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psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
September 15, 2024 - , and Wrong-Patient Surgery. … safety field. … Background Few medical errors are as vivid and terrifying as those that involve patients who have undergone … Comprehensive efforts to improve surgical safety have incorporated timeout principles into surgical safety … December 18, 2024
Grading recommendations for enhanced patient safety in sentinel event
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psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
April 26, 2023 - Technology as a Tool for Improving Patient Safety . PSNet [internet]. … Technology as a Tool for Improving Patient Safety . PSNet [internet]. … Susan McBride, PhD, subject matter experts in health IT and its role in patient safety. … CDS provides clinicians, patients, and other individuals with relevant data (e.g. patient-specific information … Technology as a Tool for Improving Patient Safety . PSNet [internet].
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psnet.ahrq.gov/issue/using-abcs-situational-awareness-patient-safety
November 16, 2022 - Commentary
Using the ABCs of situational awareness for patient safety. … Using the ABCs of situational awareness for patient safety. … Using the ABCs of situational awareness for patient safety. … August 29, 2017
Learning and mindfulness: improving perioperative patient safety. … June 6, 2012
Patient safety: planting the seed.
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psnet.ahrq.gov/issue/quality-patient-safety-and-cardiac-surgical-team
October 07, 2013 - Review
Quality, patient safety, and the cardiac surgical team. … Quality, Patient Safety, and the Cardiac Surgical Team. … Quality, Patient Safety, and the Cardiac Surgical Team. … February 29, 2012
Identifying and categorising patient safety hazards in cardiovascular … February 25, 2015
Improving the quality and safety of patient care in cardiac anesthesia
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psnet.ahrq.gov/issue/anticoagulant-safety-practices-call-pharmacist-supervision
May 08, 2024 - May 8, 2024
Patient Safety and Managing Risk in Nursing. … January 15, 2014
Improving Patient Safety: The Intersection of Safety Culture, Clinician … and Staff Support, and Patient Safety Organizations. … September 14, 2022
Hospitalists as emerging leaders in patient safety: targeting a few … December 23, 2016
Anticoagulation patient safety goal compliance at a university health
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psnet.ahrq.gov/web-mm/code-status-confusion
September 01, 2006 - However, physicians also need to respect patient autonomy, which allows competent informed patients to … How do medical residents discuss resuscitation with patients? … August 4, 2021
Deriving ICD-10 codes for patient safety indicators for large-scale surveillance … safety events. … November 15, 2017
ICD-11 for quality and safety: overview of the WHO Quality and Safety
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psnet.ahrq.gov/issue/beyond-prescription-medication-monitoring-and-adverse-drug-events-older-adults
August 04, 2021 - This commentary suggests strategies for improving prescribing safety, including linking pharmacy and … March 13, 2019
Patient groups, clinicians and healthcare professionals agree—all test … October 10, 2018
Safety still compromised by computer weaknesses. … 8, 2018
Preparing your hospital for compliance with The Joint Commission's National Patient … Safety Goals.
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psnet.ahrq.gov/node/867044/psn-pdf
October 30, 2024 - "Near miss": a mixed-methods analysis of medical
student assignments in patient safety. … "Near miss": a mixed-methods analysis of medical student assignments
in patient safety. … https://psnet.ahrq.gov/issue/near-miss-mixed-methods-analysis-medical-student-assignments-patient-
safety … https://psnet.ahrq.gov/issue/near-miss-mixed-methods-analysis-medical-student-assignments-patient-safety … https://psnet.ahrq.gov/issue/near-miss-mixed-methods-analysis-medical-student-assignments-patient-safety
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psnet.ahrq.gov/issue/appropriateness-commercially-available-and-partially-customized-medication-dosing-alerts
July 16, 2015 - October 11, 2017
Provider and patient perceptions of an external medication history function … A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient … April 5, 2023
Perspectives on Safety
Annual Perspective … Technology as a Tool for Improving Patient Safety
March 29, 2023 … May 4, 2022
The tradeoffs between safety and alert fatigue: data from a national evaluation
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psnet.ahrq.gov/node/49605/psn-pdf
June 01, 2010 - with
chronic hypertension is approximately 20%; this risk is markedly increased in patients with twins … hypertension or diabetes.(2,4) The primary objective of management in women
with preeclampsia must always be safety … In patients with chronic hypertension
and/or those with twins, as in this case, preeclampsia is more … 2,3) In women
with chronic hypertension, the use of antihypertensive agents removes one of the major indicators … Take-Home Points
This case illustrates several key points about enhancing the safety of care provided
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psnet.ahrq.gov/web-mm/elopement
July 14, 2010 - According to the VA National Center for Patient Safety (NCPS), elopement is defined as: "A patient … Analyzing missing patient events at the VA. TIPS (Topics in Patient Safety). … National Center for Patient Safety. VHA NCPS escape and elopement management. … Safety Primers
Nursing and Patient Safety
April 21, 2021 … Optimizing Pediatric Patient Safety in the Emergency Care Setting.
