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Showing results for "patient safety indicators".
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4261. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/864867/psn-pdf
      April 10, 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 … 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.

4262. A Potent Medication Administered in a Not So Viable Route | PSNet
      psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
      July 20, 2016 - The patient now complained of severe pain. … The patient eventually recovered from his sepsis and was discharged home. … 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.

4263. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60722/psn-pdf
      February 06, 2023 - Background Diagnostic error has been increasingly recognized as an important and evolving patient safety … In two WebM&M cases published on Patient Safety Network (PSNet), the diagnosis of aortic dissection—diagnosis … crushing-chest-pain-missed-opportunity https://psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department https://psnet.ahrq.gov/issue/patient-safety-recommendations-covid … patients is 80%. … Romano, MD, MPH Co-Editor-in-Chief, AHRQ's Patient Safety Network (PSNet) Professor Departments of

4264. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61082/psn-pdf
      July 23, 2020 - Traditional care structures require frequent points of physical interaction, putting both patients and … As such, policymakers and providers must find a balance between ensuring that patients receive needed … 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 … https://www.washingtonpost.com/graphics/2020/local/social-issues/coronavirus/nursing-homes-patients-

4265. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33642/psn-pdf
      November 01, 2006 - From there, I started looking at aviation safety, working for NASA and the military. … Instead of tending to the patient, you're spending all of your time turning off the alarms. … Instead of standing over the patient and monitoring them clinically, you are now sitting in front of … It's also common for the patient to come in with all sorts of printouts. … These kinds of conversations, not only between patients and physicians, but with physicians and their

4266. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49420/psn-pdf
      October 01, 2003 - adult hospital, investigators at Brigham and Women’s Hospital found that cross-coverage of unfamiliar patients … communication develop, as working conditions improve, and as the culture of medicine gradually becomes more safety-conscious … this particular scenario from unfolding: Health care providers should establish a system to provide patients … Designated ED staff (perhaps triage nurses) should confirm the reason for referral of all patients sent … The nature of adverse events in hospitalized patients.

4267. In Conversation With… Didier Pittet, MD, MS | PSNet
      psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
      May 01, 2014 - He is Lead Advisor of the WHO First Global Patient Safety Challenge: Clean Care is Safer Care. … 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. … Patient Safety. WHO Guidelines on Hand Hygiene in Health Care. … First Global Patient Safety Challenge Clean Care Is Safer Care. Geneva, Switzerland; 2009.

4268. In Conversation With… Abraham Verghese, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-abraham-verghese-md
      November 01, 2012 - That disappoints me, and I think it has both cost and patient safety consequences. … The Evidence-Based Physical Examination as a Patient Safety Practice November 1, 2012 Perspective … safety and cut the costs of care? … It is up to our teaching programs, clinical leaders, and, perhaps, the patient safety movement to change … Skochelak, MD, PhD February 1, 2019 A patient safety approach to setting pass

4269. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49748/psn-pdf
      December 01, 2015 - 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. … Does the patient have SBP? And if so, does that affect your management? … There are no data on the safety of large volume paracentesis in patients with SBP. … When should the patient be given albumin?

4270. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49750/psn-pdf
      January 01, 2016 - Discuss poor communication as a potential underlying cause of safety risks, including missed nursing … , ambulating patients, repositioning patients, and bathing patients. … Communication as a Contributor to Error Inadequate communication is a well-established cause of safety … Oncoming nurse rounds on new patients and reviews treatment plan. … in all aspects of their care so patients and staff work together to ensure patient safety.

4271. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33870/psn-pdf
      November 01, 2018 - In other words, a patient's PCP remained the physician-of-record when a patient needed to be hospitalized … Finally, growing pressures to improve quality and safety created a new paradigm which emphasized systems … No: discontinuity can improve patient care. West J Med. 2001;175:5. [go to PubMed] 5. … Response to David Meltzer's paper "Hospitalists and the doctor-patient relationship." … Trying to put a value on the doctor-patient relationship. New York Times Magazine. May 16, 2018.

