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psnet.ahrq.gov/node/49756/psn-pdf
April 01, 2016 - The patient was transferred to the ward on hospital day 20. … laparotomy, depending on the patient's severity of illness. … In this case, the patient developed clinical signs and symptoms of an intra-abdominal process on the … Effect of a comprehensive surgical safety system on patient
outcomes. … A two-site survey of clinicians to identify
practices and preferences of intensive care unit transfers
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psnet.ahrq.gov/web-mm/electronic-err
April 01, 2014 - 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.
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psnet.ahrq.gov/node/49846/psn-pdf
November 01, 2018 - Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees. … experiences on a nephrology rotation:
"The resident…assigned me patients right away, which was definitely … Beyond hands-on and hands-off:
supervisory approaches and entrustment on the inpatient ward. … A
survey of the American College of Surgeons Board of Governors and Young Fellows Association. … General surgery residency inadequately prepares trainees for
fellowship: results of a survey of fellowship
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psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
September 01, 2017 - meperidine [a powerful pain medicine also known as Demerol] to a patient who's on an MAO inhibitor." … Patients get their care from multiple places. … patient safety. … Electronic health record-related safety concerns: a cross-sectional survey. … Analysis of clinical decision support system malfunctions: a case series and survey.
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psnet.ahrq.gov/web-mm/transitions-adolescent-medicine
August 04, 2021 - heath care world, the decision-making is focused on the patient, and not necessarily the family. … Outcomes for transition, such as transition readiness scores (e.g., Transition Readiness Assessment Questionnaire … insurance coverage and health care utilization for adolescents with chronic conditions from the National Survey … Building consensus on transition of transplant patients from paediatric to adult healthcare . … January 25, 2017
Pragmatic insights on patient safety priorities and intervention strategies
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psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
January 31, 2024 - the community, and that access might make them more vulnerable to violence, as the ECRI Institute’s survey … on patients’ outcomes. … know this patient was on this other medicine?” … because they have a record of what this patient is on. … Patients and families should have someone on their medical team whom they trust and count on to help
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psnet.ahrq.gov/web-mm/wrong-blade-lack-familiarity-pediatric-emergency-equipment
June 01, 2018 - emergency department (ED) resuscitation bays as they managed a series of 3 simulated critically ill patients … their staff, or a pediatrician on site. … There are limited patient data on the quality of pediatric resuscitation in either of these settings, … Simulation can improve team resuscitation performance and comfort with pediatric patients.( 5,6 ) Moreover … Pediatric preparedness of US emergency departments: a 2003 survey. Pediatrics. 2007;120:1229-1237.
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psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
May 01, 2009 - We bond with our patients, both of us blaming invisible administrators for all the frustrations that … we and our patients experience, and we focus our attention on "real medicine." … National Ambulatory Medical Care Survey: 2002 summary. Adv Data. 2004;346:15. [go to PubMed]
9. … The study suggested that the providers might lose on certain patients, they might gain on others, and … Records
November 1, 2010
Errors of diagnosis in pediatric practice: a multisite survey
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psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
September 01, 2017 - The nurse made rounds on each of the patients for whom she had a report at the beginning of the shift … Near the end of the shift, the nurse recorded a report on her four patients. … patient. … Joint Commission on Accreditation of Health Care Organizations. 2007 National Patient Safety Goals Hospital … computer-based provider order entry at three community hospitals using an open-ended, semi-structured survey
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psnet.ahrq.gov/web-mm/supervision-and-entrustment-clinical-training-protecting-patients-protecting-trainees
February 22, 2017 - Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees. … experiences on a nephrology rotation:
"The resident…assigned me patients right away, which was definitely … Beyond hands-on and hands-off: supervisory approaches and entrustment on the inpatient ward. … A survey of the American College of Surgeons Board of Governors and Young Fellows Association. … General surgery residency inadequately prepares trainees for fellowship: results of a survey of fellowship
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psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
April 24, 2024 - The incorrect patient documentation on the EKG caused EKG results to be uploaded to the wrong patients … Upon this physician’s review, an EKG had never been ordered on this patient throughout her hospital stay … who participated in a Kaiser Family Foundation survey had found an error in their electronic health … For example, if a normal EKG is documented on a patient intended to receive an EKG for chest pain, it … Fortunately, there were no adverse effects on any of the patients involved in the cases of mentioned
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psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
October 02, 2019 - And so on. … Gruppen and Frohna provide a useful framework for decision-making when caring for patients outside one's … From my perspective, the response of this medical director is absolutely on target. … Effect of board certification on antihypertensive treatment intensification in patients with diabetes … patients and families: state-wide cross-sectional survey.
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psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
May 14, 2020 - evaluation techniques that avoid direct patient contact, while still treating the patient on-site. … It is important for institutions to maintain good patient safety culture and ensure that providers have … Do you have patients on a secure platform? … me with patient names on it. … September 30, 2020
Hospital ward adaptation during the COVID-19 pandemic: a national survey
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psnet.ahrq.gov/web-mm/novel-drug-misuse
September 30, 2010 - with elevated APACHE scores and sepsis, the team decided to start the patient on the drug. … by the Data Safety and Monitoring Board on the basis of clear lack of effect. … Click on thumbnail for full view of Figure. … patients and families: state-wide cross-sectional survey. … safety culture and less caregiver burnout.
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psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
September 01, 2017 - patient safety. … Electronic health record-related safety concerns: a cross-sectional survey. … Analysis of clinical decision support system malfunctions: a case series and survey. … meperidine [a powerful pain medicine also known as Demerol] to a patient who's on an MAO inhibitor." … Patients get their care from multiple places.
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psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
March 01, 2011 - Even in medical school, early on we talked about the doctor–patient relationship—one doctor to one patient … There's an emphasis on the allegiance to patients you take care of, so much so that, in many fields the … Perhaps then you can use your time to spend on the patients and the issues where you have little common … Handoffs causing patient harm: a survey of medical and surgical house staff. … Transfers of patient care between house staff on internal medicine wards: a national survey.
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psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - Sedation in the Pediatric Emergency
Department
Source and Credits
• This presentation is based on … • She reportedly slipped while running on a wet floor. … • The patient was crying and holding her left hip flexed with significant
tenderness on examination … • For example, potassium supplements for a patient on furosemide is routine,
however, this same drug … Likelihood of reporting medication errors in hospitalized children: a survey of nurses and physicians
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psnet.ahrq.gov/perspective/conversation-paul-aylin-mbchb
June 01, 2017 - We also looked at patients who had their procedures on a weekend. … procedure on a Sunday had a lower risk of death than those patients who had their operation on a Saturday … Mortality among patients admitted to hospitals on weekends as compared with weekdays. … safety climate and patient satisfaction. … July 25, 2018
Attitudes and practices related to clinical alarms: a follow-up survey.
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psnet.ahrq.gov/web-mm/sloppy-and-paste
February 02, 2011 - 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.
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psnet.ahrq.gov/node/49664/psn-pdf
January 01, 2013 - through the system while keeping a balance on patient safety. … through busy systems while keeping patients
safe, it is vital to create robust, reliable systems for … Finally, in phase 4, the whole team (referring
and receiving) agrees on a patient plan and contingencies … Patterns of communication breakdowns resulting in
injury to surgical patients. … Handoffs causing patient harm: a survey of medical and surgical
house staff.