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psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
March 27, 2024 - Preserving patient safety after a cyberattack. Sentinel Event Alert . Issue 67. … safety issues. 11 When a patient-safety event occurs, reporting it (whether on paper or in a short … safety and care remains as high quality as possible under the circumstances. … create risks to patient safety in the event of a cyberattack. … Healthcare Sector Cybersecurity: Introduction to the Strategy of the U.S.
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psnet.ahrq.gov/node/49708/psn-pdf
May 01, 2014 - 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. [Available at]
24.
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psnet.ahrq.gov/perspective/conversation-derek-feeley
April 10, 2024 - in one of our hospitals, and a major national drive to resolve that got folded into our patient safety … Now they were advocating for quality and safety. … Patient Safety 101
September 7, 2019
Patient Safety … Eisenberg Patient Safety and Quality Awards. … June 20, 2018
National quality program achieves improvements in safety culture and reduction
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psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned
December 01, 2014 - APPS focused on influencing national patient safety initiatives by highlighting what had been learned … Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients … APPS: National Patient Safety Policy and Strategic Planning Workshop. … National patient safety policy
2. Knowledge and learning in patient safety
3. … and our Patients for Patient Safety program .
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psnet.ahrq.gov/issue/state-starts-project-track-serious-hospital-mistakes
May 10, 2006 - : Ten Case Studies on Reducing Harm to Patients. … December 19, 2012
Goals and Priorities for Health Care Organizations to Improve Safety … September 2, 2015
Influencing the Quality, Risk and Safety Movement in Healthcare: In … January 16, 2024
A national safety board made transportation safer and could do the same … May 3, 2023
Patient Safety Innovations
The I-READI Quality
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psnet.ahrq.gov/issue/state-nurse-error-caused-death
May 10, 2006 - : Ten Case Studies on Reducing Harm to Patients. … November 22, 2006
Patient safety in the ED. … August 21, 2015
Patient-safety and quality initiatives in the intensive-care unit … December 19, 2012
Goals and Priorities for Health Care Organizations to Improve Safety … March 29, 2023
National patient safety goal to improve health care equity.
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psnet.ahrq.gov/node/859646/psn-pdf
January 04, 2024 - In Conversation with..Jodi Sherman about Climate Change and Patient Safety. … patient safety and preventing medical harm. … Healthcare pollution prevention is the new patient
safety movement. … What does that mean, “a strategy for improving resilience?” … Sarah Mossburg: How do you see quality, patient safety, and climate change interacting in healthcare
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psnet.ahrq.gov/node/867805/psn-pdf
February 26, 2025 - , and
improving safety and quality. … https://psnet.ahrq.gov/issue/two-decades-err-human-assessment-progress-and-emerging-priorities-patient-safety … https://psnet.ahrq.gov/issue/two-decades-err-human-assessment-progress-and-emerging-priorities-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/perspective/conversation-mark-l-graber-md
January 01, 2016 - He is a national leader in the field of patient safety and has pioneered efforts to address diagnostic … for Innovations in Quality, Effectiveness and Safety Michael E. … Improving diagnosis in health care—the next imperative for patient safety. … Patient Safety Centers of Inquiry (PSCI). … Washington, DC: VA National Center for Patient Safety, US Department of Veterans Affairs; 2015.
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psnet.ahrq.gov/periodic-issue/periodic-issue-339
April 27, 2022 - Workplace violence in healthcare settings can jeopardize the safety of both patients and healthcare workers … Appropriate staffing levels have been shown to impact patient safety and patient outcomes. … Eisenberg Patient Safety and Quality Award Winners. … quality improvement. … The awards will be presented virtually during the National Quality Forum's annual meeting in July.
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psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
June 28, 2023 - Approach to Improving Safety & Patient Safety Targets Euglycemic DKA in pregnant patients DKA is an acute … Optimizing patient safety culture and building better teams are listed as two of the ten “ Patient Safety … for overall patient safety. 15 Communication in a Culture of Safety Creating a culture of safety builds … S: This is a patient safety issue . … Providers should consider safety for the fetus before prescribing medications to pregnant patients.
