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psnet.ahrq.gov/issue/strategies-flipping-script-opioid-overprescribing
May 29, 2019 - This commentary advocates for physicians who recognize that their patients are misusing opioids to carefully … June 27, 2018
Computerized prescriber order entry–related patient safety reports: analysis … October 13, 2018
A prescription for enhancing electronic prescribing safety. … record with wrong-patient order entry errors. … and safety.
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psnet.ahrq.gov/sites/default/files/2022-10/trocar_injury_final.pdf
January 01, 2022 - SAFETY:
CONSIDERATION OF PATIENT HISTORY
AND ANATOMY
18
Consideration of Patient History and … However, opening pressure may be
slightly higher (7-9 mmHg) in patients with obesity, such as the patient … safety:�Consideration of Patient History and Anatomy
Consideration of Patient History and Anatomy ( … Approaches to improving patient safety:�Surgical maneuvers to increase safety
Surgical Maneuvers to … (3)
Approaches to improving patient safety:�Recognizing injury
Recognizing Injury (1)
Recognizing
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psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon-0
October 24, 2021 - 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. … We're very fortunate that we have groups like ECRI , Pennsylvania Patient Safety Reporting System , … November 4, 2020
Patient Safety.
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psnet.ahrq.gov/node/865520/psn-pdf
April 10, 2024 - The prevalence of incivility in hospitals and the effects of
incivility on patient safety culture and … The prevalence of incivility in hospitals and the effects of incivility on
patient safety culture and … https://psnet.ahrq.gov/issue/prevalence-incivility-hospitals-and-effects-incivility-patient-safety-culture-and … -
outcomes
Workplace incivility is known to decrease patient safety culture. … https://psnet.ahrq.gov/issue/prevalence-incivility-hospitals-and-effects-incivility-patient-safety-culture-and-outcomes
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psnet.ahrq.gov/web-mm/routine-goes-awry
September 23, 2020 - case generated additional review and discussion, including concerns expressed by the parents about the safety … The most commonly cited preoperative risk is bleeding, which occurs in up to 3% of patients. … There were nine unanticipated outcomes in these patients: four patients developed postoperative bleeding … Safety and outcomes of outpatient pediatric otolaryngology procedures at an ambulatory surgery center … safety: past, present, and future.
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psnet.ahrq.gov/node/46103/psn-pdf
September 23, 2017 - psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-
moment
Geriatric patients … how using STOPP criteria and performing indication
mapping can help reduce polypharmacy and improve patient … safety. … potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
https://psnet.ahrq.gov/issue/indication-based-prescribing-prevents-wrong-patient-medication-errors-computerized-provider
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psnet.ahrq.gov/node/73288/psn-pdf
May 19, 2021 - 2020 Pennsylvania Patient Safety Reporting: an analysis
of serious events and incidents from the nation … May 19, 2021
Kepner S, Jones RM. 2020 Pennsylvania Patient Safety Reporting: an analysis of serious … https://psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and- … https://psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-incidents-nations … https://psnet.ahrq.gov/issue/patient-safety-authority-annual-reports
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psnet.ahrq.gov/node/842765/psn-pdf
January 18, 2023 - Patient identification of diagnostic safety blindspots and
participation in "good catches" through shared … Patient identification of diagnostic safety blindspots and participation
in "good catches" through shared … https://psnet.ahrq.gov/issue/patient-identification-diagnostic-safety-blindspots-and-participation-good … -
catches-through
Patients who access their electronic health record (EHR) through a patient portal … patient and family engagement in safety.
