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psnet.ahrq.gov/issue/drug-shortages-persist-us-harming-care
November 14, 2012 - March 27, 2013
Death of a boy prompts new medical efforts nationwide. … September 8, 2016
Drug Shortages: Public Health Threat Continues, Despite Efforts to
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psnet.ahrq.gov/node/42063/psn-pdf
January 06, 2018 - Although its recommendations were somewhat
controversial, the report galvanized patient safety efforts … details how foundational concepts such as human factors engineering should be
incorporated into safety efforts
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psnet.ahrq.gov/node/33598/psn-pdf
June 15, 2024 - www.cdc.gov/steadi
Fall prevention has been the subject of intensive research and quality improvement efforts … Prevention efforts begin with assessing
individual patients' risk for falls. … Overzealous efforts to limit falls may therefore have the adverse
consequence of limiting mobility during
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psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
September 15, 2024 - Preventing Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery Early efforts to prevent WSPEs focused … An analysis of the United Kingdom's efforts to prevent WSPEs found that, although dissemination of … Comprehensive efforts to improve surgical safety have incorporated timeout principles into surgical safety
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psnet.ahrq.gov/primer/patient-safety-101
January 16, 2025 - The report galvanized patient safety efforts at hospitals nationwide and laid the foundation for further … In the past decade, thousands of lives have been saved thanks to innovative efforts to reduce health … Progress has also been made in efforts to build a climate of safety in health care, in which errors are … preventable harm among patients remain unacceptably high, and new challenges have emerged that have hindered efforts … Their efforts focus on enhancing patient and caregiver engagement, tracking and sharing safety data,
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psnet.ahrq.gov/issue/infection-control-deficiencies-were-widespread-and-persistent-nursing-homes-prior-covid-19
April 29, 2020 - Related Resources From the Same Author(s)
Trends in Pregnancy-Related Deaths and Federal Efforts … April 29, 2020
Progress Made Towards Improving Opioid Safety, But Further Efforts to
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psnet.ahrq.gov/issue/performance-measures-neurosurgical-patient-care-differing-applications-patient-safety
June 03, 2020 - , 2017
Patient safety in plastic surgery: identifying areas for quality improvement efforts … , 2015
Patient safety in plastic surgery: identifying areas for quality improvement efforts
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psnet.ahrq.gov/issue/ce-nursings-evolving-role-patient-safety
July 19, 2023 - 2009
The influence of organizational context on quality improvement and patient safety efforts … How active resisters and organizational constipators affect health care–acquired infection prevention efforts
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psnet.ahrq.gov/node/39829/psn-pdf
January 09, 2025 - The latest PSRP report discusses the Commission's collaborative efforts in 2023 to implement
changes
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psnet.ahrq.gov/primer/responding-patient-safety-events
October 18, 2023 - Involving patients and families in improvement efforts enables user-centered design of potential solutions … and ongoing collection, tracking, and evaluation of data to assess the effectiveness of improvement efforts … Other improvement efforts include continuing education of health professionals through simulation, morbidity … safety goals, promptly responding to healthcare staff and patient concerns, supporting and role-modeling efforts
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psnet.ahrq.gov/node/46787/psn-pdf
October 15, 2018 - to engage in incident analysis, project design, and strategic
planning to enhance medication safety efforts
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psnet.ahrq.gov/issue/project-boost-effectiveness-multihospital-effort-reduce-rehospitalization
September 10, 2014 - Study
Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization.
Citation Text:
Hansen LO, Greenwald JL, Budnitz T, et al. Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization. J Hosp Med. 2013;8(8):421-7. doi:10.1002/jhm.2054.
Co…
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psnet.ahrq.gov/issue/checklist-implementation-office-based-surgery-team-effort
August 13, 2014 - Commentary
Checklist implementation for office-based surgery: a team effort.
Citation Text:
Shapiro FE, Punwani N, Urman RD. Checklist implementation for office-based surgery: a team effort. AORN J. 2013;98(3):305-9. doi:10.1016/j.aorn.2013.06.009.
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psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
March 15, 2025 - Examples of incident reporting systems used as part of larger efforts to improve patient safety have … Examples where RCA have been used to improve patient safety as part of larger organizational efforts … of the level of hazard involved in various steps of the process and helps prioritize patient safety efforts … in patient safety unless they are used in conjunction with larger systems-level quality improvement efforts
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psnet.ahrq.gov/node/33597/psn-pdf
April 10, 2024 - The federal government is leading other efforts to improve the safety and quality of care at long-term … The accreditation process emphasizes
the importance of patient safety and efforts to prevent hospital … relationship-between-nursing-home-staffing-and-resident-safety-outcomes-systematic-review
https://www.cms.gov/newsroom/press-releases/biden-harris-administration-continues-unprecedented-efforts-increase-transparency-nursing-home … nursing-home/about/index.html
https://psnet.ahrq.gov/issue/national-patient-safety-goals
While these efforts … CMS efforts to incentivize nursing homes through value-based payment structures such as the Patient
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psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
September 30, 2020 - only a 1.2% reduction in nonparticipating hospitals, demonstrating the value of quality and safety efforts … . 6 Approaches to Improving Safety In order to maximize maternal care quality improvement efforts, the … urgent bedside evaluation and a pre-defined order set, including laboratory testing and resuscitative efforts … to improve the quality and safety of obstetric patients by better targeting future improvement efforts … Obstetric Hemorrhage Toolkit, aligned with the National Partnership for Maternal Safety, facilitate efforts
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psnet.ahrq.gov/issue/side-tracks-safety-express-interruptions-lead-errors-and-unfinishedwait-what-was-i-doing
June 10, 2018 - June 10, 2018
Are national efforts to reduce drug name confusion paying off? … Improve Patient Safety in Acute Hospital Care Units
April 26, 2023
Are national efforts
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psnet.ahrq.gov/issue/lot-happens-when-you-report-hazard-or-error-ismp-theres-no-black-hole-here
December 27, 2018 - June 5, 2018
Are national efforts to reduce drug name confusion paying off? … March 24, 2021
Are national efforts to reduce drug name confusion paying off?
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psnet.ahrq.gov/node/841489/psn-pdf
December 14, 2022 - https://psnet.ahrq.gov/issue/rise-health-coalition
Systemic efforts to improve health equity support
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psnet.ahrq.gov/issue/increased-catheter-related-bloodstream-infection-rates-after-introduction-new-mechanical
February 07, 2022 - catheter-associated urinary tract infection (CAUTI): the urgent need to refocus on hardwiring prevention efforts … catheter-associated urinary tract infection (CAUTI): the urgent need to refocus on hardwiring prevention efforts