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1721. Automated detection of wrong-drug prescribing errors. | PSNet
      psnet.ahrq.gov/issue/automated-detection-wrong-drug-prescribing-errors
      April 12, 2017 - Look-alike and sound-alike (LASA) drugs are a well-established source of medication errors that place patients … October 10, 2018 Indication-based prescribing prevents wrong-patient medication errors … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient … Annual Perspective Technology as a Tool for Improving Patient … Safety March 29, 2023 Role of artificial intelligence in patient safety outcomes

1722. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49569/psn-pdf
      September 01, 2008 - Because of decreasing oxygen levels and worsening mental status, the patient required transfer back to … Indicators of tubesite during feedings. J Neurosci Nurs. 2005;37:320-325. [go to PubMed] 7. … Indicators of postpyloric feeding tube placement in children. Crit Care Med. 2000;28:2962-2966. … National Patient Safety Agency. … Jt Comm J Qual Patient Saf. 2008;34:285-292.

1723. Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States. | PSNet
      psnet.ahrq.gov/issue/analysis-hospital-level-readmission-rates-and-variation-adverse-events-among-patients
      August 25, 2021 - Hospital readmission rates are an important indicator of patient safety. … August 2, 2023 Association between hospital performance on patient safety and 30-day … December 20, 2020 Ambulatory safety nets to reduce missed and delayed diagnoses of cancer … May 8, 2019 Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator … November 16, 2016 Hospital safety scores: do grades really matter?

1724. When the Meds Don’t Reach the Bed | PSNet
      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

1725. Comparing two safety culture surveys: Safety Attitudes Questionnaire and Hospital Survey on Patient Safety. | PSNet
      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

1726. Clinical deterioration as a nurse sensitive indicator in the out-of-hospital context: a scoping review. | PSNet
      psnet.ahrq.gov/issue/clinical-deterioration-nurse-sensitive-indicator-out-hospital-context-scoping-review
      July 19, 2023 - safety. … safety leadership. … October 23, 2024 Patient safety, satisfaction, and quality of hospital care: cross sectional … surveys of nurses and patients in 12 countries in Europe and the United States. … August 16, 2023 Approaches to improving patient safety in integrated care: a scoping

1727. The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety. | PSNet
      psnet.ahrq.gov/issue/rising-frequency-it-blackouts-indicates-increasing-relevance-it-emergency-concepts-ensure
      October 12, 2022 - rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient … safety. … Safety. … Safety. … November 10, 2021 COVID-19: the dark side and the sunny side for patient safety.

1728. Using a machine learning system to identify and prevent medication prescribing errors: a clinical and cost analysis evaluation. | PSNet
      psnet.ahrq.gov/issue/using-machine-learning-system-identify-and-prevent-medication-prescribing-errors-clinical-and
      June 05, 2018 - Jt Comm J Qual Patient Saf. 2019;46(1):3-10. doi:10.1016/j.jcjq.2019.09.008. … Jt Comm J Qual Patient Saf . 2019; 46 (1) :3-10 . … Jt Comm J Qual Patient Saf. 2019;46(1):3-10. doi:10.1016/j.jcjq.2019.09.008. … October 10, 2018 Computerized prescriber order entry–related patient safety reports: … May 24, 2023 Electronic prescribing systems in hospitals to improve medication safety

1729. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60543/psn-pdf
      May 27, 2020 - safety practices. … For most patients requiring invasive procedures in a hospital setting, consultation with the service … Safe but Sound: Patient Safety Meets Evidence-Based Medicine.  … The Joint Commission Journal on Quality and Patient Safety. 2012 Jan; 38(1):24-33. 3. … BMJ Quality & Safety 2009; 18:169-173. 8.

