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psnet.ahrq.gov/node/33569/psn-pdf
June 15, 2024 - safety field. … https://psnet.ahrq.gov/primer/health-care-associated-infections
https://psnet.ahrq.gov/issue/patient-safety-concerns-arising-test-results-return-after-hospital-discharge … Patient education: Patients (and their families) must understand their diagnosis, their follow-up
needs … No consensus exists on how to ensure patient safety after hospital discharge, but some evidence indicates … The reasons why patients are readmitted likely vary
between hospitals and patient populations, indicating
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psnet.ahrq.gov/node/39662/psn-pdf
April 30, 2014 - Evidence from autopsy studies indicates that thousands of patients die every year due to missed or … delayed diagnoses, leading to diagnostic errors being termed the "next frontier" in patient safety. … Approximately 1 in 250 patients experienced a diagnostic error, most of which were considered
preventable … A Patient
Safety Primer discusses the heuristics that cause physicians to err in the diagnostic process … changes-rates-autopsy-detected-diagnostic-errors-over-time-systematic-review
https://psnet.ahrq.gov/issue/diagnostic-errors-next-frontier-patient-safety
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psnet.ahrq.gov/node/41719/psn-pdf
November 27, 2012 - A systematic review of the effectiveness, compliance, and
critical factors for implementation of safety … A systematic review of the effectiveness, compliance, and
critical factors for implementation of safety … psnet.ahrq.gov/issue/systematic-review-effectiveness-compliance-and-critical-factors-
implementation-safety … psnet.ahrq.gov/issue/systematic-review-effectiveness-compliance-and-critical-factors-implementation-safety … https://psnet.ahrq.gov/issue/effect-comprehensive-surgical-safety-system-patient-outcomes
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psnet.ahrq.gov/node/858174/psn-pdf
December 13, 2023 - Anaesthesia clinicians' perception of safety, workload,
anxiety, and stress in a remote hybrid suite … Anaesthesia clinicians' perception of safety, workload,
anxiety, and stress in a remote hybrid suite … https://psnet.ahrq.gov/issue/anaesthesia-clinicians-perception-safety-workload-anxiety-and-stress-remote … -
hybrid-suite
Non-standard work environments may present challenges to provider well-being and patient … safety.
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psnet.ahrq.gov/issue/common-formats-event-reporting-diagnostic-safety-version-10
December 24, 2008 - The Common Formats provide a standard terminology for voluntary reporting of diagnostic errors to patient … of Patient Safety Practices: Developing Criteria. … March 4, 2024
Challenge Competition: Impact of Patient Safety Tools. … and Quality
April 26, 2023
AHRQ-Funded Patient Safety Project Highlights: … Improving Healthcare Safety by Engaging Patients and Families.
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psnet.ahrq.gov/node/43544/psn-pdf
December 07, 2016 - J Patient Saf. 2016;12(4):180-189. … development-electronic-pediatric-all-cause-harm-measurement-tool-using-
modified-delphi-method
Detecting and measuring patient … safety hazards remains challenging, but assessing the potential for a
given safety problem to cause … They vetted 108
possible trigger tools that can indicate an incipient safety risk, including use of … The authors
assert that this work is the first step toward identifying harm to pediatric patients in
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psnet.ahrq.gov/issue/sops-health-information-technology-patient-safety-supplemental-item-set-hospital-survey
October 23, 2019 - Measurement Tool/Indicator
SOPS Health Information Technology Patient Safety Supplemental … Citation Text:
SOPS Health Information Technology Patient Safety Supplemental Item Set for the Hospital … This release of the Health Information Technology Patient Safety Supplemental Item Set to be used in … March 11, 2020
Health IT Patient Safety Supplemental Items for Hospitals. … March 22, 2016
AHRQ Patient Safety YouTube Channel.
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psnet.ahrq.gov/node/43257/psn-pdf
August 14, 2014 - Participants supported the approach
and involvement of frontline staff in safety surveillance to foster … a safety culture and enhance patient safety
education for trainees. … barriers-and-success-factors-implementation-multi-site-prospective-adverse-event-surveillance
https://psnet.ahrq.gov/primer/detection-safety-hazards … https://psnet.ahrq.gov/primer/culture-safety
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psnet.ahrq.gov/node/33800/psn-pdf
January 01, 2015 - Computerized Provider Order Entry and Patient Safety
January 1, 2015
Sarkar U, Shojania KG. … Computerized Provider Order Entry and Patient Safety. PSNet [internet]. 2015. … https://psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
Annual Perspective … 2015
Computerized provider order entry, or CPOE, is a cornerstone of patient safety efforts, and the … https://psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
https://psnet.ahrq.gov
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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.
