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psnet.ahrq.gov/node/49855/psn-pdf
March 01, 2019 - Patients can also be
empowered to speak during preprocedural huddles and contribute to the team's understanding … Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist by the Safety
and Health … Do safety checklists improve teamwork and
communication in the operating room? … Patient safety in interventional radiology: a
CIRSE IR checklist. … A
checklist to improve patient safety in interventional radiology.
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psnet.ahrq.gov/issue/reduced-effectiveness-interruptive-drug-drug-interaction-alerts-after-conversion-commercial
May 20, 2019 - Clinical decision support systems are widely utilized to improve patient safety by alerting providers … to potential medication errors and other safety concerns. … record with wrong-patient order entry errors. … What can apologies in the electronic health record tell us about health care quality, processes, and safety … 2018
Errors in electronic health record–based data query of statin prescriptions in patients
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psnet.ahrq.gov/perspective/update-safety-culture
January 22, 2020 - The Essential Guide for Patient Safety Officers, 2nd edition. … Health IT and Patient Safety: Building Safer Systems for Better Care. … March 1, 2005
Patient Safety Leadership WalkRounds. … Organization (HRO) Principles and Patient Safety
February 26, 2025 … Patient Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed
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psnet.ahrq.gov/web-mm/delayed-sepsis-management-due-ambiguous-allergy
January 13, 2021 - The patient promptly received 3 L of intravenous fluid. … The patient remained hypotensive, and a lactate level returned at 3.5 mg/dL. … and safety of care. … safety initiative. … March 13, 2024
Making patient safety event data actionable: understanding patient safety
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psnet.ahrq.gov/issue/community-pharmacy-survey-patient-safety-culture
October 23, 2019 - Measurement Tool/Indicator
Community Pharmacy Survey on Patient Safety Culture. … Citation Text:
Community Pharmacy Survey on Patient Safety Culture. … The AHRQ Surveys on Patient Safety Culture™ (SOPS®) Community Pharmacy Survey and accompanying toolkit … May 2, 2018
Hospital Survey on Patient Safety Culture: 2018 User Database Report. … July 14, 2009
Is Our Pharmacy Meeting Patients' Needs?
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psnet.ahrq.gov/web-mm/forgotten-radiographic-read
June 07, 2016 - safety. … safety. … Mortality among patients admitted to hospitals on weekends as compared with weekdays. … Do patient safety indicators explain increased weekend mortality? J Surg Res. 2016;200:164-170. … January 4, 2012
Shift-to-shift handoff effects on patient safety and outcomes: a systematic
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psnet.ahrq.gov/node/41298/psn-pdf
November 27, 2012 - Patient safety culture and the association with safe
resident care in nursing homes. … Patient safety culture and the association with safe resident care in
nursing homes. … https://psnet.ahrq.gov/issue/patient-safety-culture-and-association-safe-resident-care-nursing-homes … on Patient Safety Culture to
analyze relationships between a structure (safety culture), a process ( … https://psnet.ahrq.gov/issue/patient-safety-culture-and-association-safe-resident-care-nursing-homes
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psnet.ahrq.gov/node/37054/psn-pdf
September 30, 2011 - safety outcomes. … safety and quality of care. … complications or worsened patient safety overall. … persistent
cultural differences among health care professionals regarding approaches to improving safety … https://psnet.ahrq.gov/issue/nurse-working-conditions-and-patient-safety-outcomes
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psnet.ahrq.gov/innovations
February 26, 2025 - Innovations
The PSNet Innovations page highlights pioneering advances that can improve patient safety … safety improvement recently published in the peer-reviewed literature. … (1)
Patient Safety Indicators
(3)
Human Factors Engineering … with the goal of improving patient safety on a single topic across multiple facilities. … , and families could improve patient safety.
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psnet.ahrq.gov/issue/impact-clinical-decision-support-therapeutic-interchanges-hospital-discharge-medication
July 29, 2020 - single-site retrospective study evaluated whether a CDS tool can reduce discharge prescription errors for patients … intensive care unit admission of delirious or mechanically ventilated patients. … April 28, 2021
Impact of smart pump-electronic health record interoperability on patient … October 20, 2021
Effect of medication reconciliation on patient reported potential adverse … hazards associated with intravenous vancomycin through the analysis of patient safety event reports.