4272. An Ounce of Prevention | PSNet
      psnet.ahrq.gov/web-mm/ounce-prevention
      February 17, 2011 - The alert was sent once for each patient ( Figure 2 ). … Assess VTE risk for each hospitalized patient individually. … Deep-vein thrombosis: advancing awareness to protect patient lives. … February 17, 2011 Patient safety in home care: a multicenter cross-sectional study about … August 24, 2022 Patient safety.

4273. Spotlight Case (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.127_slideshow.ppt
      May 01, 2006 - Due to signs of dehydration, the patient was directly admitted to the hospital. … The x-ray was clearly labeled as belonging to the patient. … Cheese Model" Hospitals put defenses into place to prevent errors from doing harm Training programs; safety … This good fortune might reflect robustness of the patient (eg, a patient with penicillin allergy receives … penicillin postoperative wound infection hospital-acquired delirium (or "sun downing") in elderly patients

4274. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/84413/psn-pdf
      February 23, 2022 - low back pain management Discuss how pain-related stigma can compromise effective, timely care for patients … Lung cancer is the leading cause of cancer deaths and must be considered in patients with historical … Systematic Approach to Improving Patient Safety Diagnosis This case demonstrates how a delay in diagnosis … can lead to significant and catastrophic outcomes for patients. … Red flags to screen for malignancy and fracture in patients with low back pain: systematic review.

4275. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74251/psn-pdf
      January 26, 2022 - current case, one can reasonably infer that peripheral cannulation would also be safer in patients … In patients such as the two-year-old in this case, the risk of bleeding into the pleural space must … and more cephalad rib spaces.13,14 Furthermore, incision or needle insertion should be made in the safety … Approach to Improving Patient Safety Errors in both judgement and technique led to this adverse outcome … Intercostal artery laceration during thoracocentesis: increased risk in elderly patients. 

4276. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49795/psn-pdf
      June 01, 2017 - The patient was evaluated by vascular surgery who recommended conservative management with intravenous … /min/1.73 m2, respectively.(7) In that study, only 1 patient out of the 520 studied (0.2%) had severe … enhancement.(10) According to the most recent consensus guidelines published by the Contrast Media Safety … The patient was taken emergently to the operating room and underwent aortic thrombectomy (removal of … Contrast induced nephropathy: updated ESUR Contrast Media Safety Committee guidelines.

4277. In Conversation With… Robert Hirschtick, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
      January 01, 2018 - EHR Copy and Paste and Patient Safety January 1, 2018 Perspective Although the ability … safety. … safety. … safety outcomes. … Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; February 2016.

4278. Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery. | PSNet
      psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
      September 25, 2019 - business is producing, marketing, selling, reselling, or distributing healthcare products used by or on patients … Olson, MD, FACP, FAAP Background One of the hallmarks of many patients’ diagnostic odysseys in modern … safety: a longitudinal resident curriculum on diagnostic error. … January 16, 2019 Patient safety, systems design and ergonomics. … Leading to Tissue Necrosis and Cuff Rupture June 28, 2023 Implementation of the safety

4279. Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment of Laryngospasm. | PSNet
      psnet.ahrq.gov/web-mm/distraction-anesthesiologist-and-lack-resuscitation-drugs-resulting-delayed-treatment
      January 29, 2021 - The patient was breathing spontaneously. … Approach to Improving Patient Safety Avoid noxious stimulation of the patient before the depth of anesthesia … care area where patients are likely to develop laryngospasm. … Office-based anesthesia: safety and outcomes in pediatric dental patients.   … January 31, 2024 Facilitators and barriers to the implementation of surgical safety

4280. Coming Undone: Failure of Closure Device | PSNet
      psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device
      April 01, 2006 - The next day, the patient developed bleeding from the catheter site in his groin. … The patient subsequently had complications related to the retroperitoneal hematoma, including persistent … In this patient, given the delay in the development of the hematoma, the likely cause of the bleeding … September 9, 2020 Integrating patient safety education into early medical education utilizing … Safety in Orthopedic Surgery.