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psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
January 01, 2023 - nocturnal awakenings, and encouraging mobility.16-19
23
APPROACHES TO IMPROVING PATIENT
SAFETY … 24
Approaches to Improving Patient Safety (1)
• Beyond the direct complication of placing the NGT … Safety (2)
• When the patient experienced agitated delirium, its causes—including gastric
perforation … Safety (2)
• After multiple attempts in this case, the NGT was seemingly successfully
replaced … Safety (2)
• Daily reassessment of the need for invasive devices is important.
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psnet.ahrq.gov/issue/i-am-not-doctor-you-physicians-attitudes-about-caring-people-disabilities
February 10, 2015 - In this study, primary care and specialist physicians described challenges with caring for patients with … April 27, 2022
Taking the pulse of health care systems: experiences of patients with … indicators in England throughout the covid-19 pandemic using OpenSAFELY: population based, retrospective … cohort study of 57 million patients using federated analytics. … safety or teamwork, can we only pick one?
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psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph
November 01, 2008 - 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. … For many patient safety problems, that type of applied epidemiological approach is appropriate: falls … Safety programs must not only aim to prevent infections, but also limit patient risk.
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psnet.ahrq.gov/issue/changes-medication-safety-indicators-england-throughout-covid-19-pandemic-using-opensafely
October 19, 2022 - psnet
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psnet.ahrq.gov/web-mm/citrate-mix
February 01, 2010 - Safety Goal. … Medication reconciliation (also a 2006 National Patient Safety Goal) is a process that involves a review … Practical guide to bar coding for patient medication safety. … patients through barcode-assisted medication administration. … May 19, 2014
Developing a medication patient safety program — infrastructure and strategy
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psnet.ahrq.gov/issue/can-patient-safety-incident-reports-be-used-compare-hospital-safety-results-quantitative
October 31, 2014 - Study
Can patient safety incident reports be used to compare hospital safety? … Can Patient Safety Incident Reports Be Used to Compare Hospital Safety? … Measuring patient safety for individual hospitals and health systems remains a challenge. … Incident reports provide one lens into patient safety, despite concerns about under-reporting . … Can Patient Safety Incident Reports Be Used to Compare Hospital Safety?
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psnet.ahrq.gov/web-mm/medical-devices-wild
March 27, 2024 - The hospital's patient safety department immediately informed the company that manufactured the beds … Human factors engineers and others concerned with patient safety continue this process throughout the … Work system design for patient safety: the SEIPS model. … Time to accelerate integration of human factors and ergonomics in patient safety. … Systems approach and systems engineering applied to health care: improving patient safety and health
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psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
October 30, 2024 - Implementation of this innovation resulted in improved patient safety and quality for patients at high … Innovation Patient Safety Focus
The innovation uses an early detection alert system to identify patients … Failure to identify, communicate, or act on indicators of acute deterioration of hospitalized patients … Summary
July 23, 2024
Patient Safety Innovations … Safety in Acute Hospital Care Units
April 26, 2023
Patient Safety
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psnet.ahrq.gov/issue/relationship-emotional-climate-work-and-threat-patient-outcome-high-volume-thoracic-surgery
July 05, 2013 - safety, work-life balance, burnout, and depression. … technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients … March 3, 2011
Patterns of communication breakdowns resulting in injury to surgical patients … July 5, 2013
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/issue/ladder-based-safety-culture-assessments-inversely-predict-safety-outcomes
January 22, 2025 - January 22, 2025
Patient identification of diagnostic safety blindspots and participation … October 19, 2022
Adaptive design: adaptation and adoption of patient safety practices … January 12, 2022
View More
Related Resources
Patient safety: where … August 3, 2022
Differences between professionals' views on patient safety culture in … November 6, 2015
Patient safety is not elective: a debate at the NPSF Patient Safety
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psnet.ahrq.gov/issue/intended-and-unintended-consequences-changes-opioid-prescribing-practices-postsurgical-acute
August 10, 2022 - : the case of urine drug screening and opioid-patient suicide- and overdose-related events in the Veterans … May 20, 2020
View More
Related Resources
Patient Safety … Primers
Opioid Safety
December 15, 2024
Cancer drug shortages … are creating dire circumstances for some patients. … 26, 2023
Evaluation of policies limiting opioid exposure on opioid prescribing and patient
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psnet.ahrq.gov/node/838079/psn-pdf
September 14, 2022 - Exploring the impact of employee engagement and
patient safety. … Exploring the impact of employee engagement and patient safety. … https://psnet.ahrq.gov/issue/exploring-impact-employee-engagement-and-patient-safety
Healthcare worker … safety, but
research assessing the impact on patient safety outcomes is in its infancy. … https://psnet.ahrq.gov/issue/exploring-impact-employee-engagement-and-patient-safety
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/association-measured-quality-and-future-financial-performance-among-hospitals-performing
May 04, 2022 - Hospitals that implement quality improvement initiatives improve patient safety but also incur financial … The findings indicate hospitals with lower Patient Safety Indicator 90 (PSI 90) scores had poorer financial … February 23, 2022
Does employee safety matter for patients too? … Employee safety climate and patient safety culture in health care. … March 4, 2011
Does the patient's payer matter in hospital patient safety?
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psnet.ahrq.gov/perspective/overuse-patient-safety-problem
September 01, 2014 - Overuse as a Patient Safety Problem. PSNet [internet]. … Overuse as a Patient Safety Problem. PSNet [internet]. … Overuse is a patient safety concern, not just a financial burden. … Overuse as a Patient Safety Problem. PSNet [internet]. … Perspective
Patient Advocacy in Patient Safety: Have Things Changed
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psnet.ahrq.gov/issue/interdisciplinary-team-training-identifies-discrepancies-institutional-policies-and-practices
November 26, 2012 - November 26, 2012
Family safety reporting in medically complex children: parent, staff … interprofessional perinatal drills: the impact of a structured debrief on maximizing training while sensing patient … safety threats. … May 22, 2019
A comprehensive obstetrics patient safety program improves safety climate … 2019
Didactic and simulation nontechnical skills team training to improve perinatal patient
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psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
September 01, 2012 - When the endoscopy suite called for the patient, the bedside nurse said that the patient had just had … The patient died shortly thereafter. … The management of antithrombotic agents for patients undergoing GI endoscopy. … Quality indicators for EGD. Gastrointest Endosc. 2015;81:17-30. [go to PubMed] 9. … Development and validation of the SURgical PAtient Safety System (SURPASS) checklist.
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psnet.ahrq.gov/node/34594/psn-pdf
January 04, 2017 - Eisenberg Patient Safety Awards. … Eisenberg Patient Safety Awards. … https://psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-leapfrog-group-patient-safety-
rewarding-higher … https://psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-leapfrog-group-patient-safety-rewarding-higher … https://psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-leapfrog-group-patient-safety-rewarding-higher
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psnet.ahrq.gov/issue/patient-safety-remote-primary-care-encounters-multimethod-qualitative-study-combining-safety
March 23, 2022 - Study
Patient safety in remote primary care encounters: multimethod qualitative study … Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and … Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and … February 23, 2022
Medication safety messages for patients via the web portal: the MedCheck … September 15, 2011
Patient safety in out-of-hours primary care: a review of patient records
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psnet.ahrq.gov/issue/pharmacists-perceptions-computerized-prescriber-order-entry-systems
June 29, 2011 - December 18, 2013
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … June 16, 2019
Pediatric medication safety in adult community hospital settings: a glimpse … Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients … See More About The Topic
Hospitals
Pharmacists
Pediatrics
Pharmacy
Medication Safety
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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