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Renal Dialysis --- Vascular Surgical Procedures --- Kidney --- Patient Safety --- methods --- surgery
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Patient safety. --- Anti-infective agents. --- Infection Control --- Popular Works.
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Over the past two decades, the healthcare community increasingly recognized the importance and the impact of medical errors on patient safety and clinical outcomes. Medical and surgical errors continue to contribute to unnecessary and potentially preventable morbidity and/or mortality, affecting both ambulatory and hospital settings. The spectrum of contributing variables-ranging from minor errors that subsequently escalate to poor communication to lapses in appropriate protocols and processes (just to name a few)-is extensive, and solutions are only recently being described. As such, there is a growing body of research and experiences that can help provide an organized framework-based upon the best practices and evidence-based medical principles-for hospitals and clinics to foster patient safety culture and to develop institutional patient safety champions. Based upon the tremendous interest in the first volume of our Vignettes in Patient Safety series, this second volume follows a similar vignette-based model. Each chapter outlines a realistic case scenario designed to closely approximate experiences and clinical patterns that medical and surgical practitioners can easily relate to. Vignette presentations are then followed by an evidence-based overview of pertinent patient safety literature, relevant clinical evidence, and the formulation of preventive strategies and potential solutions that may be applicable to each corresponding scenario. Throughout the Vignettes in Patient Safety cycle, emphasis is placed on the identification and remediation of team-based and organizational factors associated with patient safety events. The second volume of the Vignettes in Patient Safety begins with an overview of recent high-impact studies in the area of patient safety. Subsequent chapters discuss a broad range of topics, including retained surgical items, wrong site procedures, disruptive healthcare workers, interhospital transfers, risks of emergency department overcrowding, dangers of inadequate handoff communication, and the association between provider fatigue and medical errors. By outlining some of the current best practices, structured experiences, and evidence-based recommendations, the authors and editors hope to provide our readers with new and significant insights into making healthcare safer for patients around the world.
Patient safety. --- Patient Safety. --- Patient Safeties --- Safeties, Patient --- Safety, Patient --- Risk Management --- Medicine --- Public Health --- Preventive Healthcare --- Health Sciences
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Electroconvulsive therapy (ECT) is a treatment that uses a small electrical current to produce a generalized cerebral seizure under anesthesia in patients with severe depression, as well as other conditions including bipolar disorder, schizophrenia, schizoaffective disorder, delirium, and neuroleptic malignant syndrome. The mechanism of ECT is unknown however changes to the central nervous system resulting from this therapy have been documented and the procedure is considered to be safe and efficacious. A recent Canadian survey of 172 centers identified as conducting ECT indicates that among registered healthcare institutions that conduct this procedure, there exists some variability with regard to written policies and procedures for ECT, the administration of medications, and treatment, however there is generally some consistency with regard to obtaining informed consent and the post-discharge accompaniment of patients. This reported variability has led to a call for the accreditation of facilities that perform ECT in Canada. It is unknown if this variability in performing ECT has had an impact on patient outcomes. ECT may be performed on an inpatient or an outpatient setting in a dedicated ECT treatment suite, hospital post-anesthesia care unit, or an ambulatory surgery site. An estimated 75,000 ECT treatments are delivered annually in Canada, and 90% of these treatments are delivered on an outpatient basis. While an outpatient setting may include non-hospital facilities (e.g. doctor's office, clinic), little is known regarding the safety of conducting ECT specifically in non-hospital environments, and if there are any risks associated with performing ECT in such settings. The present review was conducted to inform decisions regarding the safety and guidelines for ECT therapy delivered outside of hospital settings.
Electroconvulsive Therapy --- Ambulatory Care --- Patient Safety --- Guidelines as Topic --- standards. --- methods. --- Canada --- Patient Safety. --- Guidelines as Topic.
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Electroconvulsive therapy (ECT) is a treatment that uses a small electrical current to produce a generalized cerebral seizure under anesthesia in patients with severe depression, as well as other conditions including bipolar disorder, schizophrenia, schizoaffective disorder, delirium, and neuroleptic malignant syndrome. The mechanism of ECT is unknown however changes to the central nervous system resulting from this therapy have been documented and the procedure is considered to be safe and efficacious. A recent Canadian survey of 172 centers identified as conducting ECT indicates that among registered healthcare institutions that conduct this procedure, there exists some variability with regard to written policies and procedures for ECT, the administration of medications, and treatment, however there is generally some consistency with regard to obtaining informed consent and the post-discharge accompaniment of patients. This reported variability has led to a call for the accreditation of facilities that perform ECT in Canada. It is unknown if this variability in performing ECT has had an impact on patient outcomes. ECT may be performed on an inpatient or an outpatient setting in a dedicated ECT treatment suite, hospital post-anesthesia care unit, or an ambulatory surgery site. An estimated 75,000 ECT treatments are delivered annually in Canada, and 90% of these treatments are delivered on an outpatient basis. While an outpatient setting may include non-hospital facilities (e.g. doctor's office, clinic), little is known regarding the safety of conducting ECT specifically in non-hospital environments, and if there are any risks associated with performing ECT in such settings. The present review was conducted to inform decisions regarding the safety and guidelines for ECT therapy delivered outside of hospital settings.
