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psnet.ahrq.gov/issue/partnership-patients-pfp-hospital-engagement-network-hen-20-final-report
May 06, 2015 - Areas of improvement included reductions in surgical site infections , adverse drug events , and postoperative … March 23, 2022
Medication Safety in Key Action Areas.
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psnet.ahrq.gov/node/45598/psn-pdf
November 23, 2016 - The report highlights two areas of safety culture in which nursing homes appear to do well: overall … Areas identified as
needing improvement across most nursing homes included staffing issues and ensuring
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psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2014-user-comparative-database-report
May 11, 2016 - comparative data for various hospital characteristics (type and size) and respondent characteristics (work areas … Areas of strength included teamwork , leadership , and continuous improvement , all of which have
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psnet.ahrq.gov/issue/understanding-factors-influencing-safety-and-team-functionality-operative-vaginal-birth
September 01, 2016 - Labor and delivery is a high-risk care setting that requires teamwork among different clinical areas … The study highlights key areas for improving teamwork, including communication quality, leadership dynamics
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psnet.ahrq.gov/issue/committed-safety-ten-case-studies-reducing-harm-patients
July 31, 2012 - This report presents ten case studies to illustrate interventions that address prominent and targeted areas … The five areas of focus include promoting an organizational safety culture , improving teamwork and
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psnet.ahrq.gov/issue/safer-services-toolkit-specialist-mental-health-services-and-primary-care
November 25, 2009 - This toolkit examines 10 areas of focus for organizations to assess the safety of mental health services … Areas of focus include post-discharge follow-up, admissions, and family engagement.
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psnet.ahrq.gov/node/43132/psn-pdf
April 23, 2014 - comparative data for various hospital characteristics (type and size) and respondent
characteristics (work areas … Areas of strength included teamwork
, leadership, and continuous improvement, all of which have been
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psnet.ahrq.gov/issue/ismp-medication-errors-reporting-program
January 26, 2023 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
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psnet.ahrq.gov/node/37290/psn-pdf
February 15, 2011 - for continued research into trainee errors and targeted
training interventions to address current areas … editorial discusses a
dramatically new model for inpatient care that would begin to address the problem areas
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psnet.ahrq.gov/node/35572/psn-pdf
February 03, 2011 - Findings demonstrated only modest
improvements in certain areas with variability noted in others. … For instance, surgical areas and medication
processes seemed to embrace the greatest level of patient
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psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2016-user-comparative-database-report
June 08, 2016 - The report highlights two areas of safety culture in which nursing homes appear to do well: overall … Areas identified as needing improvement across most nursing homes included staffing issues and ensuring
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psnet.ahrq.gov/issue/improving-quality-and-safety-care-medical-ward-review-and-synthesis-evidence-base
November 03, 2015 - safety efforts on general hospital wards found that most interventions encompass one or more of five areas … The authors advocate for increasing the evidence base in all of these areas, as gaps in implementation
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psnet.ahrq.gov/issue/medical-errors-involving-trainees-study-closed-malpractice-claims-5-insurers
July 10, 2008 - call for continued research into trainee errors and targeted training interventions to address current areas … editorial discusses a dramatically new model for inpatient care that would begin to address the problem areas
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psnet.ahrq.gov/issue/critical-incidents-related-cardiac-arrests-reported-danish-patient-safety-database
February 18, 2015 - incident reports revealed common types of errors in cardiopulmonary resuscitation and identified areas … Errors were categorized into seven areas: alerting the resuscitation team, human performance, equipment
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psnet.ahrq.gov/issue/eliminating-serious-preventable-and-costly-medical-errors-never-events
May 26, 2021 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
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psnet.ahrq.gov/issue/what-every-health-care-organization-should-know-about-sentinel-events
November 27, 2018 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
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psnet.ahrq.gov/node/836811/psn-pdf
April 07, 2022 - Electronic health record (EHR) documentation of patient watcher status, which can be viewed across
all areas … all other medical-surgical
units, as well as hematology-oncology and intermediate care unit (IMU) areas
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psnet.ahrq.gov/node/865296/psn-pdf
March 27, 2024 - Using
input from these partners and evidence from the literature, The Joint Commission identifies areas … of priority
and accompanying strategies to address these areas. … There is substantial overlap of goals between settings, and they focus on a
range of areas including … The Plan
contains 17 recommendations to improve patient safety in the areas of developing a culture
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psnet.ahrq.gov/
March 25, 2025 - Browse the Collection
Learn More About Patient Safety
Browse by Clinical Areas
Popular Searches … Browse by Clinical Areas
View All Clinical Areas
Children's Health
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psnet.ahrq.gov/issue/addressing-postdischarge-adverse-events-neglected-area
November 13, 2024 - Review
Addressing postdischarge adverse events: a neglected area.
Citation Text:
Tsilimingras D. Addressing postdischarge adverse events: a neglected area. Jt Comm J Qual Patient Saf. 2008;34(2):85-97.
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