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psnet.ahrq.gov/issue/no-one-coming-hospice-patients-abandoned-deaths-door
June 29, 2016 - Patient safety in ambulatory hospice care is ill defined .
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psnet.ahrq.gov/issue/cost-medication-related-problems-university-hospital
January 13, 2021 - This study used retrospective chart review to determine estimated costs of defined medication-related
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psnet.ahrq.gov/issue/does-surgeon-fatigue-influence-outcomes-after-anterior-resection-rectal-cancer
August 04, 2021 - In this single-institution study, surgeon fatigue (defined as having performed clinical services after
-
psnet.ahrq.gov/issue/seips-30-human-centered-design-patient-journey-patient-safety
September 11, 2019 - The authors propose a SEIPS 3.0 model which would include the patient journey, defined by the authors
-
psnet.ahrq.gov/issue/frequency-medication-administration-timing-error-hospitals-systematic-review
March 15, 2023 - This systematic review including 23 articles found that medication administration timing errors (defined
-
psnet.ahrq.gov/issue/health-system-resilience-accreditation-high-quality-care-and-continuous-quality-improvement
November 25, 2020 - This commentary advocates for accrediting agencies to continue with previously-defined safety goals
-
psnet.ahrq.gov/node/49702/psn-pdf
March 01, 2014 - Describe two examples of well-defined processes to identify individual accountability for adverse
events … practice-based learning.(9) Organizations can reinforce these professional duties by: (i) developing well-
defined … diagnostic errors, such as a standardized review of all readmissions for the
same diagnosis within a defined … After a suspected diagnostic error, there should be a standardized-review process with well-defined … Reason's Unsafe Acts Algorithm and the Professional Accountability Pyramid are two well-defined
tools
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psnet.ahrq.gov/node/36549/psn-pdf
March 21, 2017 - Patients defined "error" more broadly than traditional definitions,
including such issues as falls,
-
psnet.ahrq.gov/node/36551/psn-pdf
February 17, 2011 - common and deadly patient safety issue in
intensive care units (ICUs), although prior research has defined
-
psnet.ahrq.gov/node/36865/psn-pdf
April 27, 2010 - This study
discovered that higher pharmacy workload, defined as the number of prescriptions dispensed
-
psnet.ahrq.gov/node/36294/psn-pdf
July 14, 2010 - care-management-implementation-and-patient-safety
The Institute of Medicine's Crossing the Quality Chasm report endorsed care management, defined
-
psnet.ahrq.gov/node/47097/psn-pdf
June 26, 2018 - Researchers defined six possible indicators of opioid misuse (e.g., obtaining opioids from more
than
-
psnet.ahrq.gov/node/41586/psn-pdf
January 01, 2013 - across institutions, the methods organizations should use to
improve safety culture have yet to be defined
-
psnet.ahrq.gov/node/45137/psn-pdf
May 18, 2016 - potentially-inappropriate-prescribing-older-patients-discharged-acute-care-hospitals
https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
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psnet.ahrq.gov/node/36345/psn-pdf
November 15, 2011 - The intervention achieved impressive
reductions in potential ADEs, defined as any incompletely written
-
psnet.ahrq.gov/node/36386/psn-pdf
July 14, 2010 - Using anonymous reporting systems during a defined study period, investigators
analyzed more than 900
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psnet.ahrq.gov/issue/global-state-patient-safety-2023
April 06, 2016 - imperfections of the numbers, a distinct dashboard is provided to enable comparison of 38 countries on the defined
-
psnet.ahrq.gov/issue/improving-reliability-health-care
November 18, 2011 - failure, (2) identification and mitigation of failure, and (3) redesign of the process once failures are defined
-
psnet.ahrq.gov/node/44982/psn-pdf
April 06, 2016 - Severe maternal
morbidity, as defined by the Centers for Disease Control and Prevention, and composite
-
psnet.ahrq.gov/node/42011/psn-pdf
March 06, 2013 - psnet.ahrq.gov/issue/multidisciplinary-approach-reduce-central-line-associated-bloodstream-
infections
Using defined