-
psnet.ahrq.gov/node/35486/psn-pdf
December 06, 2011 - safety regarding the impact of current
litigation practices. … Medical Practice study, they argue
that malpractice exposure likely decreases the risk of harm to patients … and that the real debate should
focus on poorly aligned incentives to providers who fail to promote safety … and quality in patient care. … safety agendas.
-
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
-
psnet.ahrq.gov/issue/medication-errors-0
October 03, 2012 - September 29, 2017
Patient Safety, 2nd edition. … August 9, 2013
Patient Safety Papers 4. … April 20, 2011
Patient Safety Papers 5. … October 26, 2010
The English Patient Safety Programme. … February 10, 2010
Patient Safety.
-
psnet.ahrq.gov/issue/first-annual-healthgrades-pediatric-patient-safety-american-hospitals-study
September 12, 2012 - Book/Report
The First Annual HealthGrades Pediatric Patient Safety in American Hospitals … Citation Text:
The First Annual HealthGrades Pediatric Patient Safety in American Hospitals Study. … from 2006–2008 to identify pediatric patient safety incidence rates. … October 25, 2013
Finding and Preventing Patient Safety Incidents. … More About The Topic
Hospitals
Health Care Executives and Administrators
Policy Makers
Patients
-
psnet.ahrq.gov/node/73373/psn-pdf
January 01, 2022 - https://psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and-patient-safety-lessons … https://psnet.ahrq.gov/issue/death-due-pharmacy-compounding-error-reinforces-need-safety-focus
https … ://psnet.ahrq.gov/issue/sterile-compounding-clinical-legal-and-regulatory-implications-patient-safety
-
psnet.ahrq.gov/issue/spikes-demand-coronavirus-patients-are-creating-shortages-asthma-drugs-and-sedatives
May 11, 2016 - sedatives for ventilator patients. … Drug shortages are a persistent system-level challenge to patient safety. … February 29, 2012
Systematic review of interventions to improve safety and quality of … ISMP Medication Safety Alert! … June 24, 2020
Medication Safety During the COVID-19 Pandemic: What Have We Learned in
-
psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_mismanagement_of_acute_decompensated_heart_failure_slides_final.pptx
January 01, 2024 - outcomes in patients with non-cardiac conditions.1
11
11
Background (3)
However, the patient in … SAFETY
19
Fluid and Volume Management (1)
The patient may have benefited from immediate diuresis after … safety. … safety may not have changed the outcome for the patient in this case, but clinicians must be cautious … with end-organ injury, and emphasizing patient safety-centered disposition from the ED may help to prevent
-
psnet.ahrq.gov/issue/standardized-multidisciplinary-protocol-improves-handover-cardiac-surgery-patients-intensive
July 14, 2010 - Download Citation
Related Resources From the Same Author(s)
Impact of patient … safety mandates on medical education in the United States. … diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient … cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient … Intensive Care Units
Operating Room
Health Care Providers
Risk Managers
Quality and Safety
-
psnet.ahrq.gov/node/74089/psn-pdf
July 15, 2002 - effect-race-and-sex-physicians-recommendations-cardiac-catheterization
Gender, racial, and ethnic disparities in healthcare can affect patient … safety and lead to poor outcomes. … This study used actors portraying patients to explore the impact of race and sex on physicians’ decision … Analyses indicate that women and Black
patients with chest pain were less likely to be referred for … day-outcomes-after-hospitalization-covid-19
https://psnet.ahrq.gov/issue/racial-and-ethnic-disparities-patient-safety
-
psnet.ahrq.gov/node/60059/psn-pdf
August 12, 2020 - Survey shows room for improvement with two new ISMP
Targeted Medication Safety Best Practices. … August 12, 2020
ISMP Medication Safety Alert! Acute care edition. July 30, 2020;25(15). … https://psnet.ahrq.gov/issue/survey-shows-room-improvement-two-new-ismp-targeted-medication-safety- … https://psnet.ahrq.gov/issue/prescription-long-acting-opioids-and-mortality-patients-chronic-noncancer-pain … https://psnet.ahrq.gov/issue/case-medication-safety-officers-mso
-
psnet.ahrq.gov/node/49556/psn-pdf
March 01, 2008 - According to the Pennsylvania
Patient Safety Reporting System (PA-PSRS), the most common classes of … 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. … Cultural diversity and medication safety. ISMP Medication Safety Alert! Acute Care Edition. … National Patient Safety Goals. Joint Commission Web site.
