-
psnet.ahrq.gov/issue/seeking-systems-based-facilitators-safety-and-healthcare-resilience-thematic-review-incident
December 06, 2023 - anticoagulant medication errors to demonstrate the effectiveness of Systems Engineering Initiative for Patient … May 18, 2022
Approaches to improving patient safety in integrated care: a scoping review … June 14, 2023
View More
Related Resources
Patient safety near misses … March 13, 2024
'Speaking Up' for patient safety and staff well-being: a qualitative study … October 12, 2022
A machine learning approach to reclassifying miscellaneous patient safety
-
psnet.ahrq.gov/issue/examining-medication-ordering-errors-using-ahrq-network-patient-safety-databases
November 30, 2022 - Study
Examining medication ordering errors using AHRQ Network of Patient Safety Databases … Examining medication ordering errors using AHRQ network of patient safety databases. … This study focuses on ordering errors reported to the AHRQ Network of Patient Safety Databases (NPSD … Examining medication ordering errors using AHRQ network of patient safety databases. … patient-safety challenge in obstetrics.
-
psnet.ahrq.gov/issue/poor-state-health-care-quality-us-malpractice-liability-part-problem-or-part-solution
March 01, 2023 - This review discusses an ongoing and controversial debate in patient safety regarding the impact of current … January 2, 2017
Partnership for Patients. … October 6, 2016
A new frontier in patient safety. … Eisenberg Patient Safety and Quality Awards. … May 18, 2016
Closed medical negligence claims can drive patient safety and reduce litigation
-
psnet.ahrq.gov/node/43400/psn-pdf
August 13, 2014 - This retrospective study used the NSQIP indicators to identify cases of surgical site
infections. … Researchers found that nearly 50% of patients were diagnosed following hospital discharge, and
many … Patients who presented with a surgical site infection after
discharge were less likely to smoke or have … A past AHRQ WebM&M commentary discussed
environmental safety in the operating room and its relationship … effect-hospital-follow-appointment-clinical-event-outcomes-and-mortality
https://psnet.ahrq.gov/web-mm/environmental-safety-or
-
psnet.ahrq.gov/issue/patient-safety-culture-impact-workplace-violence-and-health-worker-burnout
December 07, 2022 - Patient safety culture: the impact on workplace violence and health worker burnout. … Patient safety culture: the impact on workplace violence and health worker burnout. … culture and patient safety in emergency departments: a systematic review. … March 10, 2021
Emotional safety is patient safety. … in patient safety transformation.
-
psnet.ahrq.gov/node/49722/psn-pdf
December 01, 2014 - Human factors engineers and others
concerned with patient safety continue this process throughout the … Gurses, PhD Human Factors Engineer Associate Professor Armstrong Institute for Patient Safety
and … Technologies in the wild (TiW): human factors
implications for patient safety in the cardiovascular … Work system design for patient safety: the SEIPS model. … Time to accelerate integration of human factors and ergonomics in
patient safety.
-
psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
November 01, 2008 - Safety programs must not only aim to prevent infections, but also limit patient risk. … RW: What do you think the broader field of patient safety should be learning from your own research … SS : Well, I think that infection prevention in many ways is a paradigm for patient safety, at least … for certain aspects of patient safety research. … April 14, 2021
Viewpoint: Patient safety in primary care - patients are not just a beneficiary
-
psnet.ahrq.gov/issue/raising-barcode-improving-medication-safety-behaviours-through-behavioural-science-informed
November 01, 2023 - Study
Raising the barcode: improving medication safety behaviours through a behavioural … Raising the barcode: improving medication safety behaviours through a behavioural science-informed feedback … April 5, 2023
Comparing safety, performance and user perceptions of a patient-specific … May 8, 2017
Multiple component patient safety intervention in English hospitals: controlled … February 23, 2011
Identification of priorities for improvement of medication safety in
-
psnet.ahrq.gov/node/74060/psn-pdf
November 10, 2021 - clinically-significant-medication-errors-surgical-units-detected-clinical-
pharmacist-real
Pharmacists play an essential role in medication safety … This observational study found that 20% of patients presenting to
surgical units at one French hospital … clinically-significant-medication-errors-surgical-units-detected-clinical-pharmacist-real
https://psnet.ahrq.gov/perspective/pharmacist-role-patient-safety
-
psnet.ahrq.gov/issue/patient-safety-related-hospital-deaths-england-thematic-analysis-incidents-reported-national
October 31, 2014 - Study
Patient-safety–related hospital deaths in England: thematic analysis of incidents … Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national … Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national … July 3, 2016
