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Showing results for "patient safety indicators".
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4241. Microsoft PowerPoint - FINAL Spotlight Case_A Complicated Course-Severe Alcohol Withdrawal - SLIDES.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-07/spotlight_a_complicated_course.pdf
      January 01, 2023 - • The patient was admitted to an intensive care step down unit for close observation as his CIWA … communicating medication management plans; improved computerized physician order entry options may improve safety … 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.

4242. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-11/spotlight_case_neurological_red_flags_final.pptx
      January 01, 2024 - SAFETY 36 Approaches to Improving Patient Safety (1) Misdiagnosis of patients with acute dizziness … Safety (2) It is not uncommon for emergency clinicians to use symptom-only diagnoses. … with episodic dizziness has been proposed.45 39 39 Approaches to Improving Patient Safety (4) … Safety (5) 41 Note: This algorithm applies to patients who have episodes of dizziness, are currently … Safety (6) Another systems-based issue is the rational use of imaging.

4243. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857059/psn-pdf
      November 29, 2023 - safety. … Safety Patients who require anticoagulant and/or antiplatelet therapy to minimize thrombotic risk are … Safety of percutaneous endoscopic gastrostomy in high-risk patients. … AHRQ Patient Safety Network. Accessed November 6, 2023. [Free full text] 28. Pinto A, Brunese L. … Patient safety at handoff in rehabilitation medicine.

4244. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866993/psn-pdf
      October 30, 2024 - In Conversation with Elizabeth Salisbury-Afshar about Harm Reduction Strategies to Improve Safety for … Sarah Mossburg:  What are the main safety concerns for people who use substances? … In addiction treatment, harm reduction aims to be welcoming and patient centered. … to find evidence-based, patient-centered services. … It’s also one extra step for patients, but if you're prescribing other meds and you know your patient

4245. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849679/psn-pdf
      June 28, 2023 - The patient subsequently underwent surgical repair of the tracheal injury. … An open approach should be considered in patients with morbid obesity, short necks, tracheal deviation … ://psnet.ahrq.gov//#6 https://psnet.ahrq.gov//#8 https://psnet.ahrq.gov//#7 Approach to Improving Safety … The patient in this clinical scenario was noted to have COVID-19 pneumonia. … Percutaneous tracheostomy in critically ill patients.

4246. Challenges of Diabetes Management and Medication Reconciliation | PSNet
      psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
      March 15, 2023 - safety concern as patients move across various levels of care and care settings. … comorbidities, patients with long diabetes duration, or patients with a prior history of hypoglycemia … safety during hospital admission. 15 Additionally, there may be challenges related to providers accessing … safety through medication reconciliation. … Cases Duplicate Insulin Order March 1, 2019 Addressing safety

4247. Rapid Mis-St(r)ep | PSNet
      psnet.ahrq.gov/web-mm/rapid-mis-strep
      February 01, 2004 - The clinical diagnosis of streptococcal pharyngitis is frequently difficult, in part because patients … One problem with RADTs is illustrated by the patient presented here. … A positive RADT should result in antibiotic therapy for patients with consistent signs and symptoms. … Safety Primers Simulation Training March 1, 2023 Implementation … November 16, 2022 Prospective study of the multisite spread of a medication safety intervention

4248. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843051/psn-pdf
      February 01, 2023 - Approach to Improving Safety & Patient Safety Target Multiple studies have demonstrated the safety of … 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 … Assessing safety and outcomes in outpatient versus inpatient thyroidectomy using the NSQIP: a propensity … score matched analysis of 16,370 patients.

4249. Diuretics and Electrolyte Abnormalities | PSNet
      psnet.ahrq.gov/web-mm/diuretics-and-electrolyte-abnormalities
      February 15, 2017 - At the visit, the patient complained of worsening lower extremity edema over the prior few weeks. … The patient was treated with hypertonic (3%) normal saline, potassium repletion, and supportive care. … However, the patient should be monitored closely, and diuretic treatment should be stopped if weight … July 6, 2011 MRI safety: prepare for new guidance. … Transitioning between electronic health records: effects on ambulatory prescribing safety

4250. Lost in Transitions of Care: Managing an Opioid-Dependent Patient with Frequent Hospitalizations | PSNet
      psnet.ahrq.gov/web-mm/lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
      October 27, 2022 - Various tools and strategies for improving care and safety for opioid-dependent patients with chronic … Methadone differs from other opioids in several important ways that have implications for patient safety … 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.

