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psnet.ahrq.gov/node/843414/psn-pdf
February 01, 2023 - Jt Comm J Qual Patient Saf. 2023;49(3):156-165.
doi:10.1016/j.jcjq.2022.12.006. … healthcare-worker-well
Leadership across all levels of a health system plays an important role in patient … safety. … https://psnet.ahrq.gov/issue/nurse-managers-leadership-patient-safety-and-quality-care-systematic-review … https://psnet.ahrq.gov/primer/leadership-role-improving-safety
https://psnet.ahrq.gov/issue/psychological-safety-scale-safety-communication-operational-reliability-and-engagement-score
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psnet.ahrq.gov/issue/prospective-evaluation-medication-related-clinical-decision-support-over-rides-intensive-care
April 07, 2019 - However, alerts are pervasive and often irrelevant , leading patient safety experts to question whether … their modest improvement in safety outweighs the harms of alert fatigue . … June 5, 2018
Computerized prescriber order entry–related patient safety reports: analysis … December 21, 2017
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Related Resources
Patient … in critically ill patients.
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psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia
July 02, 2019 - relatively simple scenarios such as standardizing the use of potassium binding resins when treating patients … support continuous bladder irrigation that resulted in clinical complications for patients from overly … safety and care transitions at the University of California. … May 15, 2024
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Related Resources
Patient Safety … Safety Goals.
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psnet.ahrq.gov/issue/opioid-prescribing-us-children-and-young-adults-2019
September 30, 2020 - September 30, 2020
Filling a gap in safety metrics: development of a patient-centred … October 13, 2018
Partnering with patients and families living with chronic conditions … to coproduce diagnostic safety through OurDX: a previsit online engagement tool. … February 12, 2020
Patients' experiences and perspectives of patient-reported outcome … pain in opioid-naive patients undergoing elective surgery in a large American health system.
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psnet.ahrq.gov/node/866312/psn-pdf
July 17, 2024 - Development of patient safety measures to identify
inappropriate diagnosis of common infections. … Development of patient safety measures to identify inappropriate
diagnosis of common infections. … https://psnet.ahrq.gov/issue/development-patient-safety-measures-identify-inappropriate-diagnosis-
common-infections … Misdiagnosis of infections can lead to overuse of antibiotics and threaten patient safety. … https://psnet.ahrq.gov/issue/development-patient-safety-measures-identify-inappropriate-diagnosis-common-infections
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psnet.ahrq.gov/node/38132/psn-pdf
October 08, 2008 - issue/hospital-bracelets-face-hurdles-they-fix-hazard
This news article reports on the dynamic between patient … safety and privacy in the use of color-coded
bracelets that indicate patient preferences related to … hospital-bracelets-face-hurdles-they-fix-hazard
https://psnet.ahrq.gov/issue/identification-inpatient-dnr-status-safety-hazard-begging-standardization … https://psnet.ahrq.gov/issue/identification-inpatient-dnr-status-safety-hazard-begging-standardization
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psnet.ahrq.gov/node/50795/psn-pdf
January 15, 2020 - Diagnostic error in the emergency department: learning
from national patient safety incident report … Diagnostic error in the emergency department: learning
from national patient safety incident report … https://psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety- … https://psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety-incident-report … https://psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety-incident-report
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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
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psnet.ahrq.gov/issue/advancing-safety-acute-pain-management
January 08, 2020 - January 8, 2020
Patient Safety Essentials Toolkit. … May 29, 2019
Declaration to Advance Patient Safety. … May 25, 2022
Safer Together: A National Action Plan to Advance Patient Safety. … November 25, 2020
Using Machine Learning to Improve Patient Safety in the Home or Remote … October 31, 2018
Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying
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psnet.ahrq.gov/issue/automated-detection-look-alikesound-alike-medication-errors
August 28, 2019 - October 10, 2018
Indication-based prescribing prevents wrong-patient medication errors … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient … July 2, 2019
Computerized prescriber order entry–related patient safety reports: analysis
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psnet.ahrq.gov/node/60028/psn-pdf
March 11, 2020 - medical/surgical or telemetry units throughout seven hospitals were surveyed
about perceptions on safety … culture, patient advocacy, patient experience, and fall and pressure ulcer rates. … Survey results indicated a positive correlation between safety culture and advocacy; however, this
relationship … was moderated by nursing experience, with newer nurses being more positive about safety
culture and … https://psnet.ahrq.gov/issue/creating-safety-culture-nursing-units-human-performance-and-organizational-system-factors
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psnet.ahrq.gov/node/49773/psn-pdf
July 01, 2016 - focus on early identification of GBS colonization, use of
prophylactic intrapartum antibiotics for patients … electronic resource provides an efficient means for providers to
determine appropriate GBS screening for patients … One strategy that
might improve both clinical education and patient safety would be to instruct trainees … Committee on Patient Safety and Quality Improvement. … Patient Safety Primer: Handoffs and Signouts. [Available at]
Updated July 2016.
