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psnet.ahrq.gov/node/865466/psn-pdf
March 27, 2024 - safety
data are presented in the National Healthcare Quality and Disparities Report Chartbook on Patient … safety measures; that Black patients received worse care than White patients in 36% of patient safety … six-domains.html
https://psnet.ahrq.gov//#1
https://psnet.ahrq.gov//#2
https://psnet.ahrq.gov/issue/national-healthcare-quality-and-disparities-report-chartbook-patient-safety … that equity is a safety and quality priority. … Advances in patient safety have come from adverse-event reporting data and quality
measures.
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psnet.ahrq.gov/node/50928/psn-pdf
February 21, 2020 - Updates in the Role of Health IT in Patient Safety. PSNet [internet]. 2020. … Health information technology in healthcare quality and patient
safety: Literature review. … psnet.ahrq.gov//#_ednref2
https://pubmed.ncbi.nlm.nih.gov/29866642-health-information-technology-in-healthcare-quality-and-patient-safety-literature-review … from_term=Health+information+technology+in+healthcare+quality+and+patient+safety%3A+Literature+review … The impact of health information technology on patient safety.
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psnet.ahrq.gov/web-mm/infused-not-ingested
February 01, 2017 - Although research has focused on nurse staffing ratios as a mechanism to improve the quality and safety … Keeping Patients Safe: Transforming the Work Environment of Nurses. … Available at: /perspective/unfinished-patient-safety-agenda . Accessed October 18, 2005.
6. … Patient Safety and the “Just Culture”: A Primer for Health Care Executives. … Keeping Patients Safe: Transforming the Work Environment of Nurses.
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psnet.ahrq.gov/issue/engineering-risk-analysis-hospital-oxygen-supply-system
July 23, 2014 - quality and patient safety infrastructure. … patients and families. … April 20, 2016
Effectiveness of surgical safety checklists in improving patient safety … June 28, 2023
Patient safety. … August 20, 2014
Priorities for pediatric patient safety research.
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psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
April 03, 2024 - safety strategy worldwide. … In 2005, The Joint Commission identified medication reconciliation as one of its National Patient Safety … safety strategy that, while surprisingly difficult to implement effectively, can enhance quality and … Medication reconciliation during transitions of care as a patient safety strategy: a systematic review … National Patient Safety Goals: Hospital Accreditation Program. January 2014.
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psnet.ahrq.gov/issue/burden-and-risk-factors-adverse-drug-events-older-patients-prospective-cross-sectional-study
May 20, 2020 - February 24, 2021
Correlation between the number of patient-reported adverse events, … adverse drug events, and quality of life in older patients: an observational study. … randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety … November 13, 2019
Human factors and quality improvement in the emergency department: … July 21, 2011
Pediatric adverse drug events in the outpatient setting: an 11-year national
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psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
May 29, 2024 - The interactions between clinicians, patients, and the clinical environment have substantial impact on … Washington, DC: National Academies Press; 2015. [Available at]
2. … November 13, 2024
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … 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/33652/psn-pdf
June 01, 2007 - Washington,
DC: National Academy Press; 2000.
2. Patient Safety Toolbox for States. … Washington, DC: National Academy Press; 2001:4.
5. Patient Safety. … Washington, DC: National Quality Forum;
2007.
12. … Washington, DC: The National Quality Forum; October 16, 2006. … The National Quality Forum's List of 28 "Never Events" (11,12)Reprinted with permission from
the National
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psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
August 01, 2010 - and patient safety are high priorities for their institutions.( 3 ) In this report, we highlight the … safety and good medical quality.( 23 ) In 2005, Australia developed a national safety education framework … Eisenberg patient safety and quality awards. … Patient Safety: Achieving a New Standard for Care. Washington, DC: National Academies Press; 2004. … Developing a national patient safety education framework for Australia.
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psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
May 16, 2022 - She specifically outlined a nursing strategy titled “Cause to Pause” to reduce the potential for error … Technology is binary and unable to utilize clinical judgement to guide priorities and maintain an effective … safety. … January 15, 2020
The effect of a checklist on the quality of patient handover from the … March 15, 2016
National trends in hospital-acquired preventable adverse events after
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psnet.ahrq.gov/periodic-issue/periodic-issue-411
October 31, 2023 - Using scores from the National Quality Forum Leapfrog Health IT Safety Measure and the ARCH Collaborative … Using scores from the National Quality Forum Leapfrog Health IT Safety Measure and the ARCH Collaborative … Commentary
Five strategies for how patients and families can improve patient safety … : World Patient Safety Day 2023. … Commentary
Implementing patient safety and quality improvement in dermatology.
