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Showing results for "patient safety indicators".
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  1. Patient falls while under supervision: trends from incident reporting. | PSNet

    psnet.ahrq.gov/issue/patient-falls-while-under-supervision-trends-incident-reporting
    January 11, 2023 - Preventing inpatient falls is a patient safety target. … tool in the United Kingdom to ascertain the incidence and characteristics of inpatient falls among patients … Rates of surgical consultations after emergency department admission in Black and White Medicare patients … An analysis of associations with safety climate and working conditions. … More See More About The Topic Hospitals Nurses Nurse Managers Quality and Safety

  2. Inappropriate opioid prescription after surgery. | PSNet

    psnet.ahrq.gov/issue/inappropriate-opioid-prescription-after-surgery
    February 02, 2022 - Discussing this worldwide patient safety concern , this commentary summarizes clinician, patient , … and outlines efforts to address the issue while enabling clinicians to provide safe pain therapy to patients … Safety Primers Opioid Safety December 15, 2024 Evaluation … of policies limiting opioid exposure on opioid prescribing and patient pain in opioid-naive patients … January 18, 2023 Inappropriate prescribing of opioids for patients undergoing surgery

  3. Classification of adverse events occurring in a surgical intensive care unit. | PSNet

    psnet.ahrq.gov/issue/classification-adverse-events-occurring-surgical-intensive-care-unit
    May 01, 2013 - and trauma patients.  … July 5, 2013 The relationship of the emotional climate of work and threat to patient … March 16, 2011 Prospective study of the multisite spread of a medication safety intervention … February 10, 2021 Patient safety events and harms during medical and surgical hospitalizations … View More See More About The Topic Operating Room Risk Managers Quality and Safety

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838900/psn-pdf
    October 27, 2022 - The patient was discharged home on postoperative day 15. … Safety Consideration of Patient History and Anatomy The success and safety of laparoscopic access … rather than Veress access to avoid injury from the Veress needle.11,12 Surgical Maneuvers to Increase Safety … with obesity, such as the patient in this case. … Conclusion The patient in this case had a complicated medical history and anatomy.

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49465/psn-pdf
    December 22, 2021 - practices used in the past, but rather to use the richer set of patient safety tools provided by the … The safety practices described in this case study (eg, informing the patient of the error, assessing … Continue to use best practice safety techniques (eg, verifying critical patient information) when making … Patient safety: achieving a new standard for care. … Committee on Data Standards for Patient Safety.

  6. Mental models: a basic concept for human factors design in infection prevention. | PSNet

    psnet.ahrq.gov/issue/mental-models-basic-concept-human-factors-design-infection-prevention
    April 26, 2017 - March 11, 2015 COVID-19: the dark side and the sunny side for patient safety. … rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient … safety. … December 7, 2016 View More Related Resources Patient Safety Recommendations … June 16, 2019 Reclaiming the systems approach to paediatric safety.

  7. Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity. | PSNet

    psnet.ahrq.gov/issue/slowing-down-stay-out-trouble-operating-room-remaining-attentive-automaticity
    December 12, 2012 - The authors suggest that remaining purposefully attentive may benefit patient safety. … A study of patients' and operating room team members' perceptions of error definition, reporting, and … September 27, 2016 Measuring variation in use of the WHO surgical safety checklist in … January 20, 2015 Surgical safety checklist compliance: a job done poorly! … interventions to improve emotional climate, indices of team skills and communication, and threat to patient

  8. The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation | PSNet

    psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
    April 01, 2005 - For electronic filtering of patient records, patients are electronically identified with the defined … to improve patient safety. … may have experienced significant delays in care, and a patient safety event could have occurred. … Patient Safety Innovations Reducing Preventable Patient … April 24, 2024 Patient Safety Innovations Patient

  9. Are Two Insulin Pumps Better Than One? | PSNet

    psnet.ahrq.gov/web-mm/are-two-insulin-pumps-better-one
    March 01, 2005 - After he was extubated, the patient asked the nurse for his hourly finger stick blood glucose results … continued insulin pump use during the hospital stay.( 4 ) These recommendations attempt to balance safety … safety. … safety and medical system errors in diabetes and endocrinology. … July 13, 2010 Identifying errors and safety considerations in patients undergoing thrombolysis

  10. Final Progress Report: Engineering Safe Care Journeys for Vulnerable Older Adults (pdf file)

    www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
    January 01, 2025 - We created a patient safety passport for vulnerable older patients during their care journey from the … Older patients are at high risk for patient safety issues and healthcare-associated harm, especially … adults experience higher incidence of patient safety issues than younger patients,3,11-14 such as falls … Patient Safety Issues Potential Elements of Patient Safety Passport Fall Repeated fall in hospital, … and patient safety.

