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Showing results for "patient safety indicators".
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4161. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72837/psn-pdf
      September 01, 2022 - multidisciplinary provider team is to build trust and confidence in a nonjudgmental way to promote health and safety … In recent years, the program has focused resources on patient care rather than on data collection. … Innovation Patient Safety Focus https://psnet.ahrq.gov//#2 Project Nurture focuses on working with … How do patients enter the program? What questions are asked of the patient? … However, finding providers who already have experience treating this nuanced patient population may

4162. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49450/psn-pdf
      June 01, 2004 - be told about all harmful errors, to demonstrate respect for patients and foster honesty in the patient-provider … safety program. … Effective error disclosure could enhance patient safety and improve the quality of care. Thomas H. … Revisions to joint commission standards in support of patient safety and medical health care error reduction … Physician-patient communication.

4163. How Does Health Care Simulation Affect Patient Care? | PSNet
      psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
      August 01, 2018 - Simulations involving standardized patients are a means to assess selected competencies in patient care … for patients.( 9 ) This finding is superior to the effect sizes for patient outcomes reported for conferences … He holds the Norman Ty Smith Chair in Patient Safety and Medical Simulation. … Wachter : From the early days, was your view of simulation that it was about patient safety? … Safety September 1, 2016 Optimizing Pediatric Patient Safety in the Emergency

4164. Managing Ascites: Hazards of Fluid Removal | PSNet
      psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
      June 01, 2018 - Is the patient taking antacids rich in salt? Has the patient stopped a prescribed diuretic? … patients presenting with tense and large volume, such as the patient in this case. … There are no data on the safety of large volume paracentesis in patients with SBP. … Related Resources From the Same Author(s) Perspective Safety … Safety at Academic Medical Centers August 1, 2010 WebM&M Cases

4165. Inpatient Stroke Management in an Adolescent with Type 1 Diabetes and Home Insulin Pump | PSNet
      psnet.ahrq.gov/web-mm/inpatient-stroke-management-adolescent-type-1-diabetes-and-home-insulin-pump
      February 01, 2023 - safety when managing hospitalized patients on home insulin pumps   The Case  A 14-year-old girl … Safety   In the case outlined above, patient/caregiver resistance coupled with provider knowledge … to recommend widespread CGM use in hospitalized patients. 22,23  Even if the patient uses a CGM, point-of-care … An Overview of Safety Issues on Use of Insulin Pumps and Continuous Glucose Monitoring Systems in the … February 26, 2020 Failure to rescue as a process measure to evaluate fetal safety

4166. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49861/psn-pdf
      May 01, 2019 - The patient was tachycardic (heart rate 100 beats per minute), but not hypotensive. … The patient quickly lost his pulse and a code was called. … The use of standardized handoff tools has been shown to decrease adverse events and improve safety.( … 19) Implementing such a tool may have helped the patient in this case. … Lawrence Center for Quality and Safety Assistant Professor of Emergency Medicine, Harvard Medical School

4167. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852807/psn-pdf
      August 30, 2023 - Approaches to Improving Patient Safety Avoid and discourage working while tired Clinicians should avoid … Christian Bohringer, MBBS Consulting Editor, AHRQ, Patient Safety Network (PSNet) Professor of Anesthesiology … Patient safety, resident education and resident well-being following implementation of the 2003 ACGME … Patient safety outcomes under flexible and standard resident duty-hour rules. … The fatigued anesthesiologist: a threat to patient safety?

4168. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
      January 01, 2021 - Pennsylvania Patient Safety Advisory. 2014;11(1):1-7. 25. Westbrook JI, Rob MI, Woods A, Parry D. … BMJ quality & safety. 2011 Dec 1;20(12):1027-34. 26. … BMJ quality & safety. 2017 Feb 1;26(2):131-40. 27. … BMJ Quality & Safety. 2005 Apr 1;14(2):80-6. 28. … BMJ quality & safety. 2018 Nov 1;27(11):892-901. 29.

4169. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia | PSNet
      psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
      January 29, 2021 - Approaches to Improving Patient Safety Avoid and discourage working while tired Clinicians should avoid … Christian Bohringer, MBBS Consulting Editor, AHRQ, Patient Safety Network (PSNet) Professor of Anesthesiology … Patient safety, resident education and resident well-being following implementation of the 2003 ACGME … Patient safety outcomes under flexible and standard resident duty-hour rules. … The fatigued anesthesiologist: a threat to patient safety?

4170. In Conversation With… John D. Birkmeyer, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
      January 31, 2024 - issues for patients. … safety? … or the diligence of postoperative care that drives how patients do. … RW : If you were a patient and you saw those videos, you would be quite scared that you were going to … What should a patient do today?

