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Showing results for "patient safety indicators".
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4201. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865778/psn-pdf
      May 29, 2024 - KDOQI1 and the Society for Hospital Medicine.3 In the largest published meta-analysis, involving 5,108 patients … psnet.ahrq.gov//#9 https://psnet.ahrq.gov/issue/making-health-care-safer-ii-updated-critical-analysis-evidence-patient-safety-practices … by multidisciplinary teams; all involved urgent and complex procedures in hemodynamically unstable patients … InMaking Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices … Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign

4202. Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement | PSNet
      psnet.ahrq.gov/web-mm/navigating-complications-unintended-journey-guidewire-during-dialysis-catheter-placement
      February 23, 2022 - and the Society for Hospital Medicine. 3 In the largest published meta-analysis, involving 5,108 patients … by multidisciplinary teams; all involved urgent and complex procedures in hemodynamically unstable patients … InMaking Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices … Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign … Safety Innovations Remote Response Team and Customized Alert Settings Help Improve

4203. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837958/psn-pdf
      December 01, 2021 - 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.

4204. A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care. | PSNet
      psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
      July 08, 2022 - Patients with delusions may believe a doctor is trying to harm the patient instead. … Approach to Improving Systemic Safety: Palliative Care and the Interdisciplinary Team Model System … May 12, 2021 Why is patient safety a challenge? … Organization (HRO) Principles and Patient Safety February 26, 2025 … Social risk, health inequity, and patient safety.

4205. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72911/psn-pdf
      March 15, 2021 - Patient Safety and Quality, 1–14. … Pennsylvania Patient Safety Authority 12 (No. 2): 49–83. 9. Horton, Jon D., and Bruce M. … “National Patient Safety Goals.” 2006. Bulletin of the American College of Surgeons 91 (8): 49. … “Teach-Back: Intervention,” 1–2. https://www.ahrq.gov/patient-safety/reports/engage/interventions/teachb … //doi.org/10.23937/2469-5793/1510013 https://doi.org/10.1007/978-3-319-16068-9 https://www.ahrq.gov/patient-safety

4206. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49579/psn-pdf
      March 21, 2009 - Although the majority of patients seen in EDs present directly or are brought by ambulance, many are … The 2008 Joint Commission Patient Safety Goal 2E requires all health care providers to "implement a … 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.

4207. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49668/psn-pdf
      October 01, 2012 - This too can be difficult for patients, and communication between programs can be challenging. … Patients unwilling to participate in recommended psychosocial therapies may not be good candidates for … Patients who drop out of psychosocial treatments need to be reevaluated for continued opioid therapy. … treatment for opioid dependence should be based on the assessment of the patient's clinical needs and safety … The risk is increased in patients with pre-existing respiratory compromise and with some abused drugs

4208. When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy | PSNet
      psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
      March 18, 2020 - Safety and sedation-associated adverse event reporting among patients undergoing endoscopic cholangiopancreatography … Procedural sedation for adult patients: an overview. … safety. … November 2, 2011 Perspective Establishing a Safety Culture … November 15, 2023 Facilitators and barriers to the implementation of surgical safety

4209. Chest Tube Complications | PSNet
      psnet.ahrq.gov/web-mm/chest-tube-complications
      September 27, 2023 - The committee noted that this variation led to confusion among bedside nurses about how to monitor patients … 9 ) recommends a few hours of clamping followed by chest radiography when there is doubt about the safety … data and recommends a clamp trial if there is any doubt whether an air leak has sealed (or for all patients … March 15, 2023 Diagnostic Safety Across Transitions of Care Throughout the Healthcare … April 5, 2013 Exploring the barriers and facilitators of psychological safety in primary

4210. Time of Death? | PSNet
      psnet.ahrq.gov/web-mm/time-death
      January 03, 2017 - The Commentary Between 370,000 and 750,000 hospitalized patients suffer a cardiac arrest and undergo … Taekman, MD Assistant Professor of Anesthesiology Director, Human Simulation and Patient Safety Center … Wright, PhD Assistant Professor of Anesthesiology Human Simulation and Patient Safety Center Duke University … Anaesthesiology as a model for patient safety in health care. … January 3, 2017 Optimizing Pediatric Patient Safety in the Emergency Care Setting.

