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Showing results for "patient safety indicators".
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6741. In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
      August 01, 2016 - In our Spanish Observatory for Dental Patient Safety database, we have five cases of patients dying … Now we have begun to convince dentists that patient safety is important for their patients and also for … patient safety practices; (iii) teaching, disseminating, and implementing effective patient safety practices … safety events (e.g., wrong site or wrong patient), creating a severity scale for dental patient safety … Is ambulatory patient safety just like hospital safety, only without the "stat"?

6742. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33723/psn-pdf
      December 01, 2011 - safety challenge. … Frances Healey, RN, PhDHead of Patient Safety National Patient Safety Agency (UK) References   1. … Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective … Patient Safety First. The 'How to' Guide for Reducing Harm from Falls. … London, UK: National Patient Safety Agency; 2009. (risk tool calculator [Available at]) 13.

6743. Transfer Troubles | PSNet
      psnet.ahrq.gov/web-mm/transfer-troubles
      December 29, 2014 - The Commentary The quality and safety of patient transportation, whether it be for non-emergent or … Institutions should learn from this case and continue to improve the quality and safety of care patients … Transporting patients entails inherent safety risks. … Which patients and where: a qualitative study of patient transfers from community hospitals. … Non-emergency patient transport: what are the quality and safety issues? A systematic review.

6744. Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture. | PSNet
      psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
      November 25, 2020 - Trainees and Patient Safety Diagnostic uncertainty was not the only factor that contributed to the errors … In addition, we recommend concurrent bedside patient examination of patients who are being evaluated … Barnes, MD, FACEP Consulting Editor, AHRQ, Patient Safety Network (PSNet) Health Sciences Clinical Professor … Agency for Healthcare Research and Quality Patient Safety Network. 2006 [Accessed April 18, 2024) [ Free … September 13, 2023 Patient Safety Innovations Remote Response

6745. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865655/psn-pdf
      April 24, 2024 - Trainees and Patient Safety Diagnostic uncertainty was not the only factor that contributed to the errors … engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf https://psnet.ahrq.gov//#18 https://www.ahrq.gov/patient-safety … redtool5.html#:~:text=This%20postdischarge%20followup%20phone%20call,Medicines https://www.ahrq.gov/patient-safety … Barnes, MD, FACEP Consulting Editor, AHRQ, Patient Safety Network (PSNet) Health Sciences Clinical … Agency for Healthcare Research and Quality Patient Safety Network. 2006 [Accessed April 18, 2024) [Free

6746. DEMENTIA INCLUDING ALZHEIMER'S #04 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/dementia-horizon-scan-high-impact-1312.pdf
      December 01, 2013 - Acceptance and adoption: Experts anticipated that the drug’s well-known safety profile and long history … Health care delivery infrastructure and patient management: Despite skepticism about efficacy, most … patient care would decrease or at least be postponed. … Safety and effectiveness study of intranasal insulin glulisine on cognitive and memory in mild-mod … AD patients.

6747. 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

6748. Poor Prognosis | PSNet
      psnet.ahrq.gov/web-mm/poor-prognosis
      March 15, 2016 - those predictions to patients. … April 3, 2019 Professionalising patient safety? … Findings from a mixed-methods formative evaluation of the patient safety specialist role in the English … January 31, 2011 National Patient Safety Agency: combining stories with statistics to … Safety Innovations Preventing Falls Through Patient and Family Engagement to Create

6749. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49790/psn-pdf
      April 01, 2017 - When challenge testing has been performed, only around 10% of these patients demonstrate allergy to … Diagnosis of true drug allergy is challenging and patients have often had adverse drug reactions recorded … Patients should expect and anticipate that both adverse drug reactions and allergies to drugs are appropriately … Other safety mechanisms should include the addition of drug allergy status to all correspondence between … Penicillin allergy: a study of incidence as reported by patients. Br J Clin Pract. 1994;48:5-7.

6750. An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
      January 01, 2003 - conditions on patient safety a major research initiative.2 Understanding the nature of medical errors … Safety: Vol. 1 40 multiple patients within environments that are fast-paced and unpredictable, and … Advances in Patient Safety: Vol. 1 46 Table 1. … Certainly understaffing is a threat to patient safety. … The effect of health care working conditions on patient safety.

6751. A National Conference on the Role of Health IT to Improve Medication Management - Q&A (pdf file)
      digital.ahrq.gov/sites/default/files/docs/improve-medication-management-qa-091318.pdf
      September 13, 2018 - need another intervention - smart pillboxes can only solve part of the general problem of medication safety … I agree that medication regimen optimization is incredibly important for patient safety. … The reward in this instance is not for the patient. … QUESTION: How patient behavior is evaluated and approached when patients do not adhere to prescribed … medications to patient prior to discharge.

