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psnet.ahrq.gov/node/33574/psn-pdf
September 07, 2019 - https://psnet.ahrq.gov/issue/2008-update-consumers-views-patient-safety-and-quality-information
https … Commission now
publishes National Patient Safety Goals focused on ambulatory care. … priorities in ambulatory care, and it highlighted
the need to develop clear and consistent definitions … for patient safety incidents in primary care. … visual-medication-schedule-improve-anticoagulation-control-randomized-controlled-trial
https://psnet.ahrq.gov/issue/national-patient-safety-goals
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psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
January 12, 2022 - Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic
January … Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic. … Safety Organizations (PSOs) are organizations dedicated to improving patient safety and healthcare quality … Safety and Quality Improvement Act of 2005 and its implementing regulation. … I have been working in the field of quality and patient safety since 2007 and serve as the Director of
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psnet.ahrq.gov/issue/reducing-patient-risk-prescription-instruction-errors-six-sigma-approach
October 17, 2012 - June 12, 2019
The Patients' View: 2004 ISQSH National Survey. … June 30, 2010
Goals and Priorities for Health Care Organizations to Improve Safety Using … safety and quality for maternal-fetal medicine fellows. … July 20, 2005
Patient Safety Resource Center. … to Advance Patient and Workforce Safety Webinar Series.
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psnet.ahrq.gov/node/49767/psn-pdf
August 21, 2016 - of dollars by improving efficiency, quality, and patient safety.(2,3) While little empirical evidence … Yet this case
illustrates the problems with the EHR adoption first–interoperability later strategy. … care for patients. … safety failures and could be solved by interoperability. … The Office of the National Coordinator for Health Information Technology (ONC).
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psnet.ahrq.gov/perspective/becoming-patient-safety-organization
July 01, 2011 - Safety Authority and the United Kingdom's National Patient Safety Agency 2 , the PSQIA provides PSOs … Reflections on the National Patient Safety Agency's database of medical errors. … listed by the department to engage in Patient Safety Activities, reviewing the quality and safety of … and safety; The Patient Safety Act is very broad, and it essentially says any quality or safety activities … safety in surgical patients.
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psnet.ahrq.gov/issue/improving-risk-management-lame-excuses-principled-practice
April 05, 2006 - its quality and patient safety infrastructure. … September 24, 2014
Chief resident for quality improvement and patient safety: a description … September 22, 2021
Engaging patients to improve quality of care: a systematic review. … patient safety imperative. … August 20, 2014
Priorities for pediatric patient safety research.
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psnet.ahrq.gov/node/33703/psn-pdf
November 01, 2010 - of patients over time.(15) One example of an administrative data–based measure is the
Patient Safety … Patient safety. In: 2009 National Healthcare Quality Report. … Leape L, Berwick D, Clancy C, et al; Lucian Leape Institute at the National Patient Safety Foundation … A national profile of patient
safety in U.S. hospitals. Health Aff (Millwood). 2003;22:154-166. … Washington, DC: National Quality Forum. [Available at]
23. CMS.
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psnet.ahrq.gov/issue/ai-health-huge-potential-huge-risks
October 11, 2023 - Reducing Patient Harm at National Level. … March 20, 2024
The Top Five: A Review of Post-Pandemic Patient Safety Priorities. … February 28, 2024
The Joint Commission and National Quality Forum Announce 2023 Eisenberg … December 6, 2023
Enhancing patient safety: a national standard for cyber resiliency in … by the Patient Safety and Quality Improvement Act of 2005.
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psnet.ahrq.gov/node/73303/psn-pdf
May 26, 2021 - Just Culture: a foundation for balanced accountability and patient safety. … National Association of Emergency Medical Technicians. Patient safety in EMS. 2016. … What is your patient safety culture? EMS World. May 22, 2018. Accessed March 26, 2021. … https://www.emsworld.com/article/220506/what-your-patient-safety-culture
8. What is EMS? … National Highway Traffic Safety Administration, Office of EMS.
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psnet.ahrq.gov/node/49632/psn-pdf
July 01, 2011 - Given these features, the academic year-end transfer poses significant patient safety risks as well as … 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. … Enhancing patient safety and resident education during the academic year-
end transfer of outpatients
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psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
February 26, 2025 - , and improving safety and quality. … Sarah Mossburg: What do you see as some of the future priorities for advancing patient safety? … In their National Action Plan to Advance Patient Safety , AHRQ and the Institute for Healthcare Improvement … Patient safety in primary care: conceptual meanings to the health care team and Patients. … Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety
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psnet.ahrq.gov/perspective/are-we-safer-today
February 26, 2025 - In their National Action Plan to Advance Patient Safety , AHRQ and the Institute for Healthcare Improvement … Patient safety in primary care: conceptual meanings to the health care team and Patients. … Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety … Sarah Mossburg: What do you see as some of the future priorities for advancing patient safety? … A description of the variation in quality and patient safety structures within a health system.
