-
psnet.ahrq.gov/issue/upmc-alert-gives-patients-voice-care
June 07, 2006 - Resource Type
Newspaper/Magazine Article
Setting of Care
Hospitals
Clinical Area
-
psnet.ahrq.gov/issue/science-safety-trustees-can-play-crucial-role-fostering-safety-culture-their-hospitals
January 24, 2018 - Culture of Safety
Resource Type
Newspaper/Magazine Article
Setting of Care
Hospitals
Clinical Area
-
psnet.ahrq.gov/node/35309/psn-pdf
January 02, 2017 - They recommend additional research in this area and more
attention to "practical facilitation of patient
-
psnet.ahrq.gov/node/38033/psn-pdf
September 24, 2010 - Prior research in this area has demonstrated the
effectiveness of pharmacists at carrying out medication
-
psnet.ahrq.gov/node/47042/psn-pdf
June 13, 2018 - addressing-dual-patient-and-staff-safety-through-team-based-standardized-
patient-simulation
Workplace violence in health care is a particular area
-
psnet.ahrq.gov/issue/eliminating-patient-harm
June 24, 2015 - Resource Type
Newspaper/Magazine Article
Setting of Care
Hospitals
Clinical Area
-
psnet.ahrq.gov/issue/computerized-order-entry-systems-may-miss-medication-errors
July 28, 2010 - Resource Type
Newspaper/Magazine Article
Setting of Care
Hospitals
Clinical Area
-
psnet.ahrq.gov/issue/safe-critical-care-project-testing-improvement-strategies
January 30, 2008 - Safety
Quality Improvement Strategies
Resource Type
Tools/Toolkit
Clinical Area
-
psnet.ahrq.gov/node/38097/psn-pdf
January 02, 2017 - Prior work in this area has demonstrated that patients
can identify adverse events that were not documented
-
psnet.ahrq.gov/node/41700/psn-pdf
December 31, 2014 - Progress in this area has stalled owing to disagreement between clinicians and system designers along
-
psnet.ahrq.gov/node/43013/psn-pdf
March 12, 2014 - underscores
persisting concerns related to test results management, despite longstanding work in this area
-
psnet.ahrq.gov/node/43173/psn-pdf
June 04, 2014 - were lack of
a regulatory mandate and insufficient evidence supporting their effectiveness in this area
-
psnet.ahrq.gov/node/42252/psn-pdf
May 08, 2013 - Patient safety in orthopedic surgery: prioritizing key areas
of iatrogenic harm through an analysis of 48,095 incidents
reported to a national database of errors.
May 8, 2013
Panesar S, Carson-Stevens A, Salvilla SA, et al. Patient safety in orthopedic surgery: prioritizing key areas
of iatrogenic harm through an …
-
psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - The patient had been found on the floor by Environmental
Services (EVS) staff, in a non-patient care area … Example)
Actions Plus Delta
EVS staff found
unresponsive patient in off-
unit supply storage area … barrier
available
Code team arrived 6
minutes after first call
made, delayed while trying
to find area … code team confused
over location
No emergency supplies
available to initial responders in
supply area … AED was available in a patient
waiting area nearby, but staff
weren’t aware of it and no
signage
-
psnet.ahrq.gov/issue/fundamentals-disclosure-coaching
February 05, 2020 - Resource Type
Meeting/Conference
Setting of Care
Children's Hospitals
Clinical Area
-
psnet.ahrq.gov/issue/candor-part-ii-leading-effective-candor-current-state-assessment-and-gap-analysis
May 26, 2021 - Meeting/Conference
Audiovisual Presentation
Setting of Care
Hospitals
Clinical Area
-
psnet.ahrq.gov/issue/overview-new-ahrq-teamsteppsr-course-improving-diagnosis
January 04, 2021 - Presentation
Government Resource
Press Release/Announcement
Setting of Care
Hospitals
Clinical Area
-
psnet.ahrq.gov/issue/look-behind-scenes-global-progress-patient-safety-and-prevention-harmful-medication-errors
August 05, 2020 - Presentation
Setting of Care
Ambulatory Clinic or Office
Hospitals
Clinical Area
-
psnet.ahrq.gov/issue/caring-caregivers
July 08, 2020 - Setting of Care
Ambulatory Clinic or Office
Hospitals
Long-Term Care
Clinical Area
-
psnet.ahrq.gov/node/40236/psn-pdf
March 23, 2012 - Another safety area ripe for
intervention is managing test results after hospital discharge.