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psnet.ahrq.gov/issue/fostering-just-culture-healthcare-organizations-experiences-practice
August 10, 2022 - This qualitative study including five healthcare organizations in the Netherlands concluded that open … Researchers also identified several challenges in fostering a just culture, including how individual
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psnet.ahrq.gov/issue/patients-willingness-and-ability-participate-actively-reduction-clinical-errors-systematic
February 24, 2021 - potential barriers to patients' involvement in safety: illness severity, cognitive characteristics (including … language barriers), poor physician–patient communication, and organizational factors (including safety
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psnet.ahrq.gov/issue/girl-who-cried-pain-bias-against-women-treatment-pain
February 08, 2023 - Findings show there are many reasons for the underappreciation and undertreatment of women’s pain, including … August 3, 2022
A retrospective audit of postoperative days alive and out of hospital, including
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psnet.ahrq.gov/issue/prevalence-contributory-factors-and-severity-medication-errors-associated-direct-acting-oral
December 22, 2021 - Prescribing errors constituted the majority of error types, and common causes were active failures, including … April 7, 2021
Contributory factors and patient harm including deaths associated direct
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psnet.ahrq.gov/issue/adaptation-and-implementation-who-safe-childbirth-checklist-around-world
March 17, 2021 - Checklists are widely used to improve patient safety, including reductions in catheter-related bloodstream … February 15, 2023
A retrospective audit of postoperative days alive and out of hospital, including
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psnet.ahrq.gov/node/35398/psn-pdf
February 24, 2011 - Residency work-hours reform: a cost analysis including
preventable adverse events. … A cost analysis including preventable adverse
events. J Gen Intern Med. 2005;20(10):873-8. … https://psnet.ahrq.gov/issue/residency-work-hours-reform-cost-analysis-including-preventable-adverse- … https://psnet.ahrq.gov/issue/residency-work-hours-reform-cost-analysis-including-preventable-adverse-events … https://psnet.ahrq.gov/issue/residency-work-hours-reform-cost-analysis-including-preventable-adverse-events
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psnet.ahrq.gov/node/38811/psn-pdf
July 22, 2009 - Council recommendation on patient safety, including the
prevention and control of healthcare associated … https://psnet.ahrq.gov/issue/council-recommendation-patient-safety-including-prevention-and-control- … https://psnet.ahrq.gov/issue/council-recommendation-patient-safety-including-prevention-and-control-healthcare-associated … https://psnet.ahrq.gov/issue/council-recommendation-patient-safety-including-prevention-and-control-healthcare-associated
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psnet.ahrq.gov/node/46573/psn-pdf
November 07, 2018 - Effects of a multimodal program including simulation on
job strain among nurses working in intensive … Effects of a Multimodal Program Including Simulation on Job Strain
Among Nurses Working in Intensive … https://psnet.ahrq.gov/issue/effects-multimodal-program-including-simulation-job-strain-among-nurses- … https://psnet.ahrq.gov/issue/effects-multimodal-program-including-simulation-job-strain-among-nurses-working-intensive … https://psnet.ahrq.gov/issue/effects-multimodal-program-including-simulation-job-strain-among-nurses-working-intensive
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psnet.ahrq.gov/node/40268/psn-pdf
November 14, 2011 - Medicaid program; payment adjustment for provider-
preventable conditions including health care–acquired … https://psnet.ahrq.gov/issue/medicaid-program-payment-adjustment-provider-preventable-conditions-
including-health-care … https://psnet.ahrq.gov/issue/medicaid-program-payment-adjustment-provider-preventable-conditions-including-health-care … https://psnet.ahrq.gov/issue/medicaid-program-payment-adjustment-provider-preventable-conditions-including-health-care
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psnet.ahrq.gov/node/35734/psn-pdf
May 04, 2015 - Benzocaine sprays marketed under different names,