6752. Optimize Briefings and Debriefings: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-slides.html
      December 01, 2017 - Ensure all patients get the evidence (Engage, Educate, Execute, Evaluate). … Slide 21: Timeout: The Universal Protocol Right patient. … Wrong patients. Incorrect equipment, implants, or instruments. … Making health care safer II: An updated critical analysis of the evidence for patient safety practices … Communicate key concerns for recovery and management of the patient.

6753. Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up | PSNet
      psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
      September 27, 2023 - and family. 24,25 Approaches to Improving Patient Safety Clear communication among staff The physician … Put an “NPO” or “Nothing by Mouth” wristband on the patient When patients are mobile, they often move … Christian Bohringer, MBBS Consulting Editor, AHRQ, Patient Safety Network (PSNet) Professor of Anesthesiology … Safety Network (PSNet) Professor of Psychiatry Department of Psychiatry and Behavioral Sciences UC Davis … Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review.

6754. Methodological Challenges in Describing Medication Dosing Errors in Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/McPhillips.pdf
      January 01, 2004 - safety. … Advances in Patient Safety: Vol. 2 216 Barriers to safe pediatric prescribing Off-label use of … Advances in Patient Safety: Vol. 2 218 Discrepancies in dosing recommendations The problem of … Advances in Patient Safety: Vol. 2 222 Acknowledgments We would like to acknowledge the Agency for … How can information technology improve patient safety and reduce medication errors in children’s health

6755. First- and Second-Generation Antipsychotics in Children and Young Adults: Systematic Review Update (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/antipsychotics-children-update-disposition-170621.pdf
      March 16, 2017 - develop, for example if tardive dyskinesia takes years to develop then one is less certain about the safety … Was this a covariates model with subgroup indicators as covariates? … , and Thioridazine, 15 patients. … Ref 123 had one patient discontinue however it does not appear that this was considered a major AE … The objectives of this study were to collect safety data in long term treatment of pediatric subjects

6756. First- and Second-Generation Antipsychotics in Children and Young Adults: Systematic Review Update (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/antipsychotics-children-update-disposition-170621.pdf
      March 16, 2017 - develop, for example if tardive dyskinesia takes years to develop then one is less certain about the safety … Was this a covariates model with subgroup indicators as covariates? … , and Thioridazine, 15 patients. … Ref 123 had one patient discontinue however it does not appear that this was considered a major AE … The objectives of this study were to collect safety data in long term treatment of pediatric subjects

6757. Introduction to Daily Care Processes: Evidence Behind Spontaneous Awakening Trials, Spontaneous Breathing Trials, and Head of Bed Elevation: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/intro-daily-care-slides.html
      February 01, 2017 - Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated … Slide 13: Passing the SAT Safety Screen The patient must meet the following criteria to PASS the … If the patient PASSES the safety screen, proceed to the SAT trial. … If the patient FAILS the SAT safety screen, they should be rescreened the following day. … Slide 18: Passing the SBT Safety Screen The patient must have the following to pass the safety screen

6758. White Paper - Redefining Primary Care for the 21st Century (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/white_paper.pdf
      January 01, 2020 - Based on the literature and input from two technical expert panels, the Safety Net Medical Home Initiative … Congruence between major frameworks of high-performing primary care 10 Building Blocks Safety … • Provide care that is patient-centered (understood by patients and consistent with patient values … that is consistent with patient values and preferences, involves patients in decisionmaking, ensures … The safety net medical home initiative: transforming care for vulnerable populations.

6759. Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts. | PSNet
      psnet.ahrq.gov/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriate
      October 31, 2023 - Therefore, the use and safety of commonly prescribed analgesic agents in the setting of renal dysfunction … Table 2 : Opioids in Renal Dysfunction 13 Safety in Renal Dysfunction Opioid Starting Dose ( opioid naïve … and arthritic pain, with monitoring of renal function. 23 Approaches to Improving Patient Safety Computerized … December 18, 2024 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … Safety March 29, 2023 The potential for leveraging machine learning to filter

6760. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49861/psn-pdf
      May 01, 2019 - The patient was tachycardic (heart rate 100 beats per minute), but not hypotensive. … The patient quickly lost his pulse and a code was called. … The use of standardized handoff tools has been shown to decrease adverse events and improve safety.( … 19) Implementing such a tool may have helped the patient in this case. … Lawrence Center for Quality and Safety Assistant Professor of Emergency Medicine, Harvard Medical School