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psnet.ahrq.gov/node/40148/psn-pdf
June 20, 2012 - This systematic
review found that while reducing shift length has some effect on patient safety, existing … literature does not
indicate the optimal shift length or the magnitude of benefit for patients or physicians … safety. … /issue/new-recommendations-duty-hours-acgme-task-force
https://psnet.ahrq.gov/primer/duty-hours-and-patient-safety … effects-duty-napping-intern-sleep-time-and-fatigue
https://psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
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psnet.ahrq.gov/node/33699/psn-pdf
August 01, 2010 - Operationalizing Patient Safety at Academic Medical Centers. PSNet
[internet]. 2010. … to patient safety initiatives at AMCs. … Eisenberg patient safety and quality awards. … US and Canadian physicians' attitudes and experiences
regarding disclosing errors to patients. … Developing a national patient safety education framework for
Australia.
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psnet.ahrq.gov/node/73879/psn-pdf
September 29, 2021 - Evolving factors in hospital safety: a systematic review
and meta-analysis of hospital adverse events … Evolving factors in hospital safety: a systematic review and
meta-analysis of hospital adverse events … J Patient Saf. 2021;17(8):e1285-e1295.
doi:10.1097/pts.0000000000000889. … https://psnet.ahrq.gov/issue/evolving-factors-hospital-safety-systematic-review-and-meta-analysis-hospital … -
adverse-events
Hospital adverse events are common and can contribute to serious patient harm.
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psnet.ahrq.gov/node/50746/psn-pdf
December 18, 2019 - creating a positive organizational culture can
both promote speaking up about medical errors and increase patient … safety. … influence-organizational-culture-climate-and-commitment-speaking-about-medical-errors
https://psnet.ahrq.gov/issue/hospital-safety-climate-and-safety-outcomes-there-relationship-va … https://psnet.ahrq.gov/issue/barriers-speaking-about-patient-safety-concerns
https://psnet.ahrq.gov/ … primer/culture-safety
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psnet.ahrq.gov/node/44799/psn-pdf
July 11, 2017 - guide-reducing-unintended-consequences-electronic-health-records
https://psnet.ahrq.gov/issue/health-it-and-patient-safety-building-safer-systems-better-care
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psnet.ahrq.gov/node/860382/psn-pdf
January 10, 2024 - equity-acquisition
Changes in hospital leadership and ownership can impact patient safety and health … This study
compared hospital-acquired adverse events among Medicare patients treated at private equity-acquired … Researchers found that Medicare patients
experienced a 25% increase in hospital-acquired conditions … https://psnet.ahrq.gov/issue/quality-and-safety-outcomes-hospital-merger-following-full-integration-safety-net-hospital … https://psnet.ahrq.gov/issue/patient-safety-private-hospitals-known-and-unknown-risk
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/are-physicians-perceptions-healthcare-quality-and-practice-satisfaction-affected-errors
July 10, 2008 - Physicians who were concerned about the safety implications of EHRs were also more likely to report dissatisfaction … July 10, 2008
Computerized prescriber order entry–related patient safety reports: analysis … What can apologies in the electronic health record tell us about health care quality, processes, and safety
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psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
July 23, 2024 - engagement and daily behaviors. 1
Innovation Patient Safety Focus
The framework for nudge projects … health-related actions or enhance care delivery, ultimately improving patient safety. … In implementing patient safety interventions, requiring a provider or patient to deviate from a previous … Patient Safety Innovations
Reducing Preventable Patient … Safety
March 27, 2024
Patient Safety Innovations
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psnet.ahrq.gov/issue/alternatives-opioid-education-and-prescription-drug-monitoring-program-cumulatively-decreased
April 06, 2022 - Reducing opioid-related overdoses and deaths is a national patient safety priority . … Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients … recommendations for implementing smart pumps in advanced healthcare systems to improve intravenous medication safety … November 16, 2022
Improving patient safety and efficiency of medication reconciliation … View More
See More About The Topic
Emergency Departments
Quality and Safety
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psnet.ahrq.gov/node/837703/psn-pdf
July 20, 2022 - Family safety reporting in hospitalized children with
medical complexity. … Family safety reporting in hospitalized children with medical
complexity. … https://psnet.ahrq.gov/issue/family-safety-reporting-hospitalized-children-medical-complexity
Children … and hospital staff caring for
these patients in one tertiary children’s hospital. … https://psnet.ahrq.gov/issue/family-safety-reporting-hospitalized-children-medical-complexity
https:/
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psnet.ahrq.gov/node/837768/psn-pdf
August 03, 2022 - Comparison of a voluntary safety reporting system to a
global trigger tool for identifying adverse events … Comparison of a voluntary safety reporting system to a global
trigger tool for identifying adverse events … J Patient Saf. 2022;18(6):611-616.
