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Showing results for "surveys on patient safety culture".
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4141. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49465/psn-pdf
      December 22, 2021 - Analogous discrepancies were found for problem lists: patients' main EHR problem lists often continued … This practice has the additional benefit of further motivating physicians to keep patients' medication … key clinical decisions based on information in the medical record. … Survey of general practice records. BMJ. 1972;3:219-23.[ go to PubMed ] 4. Tufo HM, Speidel JJ. … Committee on Data Standards for Patient Safety.

4142. Delayed Diagnosis of Endocrinologic Emergencies | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-endocrinologic-emergencies
      November 13, 2024 - The patient was started on a diltiazem drip and admitted to the telemetry unit for management of his … A new hospitalist assumed care of the patient on the third hospital day. … The patient was immediately started on levothyroxine and endocrinology was consulted. … Applying these criteria to the patient from Case #1, it is highly likely he had thyroid storm on admission … August 4, 2021 Factors determining safety culture in hospitals: a scoping review.

4143. The Johns Hopkins Venous Thromboembolism (VTE) Collaborative Studies and Implements Methods to Prevent Avoidable Cases of Hospital Associated VTE | PSNet
      psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
      June 19, 2024 - education bundle to improve patient education and engagement on VTE. … Survey staff on their attitudes and beliefs regarding VTE prophylaxis. Define measures and goals. … Effect of real-time patient-centered education bundle on administration of venous thromboembolism prevention … Effect of real-time patient-centered education bundle on administration of venous thromboembolism prevention … March 12, 2011 Impact of date stamping on patient safety measurement in patients undergoing

4144. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867359/psn-pdf
      December 18, 2024 - of age, 78.6% were still receiving any breast milk.9 The CDC also collects and shares the national survey … Nutrition and Care (mPINC), which measures different domains in newborn care and policies.10 In this survey … safety culture are essential. … patients and milk. … , changing acuity, breaks, or other internal or external impacts on patient-nurse care ratios.

4145. 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. … There are no data on the safety of large volume paracentesis in patients with SBP. … When should the patient be given albumin? … Hyponatremia in cirrhosis: results of a patient population survey. Hepatology. 2006;44:1535-1542.

4146. Too Much, Too Fast | PSNet
      psnet.ahrq.gov/web-mm/too-much-too-fast
      June 14, 2019 - While on the third bag of the potassium infusion, the patient went into cardiac arrest and advanced cardiovascular … potential use of healthcare information technology to improve prescribing and patient safety. … 'High-alert' medications and patient safety. Int J Qual Health Care. 2001;13:339-340. … October 11, 2023 When illegitimate tasks threaten patient safety culture: a cross-sectional … survey in a tertiary hospital.

4147. Annual Perspective: Topics in Medication Safety | PSNet
      psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
      April 27, 2022 - Among patients who were prescribed amiodarone or methotrexate, the prevalence of MDIs on medication lists … A national survey of older adults found that patients prefer deprescribing language that includes an … Patient interviews in this study revealed that patients had little awareness of the potential for serious … did not apply to patients diagnosed with cancer or to patients receiving palliative care. … In addition, an analysis of AHRQ’s Medical Expenditure Panel Survey (MEPS) data from 2013 to 2017 demonstrated

4148. Do Not Miss Sepsis Needles in Viral Haystacks! | PSNet
      psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
      March 27, 2024 - While the patient described in this case does not appear to have met criteria for septic shock on her … On autopsy, the patient was found to have not only bilateral Streptococcus pyogenes and Klebsiella … With a fever and no crackles or wheezing on exam, the patient described above would have had a PRS of … The current and future state of pediatric sepsis definitions: an international survey. … The impact of cognitive and implicit bias on patient safety and quality.

4149. Interruptions and Distractions in Health Care: Improved Safety With Mindfulness | PSNet
      psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
      February 01, 2014 - Challenges in measuring the impact of interruption on patient safety and workflow outcomes. … Smith T, Darling E, Searles B. 2010 Survey on cell phone use while performing cardiopulmonary bypass. … Imagine if before I touch a patient, "Please wash your hands," flashes up on the screen of the glasses … It's been nearly 15 years since the IOM's initial report on patient safety galvanized the movement. … For example, efforts such as the Partnership for Patients Program are dependent on the evidence that

4150. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49638/psn-pdf
      January 01, 2012 - In post-event debriefings, staff identified several issues in the care of this patient. … Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective survey … Generation and evaluation of intraoperative inferences for automated health care briefings on patient … A qualitative study of expert and team cognition on complex patients in the pediatric intensive care … Jt Comm J Qual Patient Safety. 2008;34:333-341. [go to PubMed] 14.

