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psnet.ahrq.gov/node/40048/psn-pdf
December 01, 2010 - decade's intense focus on patient safety, one fundamental question remains unanswered:
are hospitalized … patients safer than they were 10 years ago? … The recent 10th anniversary of the seminal Institute of Medicine
report that launched the patient safety … Robert Wachter and a plenary session at the National Patient
Safety Congress. … economic-measurement-medical-errors
https://psnet.ahrq.gov/issue/err-human-building-safer-health-system
https://psnet.ahrq.gov/issue/patient-safety-ten-unmistakable-progress-troubling-gaps
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psnet.ahrq.gov/issue/technologists-role-patient-safety-and-quality-medical-imaging
May 15, 2024 - Commentary
The technologist's role in patient safety and quality in medical imaging … The technologist's role in patient safety and quality in medical imaging. … The technologist's role in patient safety and quality in medical imaging. … Safety Agency. … July 18, 2024
Patient Safety Innovations
Ambulatory Safety
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psnet.ahrq.gov/issue/emergency-medicine-quality-improvement-and-patient-safety-curriculum
November 30, 2012 - Course Material/Curriculum
Emergency medicine quality improvement and patient safety … Emergency Medicine Quality Improvement and Patient Safety Curriculum. … Emergency Medicine Quality Improvement and Patient Safety Curriculum. … April 24, 2018
Measuring patient safety in the emergency department. … June 7, 2017
Patient Safety Curriculum.
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psnet.ahrq.gov/issue/using-simulation-training-improve-perioperative-patient-safety
August 20, 2018 - Study
Using simulation training to improve perioperative patient safety. … Using simulation training to improve perioperative patient safety. … Using simulation training to improve perioperative patient safety. … July 19, 2023
Description and evaluation of an interprofessional patient safety course … May 26, 2010
Crew resource management improved perception of patient safety in the operating
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psnet.ahrq.gov/issue/developing-medication-patient-safety-program-infrastructure-and-strategy
May 11, 2014 - Commentary
Developing a medication patient safety program — infrastructure and strategy … Developing a Medication Patient Safety Program – Infrastructure and Strategy. … Developing a Medication Patient Safety Program – Infrastructure and Strategy. … September 2, 2020
Improving patient safety in intensive care units in Michigan. … February 18, 2015
Developing a medication patient safety program, part 2: process and
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psnet.ahrq.gov/node/46343/psn-pdf
March 21, 2018 - However, the safety aspects of CPOE have yet to be optimized, as evidenced by studies demonstrating … This study analyzed CPOE
safety vulnerabilities by examining erroneous orders—medication orders identified … , for the wrong medication, or were a
duplicate order for a medication the patient was already taking … A
previous Annual Perspective discussed the impact of CPOE on patient safety. … https://psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
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psnet.ahrq.gov/issue/when-order-sets-do-not-align-clinician-workflow-assessing-practice-patterns-electronic-health
March 24, 2019 - March 24, 2019
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … View More
Related Resources
Duplicate medication order errors: safety … safety and service efficiency. … February 11, 2015
Indication-based prescribing prevents wrong-patient medication errors … January 7, 2015
Preventing potentially inappropriate medication use in hospitalized older patients
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psnet.ahrq.gov/node/43823/psn-pdf
June 07, 2017 - Safety perceptions of health care leaders in 2 Canadian
academic acute care centers. … Safety Perceptions of Health Care Leaders in 2 Canadian
Academic Acute Care Centers. … J Patient Saf. 2017;13(2):62-68. doi:10.1097/PTS.0000000000000112. … https://psnet.ahrq.gov/issue/safety-perceptions-health-care-leaders-2-canadian-academic-acute-care- … https://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/primer/leadership-role-improving-safety
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psnet.ahrq.gov/issue/creating-culture-safety-coaching-clinicians-competence
January 10, 2024 - , and patient outcomes. … December 6, 2017
Learning and mindfulness: improving perioperative patient safety. … April 19, 2017
Medication governance: preventing errors and promoting patient safety. … March 15, 2017
Continuing education in patient safety: massive open online courses as … July 16, 2014
Using the ABCs of situational awareness for patient safety.