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psnet.ahrq.gov/node/73915/psn-pdf
October 06, 2021 - sectional-study
This study of US primary care physicians tested their patient safety and quality knowledge … Five topic areas
were assessed: 1) patient management, 2) radiation risk, 3) general safety and quality … , 4) structure,
process, and outcome, and, 5) quality and safety definitions. … The average score was 48% correct,
indicating additional education in patient safety and quality for … definition-quality-and-approaches-its-assessment-vol-1-explorations-quality-assessment-and
https://psnet.ahrq.gov/issue/patient-safety-skills-primary-care-national-survey-gp-educators
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psnet.ahrq.gov/issue/drug-and-opioid-involved-overdose-deaths-united-states-2013-2017
June 28, 2017 - January 29, 2018
Indication-specific opioid prescribing for US patients with Medicaid … or private Insurance, 2017
June 10, 2020
Ethical considerations and patient safety … July 14, 2021
Real-world virtual patient simulation to improve diagnostic performance … Safety Primers
Opioid Safety
December 15, 2024 … August 5, 2020
FDA recommends health care professionals discuss naloxone with all patients
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psnet.ahrq.gov/primer/health-care-associated-infections
December 15, 2024 - In 2023, the Pennsylvania Patient Safety Reporting System received 23,970 HAI reports from long-term … Reducing the risk of HAIs is a Joint Commission National Patient Safety Goal (NPSG). … Patient Safety Primers
Long-term Care and Patient Safety
April 10, 2024 … Patient Safety Primers
COVID-19 and Dentistry: Challenges … August 26, 2020
Patient Safety Primers
COVID-19: Team and
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psnet.ahrq.gov/node/73157/psn-pdf
April 21, 2021 - The impact of power on health care team performance
and patient safety: a review of the literature. … The impact of power on health care team performance and patient
safety: a review of the literature. … https://psnet.ahrq.gov/issue/impact-power-health-care-team-performance-and-patient-safety-review-
literature … Power dynamics can influence effective team performance and patient safety. … https://psnet.ahrq.gov/issue/impact-power-health-care-team-performance-and-patient-safety-review-literature
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psnet.ahrq.gov/issue/prevalence-adverse-drug-events-ambulatory-care-systematic-review
July 29, 2020 - December 29, 2014
Development of prescribing indicators related to opioid-related harm … in patients with chronic pain in primary care- a modified e-Delphi study. … for patients with monitored dosage systems following hospital discharge. … February 6, 2019
A systematic review of primary care safety climate survey instruments … May 15, 2013
The effect of medication reconciliation in elderly patients at hospital
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psnet.ahrq.gov/node/74258/psn-pdf
January 19, 2022 - Care quality, patient safety, and nurse outcomes at
hospitals serving economically disadvantaged patients … Care quality, patient safety, and nurse outcomes at hospitals serving
economically disadvantaged patients … https://psnet.ahrq.gov/issue/care-quality-patient-safety-and-nurse-outcomes-hospitals-serving-
economically-disadvantaged … safety, and patient outcomes. … https://psnet.ahrq.gov/issue/nurse-burnout-syndrome-and-work-environment-impact-patient-safety-grade
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psnet.ahrq.gov/node/847533/psn-pdf
April 12, 2023 - Linking patient safety climate with missed nursing care in
labor and delivery units: findings from the … Linking patient safety climate with missed nursing care in labor and
delivery units: findings from the … https://psnet.ahrq.gov/issue/linking-patient-safety-climate-missed-nursing-care-labor-and-delivery-units … -
findings-laborrns
Missed nursing care is a key indicator of patient safety and has been linked to … https://psnet.ahrq.gov/issue/impact-patient-safety-culture-missed-nursing-care-and-adverse-patient-events
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psnet.ahrq.gov/node/837894/psn-pdf
August 24, 2022 - Identifying boundary spanning reporter roles in patient
safety events. … Identifying boundary spanning reporter roles in patient safety events. … https://psnet.ahrq.gov/issue/identifying-boundary-spanning-reporter-roles-patient-safety-events
Research … https://psnet.ahrq.gov/issue/identifying-boundary-spanning-reporter-roles-patient-safety-events
https … barriers-incident-reporting-among-nurses-qualitative-systematic-review
https://psnet.ahrq.gov/issue/understanding-factors-influencing-doctors-intentions-report-patient-safety-concerns
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psnet.ahrq.gov/node/74157/psn-pdf
December 08, 2021 - safety is an ongoing challenge. … This systematic review explored
international approaches to defining serious reportable patient safety … Serious reportable patient safety events were commonly defined as being largely
preventable; having … international-perspective-definitions-and-terminology-used-describe-serious-reportable
https://psnet.ahrq.gov/issue/defining-attributes-patient-safety-through-concept-analysis … https://psnet.ahrq.gov/issue/moving-measurement-action-global-principles-measuring-patient-safety
https
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psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
October 13, 2018 - The patient reportedly had not taken his beta-blocker in the 36 hours prior to admission. … Center for patient safety organizations, health IT users, vendors, and researchers to share resources … Computerized prescriber order entry-related patient safety reports: analysis of 2522 medication errors … Rockville, MD: Center for the Advancement of Patient Safety, US Pharmacopeia; 2008. … WHO Collaborating Center for Patient Safety Solutions. May 2007;1:solution 1. [Available at] 14.
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psnet.ahrq.gov/node/42455/psn-pdf
September 09, 2013 - Jt Comm J Qual Patient Saf. 2013;39(8):349-360. … A program to engage frontline workers with management in addressing safety issues at the unit level … paradoxically resulted in worse perceptions of safety culture. … Although leadership involvement is critical to
augment patient safety, this article indicates that simply … https://psnet.ahrq.gov/primer/culture-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