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psnet.ahrq.gov/node/33867/psn-pdf
October 01, 2018 - Wachter: Tell us a little bit about your interest in patient safety in the community pharmacy. … Some of these have
wound up as National Patient Safety Goals. … But they would see other efforts at reporting in patient safety as not being as happy a story. … /
https://psnet.ahrq.gov/issue/national-patient-safety-goals
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program … https://psnet.ahrq.gov/issue/patient-safety-authority
https://psnet.ahrq.gov/issue/patient-safety-authority
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psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
January 01, 2014 - Annual Perspective
Computerized Provider Order Entry and Patient Safety
Urmimala Sarkar, MD, … Computerized Provider Order Entry and Patient Safety. PSNet [internet]. … Computerized Provider Order Entry and Patient Safety. PSNet [internet]. … Computerized Provider Order Entry and Patient Safety. PSNet [internet]. … Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals?
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psnet.ahrq.gov/node/49521/psn-pdf
September 12, 2006 - Physicians can help improve patient safety by providing an indication for each medication
prescribed … USP Center for the Advancement of Patient Safety. Use caution–avoid confusion. USP QualityReview. … Safety still compromised by computer weaknesses. ISMP Medication Safety Alert! Acute Care Edition. … Labeling of medicines and patient safety: evaluating methods of
reducing drug name confusion. … Reducing medication errors by linking drug names with patients'
diagnostic codes.
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psnet.ahrq.gov/issue/use-safety-attitudes-questionnaire-measure-patient-safety-improvement
August 18, 2010 - Study
Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement … Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement. … J Patient Saf. 2010;6(4):206-9. … Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement. … safety.
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psnet.ahrq.gov/issue/introducing-safety-score-audit-staff-member-and-patient-safety
April 16, 2014 - Commentary
Introducing the safety score audit for staff member and patient safety … Introducing the safety score audit for staff member and patient safety. … This commentary describes a program designed to enhance safety culture in hospitals for patients and … Introducing the safety score audit for staff member and patient safety. … May 13, 2020
A patient safety toolkit for family practices.
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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/examining-nurses-decision-process-medication-management-home-care
December 21, 2018 - March 20, 2019
Prevalence and predictors of adverse events in older surgical patients … June 22, 2011
Toward improving patient safety through voluntary peer-to-peer assessment … May 18, 2022
Safety of care by caregivers of cancer patients. … September 24, 2010
HomeNet: ensuring patient safety with medical device use in the home … August 18, 2010
Strategies to improve the patient safety outcome indicator: preventing
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psnet.ahrq.gov/issue/using-drug-knowledgebase-information-distinguish-between-look-alike-sound-alike-drugs
July 10, 2019 - Look-alike, sound-alike drugs are a known safety risk and contribute to medication errors . … May 1, 2019
Computerized prescriber order entry–related patient safety reports: analysis … March 6, 2019
The safety of outpatient health care: review of electronic health records
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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/web-mm/troubling-amine
September 01, 2003 - Physicians can help improve patient safety by providing an indication for each medication prescribed. … USP Center for the Advancement of Patient Safety. Use caution–avoid confusion. USP QualityReview. … Safety still compromised by computer weaknesses. ISMP Medication Safety Alert! Acute Care Edition. … Labeling of medicines and patient safety: evaluating methods of reducing drug name confusion. … Reducing medication errors by linking drug names with patients' diagnostic codes.
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psnet.ahrq.gov/issue/vulnerabilities-computerized-physician-order-entry-systems-qualitative-study
July 02, 2019 - provider order entry (CPOE), but it has also had unintended adverse effects on patient safety. … the need for robust independent usability testing of CPOE within electronic health records to support patient … safety. … Annual Perspective
Technology as a Tool for Improving Patient … Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients
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psnet.ahrq.gov/web-mm/lost-start-date-unknown-risk-e-prescribing
December 02, 2020 - The patient safety committee at the hospital performed a full review of the case. … Moreover, the patient safety committee learned that transmission of start and stop date fields in electronic … Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication errors … safety and continuity of care. … June 27, 2018
Computerized prescriber order entry–related patient safety reports: analysis
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psnet.ahrq.gov/node/49448/psn-pdf
June 01, 2004 - Bagian, MD, of the National Center for Patient
Safety, written communication, March 2004). … Safety Goal #4: "Eliminate wrong-site, wrong-
patient, wrong-procedure surgery … manner to identify patients. … This was a major patient safety vulnerability. … Accessed May
14, 2004.
6. 2004 national patient safety goals.
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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/primer/patient-safety-101
January 16, 2025 - Patient Safety 101
Citation Text:
Patient Safety 101. PSNet [internet]. … Background The History of the Patient Safety Movement The concept that patients could be harmed while … Definitions Used in Patient Safety The patient safety field uses the term adverse events to describe … Research in the field of patient safety began with studies of hospitalized patients. … Care and Patient Safety Primers.
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psnet.ahrq.gov/web-mm/medication-mix-bad-worse
March 01, 2018 - Clinicians should inform patients of the dispensed or administered drug and allow the educated patient … Printing the list of prescribed medications for the patient can be useful, allowing patients to compare … Drug mix-ups threaten patient safety. Medscape Pharmacists. April 29, 2008. [Available at] 2. … safety. … safety.
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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/web-mm/baffled-botulinum-toxin
July 17, 2024 - The care of patients with complex, chronic illnesses is often poorly coordinated ( 10 ), leaving patients … Organizations should take specific steps to improve medication safety for patients (especially children … October 18, 2023
Patient safety in palliative care at the end of life from the perspective … February 13, 2019
Optimizing patient safety in clinical trials by improving transitions … Cancer
July 31, 2023
Patient Safety Innovations
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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
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psnet.ahrq.gov/node/36803/psn-pdf
April 11, 2007 - Patient safety and quality in the pediatric intensive care
unit. … https://psnet.ahrq.gov/issue/patient-safety-and-quality-pediatric-intensive-care-unit
This supplement … covers issues related to safety indicators, fatigue, electronic medical records, infection,
and disclosure … https://psnet.ahrq.gov/issue/patient-safety-and-quality-pediatric-intensive-care-unit