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Improving physician's hand over among oncology staff using standardized communication tool. | PSNet

psnet.ahrq.gov/issue/improving-physicians-hand-over-among-oncology-staff-using-standardized-communication-tool

November 11, 2020 - Complex care regimens and poor team communication can influence the safety of patients with cancer. … stories of harm to raise awareness of patient safety for doctors in training. … June 16, 2010 The association of shift-level nurse staffing with adverse patient events … January 16, 2008 Managing patients with identical names in the same ward. … in radiation therapy.

Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. | PSNet

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March 31, 2022 - that was meant for a different patient with the same last name. … The patient was instructed to hold off taking the estradiol for one week and resume with the correct … identifies the individual as the person for whom the service or treatment is intended.” … This resulted in the patient receiving a medication that was intended for a different patient with the … of ADEs after discharge from hospital in patients with polypharmacy.

Incivility and clinical performance, teamwork, and emotions: a randomized controlled trial. | PSNet

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September 23, 2020 - Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma … December 2, 2009 Comparison of potential risk factors for medication errors with and … ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative … the analysis of patient safety event reports. … association with mortality, patient ratings, and quality of care.

The Dropped "No" | PSNet

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October 30, 2019 - ACR Practice Guideline for Communication of Diagnostic Imaging Findings. … February 7, 2007 Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment … April 15, 2015 Partnering with Patients and Families to Design a Patient- and Family-Centered … February 18, 2015 Talking with Patients and Families about Medical Error: A Guide for … January 6, 2016 Hospital discharge: it's one of the most dangerous periods for patients

"Does your knee make more of a click or a clack?"; teaching "Car Talk" to new docs. | PSNet

psnet.ahrq.gov/issue/does-your-knee-make-more-click-or-clack-teaching-car-talk-new-docs

November 13, 2019 - November 1, 2023 Nurses say stress interferes with caring for their patients. … April 1, 2020 Coronavirus strains hospitals, cancer patients face treatment delays, uncertainty … January 15, 2020 Effect of cognitive aids on adherence to best practice in the treatment … January 8, 2020 Mounting drug shortages delay treatments for patients with bladder cancer … journals harms care for patients of color.

Crisis management during anaesthesia: the development of an anaesthetic crisis management manual. | PSNet

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August 04, 2021 - ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative … for Patient Safety Practices. … July 29, 2020 Tracing the foundations of a conceptual framework for a patient safety … September 22, 2010 Use of unsolicited patient observations to identify surgeons with … with surgical complications in their patients.

Emergency departments are higher-risk locations for wrong blood in tube errors. | PSNet

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November 17, 2021 - ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative … of patient treatment. … record with wrong-patient order entry errors. … December 2, 2020 Analysis of risk factors for patient safety events occurring in the … October 26, 2016 A case of transfusion error in a trauma patient with subsequent root

The combined effect of psychological and social capital in registered nurses experiencing second victimization: a structural equation model. | PSNet

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November 03, 2010 - with patient safety: a multilevel analysis. … with patient safety in the context of rehabilitation. … September 29, 2021 Effect of cognitive aids on adherence to best practice in the treatment … use in patients with heart failure: a systematic review of randomized trials and non-randomized intervention … treatment facilities: findings from the 2019 Department of Defense Patient Safety Culture Survey.

Evaluating the impact of auto-calculation settings on opioid prescribing at an academic medical center. | PSNet

psnet.ahrq.gov/issue/evaluating-impact-auto-calculation-settings-opioid-prescribing-academic-medical-center

January 23, 2020 - September 23, 2020 Association of health literacy with postoperative outcomes in patients … June 30, 2021 Inappropriate prescribing of opioids for patients undergoing surgery. … September 22, 2021 Racial and ethnic differences in the experience and treatment of noncancer … May 30, 2019 The association of acute COVID-19 infection with Patient Safety Indicator … of patients' prescription information in the English NHS.

The revolutionary. | PSNet

psnet.ahrq.gov/issue/revolutionary

February 03, 2016 - December 12, 2018 Building a Culture of Candour: a Review of the Threshold for the Duty … of Candour and of the Incentives for Care Organisations to Be Candid. … April 2, 2014 Radiation Therapy Safety: The Critical Role of the Radiation Therapist. … February 22, 2023 Diagnostic delays among COVID-19 patients with a second concurrent … patients: a look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis

Impact Wellbeing. | PSNet

psnet.ahrq.gov/issue/impact-wellbeing

October 10, 2021 - the need to protect both patients and healthcare workers. … March 6, 2005 Patient Safety in the Context of Perinatal, Neonatal, and Pediatric Care … February 12, 2020 Keeping Patients Safe: Transforming the Work Environment of Nurses. … July 4, 2007 Safety Is Personal: Partnering With Patients and Families for the Safest … limits of psychological safety: nonlinear relationships with performance.

Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration. | PSNet

psnet.ahrq.gov/issue/comparing-errors-ed-computer-assisted-vs-conventional-pediatric-drug-dosing-and

December 10, 2014 - November 22, 2017 Effect of genetic diagnosis on patients with previously undiagnosed … June 22, 2005 Comparison of quality of care for patients in the Veterans Health Administration … October 23, 2019 Dual health care system use and high-risk prescribing in patients with … the nature of patient care information system-related errors. … adverse treatment outcomes in older adults with advanced cancer.

Mixed results in the safety performance of computerized physician order entry. | PSNet

psnet.ahrq.gov/issue/mixed-results-safety-performance-computerized-physician-order-entry

May 04, 2022 - March 6, 2024 Design of a safety dashboard for patients. … December 11, 2013 Physicians' needs in coping with emotional stressors: the case for … record with wrong-patient order entry errors. … Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for … May 20, 2020 Interventions designed to improve the safety and quality of therapeutic

Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and implications for the future. | PSNet

psnet.ahrq.gov/issue/critical-care-teamwork-future-role-teamstepps-covid-19-pandemic-and-implications-future

February 08, 2023 - September 14, 2022 Assessment of the use of patient vital sign data for preventing misidentification … of patients with COVID-19: a systematic review. … treatment facilities: findings from the 2019 Department of Defense Patient Safety Culture Survey. … June 15, 2022 ASPEN Safe Practices for Enteral Nutrition Therapy. … April 6, 2022 White patients’ physical responses to healthcare treatments are influenced

Healthcare Safety for Nursing Personnel: An Organizational Guide to Achieving Results. | PSNet

psnet.ahrq.gov/issue/healthcare-safety-nursing-personnel-organizational-guide-achieving-results

February 11, 2015 - May 16, 2019 Talking with Patients and Families about Medical Error: A Guide for Education … September 25, 2013 Partnering with Patients to Drive Shared Decisions, Better Value, … July 16, 2008 Engaging Patients as Safety Partners: a Guide for Reducing Errors and Improving … June 27, 2018 The nexus of nursing leadership and a culture of safer patient care. … June 13, 2018 Making an infusion error: the second victims of infusion therapy-related

Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing. | PSNet

psnet.ahrq.gov/issue/retail-pharmacy-staff-perceptions-design-strengths-and-weaknesses-electronic-prescribing

January 07, 2015 - September 30, 2009 New legal protections for reporting patient errors under the Patient … August 1, 2018 In chronic condition: experiences of patients with complex health care … treatment facilities: findings from the 2019 Department of Defense Patient Safety Culture Survey. … for children with medical complexity: a qualitative analysis. … of mediCation errOrs and adVerse drug evEnts for patients with mental illness in community caRe (DISCOVER

Paramedics and the effects of shift work on sleep: a literature review. | PSNet

psnet.ahrq.gov/issue/paramedics-and-effects-shift-work-sleep-literature-review

May 24, 2017 - October 20, 2010 Improving reliability of clinical care practices for ventilated patients … May 13, 2009 The You CAN campaign: teamwork training for patients and families in ambulatory … care on medication safety and patient-reported outcomes during treatment with new oral anticancer agents … February 17, 2021 Medication errors during treatment with new oral anticancer agents: … September 12, 2018 The role of the patient in patient safety: what can we learn from

Improving nurse-to-patient staffing ratios as a cost-effective safety intervention. | PSNet

psnet.ahrq.gov/issue/improving-nurse-patient-staffing-ratios-cost-effective-safety-intervention

May 14, 2008 - for persons with serious mental illness. … for the quality of care of patients with acute myocardial infarction: results of the Emergency Department … June 1, 2011 Guideline for opioid therapy and chronic noncancer pain. … July 21, 2021 Better nurse staffing is associated with survival for Black patients and … September 18, 2019 Assessing the effectiveness of engaging patients and their families

Humanizing harm: using a restorative approach to heal and learn from adverse events. | PSNet

psnet.ahrq.gov/issue/humanizing-harm-using-restorative-approach-heal-and-learn-adverse-events

June 02, 2021 - August 11, 2021 Do patient engagement interventions work for all patients? … July 28, 2021 Exploring patient safety outcomes for people with learning disabilities … March 30, 2022 Occupational therapy utilization in veterans with dementia: a retrospective … adverse events during implant treatment with patients' communication quality and trust assessments. … for in-hospital reporting from families and patients.

The Definition of Quality and Approaches to Its Assessment. Vol 1. Explorations in Quality Assessment and Monitoring. | PSNet

psnet.ahrq.gov/issue/definition-quality-and-approaches-its-assessment-vol-1-explorations-quality-assessment-and

December 10, 2008 - structure or process with proven connections to key outcomes of interest. … March 6, 2005 Keeping Patients Safe: Transforming the Work Environment of Nurses. … therapy in a Veteran Affairs health care system: use of medication administration record and bar code … May 16, 2019 Talking with Patients and Families about Medical Error: A Guide for Education … September 25, 2013 Partnering with Patients to Drive Shared Decisions, Better Value,

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