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4181. Transitions in Adolescent Medicine | PSNet
      psnet.ahrq.gov/web-mm/transitions-adolescent-medicine
      August 04, 2021 - January 25, 2017 Pragmatic insights on patient safety priorities and intervention strategies … safety. … July 19, 2023 Description and evaluation of an interprofessional patient safety course … safety. … safety implications.

4182. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.290_slideshow.ppt
      February 01, 2013 - safety issue Appreciate that failing to contact a patient about abnormal test results is a source of … Health care systems are increasingly providing test results directly to patients Some EMRs allow patients … CLIA program and HIPAA privacy rule; patients’ access to test reports. … Should patients get direct access to their laboratory test results? An answer with many questions. … Two steps that could reduce the harm from failure to contact patients about abnormal test results are

4183. EMS Perils from Hospital Overcrowding | PSNet
      psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
      November 25, 2020 - Barnes, MD This case highlights several related patient safety issues that can arise when a patient … 1) the harmful effects of hospital and ED crowding on patient safety, 2) the necessity for a safe and … Background Hospital crowding is emerging as an important theme in relation to patient safety. … Officially termed Ambulance Patient Offload Time (APOT) by the California Health and Safety Code, wall … safety, patient experience, and the morale of hospital staff.

4184. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49660/psn-pdf
      August 01, 2012 - 200 mg/dL) were never followed up by patients' clinicians, and about 9% of these patients likely had … Patient safety in the ambulatory setting. A clinician- based approach. … Timely follow-up of abnormal outpatient test results: perceived barriers and impact on patient safety … J Patient Saf. 2008;4:241-244. … safety.

4185. In Conversation With… Eric J. Topol, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-eric-j-topol-md
      February 26, 2025 - How does a patient do that? … RW : Let's turn to some of the safety issues, and one that readily comes to mind is patient self-management … Right now, I would not think that we have a whole lot of bragging rights to the safety that exists in … to help other patients. … RW : When a patient comes to see Dr.

4186. Antiseizure Medication Disorder | PSNet
      psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
      April 01, 2006 - The therapeutic index (ratio between toxic dose and therapeutic dose, a measure of the relative safety … April 1, 2006 AHRQ's Hospital Survey on Patient Safety Culture: psychometric … Safety (TOPS) experience. … outcomes: results from the Triad for Optimal Patient Safety (TOPS) project. … Safety and Adherence to Self-Administered Medications July 1, 2011 View More

4187. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49407/psn-pdf
      July 01, 2003 - The patient was discharged to a skilled nursing facility (SNF) for physical therapy on low- molecular-weight … Although hemorrhage can occur in any patient receiving warfarin, the risk is magnified when the anticoagulant … monitoring of oral anticoagulants in dedicated thrombosis clinics, using intelligent computer programs or patient … The use of published standard dosing algorithms may increase the safety of initial warfarin dosing. … Conservative treatment of overanticoagulated patients.

4188. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49661/psn-pdf
      August 01, 2012 - 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. … Maximum score = 10; patients scoring ? 9 are fit for discharge. Table 2. … Patients should have NO pain, PONV, and shivering Yes/No 3. … Patient has voided Yes/No 5.

4189. Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma. | PSNet
      psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
      August 14, 2024 - Approach to Improving Safety & Patient Safety Target Multiple studies have demonstrated the safety … must be carefully considered alongside important patient safety factors. … Even patients who are monitored overnight after surgery, such as the patient in Case #1, occasionally … score matched analysis of 16,370 patients. … safety course for health professions and related sciences students.

4190. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49396/psn-pdf
      April 01, 2003 - The patient took the medication for about 2 weeks, with no adverse sequelae. … psychiatrists and allergists), and pharmacists must be alert to the possibility of confusion when patients … chance of drug name confusion by adhering to the prescribing practices above and also by educating patients … Patients should be aware of potential for mix-ups, especially with problem name pairs. … ISMP Medication Safety Alert! Institute for Safe Medication Practices.