Electroconvulsive Therapy --- Ambulatory Care --- Patient Safety --- Guidelines as Topic --- standards. --- methods. --- Canada --- Patient Safety. --- Guidelines as Topic.
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"This book addresses selected violations of professional nursing conduct and practices that take place in shadows or on the margins of clinical practice--incidents that represent "dark" or "gray" areas of nursing. Chapters identify threats to patient and nurse well-being that are antithetical to nurses' principles; sensitize nurses and other stakeholders to gray and dark sides of nursing through case examples; and pose evidence-based solutions for eliminating, mitigating, and addressing examples representing the gray or dark side of nursing. The book encourages organizations to promote a culture of ethical responsibility for nursing practices"--
Nursing Care --- Malpractice --- Patient Harm --- Professional Misconduct --- Patient Safety --- Ethics, Nursing --- nursing --- Professional Misconduct. --- Patient Safety. --- nursing.
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With a focus on improving systems and processes, preventing errors, and promoting transparency, this reference provides an overview of PS/QI fundamentals, as well as insight into how these principles apply to a variety of clinical settings with specific populations. Includes models, measurements, and assessment tools; medical errors, responses and solutions; clinical vignettes, discussion questions, and additional resources; and faculty expertise.
Patient Safety. --- Patient Safety --- Quality Improvement --- Patients --- Medical care --- Safety measures. --- Quality control. --- Improvement, Quality --- Improvements, Quality --- Quality Improvements --- Patient Safeties --- Safeties, Patient --- Safety, Patient --- Risk Management
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The aim of this unique book is to discuss the “nexus” or vital connection between nursing and prevention of harm to patients. The meaning of “nexus” is connection and connotes a most central or most important point in time or place. Now, is the most important time to highlight how nurses as leaders affect patient safety every minute of every day in the current nursing practice environment. The contemporary safety literature messages nursing adherence to principles of patient safety is required to achieve sustainable and safer healthcare systems; meaning nurses should detect and prevent errors. This message is not helpful to nurses as they strive to lead, understand what patient safety is and how to implement safety strategies in the practice environment. The book will address this gap by providing nurses an understanding of patient safety and application of its concepts to clinical nursing practice. The book is structured as four parts: Part I provides foundations of patient safety; Part II describes nursing’s role in patient safety; Part III illustrates patient safety at the frontline; and Part IV explains resilience, healing and moving forward. Practical case study examples with implementation strategies (how to) will be provided that highlight key safety practices inherent to nursing that prevent patient harm including effective monitoring, leadership, communication, identification of near misses, and learning from error along with cultural and organizational factors that promote and maintain safety activities by nursing. Nurses produce safety by providing a strong layer of defence between error and patient harm. The discipline of nursing is the cornerstone of safety in the complex place of healthcare. The intended audience is front line nursing staff; nurse leaders; nurses working in quality, patient safety and risk management; advance practice nurses and nurse educators. The professional nurse who reads this book will read with the desire to learn more about the connection of nursing, nursing practice and patient safety.
Nursing Care. --- Nursing. --- Patient Safety. --- Medicine, Preventive. --- Health promotion. --- Medical policy. --- Health Promotion and Disease Prevention. --- Health Policy. --- Patient Safety --- Nursing Care --- Patient Harm --- prevention & control.
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Nursing --- Nursing Care. --- Nursing. --- nursing --- patient care --- patient safety --- continuing education --- diagnostics
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Today most of immunochemistry methods for the determination of proteins, peptides, drugs, and many small molecules are fully automated, with good precision, excellent sensitivity and short reaction time. However, inaccuracy due to poor standardization and the presence of interfering substances in biological samples is still a serious and life-threatening issue. Proper validation of methods and quality assurance have little effect on frequency of occurrence of false positive or false negative results, which, if unrecognized, may lead to patient's misdiagnosis, unnecessary treatment or even unnecessary surgery. Deep knowledge of basic principles of immunochemical methods (antigen-antibody reaction, standardization, matrix effect, limit of detection, cross-reactivity, etc.), sources of analyte-independent interferences (preanalitycal errors, the presence of binding proteins, the presence of autoantibodies) and analyte-dependent interferences (presence of heterophilic antibodies, high-dose effect) are very important to understand, detect, reduce and/or eliminate the interferences. This book helps to reduce false results and, at the same time, improve patient's care and patient's safety.
Immunoassay. --- Patients --- Antigens --- Immunoglobulins --- Immunology --- Immunodiagnosis --- Safety measures. --- Immunodiagnostics. --- Interference. --- Laboratory Diagnostics. --- Patient Safety.