-
psnet.ahrq.gov/node/46154/psn-pdf
June 07, 2017 - safety problems. … been raised that
overprescribing of opioids may be an unintended consequence of efforts to improve patient … However, this Michigan study found no relationship between postoperative opioid prescribing and patient … satisfaction scores, indicating that efforts to reduce opioid prescribing may not adversely affect patient … postoperative-opioid-prescribing-and-pain-scores-hospital-consumer-assessment-healthcare
https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
-
psnet.ahrq.gov/node/74200/psn-pdf
January 01, 2022 - , racial, and ethnic disparities in healthcare can adversely impact patient safety and lead to poor … patients in Ontario, Canada, undergoing common elective or emergent surgical procedures
from 2007 to … Among 1.3 million patients, sex discordance between surgeon and patient was
associated with a significant … Subgroup analyses indicate that this relationship is driven by worse outcomes among female patients … ://psnet.ahrq.gov/issue/sex-and-gender-differences-anesthesia-relevant-also-perioperative-safety
https
-
psnet.ahrq.gov/node/41986/psn-pdf
January 23, 2013 - Slow progress on meeting hospital safety standards:
learning from the Leapfrog Group's efforts. … Slow progress on meeting hospital safety standards: learning from the Leapfrog
Group's efforts. … according to the authors, may indicate that hospitals did not have a business case for investing in
patient … safety. … psnet.ahrq.gov/primer/computerized-provider-order-entry
https://psnet.ahrq.gov/issue/making-business-case-patient-safety
-
psnet.ahrq.gov/node/837149/psn-pdf
May 18, 2022 - Human factors analysis of latent safety threats in a
pediatric critical care unit. … Human factors analysis of latent safety threats in a pediatric
critical care unit. … https://psnet.ahrq.gov/issue/human-factors-analysis-latent-safety-threats-pediatric-critical-care-unit … Based on direct observations, these researchers
identified 226 latent safety threats affecting routine … https://psnet.ahrq.gov/issue/patient-safety-intensive-care-unit
https://psnet.ahrq.gov/glossary-0#glossary-heading-term
-
psnet.ahrq.gov/node/837332/psn-pdf
June 08, 2022 - Influence of psychological safety and organizational
support on the impact of humiliation on trainee … Influence of psychological safety and organizational support
on the impact of humiliation on trainee … J Patient Saf. 2022;18(4):370-375.
doi:10.1097/pts.0000000000000927. … https://psnet.ahrq.gov/issue/influence-psychological-safety-and-organizational-support-impact-humiliation … This study explored the relationship between resident psychological safety, perceived
organizational
-
psnet.ahrq.gov/node/49454/psn-pdf
July 01, 2004 - stopped by the Data Safety and Monitoring Board on the basis of clear lack of effect. … safety associated with drotrecogin alfa (activated) is the error of omission.(14) As
with other proven … The drug's high cost, concerns about safety, and failure to recognize eligible patients are
thought … Efficacy and safety of recombinant human activated protein C
for severe sepsis. … Applying patient selection criteria for drotrecogin alfa
therapy in practice.
-
psnet.ahrq.gov/issue/relationship-between-medication-event-rates-and-leapfrog-computerized-physician-order-entry
November 26, 2014 - July 16, 2019
The safety of outpatient health care: review of electronic health records … May 15, 2024
The safety of inpatient health care. … January 7, 2015
The safety of electronic prescribing: manifestations, mechanisms, and … systems: monitoring CPOE order check override rates in the Department of Veterans Affairs' computerized patient … 10, 2011
Preventing potentially inappropriate medication use in hospitalized older patients
-
psnet.ahrq.gov/node/33762/psn-pdf
March 01, 2014 - We spoke with her about infection
prevention and patient safety.
Dr. … Alison Holmes: Yes, I do think the energy around the patient safety movement could have really been … What could be more appropriate than applying the patient safety agenda to
infection prevention? … RW: Infection prevention has been around much longer than the patient safety field. … How do you make the argument to patients that this is a bad
idea?
-
psnet.ahrq.gov/node/50894/psn-pdf
February 12, 2020 - Jt Comm J Qual Patient Saf. 2019;46(2). doi:10.1016/j.jcjq.2019.11.004. … Commission has stated that “intimidating and disruptive behaviors” can result in medical errors
that affect patient … care and safety. … professional-development-course-improves-unprofessional-physician-behavior
https://psnet.ahrq.gov/issue/behaviors-undermine-culture-safety