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61. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-472
    February 26, 2025 - PSNet highlights the latest patient safety literature, news, and expert commentary, including … These tools evaluated 71 dimensions of patient safety, including teamwork, safety climate, and communication … Bias, including bias in clinical documentation, negatively impacts care of marginalized patients. … This study sought to understand staff perspectives on including in situ simulation as a component of … PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly

62. Weekly Resource | PSNet
    psnet.ahrq.gov/periodic-issue/weekly-resource
    March 25, 2025 - PSNet highlights the latest patient safety literature, news, and expert commentary, including … study identified several important factors for improving medication safety in nursing home settings, including … Survey respondents also endorsed the importance of formal support programs, including peer support, education … This article highlights the effect that unprofessional behavior, including more subtle forms such as … PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly

63. Patient Safety Indicators | PSNet
    psnet.ahrq.gov/primer/patient-safety-indicators
    June 15, 2024 - inform healthcare providers in efforts to develop systems and processes to prevent harm to patients, including … Outcome measures of patient safety, including hospital acquired infections, hospital acquired conditions … concerns by developing a set of indicators to measure patient safety for post-acute care facilities , including … hospitals “that could have been potentially prevented by implementing evidence-informed practice,” including … reporting, the Organization for Economic Cooperation and Development has adapted 6 of AHRQ’s PSIs, including

64. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-469
    December 31, 2024 - PSNet highlights the latest patient safety literature, news, and expert commentary, including … This cross-sectional study, including general practitioner practices in 37 European countries and Israel … Using data (including from the Hospital Survey on Patient Safety Culture™ [SOPS®]), this cross-sectional … Despite treatment including heparin, amiodarone, and metoprolol for atrial fibrillation, and interventions … PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly

65. Department of Defense Health Care Quality. | PSNet
    psnet.ahrq.gov/issue/department-defense-health-care-quality
    February 11, 2025 - Department of Defense's health care program in including culture of safety  development, error and

66. Implementing a Fall Prevention Program | PSNet
    psnet.ahrq.gov/perspective/implementing-fall-prevention-program
    November 29, 2023 - ) The causes of falls are complex, with the risk factors most frequently found in hospital patients including … Simple methods of doing this, including a spreadsheet to automatically calculate predictive values, are … A focus on prevention, detection, and treatment of delirium, including dip-testing urine for indications … A postfall review used as an opportunity to plan secondary prevention, including a careful history to … Continence management, including routines of offering frequent assistance to use the toilet.

67. Long-term Care and Patient Safety | PSNet
    psnet.ahrq.gov/primer/long-term-care-and-patient-safety
    February 24, 2022 - These facilities provide services very similar to acute care hospitals, including the ability to care … Subsequent OIG reports have also found many patient safety problems and adverse events including well … pandemic, despite several safeguards and prevention programs put in place by the federal government including … AHRQ has also developed a number of resources to examine and address safety in long-term care, including … Subsequent studies have identified a multitude of longstanding and ongoing challenges including poor

68. PSNet Curated Library (pdf file)
    psnet.ahrq.gov/print/pdf/node/866984
    January 01, 2020 - This review summarizes the evidence regarding teamwork, including strategies to measure team performance … This book explores teamwork, including barriers to effective teamwork and tactics to enhance professional … at Brigham and Women’s Hospital in Boston, the authors discuss development of a patient safety team, including … This review summarizes the evidence regarding teamwork, including strategies to measure team performance … This book explores teamwork, including barriers to effective teamwork and tactics to enhance professional

69. In Conversation with... Christie Allen about Maternal Safety and Perinatal Mental Health | PSNet
    psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
    March 29, 2023 - Could tell us about how the AIM Program aligns with AHRQ’s maternal health initiatives, including the … The MMRC data identified that mental and behavioral health conditions, including substance use disorders … The bundle is focused on best practices, including transitions of care, screening, and referral. … 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

70. Health Plan Patient Safety Initiatives | PSNet
    psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
    July 10, 2024 - Monitoring and Measuring Patient Safety Monitoring and measuring patient safety, including the occurrence … CMS uses the CMS PSI 90 in several federal programs, including the Value-Based Purchasing Program. 10 … Medicare Star Ratings is a public reporting program with about 30 to 50 measures that change every year, including … has a standard set of Healthcare Effectiveness Data and Information Set (HEDIS) measures that we use, including

71. Safety is the preservation of value. | PSNet
    psnet.ahrq.gov/issue/safety-preservation-value
    January 11, 2023 - As such, the author asserts that future safety research, including patient safety , must begin by clearly

72. Stem the Tide: Addressing the Opioid Epidemic. | PSNet
    psnet.ahrq.gov/issue/stem-tide-addressing-opioid-epidemic
    April 15, 2021 - care systems target eight areas of focus that have potential to reduce the impact of opioid misuse, including

73. Feeling safe during an inpatient hospitalization: a concept analysis. | PSNet
    psnet.ahrq.gov/issue/feeling-safe-during-inpatient-hospitalization-concept-analysis
    May 20, 2020 - Review of the literature identified 40 attributes, including trust , being cared for, and staff competency

74. Diagnostic Error in Medicine. | PSNet
    psnet.ahrq.gov/issue/diagnostic-error-medicine-0
    November 28, 2018 - Articles in this special issue cover efforts to reduce diagnostic errors, including patient engagement

75. Antimicrobial Stewardship Toolkit. | PSNet
    psnet.ahrq.gov/issue/antimicrobial-stewardship-toolkit
    April 15, 2021 - resources for hospital administrators, clinicians, and patients to help prevent overuse of antibiotics , including

76. Care Managers Use Software-Aided Medication Review Protocol for Frail, Community-Dwelling Seniors, Leading to More Appropriate Medication Use | PSNet
    psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-community-dwelling
    September 13, 2023 - AHRQ in 2008, was retired in March 2021; AHRQ now offers select content from the Innovations Exchange, including … Other Organizations The HomeMeds Medication Safety Program is currently implemented in 65 sites – including … : An estimated 12 to 40 percent of community-dwelling older adults use medications inappropriately, including … regimen's appropriateness, identifies problems or concerns that warrant evaluation by the physician (including … Foundation offers a number of programs and services to thousands of clients in Southern California, including

77. Machine learning in medicine. | PSNet
    psnet.ahrq.gov/issue/machine-learning-medicine
    March 13, 2024 - They describe key challenges to integrating machine learning in health care, including access to high-quality

78. The importance of cognitive errors in diagnosis and strategies to minimize them. | PSNet
    psnet.ahrq.gov/issue/importance-cognitive-errors-diagnosis-and-strategies-minimize-them
    September 18, 2024 - provide a detailed perspective on the cognitive challenges that impact diagnostic decision making, including

79. Medication Safety Certificate Program. | PSNet
    psnet.ahrq.gov/issue/medication-safety-certificate-program
    September 30, 2020 - certificate program presents key concepts that support organizational efforts to augment medication safety, including

80. ISMP Guidelines for Sterile Compounding and the Safe Use of Sterile Compounding Technology. | PSNet
    psnet.ahrq.gov/issue/ismp-guidelines-sterile-compounding-and-safe-use-sterile-compounding-technology
    November 16, 2022 - This updated report describes best practices to ensure safety when preparing sterile compounds , including