including Hurricaine, Topex, and Cetacaine. … https://psnet.ahrq.gov/issue/benzocaine-sprays-marketed-under-different-names-including-hurricaine- … https://psnet.ahrq.gov/issue/benzocaine-sprays-marketed-under-different-names-including-hurricaine-topex-and-cetacaine … https://psnet.ahrq.gov/issue/benzocaine-sprays-marketed-under-different-names-including-hurricaine-topex-and-cetacaine
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psnet.ahrq.gov/node/40499/psn-pdf
June 01, 2011 - Patient-assisted incident reporting: including the patient
in patient safety. … Patient-assisted incident reporting: including the patient in
patient safety. … https://psnet.ahrq.gov/issue/patient-assisted-incident-reporting-including-patient-patient-safety
This … https://psnet.ahrq.gov/issue/patient-assisted-incident-reporting-including-patient-patient-safety
https
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psnet.ahrq.gov/node/41254/psn-pdf
April 11, 2012 - The Daily Plan: including patients for safety's sake. … The Daily Plan®: Including patients for safety's sake. … https://psnet.ahrq.gov/issue/daily-plan-including-patients-safetys-sake
This study reports on an intervention … https://psnet.ahrq.gov/issue/daily-plan-including-patients-safetys-sake
https://psnet.ahrq.gov/primer
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psnet.ahrq.gov/node/846935/psn-pdf
March 29, 2023 - strategies and practices that aim to prevent adverse outcomes for both the mother and the
newborn, including … Healthcare Research and Quality (AHRQ) leads several
initiatives focused on improving perinatal safety, including … It is essential to address patient safety challenges across the different healthcare
settings, including … Healthcare providers should routinely screen for perinatal mental
health problems, including depression … A variety of mental health
screening tools is available, including the Edinburgh Postnatal Depression
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psnet.ahrq.gov/issue/patient-safety-reporting-qualitative-study-thoughts-and-perceptions-experts-15-years-after
June 16, 2021 - qualitative study of patient safety experts delineates multiple challenges of current reporting systems, including … January 19, 2022
Patient-assisted incident reporting: including the patient in patient
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psnet.ahrq.gov/issue/association-current-opioid-use-serious-adverse-events-among-older-adult-survivors-breast
February 15, 2023 - use after active cancer treatment was associated with a 15-fold increase in risk of adverse events (including … overdose) and an increased risk in adverse events related to opioid use, including falls, fractures,
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psnet.ahrq.gov/issue/pain-management-best-practices-multispecialty-organizations-during-covid-19-pandemic-and
November 16, 2022 - address a need for national guidance on pain management practices during the COVID-19 pandemic, a panel including … Any pain management plan must consider many facets including patients’ clinical circumstances and providers
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psnet.ahrq.gov/issue/safety-and-acceptability-using-telehealth-follow-patients-following-cancer-surgery-systematic
December 23, 2020 - The COVID-19 pandemic has increased adoption of telehealth across various medical specialties, including … This systematic review including 11 studies (3,336 patients) explored the impact of virtual follow-up
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psnet.ahrq.gov/issue/economic-evaluations-interventions-prevent-and-control-health-care-associated-infections
May 18, 2022 - This systematic review including 67 studies identified several cost-effective interventions addressing … health care-associated infections, including screening high-risk individuals, universal decolonization
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psnet.ahrq.gov/issue/effect-transitional-pharmaceutical-care-program-occurrence-ades-after-discharge-hospital
September 08, 2021 - This multi-center study found that a transitional pharmacy care program (including teach-back, pharmacy … Duplicate Therapies in Retail Pharmacy
March 15, 2023
Including
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psnet.ahrq.gov/issue/prevalence-and-characterisation-diagnostic-error-among-7-day-all-cause-hospital-medicine
April 12, 2023 - These diagnostic errors were primarily related to clinician diagnostic reasoning , including failure … The majority of the diagnostic errors resulted in some form of clinical impact, including short-term