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psnet.ahrq.gov/primer/surgical-site-infections
September 07, 2019 - The CDC's National Healthcare Safety Network (NHSN) has developed definitions and standards for SSI … These definitions are also used by the National Surgical Quality Improvement Program (NSQIP), although … The comprehensive unit-based safety program (CUSP) aims to improve patient safety outcomes and safety … Patient Safety Goals for hospitals and ambulatory surgery centers. … August 9, 2018
Advances in perioperative quality and safety.
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psnet.ahrq.gov/node/33580/psn-pdf
April 01, 2022 - From a patient safety perspective, a nurse’s role
includes monitoring patients for clinical deterioration … /psnet.ahrq.gov/issue/nurse-patient-ratios-patient-safety-strategy-systematic-review
have a missed … Safety and Quality Rating Systems
The National Quality Forum endorsed voluntary consensus standards … https://psnet.ahrq.gov/issue/national-voluntary-consensus-standards-patient-safety-measures-consensus-report … Effect of changes in hospital nursing resources on
improvements in patient safety and quality of care
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psnet.ahrq.gov/issue/advancing-diagnostic-equity-through-clinician-engagement-community-partnerships-and-connected
June 22, 2022 - Variations in diagnostic process application reduce the safety of care. … community partnerships, and connected care (e.g., telehealth) should interface to improve diagnosis for patients … November 10, 2021
Inviting patients to identify diagnostic concerns through structured … April 13, 2022
Defining diagnostic error: a scoping review to assess the impact of the National … and Quality
April 26, 2023
How should clinicians minimize bias when responding
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psnet.ahrq.gov/issue/path-diagnostic-excellence-includes-feedback-calibrate-how-clinicians-think
May 04, 2022 - Download Citation
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Adherence to national … Organization (HRO) Principles and Patient Safety
February 26, 2025 … Patient Safety Innovations
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The gaps in specialists' diagnoses
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psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-incidence-adverse-drug-events-pediatric-inpatients
October 19, 2022 - April 24, 2018
A randomized trial of a multifactorial strategy to prevent serious fall … Surgical Quality Improvement Program. … June 23, 2021
National trends in the safety performance of electronic health record systems … strategy. … May 26, 2011
Comparison of methods for identifying patients at risk of medication-related
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psnet.ahrq.gov/issue/comprehensive-estimation-costs-30-day-postoperative-complications-using-actual-costs-multiple
June 22, 2022 - This study used data from the American College of Surgeons National Surgical Quality Improvement Program … Analysis of incident reports from a patient safety organization. … October 21, 2020
Quality and safety in surgery: challenges and opportunities. … December 14, 2022
Dedicated teams to optimize quality and safety of surgery: a systematic … June 21, 2016
Priority patient safety issues identified by perioperative nurses.
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psnet.ahrq.gov/issue/texas-health-presbyterian-hospital-ebola-crisis-perfect-storm-human-errors-system-failures
February 23, 2018 - February 23, 2018
Medical Error Reporting System Could Boost Patient Safety. … July 8, 2016
Beyond the Quick Fix: Strategies for Improving Patient Safety. … April 6, 2022
Center for Innovations in Quality, Effectiveness and Safety. … and Quality
April 26, 2023
Diagnostic errors that lead to inappropriate antimicrobial … April 15, 2016
Evaluation of outcomes from a national patient-initiated second-opinion
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psnet.ahrq.gov/issue/professional-development-course-improves-unprofessional-physician-behavior
August 12, 2020 - care and safety. … August 12, 2020
Considering the safety and quality of artificial intelligence in health … September 16, 2020
Improving patient safety with team coordination: challenges and strategies … December 1, 2021
A machine learning approach to reclassifying miscellaneous patient safety … February 9, 2022
Quality Improvement and Patient Safety Competencies Across the Learning
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psnet.ahrq.gov/issue/challenges-defining-and-measuring-diagnostic-error
February 24, 2021 - Citation
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Advancing diagnostic safety … September 1, 2021
Patient generated research priorities to improve diagnostic safety: … January 9, 2019
Impact of a national QI programme on reducing electronic health record … and Quality
April 26, 2023
Dangers of diagnostic overshadowing. … August 24, 2016
Bringing diagnosis into the quality and safety equations.
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psnet.ahrq.gov/issue/characteristics-disease-specific-and-generic-diagnostic-pitfalls-qualitative-study
December 02, 2020 - Improving diagnosis is a patient safety priority . … Using data from patient safety incident reports, malpractice claims, morbidity and mortality reports, … July 20, 2022
Quality and safety outcomes of a hospital merger following a full integration … August 5, 2020
Patient safety education 20 years after the Institute of Medicine report … : results from a cross-sectional national survey.
