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psnet.ahrq.gov/node/33853/psn-pdf
March 01, 2018 - We
spoke with her about how nurse staffing and the work environment can affect patient safety and outcomes … The state has
seen steeper declines in mortality and improvements in other indicators than other states … RW: Tell us about current research on what nurses think about patient safety. … Then we used AHRQ measures on patient safety culture to appraise our
hospitals. … That is not the culture of patient safety that the IOM recommended.
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psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-leapfrog-group-patient-safety-rewarding-higher
July 01, 2020 - Eisenberg Patient Safety Awards. … The Leapfrog Group for Patient Safety: rewarding higher standards. … Eisenberg Patient Safety Awards. The Leapfrog Group for Patient Safety: rewarding higher standards. … Eisenberg Patient Safety Awards. The Leapfrog Group for Patient Safety: rewarding higher standards. … July 1, 2020
When doctors share visit notes with patients: a study of patient and doctor
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psnet.ahrq.gov/perspective/conversation-michael-l-millenson
April 27, 2022 - For patient safety issues, there can be a large volume of representative data. … to, enactment of the Patient Safety and Quality Improvement Act of 2005 (Patient Safety Act) and the … surveys and postsurgical patient safety indicators. 11 Among the social media platforms, Yelp was most … None of the social media platform ratings correlated with surgical safety indicators. … The potential of Twitter as a data source for patient safety.
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psnet.ahrq.gov/node/49712/psn-pdf
June 01, 2014 - safety. … Patient Educ Couns. 2013;93:306-311. … Relationship of physician behavior to patient compliance. … Quality indicators for medication use in vulnerable elders. … Quality indicators for appropriate medication use in vulnerable elders.
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psnet.ahrq.gov/issue/best-practices-electronic-drug-alert-program-improve-safety-accountable-care-environment
May 29, 2019 - safety, as others have suggested. … record with wrong-patient order entry errors. … Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of … Patient Safety
March 29, 2023
Interview
In … Pascale Carayon, PhD and Nicole Werner, PhD
November 16, 2022
Patient Safety
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psnet.ahrq.gov/issue/assessment-use-patient-vital-sign-data-preventing-misidentification-and-medical-errors
February 16, 2022 - Patient misidentification can lead to serious medical errors and patient harm. … emergency department: important prescribing discrepancies between the shared medication record and patients … August 4, 2021
Empowering patients and reducing inequities: is there potential in sharing … revolution help address patient safety? … safety.
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psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
April 27, 2022 - above and that were featured on the AHRQ Patient Safety Network (PSNet) in late 2020 or during 2021 … Patient interviews in this study revealed that patients had little awareness of the potential for serious … “medication error” as 1 of 22 nursing-sensitive issues that can affect patient safety outcomes. … and overall patient safety. … Investigating improvement strategies and tools for medication safety may advance overall patient safety
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psnet.ahrq.gov/issue/trial-automated-decision-support-alerts-contraindicated-medications-using-computerized
May 20, 2019 - Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient … Related Resources
An empirical model to estimate the potential impact of medication safety … alerts on patient safety, health care utilization, and cost in ambulatory care. … September 1, 2016
Mixed results in the safety performance of computerized physician order … Computerised provider order entry combined with clinical decision support systems to improve medication safety
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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/quality-and-safety-education-nurses-0
June 01, 2016 - June 2, 2021
Ten Years After Keeping Patients Safe: Have Nurses' Work Environments Been … February 8, 2017
North Carolina Center for Hospital Quality and Patient Safety. … March 17, 2011
Medical Error Reporting System Could Boost Patient Safety. … October 4, 2017
Patient Safety Curriculum. … September 16, 2009
Safe Foundations: Junior Doctors and Patient Safety.
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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/speaking-safety-its-not-simple
April 04, 2018 - PA-PSRS Patient Saf Advis. 2018;15(3). … Engaging patients and families in patient safety efforts is a key priority in health care. … This poll of patients from Pennsylvania explores actions patients are likely to take to ensure their … PA-PSRS Patient Saf Advis. 2018;15(3). … March 18, 2010
Exploring vulnerability to patient safety events along the age continuum
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psnet.ahrq.gov/issue/systematic-review-effectiveness-interruptive-medication-prescribing-alerts-hospital-cpoe
August 17, 2016 - An Annual Perspective discussed CPOE as it relates to patient safety. … October 10, 2012
The impact of drug shortages on patients with cardiovascular disease … July 10, 2024
Revealing and resolving patient safety defects: the impact of leadership … WalkRounds on frontline caregiver assessments of patient safety. … April 22, 2020
The prevalence of dose errors among paediatric patients in hospital wards
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psnet.ahrq.gov/perspective/creation-medical-procedure-service-improve-patient-safety
March 01, 2008 - Creation of a Medical Procedure Service to Improve Patient Safety
C. … Creation of a Medical Procedure Service to Improve Patient Safety. PSNet [internet]. … safety, learning environments, and relationships with continuity patients. … Patient Safety. … January 20, 2021
Changes in medication safety indicators in England throughout the covid
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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/use-patient-pictures-and-verification-screens-reduce-computerized-provider-order-entry-errors
November 16, 2022 - safety collaborative. … August 10, 2022
Challenges in ethics, safety, best practices, and oversight regarding … HIT vendors, their customers, and patients: a report of an AMIA special task force. … June 12, 2019
Perspectives on anesthesia and perioperative patient safety: past, present … safety.
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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/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/issue/improving-patient-safety-radiation-oncology
September 23, 2020 - Meeting/Conference Proceedings
Improving patient safety in radiation oncology. … Improving patient safety in radiation oncology. … Improving patient safety in radiation oncology. … safety. … safety.