-
psnet.ahrq.gov/print/pdf/node/866100
August 30, 2023 - brief discusses what has changed since the Keeping Patients Safe report was released a
decade ago, including … Articles in this special issue highlight organizational elements that contribute to
patient safety, including … in this special issue explore strategies to establish a culture of safety in health care settings,
including … in this special issue explore strategies to establish a culture of safety in health care settings,
including … Articles in this special issue highlight organizational elements that contribute to
patient safety, including
-
psnet.ahrq.gov/issue/re-engineered-discharge-red-toolkit
June 20, 2014 - This toolkit provides information to help hospitals implement Project RED , including how to determine
-
psnet.ahrq.gov/issue/understanding-human-over-reliance-technology
February 24, 2016 - can diminish human decision-making, this newsletter article offers strategies to address the problem including
-
psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
December 23, 2016 - The Joint Commission recommends several strategies for preventing falls, including identifying patients
-
psnet.ahrq.gov/issue/incidence-diagnostic-error-medicine
July 15, 2015 - to estimate the incidence of diagnostic error and recommends tactics to improve its measurement, including
-
psnet.ahrq.gov/issue/teaming-how-organizations-learn-innovate-and-compete-knowledge-economy
May 06, 2016 - This book explores teamwork, including barriers to effective teamwork and tactics to enhance professional
-
psnet.ahrq.gov/issue/handbook-human-factors-and-ergonomics-health-care-and-patient-safety-2nd-ed
March 09, 2018 - The authors cover a wide range of health care topics including medical technology and telemedicine.
-
psnet.ahrq.gov/issue/follow-tips-safe-efficient-practice
July 23, 2010 - This article provides suggestions for physicians to ensure reliable follow-up on test results, including
-
psnet.ahrq.gov/issue/infection-control-intensive-care-unit
May 27, 2011 - Articles in this special issue describe strategies to reduce infections in the intensive care unit, including
-
psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-report-quality-and-safety-2008
November 23, 2016 - Although performance improved in some areas (including medication reconciliation and eliminating "
-
psnet.ahrq.gov/issue/err-human-report-retrospective-and-decade-ahead
February 15, 2011 - A panel of distinguished patient safety leaders, including Drs.
-
psnet.ahrq.gov/issue/rapid-response-systems-0
April 07, 2010 - This review provides an overview of rapid response systems, including key components and goals of the
-
psnet.ahrq.gov/perspective/patient-engagement-safety
January 01, 2018 - They delineate barriers to health IT–mediated engagement including lack of health literacy, low technology … that surveying inpatients about their safety experiences had no impact on a global measure of safety including
-
psnet.ahrq.gov/web-mm/dangerous-dialysis
June 12, 2024 - Common errors in dialysis units ( Table 1 ) may involve the dialysis procedure, including errors in patient … Potential sources for errors exist throughout this system, including contamination of the dialysate and … standards for dialysis unit water.( 8 ) Reuse standards include protocols to reduce the risk of errors, including … director's responsibilities from implementation of policies and procedures to assurance that the staff (including … An annual yearly report is published including special studies examining morbidity and mortality of dialysis
-
psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
February 26, 2025 - injury or associated with underlying diseases such as malignancy. 1 Radiation therapy to the pelvis including … compromised integrity and impaired wound healing, which dramatically increases the risk for complications including … There were clear signs that the initial course was potentially unsuccessful, including persistent or … Initial percutaneous drain placement for source control is appropriate in some cases, including in the … The common practice of simply including clinic referral and contact information for follow-up in the
-
psnet.ahrq.gov/curated-library/diagnostic-error
April 17, 2025 - used to estimate the incidence of diagnostic error and recommends tactics to improve its measurement, including … These diagnostic errors were primarily related to clinician diagnostic reasoning, including failure to … The majority of the diagnostic errors resulted in some form of clinical impact, including short-term … diagnostic accuracy in their care and provides tactics to help patients prevent diagnostic errors, including … used to estimate the incidence of diagnostic error and recommends tactics to improve its measurement, including
-
psnet.ahrq.gov/print/pdf/node/73848
July 01, 2022 - Many organizations, including The Joint Commission and the National Partnership for Maternal Safety, … Researchers interviewed health care
professionals, including frontline nurses and physicians, chief medical … obstetric emergencies, this review discusses strategies to augment clinical outcomes in
this setting, including … Researchers interviewed health care
professionals, including frontline nurses and physicians, chief medical … Many organizations, including The Joint Commission and the National Partnership for Maternal Safety,
-
psnet.ahrq.gov/issue/examining-relationship-between-health-it-and-ambulatory-care-workflow-redesign
December 24, 2008 - health IT implementation can affect clinician and staff workload in the ambulatory care environment , including
-
psnet.ahrq.gov/issue/pediatric-readiness-emergency-department
March 14, 2018 - suggests standards to ensure high-quality care for pediatric patients in the emergency department , including
-
psnet.ahrq.gov/issue/disclosure-coaching-ask-tell-ask-model-support-clinicians-disclosure-conversations
December 18, 2014 - This commentary describes a disclosure coaching initiative , including the toolkit and tactics used