4211. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50755/psn-pdf
      December 18, 2019 - For 10 days this patient frequently refused oral intake. … reason.9 How long is it safe to keep patients fasting? … of the patient. … effects of errors in diet ordering.23 Approach to Improving Safety & Patient Safety Target For cases … like this one, improving patient safety starts with diagnosing malnutrition.

4212. Challenging Case of Multiple Suicide Attempts in a Complex Patient with Psychiatric Comorbidities. | PSNet
      psnet.ahrq.gov/web-mm/challenging-case-multiple-suicide-attempts-complex-patient-psychiatric-comorbidities
      September 27, 2023 - Approaches to Improving Safety The role of psychiatric consultants The role of the psychiatric consultant … the primary treating physician could have rejected the psychiatry consultant’s opinion regarding the safety … Alcohol Withdrawal with Dexmedetomidine Infusion July 31, 2023 Filling a gap in safety … June 14, 2023 Patients who die by suicide: a study of treatment patterns and patient … safety incidents in Norway.

4213. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49551/psn-pdf
      December 01, 2007 - Use in Patients with Pain A Cochrane review of the use of warming therapy in rheumatoid arthritis (RA … application in relieving pain found that acute low back pain was relieved by active warming.(10) The Safety … Other strategies to increase the safety of heat application include: Placing the heating device on top … of, not underneath, the patient, if possible. … Patient education and instruction regarding use of a heating device are important parts of any therapy

4214. The Deadly Duo | PSNet
      psnet.ahrq.gov/web-mm/deadly-duo
      April 28, 2021 - Patient Safety in Home Dialysis April 28, 2021 … Safety Collaborative. … March 20, 2019 Resource-based view on safety culture's influence on hospital performance … September 19, 2018 Hospital cultural competency and attributes of patient safety culture … October 27, 2021 Speaking up about patient safety in psychiatric hospitals - a cross-sectional

4215. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49782/psn-pdf
      January 01, 2017 - The patient now complained of severe pain. … The patient eventually recovered from his sepsis and was discharged home. … references Although our study focused on the length of the infusion, other evidence points to the relative safety … be inserted may prolong the time the patient is in shock. … Safety of peripheral intravenous administration of vasoactive medication.

4216. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
      January 01, 2024 - safety risks inherent to wounds contaminated by foreign material. … antibiotic treatment (termed “prophylactic” by the authors) for patients with non-bite wounds. … For some patients, probably including the one in this case, even delayed closure is not feasible or may … Alternatively, patients should be instructed to return to the index ED for re-evaluation. 49 49 … Take Home Points 50 Take-Home Points (1) 51 Evaluate all patients for their risk of wound infection

4217. Disclosure of Medical Error | PSNet
      psnet.ahrq.gov/perspective/disclosure-medical-error
      January 01, 2009 - safety efforts. … Recent presidential candidates have touted using disclosure as part of a centerpiece of patient safety … Making patient safety the centerpiece of medical liability reform. … March 1, 2012 Quality and patient safety improvement is never finished. … April 22, 2016 Legal and policy interventions to improve patient safety.

4218. In Conversation With… David Juurlink, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
      May 22, 2017 - We spoke with him about the opioid epidemic and strategies to address this growing patient safety concern … RW : You're painting a picture of what life was like in the mid to late 1990s—and the patient safety … safety specifically? … Opioid Overdose as a Patient Safety Problem May 22, 2017 Perspective Opioids serve a valuable … Rethinking opioid prescribing to protect patient safety and public health.

4219. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73200/psn-pdf
      April 28, 2021 - Approach to Improving Safety & Patient Safety Target  https://psnet.ahrq.gov//#1 https://psnet.ahrq.gov … 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 … one of the most important means through which to empower physicians, trainees, and nurses to improve safety … Educate patients, nursing staff, and physicians on risk factors for DKA and its symptoms in patients

4220. Innovations in Promoting Hand Hygiene Compliance | PSNet
      psnet.ahrq.gov/perspective/innovations-promoting-hand-hygiene-compliance
      May 01, 2014 - Patient Safety. WHO Guidelines on Hand Hygiene in Health Care. … Regarding the patient position, I completely agree that patients should have the right to benefit from … We have been involving patients in patient participation and/or patient empowerment strategies for some … health care workers on these simple hand hygiene actions that improve patient safety. … in Patient Safety: Have Things Changed?