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psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
January 01, 2016 - Describe patient safety monitoring systems used in nursing homes. … designing such safety systems.( 18 ) The Joint Commission Patient Safety Goals for Long Term Care include … Understanding Patient Safety. New York, NY: McGraw-Hill Professional; 2007. … Long Term Care: 2011 National Patient Safety Goals. The Joint Commission; January 2011. … January 17, 2024
Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital
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psnet.ahrq.gov/node/844757/psn-pdf
September 11, 2019 - diagnostic-overshadowing-dentistry
Assumptions, communication barriers, and implicit biases can compromise the care of patients … This commentary discusses the presence of diagnostic overshadowing when providing dental
services to patients … https://psnet.ahrq.gov/issue/diagnostic-overshadowing-dentistry
https://psnet.ahrq.gov/issue/patient-safety-community-dementia-services-what-can-we-learn-experiences-caregivers-and … https://psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
https://psnet.ahrq.gov/perspective/safety-dentistry … https://psnet.ahrq.gov/perspective/safety-dentistry
https://psnet.ahrq.gov/issue/challenges-monitoring-and-preventing-patient-safety-incidents-people-intellectual
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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/clinically-significant-medication-errors-surgical-units-detected-clinical-pharmacist-real
October 20, 2021 - This observational study found that 20% of patients presenting to surgical units at one French hospital … September 15, 2021
Patient safety in home care: a multicenter cross-sectional study about … May 12, 2021
Nurses' influence on consumers' experience of safety in acute mental health … November 30, 2022
Criteria for the selection of paediatric patients susceptible to reconciliation … June 29, 2022
Effect of medication reconciliation on patient reported potential adverse
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psnet.ahrq.gov/issue/just-what-doctor-ordered-review-evidence-impact-computerized-physician-order-entry-system
June 15, 2016 - This systematic review sought to determine the overall effect of CPOE on medication safety across different … hospitals and patient populations. … Overall, CPOE did reduce medication errors in both adults and children, but patient outcomes were not … Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients … March 23, 2012
The impact of prescribing safety alerts for elderly persons in an electronic
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psnet.ahrq.gov/node/44697/psn-pdf
June 21, 2016 - psnet.ahrq.gov/issue/saving-lives-and-saving-money-hospital-acquired-conditions-update
The Partnership for Patients … With this decrease in HACs, the analysis estimates that 87,000 fewer hospital patients died and
$19.8 … eliminate them, these reductions indicate that hospitals have made substantial progress in
improving safety … saving-lives-and-saving-money-hospital-acquired-conditions-update
https://psnet.ahrq.gov/issue/partnership-patients
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psnet.ahrq.gov/node/44815/psn-pdf
November 30, 2016 - Comparing NICU teamwork and safety climate across two
commonly used survey instruments. … survey tools—the Safety Attitudes Questionnaire and the Hospital Survey on Patient Safety Culture. … https://psnet.ahrq.gov/issue/measuring-patient-safety-climate-review-surveys
https://psnet.ahrq.gov/ … primer/culture-safety
https://psnet.ahrq.gov/issue/measuring-safety-culture-ambulatory-setting-safety-attitudes-questionnaire-ambulatory-version … https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2016-user-comparative-database-report
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psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-culture
January 29, 2020 - Patient safety concerns arising from test results that return after hospital discharge. … Detecting delayed microbiology results after hospital discharge: improving patient safety through an … Flow Management
November 1, 2011
Patient Safety Primers … Health Plan Patient Safety Initiatives
July 10, 2024 … Perspective
Patient Safety in Office-Based Care Settings
January 31, 2024
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psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
May 01, 2009 - Patient Safety: A Perspective from Office Practice
Richard J. … Patient Safety: A Perspective from Office Practice. PSNet [internet]. … Many potential and actual safety problems occur there as well.( 1 ) Yet patient safety literature and … Patient Safety Issues in the Office-Based Setting. … Safety Indicators.
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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