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psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
December 01, 2007 - RW: One of the key epiphanies of the patient safety movement is that it's mostly about systems. … More importantly, what can be done to improve patient safety in this setting? … However, other domains crucial to patient safety and continuity of care—such as discharge medications … safety and continuity of care. … Safety
January 31, 2024
Patient Safety Innovations
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psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself
August 21, 2024 - If you are anxious about treating other physicians, you should not accept such patients. … Between two worlds: physicians as patients. In: Sickness and healing. … August 16, 2017
Learning from patient safety incidents involving acutely sick adults … safety. … Related Resources
Annual Perspective
Improving Diagnostic Safety
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psnet.ahrq.gov/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
October 30, 2024 - It’s also one extra step for patients, but if you're prescribing other meds and you know your patient … Safety
The Role of Undergraduate Nursing Education in Patient Safety
November 27 … Perspective
Surveillance Monitoring to Improve Patient Safety in … Annual Perspective
Equity in Patient Safety
March 27, 2024 … Safety Teamwork Training
February 28, 2024
Patient Safety Innovations
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psnet.ahrq.gov/node/60362/psn-pdf
April 13, 2018 - The maternal safety bundles currently being
implemented in the state include bundles for hypertensive … High patient satisfaction: All patients receiving the program’s telemedicine consultation services … saving each
patient on average $75-$150. … Innovation Patient Safety Focus
Increasing access to specialized obstetric services for patients in … rural communities via telehealth reduced
patient safety events associated with high-risk pregnancies
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psnet.ahrq.gov/node/49689/psn-pdf
August 21, 2013 - The patient reported no history of bleeding disorders, tobacco use, anesthetic complications, or
other … The following week, the patient underwent an uneventful left hip arthroplasty with general anesthesia … If the patient could not receive a block for technical reasons, patient
preference, or contraindications … satisfaction and decreased patient-controlled analgesia narcotics use.(5) Finally, a patient in this … Efficacy and safety of single and repeated administration of 1
gram intravenous acetaminophen injection
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psnet.ahrq.gov/node/49775/psn-pdf
November 01, 2016 - The
admitting team noted the patient had recently been started on abiraterone, an antiandrogen drug … accompany
potassium replacement, and that, by separating out the order sets electronically, an important safety … psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
in patients … ISMP Medication Safety Alert! Acute Care Edition. … Mixed results in the safety performance of
computerized physician order entry.
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psnet.ahrq.gov/node/837913/psn-pdf
August 31, 2022 - Hospital-to-Hospital Transfers for Children are Relatively Common and Present a Risk to Patient Safety … safety. … and patients’ families. … Take Home Points
The pediatric interfacility transfer process presents a potential risk to patient safety … Patient safety incidents during interhospital transport of
patients: a prospective analysis.
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psnet.ahrq.gov/perspective/conversation-david-m-gaba-md
March 01, 2013 - safety. … The conceptual arguments for patient safety are compelling ( 1 ) and these, together with the empiric … safety concerns, and available resources. … Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety
November 27, 2023 … May 26, 2010
Enhancing patient safety during pediatric sedation: the impact of simulation-based
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psnet.ahrq.gov/perspective/comprehensivist-model-care-hospitalists-view
November 01, 2018 - We haven't measured patient safety outcomes in the way you might imagine—like errors and things like … An American View of the UK's Patient Safety Enterprise: Top Down vs. … The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety
October 1, 2009 … the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet)
April 1, 2005 … safety.
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psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
November 25, 2020 - to chronic opioid use in 20% of these patients, but can also be idiopathic in nature. 5 All patients … Barnes, MD, FACEP Consulting Editor, AHRQ, Patient Safety Network (PSNet) Health Science Clinical Professor … An accuracy study in critically ill patients. … Reducing the risk of delayed colorectal cancer diagnoses through an ambulatory safety … June 12, 2024
Patient Safety Innovations
Journal
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psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-who-use-substances
October 30, 2024 - It’s also one extra step for patients, but if you're prescribing other meds and you know your patient … Cybersecurity and How to Maintain Patient Safety
March 27, 2024 … Perspective
Artificial Intelligence and Patient Safety: Promise … : The Evolution of Patient Safety Teamwork Training
February 28, 2024 … Mental Health
March 29, 2023
Patient Safety Innovations
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psnet.ahrq.gov/node/33837/psn-pdf
July 01, 2017 - We spoke with her about legal issues in patient
safety.
