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Total Results: 287 records

Showing results for "the comprehensive unit-based safety program".

221. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression | PSNet
     psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
     May 26, 2021 - These best practices include, but are not limited to, comprehensive identification and assessment of … PCA Prescribing and Administration The safety of opioid use in high-risk patients can be improved through … Safety) . … November 19, 2014 Risk management and patient safety in the artificial intelligence era … participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program

222. A Stroke of Error | PSNet
     psnet.ahrq.gov/web-mm/stroke-error
     February 01, 2016 - The history should center on establishing the time of symptom onset or the time the patient was last … The safety and efficacy of rtPA in routine clinical use has been subsequently confirmed in a large cohort … Accreditation Program, and other organizations also recognize a smaller number of primary stroke centers … Barrett, MD, MSc Consultant Associate Professor of Neurology Director, Neurohospitalist Fellowship Program … July 8, 2022 Perspective Operationalizing Patient Safety

223. Diagnostic Overshadowing Dangers | PSNet
     psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
     February 12, 2020 - other subjective behaviors with objective evidence, such as data from prescription data monitoring programs … Clinician impression versus prescription drug monitoring program criteria in the assessment of drug-seeking … Patient safety strategies targeted at diagnostic errors: a systematic review. … March 23, 2022 Implementation of the I-PASS handoff program in diverse clinical environments … task force at a Comprehensive Cancer Center.

224. Addressing Workplace Violence and Creating a Safer Workplace | PSNet
     psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
     October 31, 2023 - a comprehensive safety program overseen by senior leaders and clinical leader oversight for accountability … interim associate dean for our PhD program and PhD/post-doctoral programs. … , and programs to address workplace safety. … kinds of programs. … Workplace violence training programs for health care workers: an analysis of program elements. 

225. Medication Errors and Adverse Drug Events | PSNet
     psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
     December 15, 2024 - "Five Rights" of medication safety (administering the Right Medication, in the Right Dose, at the Right … The Joint Commission has named improving medication safety as a  National Patient Safety Goal  for both … prescribing, including enhanced prescription drug monitoring programs and updated  prescribing guidelines … These programs are summarized in a 2016  Annual Perspective  and a 2017  PSNet perspective . … And in 2017, the World Health Organization launched its  Medication Without Harm program  as part of

226. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72834/psn-pdf
     March 10, 2021 - More discrete interventions include the use of discharge education programs and simplified discharge … https://psnet.ahrq.gov/issue/implementation-discharge-education-program-improve-transitions-care-patients-high-risk … https://psnet.ahrq.gov/issue/implementation-discharge-education-program-improve-transitions-care-patients-high-risk … improve communication practices and the safety of care well beyond the current pandemic. … The first is the need for better tools and approaches for communicating medication safety with patients

227. Cybersecurity and How to Maintain Patient Safety | PSNet
     psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
     March 27, 2024 - These efforts aim to establish comprehensive frameworks, guidelines, and regulations to safeguard the … director of cybersecurity who understands both security and clinical work and can oversee cyber-awareness programs … Mossburg: What are some mistakes that organizations might make when it comes to their cybersecurity programs … John Riggi: One of the first challenges is if the organization does not have a cybersecurity program … In this day and age, we need a cybersecurity program, and we would strongly suggest that there is an

228. Impatient Inpatient Dosing | PSNet
     psnet.ahrq.gov/web-mm/impatient-inpatient-dosing
     June 24, 2020 - The WARFDOCs program projects that the steady-state dose is still 3.55 mg, and it predicts that giving … Using the WARFDOCs dosing program ( Table 2 ) to model this patient’s expected response to a daily dose … This would require no work by the physician, and the program would seamlessly provide data upon which … Prospective comparative study of computer programs used for management of warfarin. … Comprehensive Hemostasis and Antithrombotic Service (CHAS). March 2005. 23.

229. Are Residency Duty Hour Rules Improving Patient Safety? | PSNet
     psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety
     April 01, 2013 - United States, including all accredited residency and fellowship programs. … trainees in accredited programs. … of the program, the availability of effective information technology, and more) may be just as important … Sleep and Patient Safety Program at Brigham and Women's Hospital. … CL : A lot of industries have implemented nap programs as one aspect of a comprehensive approach to dealing

230. How to Identify and Manage Problem Behaviors | PSNet
     psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
     December 01, 2009 - Education and training programs should be implemented at several different levels. … Many of the educational programs and training sessions mentioned above are designed to improve understanding … The long road to patient safety: a status report on patient safety systems. … It may include coaching or a comprehensive mental health evaluation for the professional. … Some reorganize their practices, add capacity, obtain coaching, or receive comprehensive mental health

