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psnet.ahrq.gov/node/837791/psn-pdf
August 05, 2022 - This process,
known as the “diagnostic referral loop,” helps clinicians select the best treatment options
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psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
January 01, 2020 - infusion
pump when the patient pushes a demand button
– Lockout interval on the demand dose (~6-15mins) helps
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psnet.ahrq.gov/node/72811/psn-pdf
September 01, 2022 - For example, computerized prompts built into flight control systems provide immediate
feedback that helps
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psnet.ahrq.gov/node/60172/psn-pdf
March 01, 2021 - this time period.4
Innovation Patient Safety Focus
Patient verification at the time of order entry helps
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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - works
well for clinical event debriefing, especially when combined with a checklist or structure that helps
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psnet.ahrq.gov/issue/five-medication-safety-tips-older-adults
April 23, 2012 - Fact Sheet/FAQs
Five Medication Safety Tips for Older Adults.
Citation Text:
Five Medication Safety Tips for Older Adults. FDA Consumer Health Information. Silver Spring, MD: US Food and Drug Administration; February 15, 2024.
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psnet.ahrq.gov/node/33867/psn-pdf
October 01, 2018 - That helps me to make a case for the need for change.
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psnet.ahrq.gov/node/841139/psn-pdf
December 14, 2022 - Open wider: Failure to use an interpreter results in
fractured teeth and hypoxia during a simple elective
operation.
December 14, 2022
Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia
during a simple elective operation. PSNet [internet]. 2022.
https://psnet.ah…
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psnet.ahrq.gov/node/45755/psn-pdf
December 21, 2016 - Can computers help doctors reduce diagnostic errors?
December 21, 2016
Shryock T. Med Econ. December 5, 2016.
https://psnet.ahrq.gov/issue/can-computers-help-doctors-reduce-diagnostic-errors
Computerized decision support and advanced computing are being used to augment various processes in
health care, such as med…
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psnet.ahrq.gov/node/45370/psn-pdf
July 27, 2016 - Correct use of inhalers: help patients breathe easier.
July 27, 2016
ISMP Medication Safety Alert! Acute Care Edition. July 14, 2016;21:1-6.
https://psnet.ahrq.gov/issue/correct-use-inhalers-help-patients-breathe-easier
Patients and clinicians can make medication administration mistakes when new drug delivery mecha…
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psnet.ahrq.gov/node/45367/psn-pdf
September 28, 2016 - How PSOs Help Health Care Organizations Improve
Patient Safety Culture.
September 28, 2016
Rockville, MD: Agency for Healthcare Research and Quality; April 2016. AHRQ Pub. No. 16-0026-EF.
https://psnet.ahrq.gov/issue/how-psos-help-health-care-organizations-improve-patient-safety-culture
Patient safety organization…
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psnet.ahrq.gov/node/39329/psn-pdf
September 30, 2015 - Safe Patients, Smart Hospitals: How One Doctor's
Checklist Can Help Us Change Health Care from the
Inside Out.
September 30, 2015
Pronovost P, Vohr E. New York, NY: Hudson Street Press; 2010. ISBN: 9781594630644.
https://psnet.ahrq.gov/issue/safe-patients-smart-hospitals-how-one-doctors-checklist-can-help-us-chang…
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psnet.ahrq.gov/submit-your-toolkit-landing
Breadcrumb
Home
Improvement Resources
Toolkits
Toolkit Submissions
PSNet encourages healthcare-related organizations to help make care safer by submitting a Patient Safety Toolkit to support the implementation of products, services, processes, systems, policies, organizational stru…
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psnet.ahrq.gov/node/35315/psn-pdf
April 12, 2019 - The Institute for Safe Medication Practices.
April 12, 2019
5200 Butler Pike, Plymouth Meeting, PA, 19462. 215-947-7797.
https://psnet.ahrq.gov/issue/institute-safe-medication-practices
The Institute for Safe Medication Practices (ISMP) is a nonprofit organization whose focus is to help health
care practitioners u…
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psnet.ahrq.gov/node/47213/psn-pdf
June 20, 2018 - Are second victims getting the help they need?
June 20, 2018
Headley M. Patient Saf Qual Healthc. May/June 2018.
https://psnet.ahrq.gov/issue/are-second-victims-getting-help-they-need
Clinicians can experience emotional stress, guilt, and insecurity after making a mistake. Organizations are
increasingly building p…
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psnet.ahrq.gov/issue/five-steps-safer-health-care
July 21, 2021 - Fact Sheet/FAQs
Five Steps to Safer Health Care.
Citation Text:
Five Steps to Safer Health Care. American Hospital Association; American Medical Association; U.S. Department of Health and Human Services.
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psnet.ahrq.gov/node/44199/psn-pdf
September 09, 2015 - Raising the alarm: a cross-sectional study exploring the
factors affecting patients' willingness to escalate care on
surgical wards.
September 9, 2015
Johnston MJ, Davis R, Arora S, et al. Raising the Alarm: A Cross-Sectional Study Exploring the Factors
Affecting Patients' Willingness to Escalate Care on Surgical …
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psnet.ahrq.gov/issue/what-correct-site-surgery
October 15, 2018 - Fact Sheet/FAQs
What is Correct-Site Surgery?
Citation Text:
What is Correct-Site Surgery? American College of Surgeons.
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psnet.ahrq.gov/issue/preventing-tragedy-misdiagnosis
August 17, 2016 - Newspaper/Magazine Article
Preventing the tragedy of misdiagnosis.
Citation Text:
Preventing the tragedy of misdiagnosis. Landro L. The Wall Street Journal. November 29, 2006.
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…
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psnet.ahrq.gov/node/37392/psn-pdf
February 15, 2011 - Health care consumers' inclination to engage in selected
patient safety practices: a survey of adults in
Pennsylvania.
February 15, 2011
Marella WM, Finley E, Thomas AD, et al. Health Care Consumers' Inclination to Engage in Selected Patient
Safety Practices. J Patient Saf. 2008;3(4). doi:10.1097/pts.0b013e31815a6…