptions to workflow can be associated with medical errors and risks to patients.(18) Mitigating

4091. AHRQ PSNet Webinar (pdf file)
      psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
      January 01, 2025 - 6 MHS: Making Healthcare Safer; PSPs: patient safety practices https://www.ahrq.gov/research/findings … /making-healthcare-safer/comparison.html MHS IV Purpose: provide health systems & patient safety leaders … safety issues, & patient/consumer perspective … • Neutral/Prefer not to rate. 15 Today’s Topics • Two patient safety practices: ► Rapid Response … • Identify key elements of effective opioid stewardship interventions that can improve patient safety

4092. In Conversation With... Jack Westfall, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
      September 28, 2022 - patient safety fits into primary care. … Lab safety was one of the conditions for which we found a larger number of patient safety events like … safety on behalf of our patients. … efforts to improve patient safety. … Settings by Engaging Patients and Families Toolkit for Engaging Patients to Improve Diagnostic Safety

4093. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49627/psn-pdf
      June 01, 2011 - violation to send a copy of a patient evaluation to the patient themselves. … The case highlights some of the safety issues we know well in the modern digitalized hospital, where … to third parties that some hospitals specify that only the medical records department may provide patients … Peabody that "the secret of the care of the patient is in caring for the patient. … Effect of bar-code technology on the safety of medication administration.

4094. The Result Stopped Here | PSNet
      psnet.ahrq.gov/web-mm/result-stopped-here
      December 01, 2006 - Understanding medical error and improving patient safety in the inpatient setting. … populations (oncology patients, pediatrics) Hematocrit   >60% Inpatient … populations (oncology patients, pediatrics) Prothrombin Time Not applicable International … November 3, 2015 A 2-year study of patient safety competency assessment in 29 clinical … May 18, 2011 Perspective The Media’s Role in Patient Safety

4095. In Conversation With… Sidney Dekker, MA, MSc, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-sidney-dekker-ma-msc-phd
      February 26, 2025 - Safety: A Human Factors Approach. … Robert Wachter, Editor, AHRQ WebM&M : What got you interested in patient safety? … She gave a calcium chloride overdose to one of her pediatric patients. … RW : Do you think that patients and the citizenry more broadly, the political apparatus, is willing to … If you're the patient or your loved one is the patient, it takes on a completely different nature.

4096. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
      April 01, 2008 - and more cephalad rib spaces. 13,14 Furthermore, incision or needle insertion should be made in the safety … Approach to Improving Patient Safety Errors in both judgement and technique led to this adverse outcome … safety: past, present, and future. … December 11, 2024 Patient Safety Innovations Rescue Improvement … April 3, 2024 Facilitators and barriers to the implementation of surgical safety checklist

4097. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.158_slideshow.ppt
      September 01, 2007 - Patient-physician communication at hospital discharge and patients' understanding of the postdischarge … Medication Reconciliation in Hospitalized Patients For patients admitted to hospital, this process involves … Accessed August 7, 2007. 16. 2006 Critical Access Hospital and Hospital National Patient Safety Goals … ISMP Medication Safety Alert! Acute Care Edition. July 13, 2006. … Education Patients should participate in the medication reconciliation process Encourage patients

4098. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74713/psn-pdf
      January 26, 2022 - Patient Safety Events Involving Opioid Dose Stacking January 26, 2022 Porras H, Lammers C. … Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. 2022. … https://psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking Disclosure of Relevant … A Systematic Approach to Improving Patient Safety The prevalence of opioid use has increased and consequently … types of patient monitoring should be considered, specifically for patients with coexisting disease

4099. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49788/psn-pdf
      March 01, 2017 - EHR use and adoption impacts how health care professionals care for their patients and communicate with … Improving medication safety during hospital-based transitions of care. … Evaluation of medication list completeness, safety, and annotations. … Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and " … Jt Comm J Qual Patient Saf. 2012;38:339-347.

4100. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49765/psn-pdf
      August 21, 2016 - safety. … safety.(6,7) Yet, interruptions are an inescapable component of clinical work. … safety. … A systematic review of the psychological literature on interruption and its patient safety implications … Sensemaking, safety, and cooperative work in the intensive care unit.