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psnet.ahrq.gov/issue/reducing-cardiopulmonary-arrest-rates-three-year-regional-rapid-response-system-collaborative
March 04, 2011 - Jt Comm J Qual Patient Saf. 2013;39(7):328-336. … Safety Indicators based on VA National Surgical Quality Improvement program data. … March 4, 2011
A systemwide strategy to embed equity into patient safety event analysis … safety: a qualitative analysis of Veterans Health Administration staff perceptions. … Safety Indicators.
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psnet.ahrq.gov/node/41539/psn-pdf
January 07, 2015 - retrospective cohort study on
the association between day of hospital presentation and
the quality and safety … retrospective cohort study on the association
between day of hospital presentation and the quality and safety … With this large, retrospective cohort study, evidence of inferior weekend
care now includes patients … The study, which involved nearly 100,000 stroke patients
admitted to hospitals in the United Kingdom … , found significantly lower performance across 5 of 6 quality and
safety indicators for patients admitted
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psnet.ahrq.gov/issue/novel-method-reproducibly-measuring-effects-interventions-improve-emotional-climate-indices
March 16, 2011 - through Patient Engagement Communication and Technology study. … safety, work-life balance, burnout, and depression. … August 22, 2013
Patient Safety Leadership WalkRounds. … March 21, 2017
Use of the Safety Attitudes Questionnaire as a measure in patient safety … August 18, 2010
Crew resource management improved perception of patient safety in the
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psnet.ahrq.gov/node/47127/psn-pdf
June 05, 2018 - incorporating-medication-indications-prescribing-process
Misinterpretation of medication instructions can lead to medication administration errors and patient … past
PSNet perspective discussed integrating clinician decision support systems to improve medication safety … psnet.ahrq.gov/issue/challenges-electronic-health-records-and-diabetes-electronic-prescribing-implications-safety
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psnet.ahrq.gov/node/44744/psn-pdf
June 21, 2016 - Can patient safety incident reports be used to compare
hospital safety? … Can Patient Safety Incident Reports Be Used to Compare Hospital
Safety? … https://psnet.ahrq.gov/issue/can-patient-safety-incident-reports-be-used-compare-hospital-safety-results … https://psnet.ahrq.gov/issue/can-patient-safety-incident-reports-be-used-compare-hospital-safety-results-quantitative … https://psnet.ahrq.gov/issue/can-patient-safety-incident-reports-be-used-compare-hospital-safety-results-quantitative
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psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
May 16, 2022 - https://www.safetyandquality.gov.au/our-work/indicators/avoidable-hospi…
Pronovost PJ, Brotman DJ, … Rethinking Thirty-Day Hospital Readmissions: Shorter Intervals Might Be Better Indicators of Quality … July 17, 2024
Improving patient safety in public hospitals: developing standard measures … May 17, 2023
Patient Safety Innovations
Enhancing Support … Safety Innovations
Project BOOST Increases Patient Understanding of Treatment and
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psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-radiologic-examination-order-indication-quality
June 13, 2015 - November 16, 2022
Pediatric airway management and prehospital patient safety: results … review: do patients know something that hospitals do not? … June 16, 2010
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Improving patient safety … safety. … December 8, 2010
Human factors and systems engineering approach to patient safety for
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psnet.ahrq.gov/issue/comparing-two-safety-culture-surveys-safety-attitudes-questionnaire-and-hospital-survey
September 01, 2018 - Survey on Patient Safety. … Comparing two safety culture surveys: safety attitudes questionnaire and hospital survey on patient safety … Comparing two safety culture surveys: safety attitudes questionnaire and hospital survey on patient safety … November 30, 2016
Barriers to speaking up about patient safety concerns. … October 6, 2016
Engaging patients in medication reconciliation via a patient portal following
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psnet.ahrq.gov/web-mm/transfusion-slip
June 14, 2011 - The Commentary
Defects in the process of transfusion currently pose a greater hazard to patient safety … Patient safety and blood transfusion: new solutions. … National patient safety goals. … The Patient Safety Discussion Forum. NPSF Listserv. August 8, 2002. … November 30, 2022
Deriving ICD-10 codes for patient safety indicators for large-scale
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psnet.ahrq.gov/issue/prescribing-2019-what-are-safety-concerns
December 21, 2022 - Medication errors present challenges to patient safety worldwide . … Vulnerabilities in the medication-use process are exacerbated by the need to navigate comorbidities in older patients … with patients and families as partners in decision making, care coordination, and application of system … January 7, 2015
Missed medication doses in hospitalised patients: a descriptive account … Technology as a Tool for Improving Patient Safety
March 29, 2023
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psnet.ahrq.gov/node/49749/psn-pdf