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psnet.ahrq.gov/node/33581/psn-pdf
September 07, 2019 - Strategies to Prevent Adverse Drug Events
Stage Safety Strategy
Prescribing
Avoid unnecessary medications … Strategy
Administration
Adherence to the "Five Rights" of medication safety (administering … The Joint Commission has named improving
medication safety as a National Patient Safety Goal for both … of its key goals for improving patient safety. … impact-introducing-automated-dispensing-cabinets-barcode-medication-administration-and-closed
https://psnet.ahrq.gov/issue/national-patient-safety-goals
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psnet.ahrq.gov/issue/critical-role-health-information-technology-safe-integration-behavioral-health-and-primary
February 22, 2023 - May 11, 2022
Patient perceptions of safety in primary care: a qualitative study to inform … climate and avoidable harms: evaluation of a care home quality improvement programme in England. … August 18, 2021
View More
Related Resources
Enhancing patient safety … : a national standard for cyber resiliency in healthcare. … March 19, 2018
Global priorities for patient safety research.
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psnet.ahrq.gov/issue/pharmacy-dispensing-errors-claims-study-emphasizes-need-systematic-vigilance
April 06, 2022 - Pharmacies can serve as gatekeepers to ensure patients receive the correct medications. … , including the design and use of order review and quality control systems to reduce the risk of human … August 11, 2021
National drug shortages worsen during COVID-19 crisis: proposal for a … 2022
View More
Related Resources
Risk Evaluation and Mitigation Strategy … (REMS) Programs and Medication Safety: Parts I and II.
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psnet.ahrq.gov/node/867655/psn-pdf
February 26, 2025 - and
reducing harm to patients and caregivers.2 Insights from the NSC informed Safer Together: A National … Action Plan to Advance Patient Safety, released by the Agency for Healthcare Research and Quality … https://psnet.ahrq.gov/primer/national-patient-safety-goals
https://psnet.ahrq.gov//#2
https://www.ahrq.gov … National Steering Committee for Patient Safety. Institute for Healthcare Improvement. … Health technology, quality and safety in a learning health system.
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psnet.ahrq.gov/issue/effort-human-factors-performance-and-decision-making
August 31, 2022 - August 1, 2007
National trends in safety performance of electronic health record systems … and safety structures, processes, and priorities in US hospitals. … December 5, 2018
National improvements in resident physician-reported patient safety … July 25, 2018
Perceptions of quality and safety and experience of adverse events in 27 … January 18, 2023
Burnout and its relationship to self-reported quality of patient care
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psnet.ahrq.gov/issue/i-guess-ill-wait-hear-communication-blood-test-results-primary-care-qualitative-study
November 16, 2022 - December 15, 2021
Patient perceptions of safety in primary care: a qualitative study … April 13, 2022
Changes in weekend and weekday care quality of emergency medical admissions … to 20 hospitals in England during implementation of the 7-day services national health policy. … January 15, 2025
Patient safety in actioning and communicating blood test results in … 2, 2024
Operational failures in general practice: a consensus-building study on the priorities
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psnet.ahrq.gov/issue/personal-nursing-care-experiences-provide-lessons-patient-safety
March 01, 2023 - May 5, 2021
Registration errors among patients receiving blood transfusions: a national … July 6, 2022
Five strategies for how patients and families can improve patient safety … February 15, 2017
Identification of priorities for improvement of medication safety in … September 25, 2013
Guide to Patient and Family Engagement in Hospital Quality and Safety … July 24, 2013
Documenting quality improvement and patient safety efforts: the quality
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psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
February 01, 2014 - RK : Patient and family engagement is crucial to improving quality and safety. … The Guide to Patient and Family Engagement in Hospital Quality and Safety focuses on four primary strategies … for promoting patient and family engagement in hospital safety. … RK : One of AHRQ's priorities is patient safety, and we are a leader in developing tools and resources … to improve health care quality and safety.