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psnet.ahrq.gov/node/33707/psn-pdf
February 01, 2011 - Patient safety education at U.S. and
Canadian medical schools: results from the 2006 Clerkship Directors … Leape L, Berwick D, Clancy C, et al; Lucian Leape Institute at the National Patient Safety Foundation … Boston, MA: Lucian Leape Institute at
the National Patient Safety Foundation; March 2010. … quality indicators
6. consumerism and the
patient perspective
7. … safety, patient
experience, and systems
analysis
4. project management,
process redesign, Plan-Do
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psnet.ahrq.gov/issue/caregiver-perspectives-safety-home-dementia-care
January 20, 2010 - April 24, 2018
Social capital and knowledge sharing: effects on patient safety. … October 27, 2016
View More
Related Resources
Patient safety in … May 24, 2023
Registered nurses' efforts to ensure safety for home-dwelling older patients … to patient safety? … February 3, 2010
Insulin treatment as a tracer for identifying latent patient safety
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psnet.ahrq.gov/issue/lives-and-dollars-lost-calculator
June 21, 2023 - December 16, 2009
Hospital Safety Grade. … May 29, 2019
SOPS Health Information Technology Patient Safety Supplemental Item Set … March 28, 2018
Indiana Patient Safety Center. … February 27, 2013
Patient Safety. … More About The Topic
Hospitals
Health Care Executives and Administrators
Policy Makers
Patients
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psnet.ahrq.gov/curated-library/nurse-wellbeing-and-patient-safety
August 30, 2023 - Foundations (6)
Classic
Keeping Patients Safe: Transforming … Read More
Ten Years After Keeping Patients Safe: Have Nurses' Work Environments … This issue brief discusses what has changed since the Keeping Patients Safe report was released a decade … Missed nursing care is a key indicator of patient safety and has been linked to safety climate. … patient safety risks such as misdiagnosis.
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psnet.ahrq.gov/node/73187/psn-pdf
April 28, 2021 - Jt Comm J Qual Patient Saf. 2020;47(4):234-241.
doi:10.1016/j.jcjq.2020.11.008. … safety. … this study set in the Netherlands, pediatric
residents were asked to develop a contingency plan for patients … that engaging in deliberate cognitive
processing during handoffs resulted in better understanding of patients … ’ problems, which could contribute to
improved patient safety.
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psnet.ahrq.gov/issue/must-we-bust-trust-understanding-how-clinician-patient-relationship-influences-patient
January 11, 2023 - : Understanding how the clinician–patient relationship influences patient engagement in safety. … : Understanding how the clinician–patient relationship influences patient engagement in safety. … Engaging patients as partners in safety has been endorsed by The Joint Commission as a National Patient … Prior research has shown that while patients may view engaging in safety efforts positively , they may … : Understanding how the clinician–patient relationship influences patient engagement in safety.
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psnet.ahrq.gov/issue/quality-initiative-system-wide-reduction-serious-medication-events-through-targeted
April 10, 2024 - The authors suggest that simulation training is an effective strategy to improve the safety of pediatric … August 2, 2019
Changes in medication safety indicators in England throughout the covid … -19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients using … January 28, 2015
In situ simulation: detection of safety threats and teamwork training … December 15, 2011
Drug administration errors and their determinants in pediatric in-patients
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psnet.ahrq.gov/issue/2017-ismp-medication-safety-self-assessment-communityambulatory-pharmacy
June 07, 2017 - May 11, 2017
Severe hyperglycemia in patients incorrectly using insulin pens at home. … March 16, 2025
Community Pharmacy Survey on Patient Safety Culture. … June 16, 2019
In patient safety efforts, pharmacists gain new prominence. … January 23, 2019
Evaluation of patient safety culture in community pharmacies. … September 25, 2008
Patient-centered approach for improving prescription drug warning
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psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiveness-course
February 01, 2011 - Patient safety education at U.S. and Canadian medical schools: results from the 2006 Clerkship Directors … Leape L, Berwick D, Clancy C, et al; Lucian Leape Institute at the National Patient Safety Foundation … Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; March 2010. … 5. quality indicators
6. consumerism and the patient perspective
7. … Safety
February 26, 2025
Perspective
Patient
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psnet.ahrq.gov/issue/effect-computerisation-quality-and-safety-chemotherapy-prescription
December 29, 2014 - RIS
Download Citation
Related Resources From the Same Author(s)
Patients … ' and healthcare workers' perceptions of a patient safety advisory. … February 2, 2022
Drug administration errors and their determinants in pediatric in-patients … December 23, 2020
Patient safety incidents are common in primary care: a national prospective … August 15, 2018
Overnight stay in the emergency department and mortality in older patients