December 01, 2015 - Safety (SEIPS) model of work systems and patient safety (5)
describes five interacting elements of … Lack of familiarity with new technology is an increasingly
important patient safety problem. … Human factors systems approach to healthcare
quality and patient safety. … Beyond usability: designing effective technology implementation systems to promote patient
safety. … level of
care with different clinicians
Chaotic ICU environment
National glycemic control quality
indicators
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psnet.ahrq.gov/issue/systematic-review-interventions-improve-safety-and-quality-anticoagulant-prescribing
January 12, 2022 - June 28, 2023
The value of learning from near misses to improve patient safety: a scoping … December 21, 2022
Do patient engagement interventions work for all patients? … A systematic review and realist synthesis of interventions to enhance patient safety. … transitions
December 4, 2019
Doctors' perceived working conditions and the quality of patient … July 17, 2019
Patient engagement in health care safety: an overview of mixed-quality
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psnet.ahrq.gov/node/39780/psn-pdf
January 04, 2017 - The First Annual HealthGrades Pediatric Patient Safety in
American Hospitals Study. … https://psnet.ahrq.gov/issue/first-annual-healthgrades-pediatric-patient-safety-american-hospitals-study … This report analyzed Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator data … from 2006–2008 to identify pediatric patient safety incidence rates. … https://psnet.ahrq.gov/issue/patient-safety-indicators-overview
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psnet.ahrq.gov/issue/using-medical-emergency-teams-detect-preventable-adverse-events
December 06, 2017 - December 6, 2017
The incidence and severity of adverse events affecting patients after … February 4, 2018
Quality and patient safety metrics: developing a structured program … July 10, 2024
Validation of new ICD-10-based patient safety indicators for identification … of in-hospital complications in surgical patients: a study of diagnostic accuracy. … March 10, 2021
Deriving ICD-10 codes for patient safety indicators for large-scale surveillance
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psnet.ahrq.gov/issue/radiation-oncology-specific-automated-trigger-indicator-tool-high-risk-near-miss-safety
October 14, 2020 - July 15, 2020
Effect on patient safety of a resident physician schedule without 24-hour … September 2, 2015
The impact of health system membership on patient safety initiatives … September 1, 2021
A qualitative study of what care workers do to provide patient safety … patient-safety challenge in obstetrics. … September 23, 2020
Role of artificial intelligence in patient safety outcomes: systematic
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psnet.ahrq.gov/node/40318/psn-pdf
September 12, 2012 - HealthGrades Eighth Annual Patient Safety in American
Hospitals Study. … https://psnet.ahrq.gov/issue/healthgrades-eighth-annual-patient-safety-american-hospitals-study
This … annual report used AHRQ Patient Safety Indicator data from 2007–2009 to identify high-performing
hospitals … https://psnet.ahrq.gov/issue/healthgrades-eighth-annual-patient-safety-american-hospitals-study
https … ://psnet.ahrq.gov/issue/patient-safety-indicators-overview
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psnet.ahrq.gov/issue/safer-prescribing-trial-education-informatics-and-financial-incentives
July 06, 2011 - The success of this study argues for similar larger-scale, multi-modal patient safety studies to detect … March 22, 2023
Patient safety incidents involving sick children in primary care in England … January 13, 2016
Monitoring patient safety in primary care: an exploratory study using … November 25, 2015
Measuring experiences and outcomes of patient safety in primary care … May 2, 2012
Routinely recorded patient safety events in primary care: a literature review
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psnet.ahrq.gov/node/37142/psn-pdf
August 29, 2007 - Patient Safety in Canada: An Update. … https://psnet.ahrq.gov/issue/patient-safety-canada-update
Using survey data as well as information on … patient safety indicators, this report provides an update on the
frequency of certain types of errors … https://psnet.ahrq.gov/issue/patient-safety-canada-update
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psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide
January 26, 2022 - Safety for Selected Indicators Composite (PSI 90). … October 5, 2015
Patient Safety Tool Kit. … June 24, 2015
Patient Safety Initiative: Hospital Executive and Physician Leadership … January 28, 2015
The Patient Safety Initiative at America’s Public Hospitals: The Year … June 23, 2010
Patients as Partners: Toolkit for Implementing National Patient Safety
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psnet.ahrq.gov/issue/sudden-death-lung-embolism-after-inadvertent-infusion-zinc-oxide-shake-lotion
January 12, 2022 - a recurrence of patient safety incidents: an observational study. … September 7, 2022
Patient safety in external beam radiotherapy—guidelines on risk assessment … June 24, 2009
Feasibility first: developing public performance indicators on patient … March 8, 2023
The impact of medication reconciliation and review in patients using oral … August 10, 2016
Quality indicators to detect pre-analytical errors in laboratory testing