4191. Communication Failure—Who's in Charge? | PSNet
      psnet.ahrq.gov/web-mm/communication-failure-whos-charge
      April 01, 2018 - Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review. … Jt Comm J Qual Patient Safety. 2008;34:333-341. [go to PubMed] 14. … May 18, 2022 Transforming the morbidity and mortality conference to promote safety and … April 28, 2021 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … safety implications.

4192. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.320_slideshow.ppt
      January 01, 2020 - should be able to: Appreciate that primary care doctors (PCPs) may be caring for an increasing number of patients … The safety committee felt if these components of the exam had been performed, the providers might have … are likely to be increasingly managing neurologic conditions Limited data exist to suggest how often patients … —The diagnosis made in 3781 new patients. … Bringing diagnosis into the quality and safety equations.

4193. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851568/psn-pdf
      July 31, 2023 - Safety Network (PSNet) Associate Physician Diplomate Department of Internal Medicine, Division of … Safety Network (PSNet) Health Sciences Clinical Professor Department of Psychiatry and Behavioral … Rhew T, Harris S, Degenkolb K, et al. 726: Evaluating the safety and efficacy of lorazepam continuous … Efficacy and safety of pharmacological interventions for the treatment of the Alcohol Withdrawal Syndrome … Proper titration orders are essential for patient safety. Am J Crit Care. 2022;31(2):158-160.

4194. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851099/psn-pdf
      June 28, 2023 - The radial artery, in particular, follows a variable course in different patients. … Approaches to Improving Patient Safety Avoid injecting drugs and air bubbles into arterial lines All … Christian Bohringer, MBBS Consulting Editor, AHRQ, Patient Safety Network (PSNet) Professor of Clinical … The Pennsylvania Patient Safety Authority. … Tubing Misconnections: Making the Connection to Patient Safety.

4195. The Literature on Health Care Simulation Education: What Does It Show? | PSNet
      psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
      March 01, 2013 - safety. … The conceptual arguments for patient safety are compelling ( 1 ) and these, together with the empiric … safety competency. … February 14, 2015 Aviation tools to improve patient safety. … safety and outcome?

4196. Miscommunication During the Interhospital Transport of a Critically Ill Child | PSNet
      psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
      March 27, 2024 - Hospital-to-Hospital Transfers for Children are Relatively Common and Present a Risk to Patient Safety … risks to patients and their families. … safety. … and patients’ families. … Patient safety incidents during interhospital transport of patients: a prospective analysis.  

4197. Diagnostic Delay in the Emergency Department | PSNet
      psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
      September 18, 2024 - 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. … Effect of emergency department crowding on outcomes of admitted patients. … Assessing the Safety of Electronic Health Records: What Have We Learned? … August 30, 2023 The safety journal: lessons learned with an error reporting tool

4198. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.215_slideshow.ppt
      April 01, 2010 - The patient delivered the prescription to the clinic pharmacy and it was filled. … harm while the medication is in the control of the health care professional, patient, or consumer” … Most states require the offer of pharmacist counseling for new prescriptions only When offered, patients … dispensing might have provided opportunity to catch error Patient empowerment might have prompted patient … implemented correctly, will mitigate certain types of medication errors, thereby improving medication safety

4199. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33814/psn-pdf
      September 01, 2016 - We spoke with him about telemedicine and patient safety. Dr. Robert M. … RW: Objections to telehealth are often framed in terms of concerns about quality or safety. … There are tools today that will enable a remote physician to see the patient and examine the patient … https://psnet.ahrq.gov/issue/patient-centered-medical-home-resource-center-quality-and-safety https:/ … /psnet.ahrq.gov/issue/patient-centered-medical-home-resource-center-quality-and-safety http://health.usnews.com

4200. The Perils of Contrast Media | PSNet
      psnet.ahrq.gov/web-mm/perils-contrast-media
      March 01, 2007 - The patient was evaluated by vascular surgery who recommended conservative management with intravenous … enhancement.( 10 ) According to the most recent consensus guidelines published by the Contrast Media Safety … Contrast induced nephropathy: updated ESUR Contrast Media Safety Committee guidelines. … Safety: A Perspective from Office Practice May 1, 2009 WebM&M … Department May 1, 2017 WebM&M Cases Complaints as Safety