Dr. Robert M. … How did the dynamic of that relationship change when the patient safety field became a thing 15
years … safety movement and additional research on the causality of medical error, we
become more aware that … They reduce the underlying
safety problems that can lead to injuries that lead to claims. … Then there's the possibility
that plaintiffs' attorneys and their clients will come to expect that when
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psnet.ahrq.gov/node/61083/psn-pdf
October 28, 2020 - KH: What about impact on other safety concerns? … practice nurses started looking intensely at those
transfers and really figuring out where to tighten the safety … You put in a system of delivery of fluids for patients. … The hospitals were trying to move patients out, not keep
them in a hospital forever. … best practices
of an initiative like yours, what do we do right now to help the quality of care and safety
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psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
November 16, 2022 - constitute as many as half or more of all positive blood cultures in some centers, are very costly to patients … Clinical utility of blood cultures drawn from indwelling central venous catheters in hospitalized patients … October 16, 2024
Understanding the peer, manager, and system influence on patient safety … October 7, 2011
Point-of-care testing, medical error, and patient safety: a 2007 assessment … August 9, 2011
Patient safety and error reduction in surgical pathology.
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psnet.ahrq.gov/web-mm/pill-organizing-plight
June 19, 2018 - enhance patient safety by mitigating drug discrepancies across the continuum of care. … Recommendations for Medication Management Resources to improve prescribing safety in older patients … The top patient safety strategies that can be encouraged for adoption now. … Discrepancies between in-home interviews and electronic medical records on regularly used drugs among home care clients … Geriatrics
Medication Safety
View More
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psnet.ahrq.gov/node/860049/psn-pdf
January 04, 2024 - Myasthenia Crisis after a Delayed Diagnosis in a
Medically Complex Patient. … Approaches to Improving Patient Safety
Effective use of electronic health records (EHRs)
One of the … Harnessing the
power of problem representation can help us continue to think critically about our patients … that prioritize to-do
lists and clarify loose ends may help us coordinate optimal follow-up care for patients … Notification of abnormal lab test results in an electronic medical
record: Do any safety concerns remain
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psnet.ahrq.gov/perspective/care-transitions
December 01, 2007 - More importantly, what can be done to improve patient safety in this setting? … However, other domains crucial to patient safety and continuity of care—such as discharge medications … safety and continuity of care. … RW: One of the key epiphanies of the patient safety movement is that it's mostly about systems. … In other words, 5 months after the coach had disengaged with the patient, these patients were still staying
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psnet.ahrq.gov/node/843234/psn-pdf
January 01, 2013 - Overdose of Gabapentin and Oxycodone in a Patient with
End-Stage Renal Disease: A Case for Appropriate … Overdose of Gabapentin and Oxycodone in a Patient with
End-Stage Renal Disease: A Case for Appropriate … Therefore, the use and safety of commonly prescribed analgesic agents in the
setting of renal dysfunction … Table 2: Opioids in Renal Dysfunction13
Safety in Renal Dysfunction Opioid Starting Dose (opioid naïve … and arthritic pain, with
monitoring of renal function.23
Approaches to Improving Patient Safety
Computerized
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.64_slideshow.ppt
June 01, 2004 - words carefully to avoid explicitly stating that an error occurred
Concern that information may harm patient … Physician-patient communication. … A study of patients and relatives taking legal action. … Interventions to Improve Error Disclosure
Provide emotional support to clinicians as component of patient … safety program
Offer communication skills training
Standardized patients, role-playing
Educate physicians
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.314_slideshow.ppt
February 01, 2014 - The nurse informed the physician that the patient was having significant pain and liquid opioids had … For added safety, the pharmacist personally retrieved, labeled, and delivered the drug and a calibrated … A covering nurse checked on the patient and found him unconscious—a code blue was called. … Pa Patient Saf Advis. 2013;10:27-33. … he was taking
Solutions:
Patients and families should be empowered to ask questions about their medications