4171. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846915/psn-pdf
      March 29, 2023 - Borderline personality disorder is common in patients with a history of substance abuse. … Approaches to Improving Safety The role of psychiatric consultants The role of the psychiatric consultant … share responsibility for the patient’s care, either must be able to challenge the other if they have safety … the primary treating physician could have rejected the psychiatry consultant’s opinion regarding the safety … psnet.ahrq.gov//#13 https://psnet.ahrq.gov//#13 https://psnet.ahrq.gov//#13 https://psnet.ahrq.gov/issue/patient-and-family-engagement-potential-approach-improving-patient-safety-systematic-review

4172. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-09/spotlight_lost_in_transitions_of_care_09.22.2021_final.pdf
      January 01, 2021 - care and safety for opioid-dependent patients with chronic pain: – Access Prescription Drug Monitoring … National Patient Safety Goals® Effective January 2021 for the Hospital Program. … Available at: https://www.jointcommission.org/- /media/tjc/documents/standards/national-patient-safety-goals … Patient Safety and Quality: An Evidence-Based Handbook for Nurses. … www.fda.gov/media/83883/download https://www.jointcommission.org/-/media/tjc/documents/standards/national-patient-safety-goals

4173. In Conversation With… Amy C. Edmondson, PhD, AM | PSNet
      psnet.ahrq.gov/perspective/conversation-amy-c-edmondson-phd-am
      February 01, 2017 - Over the last 15 years, you have another overlay—the patient safety and quality movements. … The relation between teamwork and patient safety. In: Carayon P, ed. … Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. … TeamSTEPPS: Team Strategies and Tools to Enhance Performance and Patient Safety. … In: Advances in Patient Safety: New Directions and Alternative Approaches.

4174. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50949/psn-pdf
      February 26, 2020 - encountered during the analytic phase typically resides with improper instrument operation, faulty reagents … tracked For mislabeled specimens, studies show the failure points occur at the time of collection where patients … wrong diagnoses due to lost or mislabeled specimens can be devastating or catastrophic to individual patients … caused patients to receive inappropriate treatment.17 In the end, the price for testing errors have … Blood bank safety practices: Mislabeled samples and wrong blood in tube – a Q-Probes analysis of 122

4175. Primary Care and Patient Safety: Opportunities at the Interface | PSNet
      psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
      September 28, 2022 - Settings by Engaging Patients and Families Toolkit for Engaging Patients to Improve Diagnostic Safety … FS: I think about patient safety very broadly. … patient safety fits into primary care. … safety on behalf of our patients. … efforts to improve patient safety.

4176. In Conversation with... Dr. Neal Sikka and Dr. Colton Hood about Remote Patient Monitoring | PSNet
      psnet.ahrq.gov/perspective/conversation-dr-neal-sikka-and-dr-colton-hood-about-remote-patient-monitoring
      March 15, 2023 - How has patient safety been part of that evolution? … safety mechanism to limit potential patient exposure to infected patients by replacing in-person visits … patients daily, and escalated patients for further care in case of worsening symptoms. 8 Patient Safety … infrastructure is paramount in ensuring patient safety, including team composition, patient selection … Building a real-time remote patient monitoring patient safety program for COVID-19 patients.

4177. Failed Interpretation of Screening Tool: Delayed Treatment | PSNet
      psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
      August 20, 2018 - Murphy, MD, PhD Patient Safety Officer, Emory Healthcare Director of Quality, Emory Critical Care Center … November 16, 2022 To the point: integrating patient safety education Into the obstetrics … August 25, 2010 Teamwork, communication and safety climate: a systematic review of interventions … June 21, 2015 Results of an effort to integrate quality and safety into medical and nursing … October 7, 2011 Patient safety and error reduction in surgical pathology.

4178. In Conversation With... Charles A Crecelius, MD, PhD, CMD and Lori L Popejoy, PhD, RN, FAAN | PSNet
      psnet.ahrq.gov/perspective/conversation-charles-crecelius-md-phd-cmd-and-lori-l-popejoy-phd-rn-faan
      October 28, 2020 - KH : What about impact on other safety concerns? … You put in a system of delivery of fluids for patients. … care and ensuring the safety of both the patient and the healthcare workforce. … risks associated with usual care needs for this patient population, such as falls and pressure ulcers … Colton Hood about Remote Patient Monitoring March 15, 2023 The Lancet Commission

4179. The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy | PSNet
      psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
      April 08, 2019 - April 8, 2019 Perspective Implementing a Patient Safety … and public safety, and costs. … August 24, 2022 Identifying and reconciling patients' allergy information within the … safety initiative. … Safety Goals.

4180. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865412/psn-pdf
      March 27, 2024 - The psychiatric prodromal concept also may lack predictive value, in that many patients (eventually) … Approaches to Improving Patient Safety The tragedy in this case is that there was clinical suspicion … James Bourgeois, OD, MD Consulting Editor, AHRQ, Patient Safety Network (PSNet) Professor of Psychiatry … https://psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review https … Neuropsychiatric lupus in late- and early-onset systemic lupus erythematosus patients: a systematic