  11. Previous NHQDR – NHQDR Data Tools

    datatools.ahrq.gov/nhqdr/previous-nhqdr/
    January 01, 2022 - Technical Notes Survey Questions Glossary Publications State Tables in Spreadsheet Format Safety … Technical Notes Survey Questions Glossary Publications State Tables in Spreadsheet Format Safety … Component (HC) Medical Expenditure Panel Survey (MEPS) Insurance Component (IC) National Healthcare Safety … Dashboard (Safety) National Healthcare Quality and Disparities Reports (NHQDR) … Quality is described in terms of six priorities: patient safety, person-centered care, care coordination

  12. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/understanding-and-preventing-wrong-patient-electronic-orders-randomized-controlled-trial
    December 21, 2017 - provider order entry , as patients could receive unintended medications. … July 9, 2018 National survey of patient safety experiences in hospital medicine during … January 10, 2024 Critical care clinicians' experiences of patient safety during the COVID … 2022 Development and pilot evaluation of an electronic health record usability and safety … August 24, 2022 The tradeoffs between safety and alert fatigue: data from a national

  13. Impact of medication reviews delivered by community pharmacist to elderly patients on polypharmacy: a meta-analysis of randomized controlled trials. | PSNet

    psnet.ahrq.gov/issue/impact-medication-reviews-delivered-community-pharmacist-elderly-patients-polypharmacy-meta
    May 19, 2021 - J Patient Saf. 2021;17(4):290-298. doi:10.1097/PTS.0000000000000599. … Polypharmacy among older patients can increase the risk of adverse drug events. … J Patient Saf. 2021;17(4):290-298. doi:10.1097/PTS.0000000000000599. … enhancing collaboration between community pharmacists and primary care providers to improve medication safety … Outpatient Pharmacy Health Care Providers Geriatrics Community Pharmacy Medication Safety

  14. 009-Antibiotic-Stewardship-Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/009-antibiotic-stewardship-guide.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Antibiotic Stewardship and MRSA Reduction ICU & Non-ICU Slide … SAY: The field of antibiotic stewardship has been developed to address safety and overuse concerns associated … the acute care setting on building and maintaining an antibiotic stewardship program, improving the safety … In the following two slides, we will review two useful tools that were developed for the AHRQ Safety … No. 25-0007 October 2024 Antibiotic Stewardship | 1 AHRQ Safety Program for MRSA Prevention | ICU

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33808/psn-pdf
    May 01, 2016 - Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue May 1, 2016 Jacques S, Williams E. … Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue. PSNet [internet]. 2016. … The recent Joint Commission National Patient Safety Goal on clinical alarm safety highlighted the complexities … Default settings are useful when patients first arrive on a unit; they can act as a safety net by detecting … The Joint Commission announces 2014 National Patient Safety Goal.

  16. 3. What Are the Best Practices in Pressure Ulcer Prevention that We Want to Use? (continued) | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
    October 01, 2014 - A score that indicates a patient is not at risk does not guarantee that the patient will not develop … The subscales are important indicators of risk. … A sample patient/family education pamphlet on the care plan is also available ( Tool 3G, Patient and … Saving heels in critically ill patients. … In addition, patients with lower extremity edema or patients who have had a pressure ulcer in the past

  17. Evidence-based Practice Center Systematic Review Protocol (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/vaccine-safety_research-protocol.pdf
    September 18, 2012 - System (VAERS),11 the Vaccine Safety Datalink,12 and the Clinical Immunization Safety Assessment Network … Both patient factors (i.e., age and race) and vaccine factors (i.e., formulation, dosage, and timing … AEs) or passive (participants are not specifically asked about or tested for the occurrence of AEs; patient … Multiple publications are defined by the investigated patients. F. … The Vaccine Safety Datalink: a model for monitoring immunization safety.

  18. Crohns-Disease Executive (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/crohns-disease_executive.pdf
    February 01, 2014 - • Other infections • Infusion- and injection-site reactions • Bone fractures • Height and weight as indicators … on groups of medications); and (3) clear numerators (patients who experienced the safety event of … Most patient-reported outcomes were measured by the IBDQ. … The studies that included all inflammatory bowel disease patients had safety findings similar to those … Safety and tolerability of concurrent natalizumab treatment for patients with Crohn’s disease not in

  19. Medication reconciliation for reducing drug-discrepancy adverse events. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-reducing-drug-discrepancy-adverse-events
    October 10, 2018 - October 23, 2024 Electronic health records and adverse drug events after patient transfer … December 8, 2010 Prescribing discrepancies likely to cause adverse drug events after patient … March 9, 2022 Patient Safety Primers Deprescribing as a … Patient Safety Strategy October 27, 2021 Measuring the impact of medication-related … July 1, 2020 Impact of pharmacist-led multidisciplinary medication review on the safety

  20. Factors associated with malpractice claim payout: an analysis of closed emergency department claims. | PSNet

    psnet.ahrq.gov/issue/factors-associated-malpractice-claim-payout-analysis-closed-emergency-department-claims
    May 18, 2022 - Jt Comm J Qual Patient Saf . 2022; 48 (9) :492-496 . … safety. … Analysis of incident reports from a patient safety organization. … October 14, 2020 Keeping patients at risk for self-harm safe in the emergency department … April 8, 2018 Redesigning surgical decision making for high-risk patients.
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