1730. Transfusion "Slip" | PSNet
      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

1731. Psn-Pdf (pdf file)
      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

1732. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841140/psn-pdf
      December 07, 2022 - association-measured-quality-and-future-financial-performance-among- hospitals-performing Hospitals that implement quality improvement initiatives improve patient … safety but also incur financial expenses related to implementation, sustainment, and reporting. … The findings indicate hospitals with lower Patient Safety Indicator 90 (PSI 90) scores had poorer financial … association-measured-quality-and-future-financial-performance-among-hospitals-performing https://psnet.ahrq.gov/issue/doing-well-doing-good-evaluating-influence-patient-safety-performance-hospital-financial … relationship-between-occurrence-surgical-complications-and-hospital-finances https://psnet.ahrq.gov/issue/correlation-between-hospital-finances-and-quality-and-safety-patient-care

1733. Maternal Safety | PSNet
      psnet.ahrq.gov/primer/maternal-safety
      January 10, 2024 - Patients may also be at risk via overuse of interventions. … A rapid review of available evidence to inform indicators for routine monitoring and evaluation of respectful … Safety Threats and Challenges Improving Patient Safety Maternal Toolkits Current Context Summary … June 5, 2019 Patient Safety in Obstetrics and Gynecology. … May 29, 2019 A comprehensive obstetrics patient safety program improves safety climate

1734. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73526/psn-pdf
      July 28, 2021 - safety. … Some examples include: the use of two patient identifiers, mandatory counseling of patients about their … Not meeting this Joint Commission requirement and failing to follow the patient safety safeguard of … Mandatory counseling of patients for all first-fill medications can aid in verifying patient understanding … Patient Safety Network. 2020 Jun 24.

1735. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations | PSNet
      psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations
      September 27, 2023 - Barnes, MD, FACEP and Garth Utter, MD, MSc, FACS Background This case illustrates the patient safety … Barnes, MD, FACEP Consulting Editor, AHRQ’s Patient Safety Network (PSNet) Health Sciences Clinical Professor … Safety Indicators. … Safety for Selected Indicators Composite (PSI 90). … safety indicator.

1736. Veterans Health Administration Stratification Tool for Opioid Risk Mitigation (STORM) Shows Promise for Targeting Prevention Interventions to Reduce Mortality in Patients Who Are Prescribed Opioids | PSNet
      psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
      October 30, 2024 - However, results from STORM indicate that previously identified and novel risk indicators that are readily … Patient Safety Innovations Ambulatory Safety Nets to Reduce … Missed and Delayed Diagnoses of Cancer July 31, 2023 Patient Safety … Safety Innovations Preventing Falls Through Patient and Family Engagement to Create … Customized Prevention Plans May 31, 2023 Patient Safety Innovations

1737. Including the reason for use on prescriptions sent to pharmacists: scoping review. | PSNet
      psnet.ahrq.gov/issue/including-reason-use-prescriptions-sent-pharmacists-scoping-review
      March 10, 2021 - Clear communication regarding medication indications can improve patient safety . … safety, but prescribers noted concerns about impacts on workflow and patient privacy. … March 10, 2021 COVID-19 and open notes: a new method to enhance patient safety and trust … and safety of care: a systematic review and meta-analysis. … November 4, 2020 Organisational factors associated with safety climate, patient satisfaction

1738. Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis. | PSNet
      psnet.ahrq.gov/issue/medication-errors-during-simulated-paediatric-resuscitations-prospective-observational-human
      February 23, 2022 - The authors recommend additional research into new approaches to protecting patients in paediatric emergency … April 5, 2023 Comparing safety, performance and user perceptions of a patient-specific … December 11, 2024 Safe clinical practice for patients hospitalised in mental health wards … August 24, 2022 A qualitative study of what care workers do to provide patient safety … safety: a realist synthesis.

1739. Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' explanations for errors. | PSNet
      psnet.ahrq.gov/issue/outpatient-cpoe-orders-discontinued-due-erroneous-entry-prospective-survey-prescribers
      October 13, 2018 - , for the wrong medication, or were a duplicate order for a medication the patient was already taking … A previous Annual Perspective discussed the impact of CPOE on patient safety. … safety reports: analysis of 2522 medication errors. … Annual Perspective Technology as a Tool for Improving Patient … Prescription errors related to the use of computerized provider order-entry system for pediatric patients

1740. Association of note quality and quality of care: a cross-sectional study. | PSNet
      psnet.ahrq.gov/issue/association-note-quality-and-quality-care-cross-sectional-study
      June 05, 2018 - physician notes written by general internists, cardiologists, and endocrinologists while providing care for patients … May 1, 2019 Computerized prescriber order entry–related patient safety reports: analysis … Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of … Safety in the Ambulatory Care Setting August 5, 2022 Speaking up about patient-perceived … for service users to feedback patient safety experiences following a care transfer: a qualitative study