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psnet.ahrq.gov/periodic-issue/periodic-issue-294
June 30, 2021 - Study
Can patients contribute to enhancing the safety and effectiveness of test-result … Improving maternal safety is an ongoing patient safety priority. … Improving maternal safety is an ongoing patient safety priority. … Accurate measurement of patient safety culture (PSC) is essential to improving patient safety. … Reasoning improvement is a recognized strategy for reducing misdiagnosis.
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psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
June 19, 2024 - Examples can be found at the Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality … /venous-thromboembolism-guidelines Armstrong Institute for Patient Safety and Quality. … https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources … March 12, 2011
Impact of date stamping on patient safety measurement in patients undergoing … CABG: experience with the AHRQ Patient Safety Indicators.
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psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
February 26, 2025 - , he led an AHRQ-funded effort to better define the role of context in patient safety. … What got you interested in taking a harder look at patient safety?
Dr. Paul G. … Shekelle : Well, a couple of things got me more interested in patient safety. … What most distinguishes patient safety practice research and quality improvement research from its clinical … Whereas, in patient safety practices and in quality improvement in general, we expect that to happen
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psnet.ahrq.gov/print/pdf/node/854855
January 01, 2024 - Guide to Patient and Family Engagement in Hospital Quality and Safety. … Some
have criticized this strategy for shifting responsibility for patient safety. … Patient engagement in safety is considered a best practice and a National Patient Safety Goal, but less … Guide to Patient and Family Engagement in Hospital Quality and Safety. … Some
have criticized this strategy for shifting responsibility for patient safety.
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psnet.ahrq.gov/periodic-issue/periodic-issue-336
April 27, 2022 - Review
To what extent are patients involved in researching safety in acute mental … Patient engagement in safety efforts is encouraged, but patients are less often included as active participants … in designing patient safety interventions. … The authors argue that increased inclusion of patients in safety research may lead to development of … higher quality safety interventions.
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psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
March 01, 2015 - These estimates do not include costs to the patient, productivity losses, or decrements in quality of … in the ambulatory setting is a crucial component of improving the quality and safety of patient care … Health care systems are adopting systems approaches to improve patient safety. … Preventing Medication Errors: Quality Chasm Series. Washington, DC: National Academies Press; 2006. … May 26, 2010
Patient safety in nursing practice.
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psnet.ahrq.gov/web-mm/mobility-lost-icu
August 01, 2018 - Regardless of the strategy to mobilize ICU patients, multidisciplinary teamwork and a culture that expects … Early physical medicine and rehabilitation for patients with acute respiratory failure: a quality improvement … Strategy for mobilizing ICU patients. … September 27, 2023
Patient Safety Innovations
The University … September 27, 2017
Physician staffing models and patient safety in the ICU.
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psnet.ahrq.gov/web-mm/harm-alarm-fatigue
February 14, 2018 - is typically displayed for each patient so that all patients' data can fit on one or two display screens … Patient safety concerns surrounding excessive alarm burden garnered widespread attention in 2010 after … alert ( 6 ); they established alarm safety as a National Patient Safety Goal in 2014, with further regulations … Alarm safety is a National Patient Safety Goal, highlighting the importance of developing institutional … The Joint Commission announces 2014 National Patient Safety Goal.
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psnet.ahrq.gov/node/49764/psn-pdf
June 01, 2016 - The 2016 National Patient Safety Goals
listed improving the effectiveness of communication among caregivers … .02.03.01) and relaying
critical test results to the correct provider in a timely fashion as important priorities … Telemedicine has the ability to improve clinical quality by expanding
access to specialists and services … National Patient Safety Goals: Hospital Accreditation
Program. January 2016. [Available at]
2. … Honor thy turf; don't steal other physician's patients.
Teach with tact; consult, don't insult.