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psnet.ahrq.gov/issue/informatics-tools-deprescribing-and-medication-optimization-older-adults-development-and
February 05, 2020 - principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient … April 24, 2018
Effect of genetic diagnosis on patients with previously undiagnosed disease … Related Resources
The complexities of communication at hospital discharge of older patients … August 31, 2022
Patient Safety Primers
Deprescribing as … a Patient Safety Strategy
October 27, 2021
STOPP/START criteria for potentially
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psnet.ahrq.gov/issue/machine-learning-based-clinical-decision-support-system-identify-prescriptions-high-risk
May 20, 2020 - November 11, 2020
Patient safety and quality improvement: ethical principles for a regulatory … June 1, 2022
Communication with patients and families regarding health care-associated … the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient … Technology as a Tool for Improving Patient Safety
March 29, 2023 … 11, 2019
Impact of computerized physician order entry alerts on prescribing in older patients
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psnet.ahrq.gov/web-mm/tale-two-falls
March 27, 2024 - A 2024 National Patient Safety Goal set forth by The Joint Commission is to “reduce the likelihood of … Proactively ensuring environmental safety for patients who are not able to call for assistance would … Inpatient fall prevention programs as a patient safety strategy: a systematic review. … October 16, 2024
Patient safety indicators during the initial COVID-19 pandemic surge … Safety Leads to Patient Falls in Nursing Homes.
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psnet.ahrq.gov/issue/relationship-between-patient-safety-climate-and-occupational-safety-climate-healthcare-multi
January 21, 2015 - Study
The relationship between patient safety climate and occupational safety climate … The relationship between patient safety climate and occupational safety climate in healthcare – A multi-level … , indicating that the same organizational processes may augment safety for both patients and staff. … The relationship between patient safety climate and occupational safety climate in healthcare – A multi-level … May 12, 2021
Patient Safety
September 17, 2020
With a little help
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psnet.ahrq.gov/node/41702/psn-pdf
November 07, 2018 - AHRQ patient safety project reduces bloodstream
infections by 40 percent. … Patient Saf Qual Hcare. September 12, 2012. … https://psnet.ahrq.gov/issue/ahrq-patient-safety-project-reduces-bloodstream-infections-40-percent
The … safety field. … https://psnet.ahrq.gov/issue/ahrq-patient-safety-project-reduces-bloodstream-infections-40-percent
https
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psnet.ahrq.gov/node/45279/psn-pdf
September 27, 2016 - Does clinical supervision of health professionals improve
patient safety? … Does clinical supervision of health professionals improve patient
safety? … https://psnet.ahrq.gov/issue/does-clinical-supervision-health-professionals-improve-patient-safety- … systematic-review-and
The patient safety movement catalyzed a well-known change in physician duty hours … This systematic review examined how
increased clinical supervision affects patient safety.
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psnet.ahrq.gov/node/844988/psn-pdf
February 22, 2023 - Ensuring patients have an understanding of their diagnoses and care plan is a critical component of … patient
engagement and can improve safety. … Although the majority of patients (>90%) felt confident in their knowledge of their diagnosis and treatment … https://psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
https://psnet.ahrq.gov/issue/ … hospitalized-patients-understanding-their-plan-care
https://psnet.ahrq.gov/issue/daily-plan-including-patients-safetys-sake
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psnet.ahrq.gov/node/60042/psn-pdf
March 11, 2020 - https://psnet.ahrq.gov/issue/walgreens-complaints-medication-errors-go-missing
Response to reported safety … walgreens-complaints-medication-errors-go-missing
https://psnet.ahrq.gov/issue/barriers-speaking-about-patient-safety-concerns … https://psnet.ahrq.gov/perspective/safety-retail-pharmacy
https://psnet.ahrq.gov/issue/how-chaos-chain-pharmacies-putting-patients-risk
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psnet.ahrq.gov/web-mm/hold-order
December 19, 2018 - According to the Pennsylvania Patient Safety Reporting System (PA-PSRS), the most common classes of medications … This process follows the Joint Commission's National Patient Safety Goals (NPSG) on medication reconciliation … PA-PSRS Patient Safety Advisory. March 2006;3:33-34. … National Patient Safety Goals. Joint Commission Web site. … Your actions speak louder than words when it comes to patient safety.