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psnet.ahrq.gov/node/49443/psn-pdf
May 01, 2004 - in our patients' best interests. … When HIPAA appears to compromise good patient care or
safety, HIPAA must be set aside, not because HIPAA … This case raises a number of issues about patient safety (13-17) and common misconceptions about
HIPAA … When a tradeoff between privacy/confidentiality and safety exists, we should ask our patients whether … Apparent conflicts between HIPAA and patient safety often reveal underlying unsafe practices
and misunderstandings
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psnet.ahrq.gov/node/44715/psn-pdf
May 19, 2019 - J Patient Saf. 2019;15(2):77-85. doi:10.1097/PTS.0000000000000240. … electronic-health-record-related-events-medical-malpractice-claims
Although heath information technology (IT) has improved patient … https://psnet.ahrq.gov/primer/diagnostic-errors
https://psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes … https://psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes … https://psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
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psnet.ahrq.gov/node/73678/psn-pdf
September 08, 2021 - J Patient Saf. 2021;17(6):e483-e489. doi:10.1097/pts.0000000000000390. … deficiencies decreased as IT
sophistication increased, suggesting investment in IT could lead to further patient … safety benefits in nursing
homes. … centers-medicare-and-medicaid-services-cms-nursing-home-compare
https://psnet.ahrq.gov/issue/digital-health-and-patient-safety-technology-not-magic-wand
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psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
January 01, 2021 - safety
• Develop an approach to managing patients diagnosed with pulmonary
embolism including anticoagulation … safety, ACR places shared responsibility on
ordering physicians for timely follow-up of diagnostic … Approach to Improving Safety
36
37
Approach to Improving Safety (1)
• This case represents a classic … radiologic findings
• Failure of the primary team to review imaging studies
• Failure to recognize multiple indicators … safety and
minimize diagnostic error
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psnet.ahrq.gov/node/854246/psn-pdf
October 04, 2023 - Inpatient EHR user experience and hospital EHR safety
performance. … Inpatient EHR user experience and hospital EHR safety
performance. … EHR User experience survey, this
study compares safety scores and physician perceptions of usability … https://psnet.ahrq.gov/issue/inpatient-ehr-user-experience-and-hospital-ehr-safety-performance
https: … leapfrog-hospital-survey
https://psnet.ahrq.gov/issue/electronic-health-record-usability-issues-and-potential-contribution-patient-harm
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psnet.ahrq.gov/node/837893/psn-pdf
August 24, 2022 - Exploring nurses' attitudes, skills, and beliefs of
medication safety practices. … Exploring nurses' attitudes, skills, and beliefs of medication
safety practices. … https://psnet.ahrq.gov/issue/exploring-nurses-attitudes-skills-and-beliefs-medication-safety-practices … https://psnet.ahrq.gov/issue/exploring-nurses-attitudes-skills-and-beliefs-medication-safety-practices … https://psnet.ahrq.gov/primer/nursing-and-patient-safety
https://psnet.ahrq.gov/primer/medication-administration-errors
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psnet.ahrq.gov/issue/office-based-surgery-and-patient-outcomes
October 06, 2021 - October 6, 2021
Concepts for the development of a customizable checklist for use by patients … October 7, 2013
Patient safety and office-based anesthesia. … June 14, 2023
Effect of the surgical safety checklist on provider and patient outcomes … April 27, 2022
Automation failures and patient safety. … May 8, 2019
Patient safety and office-based anesthesia.
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psnet.ahrq.gov/node/837904/psn-pdf
August 24, 2022 - issue/state-art-review-speaking-healthcare
Speaking up behaviors are a key indicator of psychological safety … and a culture of safety. … psnet.ahrq.gov/issue/state-art-review-speaking-healthcare
https://psnet.ahrq.gov/issue/speaking-about-patient-safety-psychiatric-hospitals-cross-sectional-survey-study-among … https://psnet.ahrq.gov/issue/understanding-psychological-safety-health-care-and-education-organizations-comparative … psnet.ahrq.gov/issue/systematic-review-exploring-content-and-outcomes-interventions-improve-psychological-safety
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psnet.ahrq.gov/node/42206/psn-pdf
April 24, 2013 - Use of simulation to assess electronic health record
safety in the intensive care unit: a pilot study … Use of simulation to assess electronic health record safety in the
intensive care unit: a pilot study … https://psnet.ahrq.gov/issue/use-simulation-assess-electronic-health-record-safety-intensive-care-unit-pilot … abnormalities when asked to review the
electronic medical record (EMR) of a simulated intensive care unit patient … https://psnet.ahrq.gov/issue/use-simulation-assess-electronic-health-record-safety-intensive-care-unit-pilot-study
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psnet.ahrq.gov/issue/qualitative-formative-evaluation-patient-centred-patient-safety-intervention-delivered
February 22, 2019 - Study
A qualitative formative evaluation of a patient-centred patient safety intervention … A qualitative formative evaluation of a patient-centred patient safety intervention delivered in collaboration … received positively by patients, families, volunteers, and frontline staff. … A qualitative formative evaluation of a patient-centred patient safety intervention delivered in collaboration … patient safety intervention delivered in collaboration with hospital volunteers.
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psnet.ahrq.gov/node/73331/psn-pdf
May 26, 2021 - cancer-diagnoses-delayed-among-prisoners-washington-state
Delays and mistakes in health care for distinct patient … cancer-diagnoses-delayed-among-prisoners-washington-state
https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors … https://psnet.ahrq.gov/issue/patient-safety-moving-bar-prison-health-care-standards
https://psnet.ahrq.gov