Can patient safety incident reports be used to compare hospital safety? … June 8, 2011
View More
Related Resources
Partnership for Patients
-
psnet.ahrq.gov/issue/teaching-medical-students-recognise-and-report-errors
March 01, 2023 - safety. … September 1, 2007
Anticoagulation-associated adverse drug events in hospitalized patients … July 26, 2023
Patient involvement in medication safety in hospital: an exploratory study … March 16, 2023
Failure to rescue as a patient safety indicator for neurosurgical patients … February 22, 2023
"Good catch, Kiddo"--enhancing patient safety in the pediatric emergency
-
psnet.ahrq.gov/issue/screening-adverse-drug-events-randomized-trial-automated-calls-coupled-phone-based-pharmacist
June 05, 2018 - with the option of transfer to a live pharmacist on detecting potential adverse drug events for patients … June 5, 2018
Computerized prescriber order entry–related patient safety reports: analysis … May 10, 2017
Evaluation of a patient-centered fall-prevention tool kit to reduce falls … December 2, 2020
Lessons learned implementing a complex and innovative patient safety … June 16, 2019
Post-discharge medication reviews for patients with heart failure: a pilot
-
psnet.ahrq.gov/issue/computerised-prescribing-safer-medication-ordering-still-work-progress
October 13, 2018 - Related Resources From the Same Author(s)
Computerized prescriber order entry–related patient … safety reports: analysis of 2522 medication errors. … Annual Perspective
Technology as a Tool for Improving Patient … medication safety: a multi-methods research programme. … August 2, 2015
Understanding and preventing wrong-patient electronic orders: a randomized
-
psnet.ahrq.gov/issue/could-breaks-reduce-general-practitioner-burnout-and-improve-safety-daily-diary-study
August 24, 2016 - A break that includes a positive interaction also improves perceptions of patient safety. … August 24, 2016
Burnout mediates the association between depression and patient safety … patients' views and experiences. … July 10, 2024
Physician and nurse well-being, patient safety and recommendations for … October 26, 2022
How do patients respond to safety problems in ambulatory care?
-
psnet.ahrq.gov/issue/nursing-assessment-continuous-vital-sign-surveillance-improve-patient-safety-medicalsurgical
May 01, 2019 - Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical … Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical … March 15, 2017
Telehealth safety framework: addressing a new frontier in patient safety … November 8, 2017
Nursing perception of the impact of medication carts on patient safety … September 26, 2016
Does an insulin double-checking procedure improve patient safety?
-
psnet.ahrq.gov/node/867985/psn-pdf
January 01, 2025 - The Joint Commission included suicide prevention in its list of National Patient Safety Goals in 2018 … Patients with lower severity may receive a calming discussion and an
initial safety plan, along with … Key Substance Use and Mental Health Indicators in the United States: Results from the 2022
National … National Patient Safety Goal for suicide prevention. … Safety planning: why it is essential on the day of discharge from in-
patient psychiatric hospitalization
-
psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
March 19, 2019 - safety. … Some examples include: the use of two patient identifiers, mandatory counseling of patients about their … A Systematic Approach to Improving Patient Safety
Although most medication errors can be directly … Mandatory counseling of patients for all first-fill medications can aid in verifying patient understanding … Patient Safety Network. 2020 Jun 24.
-
psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
January 01, 2020 - safety targets associated with this case … SAFETY TARGETS
12
Patient Safety Targets
The following were unmet in this case
1. … safety because of the difficulty in
monitoring for over-sedation; determining whether a patient is … Can nurses shift work jeopardize patient safety? A systematic review. … The impact of new graduate nurse transition programs on competency development and
patient safety:
-
psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-procedure-and-wrong-patient-adverse-events-are-they-preventable
February 24, 2011 - October 3, 2012
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … safety. … March 28, 2011
Performance of the Global Assessment of Pediatric Patient Safety (GAPPS … July 3, 2016
Adverse events in hospitalized pediatric patients. … December 17, 2008
What pilots can teach hospitals about patient safety.
-
psnet.ahrq.gov/issue/improvement-detection-wrong-patient-errors-when-radiologists-include-patient-photographs
June 13, 2015 - Improvement in Detection of Wrong-Patient Errors When Radiologists Include Patient Photographs in Their … errors and augment safety. … Improvement in Detection of Wrong-Patient Errors When Radiologists Include Patient Photographs in Their … February 7, 2024
Patient Safety Primers
COVID-19 and Dentistry … Safety: What They Don't Tell You in Training About Feedback and Burnout
June 1, 2019