doi:10.1097/pts.0000000000001050. … https://psnet.ahrq.gov/issue/comparison-voluntary-safety-reporting-system-global-trigger-tool-identifying … In this comparison study, the Global Trigger Tool identified 79 AE in 88 oncology patients,
compared
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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - Safety
Consideration of Patient History and Anatomy
The success and safety of laparoscopic access … However, opening pressure may be slightly higher (7-9 mmHg) in patients with obesity, such as the patient … March 3, 2021
Patient safety in developing countries: retrospective estimation of scale … March 29, 2012
Enhancing patient safety in prehospital environment: analyzing patient … safety: past, present, and future.
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psnet.ahrq.gov/node/866280/psn-pdf
July 10, 2024 - J Patient Saf. 2024;20(6):434-439.
doi:10.1097/pts.0000000000001237. … spread of COVID-19 or other healthcare-associated
infections, can result in unintended consequences for patient … safety. … pandemic-and-increased-falls-harm-canadian-hospital
https://psnet.ahrq.gov/issue/challenges-and-potential-solutions-patient-safety-infectious-agent-isolation-environment … https://psnet.ahrq.gov/issue/safety-patients-isolated-infection-control
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psnet.ahrq.gov/web-mm/peripheral-iv-too-long
September 15, 2011 - Improving the safety of peripheral intravenous catheters. BMJ. 2008;337:a630. … Safety of prolonging peripheral cannula and i.v. tubing use from 72 hours to 96 hours. … of 3165 patients. … September 15, 2011
An examination of Leapfrog safety measures and Magnet designation. … safety events and electronic health records use: an observational study.
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psnet.ahrq.gov/node/50891/psn-pdf
February 12, 2020 - survey
responses indicate that nurses identify with their role in AS processes but believe hospital safety … nurses-antimicrobial-stewards-recognition-confidence-and-organizational-factors-across-nine
https://psnet.ahrq.gov/issue/antimicrobial-stewardship-and-patient-safety … https://psnet.ahrq.gov/issue/antimicrobial-stewardship-another-focus-patient-safety
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psnet.ahrq.gov/node/44813/psn-pdf
February 15, 2017 - Use of the surgical safety checklist has been linked to improved patient outcomes, but checklist compliance … An accompanying editorial calls implementing videos with
feedback the "next great leap forward" for patient … safety. … https://psnet.ahrq.gov/issue/video-capture-clinical-care-enhance-patient-safety
https://psnet.ahrq.gov … /perspective/video-improve-patient-safety-clinical-and-educational-uses
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psnet.ahrq.gov/node/74075/psn-pdf
November 17, 2021 - CDC guideline for opioid prescribing associated with
reduced dispensing to certain patients with chronic … Misuse of prescription opioids represents a serious patient safety issue. … authors observe that questions remain about how clinicians are tailoring opioid reductions using a
patient-centered … https://psnet.ahrq.gov/primer/opioid-safety
https://psnet.ahrq.gov/issue/opioid-prescribing-after-nonfatal-overdose-and-association-repeated-overdose-cohort-study … https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/node/37063/psn-pdf
January 02, 2017 - Jt Comm J Qual Patient Saf. 2007;33(8):493-501. … Medical students and residents are exposed to medical errors early in the training process, but formal
patient … safety training remains in its infancy. … at an academic
medical center sought to evaluate trainees' knowledge and attitudes toward important safety … that limits the use of patient safety as a learning tool.
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psnet.ahrq.gov/issue/national-cost-adverse-drug-events-resulting-inappropriate-medication-related-alert-overrides
July 02, 2019 - prior research has shown that inappropriate medication alert overrides occur frequently and place patients … Extrapolating medication order data from a random sample of patients at a single academic medical center … A past Annual Perspective discussed the role of computerized provider order entry in patient safety … Annual Perspective
Technology as a Tool for Improving Patient … Safety
March 29, 2023
Quality and variability of patient directions in electronic
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psnet.ahrq.gov/node/72636/psn-pdf
January 13, 2021 - resident-faculty-overnight-discrepancy-rates-function-number-consecutive-
nights-during-week
Recent duty hour reforms are intended to improve patient … safety and resident well-being. … resident-faculty-overnight-discrepancy-rates-function-number-consecutive-nights-during-week
https://psnet.ahrq.gov/primer/duty-hours-and-patient-safety … https://psnet.ahrq.gov/issue/patient-safety-resident-education-and-resident-well-being-following-implementation