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psnet.ahrq.gov/web-mm/finding-fault-default-alert
August 28, 2024 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Tailor alerts to patient characteristics. … patients in the hospital, and only presenting allergy alerts for patients in whom a complete list of … August 19, 2016
Using the WHO International Classification of patient safety framework … December 23, 2020
The tradeoffs between safety and alert fatigue: data from a national
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psnet.ahrq.gov/node/49493/psn-pdf
November 01, 2005 - Although research has focused on nurse staffing ratios as a mechanism to improve the quality and
safety … Keeping Patients Safe: Transforming the Work Environment of Nurses. … Available at: /perspective/unfinished-patient-safety-agenda. Accessed October 18, 2005.
6. … Patient Safety and the “Just Culture”: A Primer for Health Care Executives. … Keeping Patients Safe: Transforming the Work
Environment of Nurses.
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psnet.ahrq.gov/web-mm/intubation-mishap
April 26, 2023 - safety and then devise strategies to minimize the risk to future patients. … Weinger, MD Director, Center for Healthcare Simulation of the San Diego Center for Patient Safety Professor … April 28, 2021
Distractions in the anesthesia work environment: impact on patient safety … Report of a meeting sponsored by the Anesthesia Patient Safety Foundation. … October 25, 2023
Human factors engineering in patient safety.
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psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
April 01, 2009 - Accreditation and Regulation: Can They Help Improve Patient Safety?
Rebecca N. … Patient safety improvement is quality improvement focused on lowering or truncating the lower tail of … Both kinds of improvement are needed, and both improve safety for patients, but their focus is different … and safety, because he always wanted to do what was best for his patients. … and quality problems through National Patient Safety Goals, core measures, and accreditation standards
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psnet.ahrq.gov/node/865418/psn-pdf
March 27, 2024 - https://psnet.ahrq.gov/issue/cybersecurity-health-urgent-patient-safety-concern-we-can-learn-existing-patient-safety … https://psnet.ahrq.gov/issue/cybersecurity-health-urgent-patient-safety-concern-we-can-learn-existing-patient-safety … safety and care remains as high quality as possible under the circumstances. … Healthcare Sector Cybersecurity: Introduction to the Strategy of the U.S. … National Institute of Standards and Technology. Cybersecurity framework.
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psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
July 23, 2024 - Innovation Patient Safety Focus
High rates of cesarean delivery are a concern in the United States … A multi-pronged patient safety bundle that includes a toolkit for clinicians and educational resources … patient safety maternal health bundles that includes a bundle on reducing primary cesareans. 25 The … A multi-pronged patient safety bundle that includes a toolkit for clinicians and educational resources … Patient Safety Innovations
Preventing Falls Through
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psnet.ahrq.gov/node/73553/psn-pdf
July 28, 2021 - We spoke with him about threats and concerns for patient safety for EMS when
responding to a 911 call … My current role with my
physician group is as the National Director of Prehospital Strategy for US Acute … Is it safe to say that is the role you have that
intersects most with patient safety? … There are really good opportunities to work with national groups
to look at quality at the highest level … KH: I’d like to wrap up by talking about patient safety education and training.
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psnet.ahrq.gov/curated-article-libraries
March 14, 2025 - Latest PSNet Curated Libraries
Subscribed
Value and Patient Safety (23 articles) … Value as an element of patient safety is emerging as an approach to prioritize … Safety (23 articles)
Value as an element of patient safety is emerging … Rapid response systems are programs to quickly summon help to deteriorating patients … (23 articles)
Ensuring maternal safety is a patient safety priority
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psnet.ahrq.gov/node/33846/psn-pdf
November 01, 2017 - The Role of Patient-facing Technologies to Empower
Patients and Improve Safety
November 1, 2017
Rozenblum … The Role of Patient-facing Technologies to Empower Patients and Improve
Safety. … satisfaction and care delivery efficiency, reduced costs, and better
quality of care and patient safety … safety and quality of care is engaging the people
that deliver and receive it. … Patient-facing technology has the potential to improve quality and safety by enabling patients to take