231. To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room | PSNet
     psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
     July 28, 2021 - This practice is problematic as it bypasses the multi-level safety checks otherwise implemented in the … unique challenge as it bypasses the safety checks established in other parts of the hospital. … Also, patient safety should always be the priority in the OR and should not be jeopardized by the time … May 31, 2017 A comprehensive obstetric patient safety program reduces liability claims … October 20, 2014 Impact of a comprehensive patient safety strategy on obstetric adverse

232. Beyond the Pandemic: Creating Total Systems Safety | PSNet
     psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
     August 30, 2023 - The Centers for Medicare & Medicaid Services’ (CMS’) programs like the home and community-based services … Importantly, using a coordinated and comprehensive approach like the recommendations presented in the … Editor’s note: Patricia McGaffigan is the Vice President for Safety Programs at the Institute for … officer, and senior vice president of programs prior to our 2017 merger with the Institute for Healthcare … We are partnering with other academic programs to do the same. 

233. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49720/psn-pdf
     December 01, 2014 - The history should center on establishing the time of symptom onset or the time the patient was last … The safety and efficacy of rtPA in routine clinical use has been subsequently confirmed in a large cohort … United States.(14) Various state-based agencies, the Healthcare Facilities Accreditation Program, and … Barrett, MD, MSc Consultant Associate Professor of Neurology Director, Neurohospitalist Fellowship Program … Only in the case of amputation or joint fusion at the shoulder, the examiner should record the score

234. The Pains of Chronic Opioid Usage | PSNet
     psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
     April 04, 2018 - purposes, which opens a window to a different side of the opiate safety problem. … Consequently, a more comprehensive and contemporary curriculum for prescribers seems warranted. … programs (statewide electronic databases) that collect data on substances dispensed in the states may … addiction management program rather than pain clinic referral. … December 13, 2023 Optimizing Pediatric Patient Safety in the Emergency Care Setting.

235. In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety | PSNet
     psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
     August 30, 2023 - Vice President for Safety Programs at the Institute for Healthcare Improvement and President of the … officer, and senior vice president of programs prior to our 2017 merger with the Institute for Healthcare … We are partnering with other academic programs to do the same.  … The Centers for Medicare & Medicaid Services’ (CMS’) programs like the home and community-based services … Importantly, using a coordinated and comprehensive approach like the recommendations presented in the

236. Physical Diagnosis: A Lost Art? | PSNet
     psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
     January 17, 2018 - List barriers to performance of comprehensive physical examinations. … Reliance on program directors to sign-off on the residents' clinical skills is putting too much faith … intern performance measured by residency program director, the kind of clinical skills we are discussing … developing such skills is very rewarding and that they can translate these skills well to their residency programs … November 15, 2023 In the eye of the storm: the role of the pharmacist in medication safety

237. Cognitive Overload in the ICU | PSNet
     psnet.ahrq.gov/web-mm/cognitive-overload-icu
     June 01, 2005 - quality of care and patient safety. … Evidence suggests that realistic and high-fidelity simulation programs can improve knowledge and confidence … Sensemaking, safety, and cooperative work in the intensive care unit. … May 23, 2012 A new safety event reporting system improves physician reporting in the … September 28, 2016 Comprehensive analysis of a medication dosing error related to CPOE

238. AHRQ PSNet Annual Perspective: Impact of the COVID-19 Pandemic on Patient Safety | PSNet
     psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
     August 31, 2020 - be systematically relied upon to guide treatment decisions, developers need to proactively develop comprehensive … workplace safety for care providers, facilitating the use of health IT to improve safety for both patients … and efficient nationwide vaccination program for both healthcare personnel and the general public. … For example, primary care providers have historically played a critical role in vaccination programs, … COVID-19: the dark side and the sunny side for patient safety.

239. Approach to Improving Patient Safety: Communication | PSNet
     psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
     August 31, 2020 - Perspective authors reviewed articles related to communication and patient safety added to the AHRQ … More discrete interventions include the use of discharge education programs and simplified discharge … improve communication practices and the safety of care well beyond the current pandemic. … The first is the need for better tools and approaches for communicating medication safety with patients … Same Author(s) Perspective Safety Across The Board

240. A Sweet Case of Hidden Hydrogen Ions | PSNet
     psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
     November 30, 2023 - Approach to Improving Safety & Patient Safety Target  The process of admitting patients from the ED … to improve safety associated with complex disorders and high-risk medications such as insulin. … Increasing Hospitalizations for DKA: A Need for Prevention Programs.  … Case  The Commentary  Approach to Improving Safety & Patient Safety Target  Systems Change Needed … and Quality Common Formats to capture diagnostic safety events.