4251. Acute Care Admission of the Behavioral Health Patient | PSNet
      psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
      July 19, 2023 - Acute Care Admission of the Behavioral Health Patient. PSNet [internet]. … Acute Care Admission of the Behavioral Health Patient. PSNet [internet]. … Tragically, 2 weeks after discharge the patient committed suicide. … In part related to this perceived neurological safety profile, and in part related to studies showing … safety.

4252. Hip Fractures in Older Patients: the Case for Geriatrics Comanagement | PSNet
      psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
      July 01, 2004 - The patient was admitted to the orthopedic surgery service to fix the fracture; the surgery was initially … The patient was not placed on venous thromboembolism prophylaxis prior to surgery. … After discussion with his family, the patient was ultimately transitioned to hospice and died several … Several weeks after surgery, this patient was readmitted with a pulmonary embolism, which was likely … Hospitals' Patient Safety Performance April 1, 2010 Patient safety, systems

4253. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49675/psn-pdf
      February 01, 2013 - safety issue. … does not appear to offer any evidence-based patient safety measures proven to prevent harm by decreasing … The safety implications of missed test results for hospitalised patients: a systematic review. … CLIA program and HIPAA privacy rule; patients' access to test reports. … Engage patients in following up on pending tests 2.

4254. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846170/psn-pdf
      March 15, 2023 - Patient counseling strategies are an important part of limiting discrepancies and may empower the patient … understand the information provided is https://psnet.ahrq.gov/issue/duplicate-medication-order-errors-safety-gaps-and-recommendations-improvement … Patient counseling, including teach-back, written directions for the patient, and smartphone medication … https://psnet.ahrq.gov//#5 https://www.ahrq.gov/patient-safety/reports/engage/interventions/teachback.html … psnet.ahrq.gov//#8 https://psnet.ahrq.gov//#8 https://psnet.ahrq.gov/primer/pharmacists-role-medication-safety

4255. Intraoperative Awareness during Rhinoplasty | PSNet
      psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
      January 29, 2021 - safety when anesthetizing patients with significant cardiopulmonary disease. … Approaches to Improving Patient Safety Increase the amount of anesthetic for physically active patients … Christian Bohringer, MBBS Consulting Editor, AHRQ's Patient Safety Network (PSNet) Professor of Anesthesiology … Medication Error and Recovery January 31, 2024 Technology, Education and Safety … November 15, 2023 Facilitators and barriers to the implementation of surgical safety

4256. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49514/psn-pdf
      July 01, 2006 - The patient had previously been receiving outpatient care from an ancillary clinic of the hospital. … The patient had two apparent indications for an ACE inhibitor: type 2 diabetes and congestive heart … Regardless of whether the patient knew the reason why the drug was discontinued, awareness of the previous … adverse events, which is characteristic of most drugs, highlights the importance of early monitoring for safety … A patient with left ventricular systolic dysfunction and diabetes who is receiving a maximal dose of

4257. Spotlight
      psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
      January 01, 2025 - with severe abdominal pain and in patients with peritoneal tenderness. … The patient was discharged home with a diagnosis of “cholelithiasis”, prescriptions for ondansetron and … The patient was taken to the operating room for lysis of adhesions but died 3 days later. … Unfortunately, the patient was given an inadequate diagnosis and was discharged while still in pain. … SAFETY 29 Imaging in High-Risk Abdominal Pain (1) Patients presenting to the ED with abdominal pain

4258. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73899/psn-pdf
      September 29, 2021 - Various tools and strategies for improving care and safety for opioid-dependent patients with chronic … Methadone differs from other opioids in several important ways that have implications for patient safety … 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.

4259. Hindsight is 20/20: Thrombolytics for Alcohol Intoxication | PSNet
      psnet.ahrq.gov/web-mm/hindsight-2020-thrombolytics-alcohol-intoxication
      December 18, 2024 - Approach to Improving Safety & Patient Safety Target A few system changes could reduce the risk of similar … Safety Network (PSNet) Health Sciences Clinical Assistant Professor Department of Internal Medicine, … Barnes, MD, FACEP Consulting Editor, AHRQ, Patient Safety Network (PSNet) Health Sciences Clinical Professor … Safety and efficacy of thrombolysis in telestroke: a systematic review and meta-analysis. … Efficacy and safety of the telestroke drip-and-stay model: a systematic review and meta-analysis.

4260. Urinary Retention Dilemma | PSNet
      psnet.ahrq.gov/web-mm/urinary-retention-dilemma
      March 01, 2013 - The patient experienced immediate relief. … Patients with indwelling catheters had higher bacteriuria than patients with intermittent catheterization … Always have patient try to void first. … Safety September 1, 2016 Annual Perspective … Equity in Patient Safety March 27, 2024 WebM&M Cases