-
psnet.ahrq.gov/node/38026/psn-pdf
March 21, 2017 - does-error-and-adverse-event-reporting-physicians-and-nurses-differ
https://psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals
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psnet.ahrq.gov/issue/national-nursing-home-covid-action-network
October 23, 2019 - University of New Mexico’s ECHO Institute and the Institute for Healthcare Improvement (IHI), AHRQ has established
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psnet.ahrq.gov/issue/just-cup-tea-introduction-seips-framework
January 31, 2018 - The Systems Engineering Initiative for Patient Safety (SEIPS) framework is an established human factors-based
-
psnet.ahrq.gov/node/40807/psn-pdf
September 01, 2016 - Conducted at an academic hospital in Spain that had an established CPOE system, this study found an
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psnet.ahrq.gov/node/41028/psn-pdf
May 14, 2018 - The link between health care worker fatigue and
patient safety has been established in seminal studies
-
psnet.ahrq.gov/node/41371/psn-pdf
May 29, 2012 - Another recent
review established a framework for how organizations can stimulate patient engagement
-
psnet.ahrq.gov/node/41141/psn-pdf
February 15, 2013 - psnet.ahrq.gov/issue/examination-opportunities-active-patient-improving-patient-safety
The Joint Commission established
-
psnet.ahrq.gov/node/40994/psn-pdf
December 18, 2014 - implementing-medication-reconciliation-outpatient-pediatrics
Medication reconciliation was initially established
-
psnet.ahrq.gov/node/47516/psn-pdf
December 19, 2018 - Diverse stakeholders in Australia established an agenda for enhancing test result management,
which
-
psnet.ahrq.gov/node/34664/psn-pdf
December 23, 2008 - me,” as teams of health professionals, patient advocates,
artists, reporters, and social scientists established
-
psnet.ahrq.gov/node/37130/psn-pdf
March 24, 2011 - The system was established in response to state legislation mandating
error reporting.
-
psnet.ahrq.gov/issue/best-practices-chemotherapy-administration-pediatric-oncology-quality-and-safety-process
September 23, 2020 - interdisciplinary program that reviewed current processes and evidence, utilized quality improvement tools , and established
-
psnet.ahrq.gov/issue/reaching-summit-discharge-summaries-quality-improvement-project
March 17, 2021 - This quality improvement project used an established change model to improve the rate of discharge
-
psnet.ahrq.gov/issue/hospital-and-procedure-incidence-pediatric-retained-surgical-items
December 02, 2020 - This secondary data analysis established a decrease in these events overall after introduction of the
-
psnet.ahrq.gov/issue/inadequate-preoperative-team-briefings-lead-more-intraoperative-adverse-events
June 07, 2023 - team communication, they are incompletely implemented and evidence regarding their benefit is not well-established
-
psnet.ahrq.gov/issue/observational-evidence-prevalence-and-association-polypharmacy-and-drug-administration-errors
August 11, 2021 - Polypharmacy is an established problem among older adult patients and can lead to medication errors
-
psnet.ahrq.gov/issue/veterans-health-administration-response-covid-19-crisis-surveillance-action
November 17, 2021 - The Veterans Health Administration’s National Center for Patient Safety established two working groups
-
psnet.ahrq.gov/issue/patient-groups-clinicians-and-healthcare-professionals-agree-all-test-results-need-be-seen
September 27, 2023 - Diverse stakeholders in Australia established an agenda for enhancing test result management, which included
-
psnet.ahrq.gov/issue/implementing-medication-reconciliation-outpatient-pediatrics
September 23, 2020 - Medication reconciliation was initially established as a National Patient Safety Goal (NPSG) in 2005
-
psnet.ahrq.gov/issue/assessing-distractors-and-teamwork-during-surgery-developing-event-based-method-direct
February 19, 2020 - This validation study established a coding system to simultaneously monitor distractions and teamwork