14.
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psnet.ahrq.gov/node/37438/psn-pdf
June 16, 2010 - Identification of inpatient DNR status: a safety hazard
begging for standardization. … Identification of inpatient DNR status: A safety hazard begging for
standardization. … of nurse leaders at academic medical centers found great variation in the method used to
document patients … This lack of standardization has
been recognized as a patient safety problem, and resources exist to … https://psnet.ahrq.gov/issue/use-color-coded-patient-wristbands-creates-unnecessary-risk
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/44176/psn-pdf
August 21, 2015 - Patient and carer identified factors which contribute to
safety incidents in primary care: a qualitative … -
care
The patient safety field's understanding of safety issues in ambulatory care continues to evolve … Some of these themes were also found in a prior study of primary care patients in the United Kingdom. … https://psnet.ahrq.gov/issue/trust-temporality-and-systems-how-do-patients-understand-patient-safety-primary-care … https://psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
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psnet.ahrq.gov/node/866854/psn-pdf
January 01, 2025 - Charting diagnostic safety: exploring patient-provider
discordance in medical record documentation. … Charting diagnostic safety: exploring patient-provider
discordance in medical record documentation. … https://psnet.ahrq.gov/issue/charting-diagnostic-safety-exploring-patient-provider-discordance-medical … https://psnet.ahrq.gov/issue/charting-diagnostic-safety-exploring-patient-provider-discordance-medical-record … https://psnet.ahrq.gov/issue/patient-feedback-reporting-tool-opennotes-implications-patient-clinician-safety-and-quality
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psnet.ahrq.gov/node/73066/psn-pdf
March 24, 2021 - Patient Safety. 2021;3(1):10-22.
doi:10.33940/data/2021.3.1. … , barriers to
implementation and threats to safety persist. … Based on events reported to the Pennsylvania Patient Safety
Reporting System, the authors characterized … medication-reconciliation
https://psnet.ahrq.gov/issue/problem-medication-reconciliation
https://psnet.ahrq.gov/issue/patient-safety-authority … https://psnet.ahrq.gov/issue/patient-safety-authority
https://psnet.ahrq.gov/web-mm/medication-reconciliation-whose-job-it
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psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
April 26, 2023 - Our role is to analyze data related to patient safety, especially monitoring of general care patients … Our specialty was applying aviation safety concepts to patient safety. … A nurse in general care managing five patients may be busy with one patient when another patient down … state (e.g., via oxygen saturation, pulse rate, and other indicators) and is well-tolerated by patients … National Patient Safety Agency.
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psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture
November 23, 2016 - Measurement Tool/Indicator
Nursing Home Survey on Patient Safety Culture. … Citation Text:
Nursing Home Survey on Patient Safety Culture. … This website hosts the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Nursing Home Survey along with … October 23, 2019
Is Our Pharmacy Meeting Patients' Needs? … February 28, 2025
Surveys on Patient Safety Culture.
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psnet.ahrq.gov/node/764405/psn-pdf
March 02, 2022 - Evaluation of communication and safety behaviors during
hospital-wide code response simulation. … response-simulation
Effective team communication is a cornerstone to ensuring safe patient care, particularly … baseline communication behaviors can guide future
interventions to promote and improve quality and patient … safety. … psnet.ahrq.gov/primer/communication-between-clinicians
https://psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
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psnet.ahrq.gov/node/44135/psn-pdf
November 06, 2015 - freedom-speak-review-whistleblowing-nhs
Staff willingness to raise awareness of problems that could affect patient … care is an important indicator of
safety culture. … explores National Health Service (NHS) staff perceptions regarding raising
concerns about health care safety … measures for NHS
organizations to use to help ensure that staff are comfortable raising awareness of patient … safety concerns.