4151. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49659/psn-pdf
      July 01, 2012 - When the physician approached the patient to explain why he was ordering the diagnostic test, the patient … cascade effects that can result when inaccurate information enters the EMR, effects that can haunt patients … Utilized this way, copy-and-paste is not inherently evil or harmful to patients. … Observations on copying, pasting and duplication. AMIA Annu Symp Proc. 2003:269-273. … Time spent on clinical documentation: a survey of internal medicine residents and program directors.

4152. Rethinking Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
      August 21, 2016 - human factors; clinicians may be unwilling or unable to provide relevant data to the investigation; patients … Provide feedback Feedback should be provided to staff involved in the event as well as to patients … incident investigators should be trained in human factors, analytical methods, and relevant theories; patients … August 27, 2012 Five strategies for how patients and families can improve patient safety … October 4, 2023 Multispecialty physician online survey reveals that burnout related to

4153. Mobility Lost in the ICU | PSNet
      psnet.ahrq.gov/web-mm/mobility-lost-icu
      August 01, 2018 - reduce overall costs by reducing ICU length of stay.( 10 ) A patient on a ventilator riding a stationary … Effects of physical training on functional status in patients with prolonged mechanical ventilation. … Physical therapy utilization in intensive care units: results from a national survey. … Managing the patient on mechanical ventilation in ICU: early mobility and walking program. … When the patient achieves fair strength in the biceps (3/5 on exam), progress to exercise sessions while

4154. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50842/psn-pdf
      January 29, 2020 - A CT of the abdomen and pelvis was also ordered for Patient #1 but was performed on Patient #2, for … Nevertheless, even these minor misidentifications can be taxing on patients and jeopardize their safety … Are patients with similar names at greater risk for wrong-patient orders? … The Efficacy of patients’ wristband bar-code on prevention of medical errors: a meta-analysis study. … WHO Collaborating Centre on Patient Safety Solutions: Patient Identification.  May 2007.  

4155. Transfusion Thresholds in Gastrointestinal Bleeding | PSNet
      psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
      November 26, 2014 - On the third day of hospitalization, the patient developed bloody ostomy output. … This patient, on the other hand, was likely to have small bowel bleeding from a deep, inflammatory bowel … safety improvement project on hospital-wide adverse event outcomes and patient safety culture. … and simulations to improve patient safety: a multi-methods survey. … December 20, 2023 Understanding the peer, manager, and system influence on patient safety

4156. Patient Identification Errors: A Systems Challenge | PSNet
      psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
      February 23, 2011 - A CT of the abdomen and pelvis was also ordered for Patient #1 but was performed on Patient #2, for whom … Nevertheless, even these minor misidentifications can be taxing on patients and jeopardize their safety … patient information may result in mislabeling patients with the wrong wristbands. … Are patients with similar names at greater risk for wrong-patient orders? … The Efficacy of patients’ wristband bar-code on prevention of medical errors: a meta-analysis study.

4157. Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic | PSNet
      psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
      January 12, 2022 - -19: a cross-sectional online survey among nurses [published online ahead of print, 2021 May 9]. … KH: What have you learned about the impact of COVID-19 on patient safety? … I believe our leadership—even before COVID-19—has been very focused on patient safety and avoiding patient … KH: So, let's then move on and talk about some of the ways that the influx of COVID-19 patients and … Safety Culture in EMS May 26, 2021 Perspectives on Safety

4158. Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis | PSNet
      psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
      October 28, 2020 - The patient was immediately sent to the cardiac catheterization laboratory. … One study found that 15% of patients admitted to a general inpatient ward met SIRS criteria on admission … However, nearly 40% of patients with sepsis present with vague symptoms.( 14 ) In addition, the patient … programs centering on education and process improvement. … June 7, 2023 Diagnosing sepsis is subjective and highly variable: a survey of intensivists

4159. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49508/psn-pdf
      January 01, 2007 - The prescription label on the bottle was written in English. … not requesting an interpreter.(12) A major problem is that data are not routinely collected on patients … As with patients who speak English, patient safety is greatest for LEP patients when provider-patient … Interpretation and Translation Services in Health Care: A Survey of US Public and Private Teaching Hospitals … Language barriers to prescriptions for patients with limited English proficiency: a survey of pharmacies

4160. The Michigan Hospital Medicine Safety Consortium (HMS) Finds Infectious Diseases (ID) Physician Approval for Placement of Peripherally Inserted Central Catheters (PICCs) Prevents Unnecessary PICC Use and Reduces Complications | PSNet
      psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
      July 23, 2024 - The hospitals elected to focus on the use of PICCs following a survey that showed significant variation … For example, 47% of the respondents indicated that 10–25% of PICCs inserted in their hospitals might … HMS has also focused on risk assessment and therapies for patients at risk for venous thromboembolism … A cross-sectional survey of vascular access practices in the ICU. … Morbidity & Mortality Rounds on the Web: Case Studies. Patient Safety Network. December 1, 2012.