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psnet.ahrq.gov/node/46808/psn-pdf
February 14, 2018 - This commentary suggests that anesthesiology focus on enhancing safety of
high-alert intravenous medication … The authors argue that the current focus on individual practice
vigilance be expanded to include an
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psnet.ahrq.gov/training-catalog/anesthesiology-2022
January 01, 2022 - patient safety topics and the opportunity for attendees to submit abstracts for presentations that focus
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psnet.ahrq.gov/issue/themed-issue-innovations-medication-safety
August 30, 2017 - Articles in this special issue focus on adverse drug reactions and proactive strategies to reduce … March 27, 2018
Death due to pharmacy compounding error reinforces need for safety focus
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psnet.ahrq.gov/issue/2007-guide-state-adverse-event-reporting-systems
November 29, 2009 - Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus … Monitoring and Regulation in England
February 19, 2020
International Comparisons: A Focus … Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus
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psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-final-report-evaluation-report-iv
May 21, 2014 - Related Resources From the Same Author(s)
Assessment of the AHRQ Patient Safety Initiative: Focus … July 3, 2015
Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation … Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus
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psnet.ahrq.gov/training-catalog/2021-ashp-summer-meetings-and-exhibition
January 01, 2021 - Event Description: Meetings for interprofessional teams of clinicians and administrators who focus
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psnet.ahrq.gov/training-catalog/2023-annual-membership-meeting
January 01, 2023 - Association (AHA)
Event Description: This three-day in-person conference will focus
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psnet.ahrq.gov/node/43666/psn-pdf
March 14, 2016 - Interdisciplinary Quality Improvement Conference: using
a revised morbidity and mortality format to focus … Interdisciplinary Quality Improvement Conference: using a revised
morbidity and mortality format to focus
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psnet.ahrq.gov/print/pdf/node/74277
January 01, 2021 - A mixed-methods study with a focus
on user experience.
Garfield S, Furniss D, Husson F, et al. … psnet.ahrq.gov/issue/how-can-patient-held-lists-medication-enhance-patient-safety-mixed-methods-study-focus-user … The Institute for Safe Medication Practices (ISMP) is a nonprofit organization whose focus is to help … In order to
ensure health care facilities focus on preventing major... … Strategies to prevent medication errors are a continuing focus of ongoing safety initiatives.
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psnet.ahrq.gov/node/45258/psn-pdf
September 07, 2016 - psnet.ahrq.gov/issue/pathologists-patients-and-diagnostic-errors-part-1-and-part-2
In light of the growing focus … The second article expands the discussion to focus on how industry support of
open transparency can
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psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - Conference (RIC)1 was designed at the University of Michigan to address failure
to rescue with a particular focus … RICs invite all types of hospital staff to attend one-hour case review sessions, which focus on breakdowns … events.1 Unlike traditional M&M conferences, which have historically
focused on individual errors, RICs focus … perioperative complications that
may arise from major surgery.1 Furthermore, traditional M&M conferences often focus … Innovation Patient Safety Focus
A study was conducted on 84,730 patients from 2005 to 2007 using data
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psnet.ahrq.gov/issue/clinician-well-being-assessment-and-interventions-joint-commission-accredited-hospitals-and
June 07, 2023 - Supporting and improving clinician well-being has long been a safety focus and received renewed focus
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psnet.ahrq.gov/issue/burnout-and-secondary-traumatic-stress-health-system-pharmacists-during-covid-19-pandemic
April 06, 2022 - Burnout has been a focus of numerous studies since the beginning of the COVID-19 pandemic; however … , this is the first to focus on burnout and secondary traumatic stress (STS) among health system pharmacists
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psnet.ahrq.gov/issue/medication-reconciliation-hospital-discharge-qualitative-exploration-acute-care-nurses
October 20, 2021 - reconciliation at hospital discharge has become a mainstay of patient safety efforts with most of the focus … Focus groups of hospital nurses were conducted to elicit their perspectives on their role in medication
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psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph
February 26, 2025 - When the organization started, the focus was very much on raising awareness of patient safety because … Now the focus is more on creation and spread of best practices but also creating a workforce that is … TG : The Affordable Care Act has drawn this focus on value and population health, especially with newer … And for NPSF, as I mentioned, the ACA has created a focus on value and cost reduction. … RW : Another trend in the safety field was we began with a huge focus on the hospital and the acute care
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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/periodic-issue/periodic-issue-434
April 10, 2024 - diagnostic errors frequently focuses on hospitals, emergency departments, and primary care, with less focus … Improving healthcare provider well-being and reducing burnout is a focus of many patient safety efforts … diagnostic errors frequently focuses on hospitals, emergency departments, and primary care, with less focus … Improving healthcare provider well-being and reducing burnout is a focus of many patient safety efforts … Future research should focus on standardization, evaluation, and validation of content and display.
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psnet.ahrq.gov/issue/anesthesia-medication-handling-needs-new-vision
July 10, 2017 - This commentary suggests that anesthesiology focus on enhancing safety of high-alert intravenous medication … The authors argue that the current focus on individual practice vigilance be expanded to include an
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psnet.ahrq.gov/issue/improving-quality-health-care-whats-taking-so-long
April 06, 2016 - Mark Chassin, recommends that health care shift its focus from preventable complications to safety … The commentary also calls for a dedicated focus on eliminating overuse , which is an area that has largely
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psnet.ahrq.gov/issue/nursing-and-patient-safety-operating-room
November 03, 2010 - Through nursing interviews and focus groups, this study found that nurses share a common belief around … September 24, 2016
Special Focus Issue: Patient Safety.