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psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
November 30, 2023 - Approach to Improving Patient Safety
A Proposed Strategy for Ensuring Implementation of an Established … Results from a quality/safety project. … September 23, 2020
A national profile of patient safety in U.S. hospitals. … and Quality
April 26, 2023
Patient Safety Innovations … The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices
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psnet.ahrq.gov/node/72836/psn-pdf
January 26, 2021 - families, clinicians, and
hospital staff all work together as partners to improve the quality and safety … psnet.ahrq.gov//#_edn1
https://psnet.ahrq.gov//#_edn2
https://psnet.ahrq.gov//#_edn3
https://www.ahrq.gov/patient-safety … engage.html
https://www.ahrq.gov/hai/tools/ambulatory-care/safe-transitions.html
https://www.ahrq.gov/patient-safety … /MMS-Blueprint
priorities for patients. … to
measure development organizations, including the National Quality Forum, American College of
Physicians
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psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
July 10, 2024 - We came upon two goals to define what we meant by safety: reducing all-cause patient harm (all payer … The patient safety movement, Blue Cross Blue Shield? the list goes on and on. … It was an era when some of the early data about patient safety was somewhat disappointing. … As you engage in large-scale national quality improvement collaboratives, like the Partnership for Patients … I think that strategy worked.
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psnet.ahrq.gov/issue/deprescribing-community-dwelling-older-adults-systematic-review-and-meta-analysis
May 05, 2021 - Deprescribing is one strategy to reduce polypharmacy among older adults. … May 19, 2021
Improving patient safety and efficiency of medication reconciliation through … in safe opioid prescribing and treatment of opioid use disorder in internal medicine residencies: a national … July 1, 2020
Sitters as a patient safety strategy to reduce hospital falls: a systematic … 2019
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Researchers
Home Care
Quality
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psnet.ahrq.gov/issue/meta-analysis-effect-interactive-communication-between-collaborating-primary-care-physicians
September 20, 2011 - September 20, 2011
How does context affect interventions to improve patient safety? … January 25, 2017
Quality measures for patients at risk of adverse outcomes in the Veterans … August 17, 2022
Pragmatic insights on patient safety priorities and intervention strategies … December 6, 2017
Comparison of quality of care for patients in the Veterans Health Administration … and patients in a national sample.
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psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
June 01, 2016 - with a template phone note that guides the trainee and facilitates documentation).( 16 ) This kind of strategy … each July and poses significant patient safety risks. … Transfers of patient care between house staff on internal medicine wards: a national survey. … National Patient Safety Goals. Oakbrook Terrace, IL: The Joint Commission; 2011. … Annual Perspective
Improving Diagnostic Safety and Quality
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psnet.ahrq.gov/issue/global-burden-unsafe-medical-care-analytic-modelling-observational-studies
September 29, 2017 - In countries where access to health care remains a significant problem, emphasizing patient safety may … The World Health Organization has taken a prime role in improving patient safety worldwide, with one … for patient safety research. … September 29, 2017
Patient safety research: an overview of the global evidence. … January 30, 2003
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Quality and Safety
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psnet.ahrq.gov/periodic-issue/periodic-issue-345
May 16, 2022 - Healthcare staff use a variety of skills to implement quality improvement and patient safety initiatives … Reducing healthcare-acquired infections is an ongoing patient safety goal. … Study
Safety gaps in medical team communication: closing the loop on quality improvement … Health care staff and clinician wellbeing is known to affect safety and quality. … This advisory suggests national priorities to target improvement efforts.
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psnet.ahrq.gov/issue/affective-influences-clinical-reasoning-and-diagnosis-insights-social-psychology-and-new
January 25, 2023 - Clinician’s emotions can influence their decision making, particularly with “ difficult ” patients. … June 19, 2018
Hospital Survey on Patient Safety Culture: 2016 User Comparative Database … May 11, 2016
AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative … Safety Culture. … Theoretically Underpinned) Cross-sectioned Examination of the Breadth and Depth of Relationships through National
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psnet.ahrq.gov/node/33876/psn-pdf
August 01, 2018 - For example, at UPMC our system team hosts several speakers series on quality and
patient safety topics … Providing local safety leaders access to such information can help to drive safety priorities. … Hospital consolidation: "safety in numbers" strategy prevails in preparation for a value-based
marketplace … Patient Safety Primer: Culture of Safety. AHRQ Patient Safety
Network. Updated August 2018. … Speaking up about traditional and professionalism-related
patient safety threats: a national survey