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psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
September 16, 2015 - Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist by the Safety and Health … Patient safety in interventional radiology: a CIRSE IR checklist. … A checklist to improve patient safety in interventional radiology. … May 18, 2022
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Related Resources
Patient Safety … Safety Innovations
Preventing Falls Through Patient and Family Engagement to Create
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psnet.ahrq.gov/issue/improving-end-life-care-information-systems-approach-reducing-medical-errors
November 04, 2015 - Safety Practices. … November 18, 2020
Patient safety threats in information management using health information … patients and their care partners: the MySafeCare application. … January 2, 2017
Potential drug interactions and duplicate prescriptions among cancer patients … safety with antineoplastics?
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psnet.ahrq.gov/node/60611/psn-pdf
June 24, 2020 - safety by providing continued
monitoring and assessment of patients on DOACs
https://psnet.ahrq.gov … Safety and efficacy of apixaban in
patients with end-stage renal disease: Meta-Analysis. … Pharmacokinetics, pharmacodynamics, and safety of
apixaban in subjects with end-stage renal disease … Patient Safety Network.
https://psnet.ahrq.gov/web-mm/lost-start-date-unknown-risk-e-prescribing. … Patient Safety Network. Lethal Cap. https://psnet.ahrq.gov/web-mm/lethal-
cap. March 2004.
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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/72502/psn-pdf
November 25, 2020 - Patient safety in primary care: conceptual meanings to
the health care team and patients. … Patient safety in primary care: conceptual meanings to the health care team and patients. … https://psnet.ahrq.gov/issue/patient-safety-primary-care-conceptual-meanings-health-care-team-and-
patients … https://psnet.ahrq.gov/issue/patient-safety-primary-care-conceptual-meanings-health-care-team-and-patients … https://psnet.ahrq.gov/issue/patient-safety-primary-care-conceptual-meanings-health-care-team-and-patients
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psnet.ahrq.gov/node/50699/psn-pdf
November 26, 2019 - Patient Safety in Frail Older Patients
November 26, 2019
Wald HL, Hall KK, Fitall E. … Patient Safety in Frail Older Patients. PSNet [internet]. 2019. … https://psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
Background
Older patients are … Patient Safety Considerations in Frail Older Patients
The hazards of hospitalization and overtreatment … Given the magnified patient safety risk frail older patients experience, clinicians and other providers
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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
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psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
January 01, 2020 - treated with oral anticoagulants are at
increased risk of hemorrhage and patients with hemorrhage … not have been administered
18
High-Risk Medications: Anticoagulation (3)
Approach to Improving Safety … and
Systems Change Needed
19
20
Approach to Improving Safety
• Hospitals should adopt systematic … changes to ensure
patients are screened for contraindications to high-risk
medications and that there … A surgical safety checklist to reduce morbidity and mortality in a global population.
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psnet.ahrq.gov/node/74087/psn-pdf
January 01, 2022 - Hospital cultural competency and attributes of patient
safety culture: a study of U.S. hospitals. … Hospital cultural competency and attributes of
patient safety culture: a study of U.S. hospitals. … https://psnet.ahrq.gov/issue/hospital-cultural-competency-and-attributes-patient-safety-culture-study-us … https://psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety
https://psnet.ahrq.gov/issue … /surveys-patient-safety-culture
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psnet.ahrq.gov/issue/prescribers-perspectives-including-reason-use-information-prescriptions-and-medication-labels
July 14, 2021 - Communicating medication indications with the healthcare team and patients can improve medication … adherence and patient safety. … , researchers found that prescribers were open to sharing medication indications and understood the safety … Author(s)
Health care workers' experiences of workplace incidents that posed a risk of patient … January 19, 2022
Fidelity and the impact of patient safety huddles on teamwork and safety
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psnet.ahrq.gov/web-mm/getting-root-matter
September 01, 2005 - Getting Started The RCA team is usually led by a member of the institution’s patient safety or quality … ventilated patients, prevention of venous thromboembolism). … Asking clinicians to jump through bureaucratic hoops in the name of patient safety squanders the good … Hospital-onset infections: a patient safety issue. … December 21, 2017
Hospitalists as emerging leaders in patient safety: targeting a few
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psnet.ahrq.gov/node/42066/psn-pdf
March 11, 2013 - Stakeholder challenges in purchasing medical devices for
patient safety. … Stakeholder challenges in purchasing medical devices for patient
safety. … https://psnet.ahrq.gov/issue/stakeholder-challenges-purchasing-medical-devices-patient-safety
Clinicians … https://psnet.ahrq.gov/issue/stakeholder-challenges-purchasing-medical-devices-patient-safety
https:/ … /psnet.ahrq.gov/issue/surveillance-medical-device-related-hazards-and-adverse-events-hospitalized-patients
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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/associations-workflow-disruptions-operating-room-surgical-outcomes-systematic-review-and
April 03, 2019 - March 10, 2021
Effect of the surgical safety checklist on provider and patient outcomes … August 19, 2020
Medication-related interventions to improve medication safety and patient … February 16, 2022
Impact of providing patients access to electronic health records on … July 20, 2022
Surgeon burnout, impact on patient safety and professionalism: a systematic … safety?
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psnet.ahrq.gov/node/73472/psn-pdf
July 07, 2021 - Safety checklists for emergency response driving and
patient transport: experiences from emergency medical … Safety checklists for emergency response driving and patient transport:
experiences from emergency medical … https://psnet.ahrq.gov/issue/safety-checklists-emergency-response-driving-and-patient-transport-
experiences-emergency … https://psnet.ahrq.gov/issue/safety-checklists-emergency-response-driving-and-patient-transport-experiences-emergency … https://psnet.ahrq.gov/issue/safety-checklists-emergency-response-driving-and-patient-transport-experiences-emergency
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.203_slideshow.ppt
August 01, 2009 - Nurse Staffing and Patient Care Quality and Safety. In: Hughes RG, ed. … Patient Safety and Quality: An Evidence-Based Handbook for Nurses. … collecting standardized measures of nurse staffing, including:
National Database of Nursing Quality Indicators … , competencies, and experience
of nurses on unit
Recommended patient-to-nurse ratios:
4-5 patients … critically ill patients, the same nurse volunteered to admit the new patient
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psnet.ahrq.gov/issue/patient-safety-office-based-setting
August 20, 2018 - Commentary
Patient safety in the office-based setting. … Patient safety in the office-based setting. Plast Reconstr Surg. 2006;117(4):61e-80e. … Patient safety in the office-based setting. Plast Reconstr Surg. 2006;117(4):61e-80e. … May 28, 2015
Discussing harm-causing errors with patients: an ethics primer for plastic … November 21, 2012
Patient safety in plastic surgery.
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psnet.ahrq.gov/issue/physician-practice-patient-safety-assessment
April 24, 2018 - Measurement Tool/Indicator
The Physician Practice Patient Safety Assessment. … Use of a comprehensive patient safety tool in primary care practices. … Use of a comprehensive patient safety tool in primary care practices. … Safety
March 27, 2024
Patient Safety Innovations … May 23, 2018
Patient Safety and the Invitational Conference on Contemporary Surgical
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psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
January 01, 2023 - APPROACHES TO IMPROVING PATIENT
SAFETY
16
Approaches to Improving Patient Safety (1)
• Tracheostomy … -
specific contributing factors.
17
Approaches to Improving Patient Safety (2)
• Patients dependent … Safety (5)
• Generally, the resting cuff diameter of the cuff causing the leak should be
compared … Safety (6)
• The patient in this clinical scenario was noted to have COVID-19
pneumonia. … Percutaneous tracheostomy in critically ill patients.
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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