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psnet.ahrq.gov/node/44586/psn-pdf
June 21, 2016 - safety initiatives, with reporting requirements and Medicare nonpayment leading to significant
efforts … The analysis indicated that hospitalized patients
experienced 1.3 million fewer HACs over the 3 years … The remaining burden of
HACs suggests continued investment in this patient safety problem is needed. … wisdom-and-justice-not-paying-preventable-complications
https://psnet.ahrq.gov/issue/efforts-improve-patient-safety-result … -13-million-fewer-patient-harms-interim-update-2013
https://psnet.ahrq.gov/issue/partnership-patients
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psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg
May 01, 2017 - safety procedures, and proper post-procedural care, especially while the PEG tract matures. … Rachel Sorokin, MD Chief Patient Safety and Quality Officer Thomas Jefferson University Hospital … PEG Insertion Safety Procedures. Four PEG Insertion Safety Procedures 1. … safety: 2003 to 2008. … Patient Engagement in Safety
January 1, 2017
Perspective
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psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
January 01, 2015 - RW : During the first 7 or 8 years of the patient safety field after the Institute of Medicine report … MG : I wouldn't fault the patient safety movement for this. … RW : Anything else you wanted to talk about particularly in the realm of patient safety? … The effect of the Virginia Mason Production System (VMPS) can be seen in indicators of clinical outcomes … , safety, patient satisfaction, process indicators, staff engagement, and economics.
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psnet.ahrq.gov/node/836850/psn-pdf
March 31, 2022 - with medication management and errors in medication administration are major threats to patient
safety … above and that were featured on the AHRQ Patient Safety
Network (PSNet) in late 2020 or during 2021 … Patient interviews in this study revealed that patients
had little awareness of the potential for serious … and
overall patient safety. … Investigating improvement strategies
and tools for medication safety may advance overall patient safety
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psnet.ahrq.gov/issue/validity-unplanned-admission-intensive-care-unit-measure-patient-safety-surgical-patients
May 26, 2021 - safety in surgical patients. … Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical … The authors conclude that this methodology may serve as an important tool to promote patient safety by … engagement for patient safety in healthcare organizations. … October 29, 2014
Oversight Hearing on Recent Patient Safety Issues.
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psnet.ahrq.gov/issue/stakeholder-challenges-purchasing-medical-devices-patient-safety
February 03, 2021 - Study
Stakeholder challenges in purchasing medical devices for patient safety. … Stakeholder challenges in purchasing medical devices for patient safety. … Stakeholder challenges in purchasing medical devices for patient safety. … December 13, 2023
Implementing and evaluating patient-focused safety technology on adult … March 13, 2024
Design for patient safety: a systems-based risk identification framework
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psnet.ahrq.gov/issue/guide-patient-and-family-engagement-hospital-quality-and-safety
December 24, 2008 - Citation Text:
Guide to Patient and Family Engagement in Hospital Quality and Safety. … This AHRQ toolkit is designed to help hospitals develop partnerships with patients around improving safety … December 18, 2008
Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative … Safety
March 27, 2024
Patient safety incidents in advance care planning for … January 8, 2018
Managing the after effects of serious patient safety incidents in the
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psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
October 30, 2024 - Innovation Patient Safety Focus
The focus of the HRTIC program is to reduce preventable 30-day hospital … https://www.ahrq.gov/patient-safety/resources/improve-discharge/index.html
Footnotes
Leppin AL, … Summary
July 23, 2024
Patient Safety Innovations … Safety Innovations
ECHO-Care Transitions Successfully Reduces Patient Readmissions … 26, 2021
Patient Safety Innovations
Team-Developed
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psnet.ahrq.gov/node/37630/psn-pdf
February 15, 2011 - The Accreditation Council for Graduate Medical
Education's limits on residents' work hours and patient … safety. … The Accreditation Council for Graduate Medical Education's limits
on residents' work hours and patient … safety. … The patient safety effects of 2003 regulations reducing housestaff work hours have yet to be determined
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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/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/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/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/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/49834/psn-pdf
July 01, 2018 - "The Ultrasound Looked Fine": Point-of-Care Ultrasound
and Patient Safety
July 1, 2018
Lewiss RE. … "The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety. … https://psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
Case Objectives … The use of the term
https://psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety … Bedside Ultrasonography Guidelines for Critically Ill Patients.
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psnet.ahrq.gov/node/49426/psn-pdf
November 01, 2003 - Per the hospital’s safety protocol, the planned lumbar puncture was put
on hold because of her agitation … The patient received IV magnesium sulfate immediately. … whether such a
protocol was appropriate and whether it provides the best balance of effectiveness and safety … If sedation is truly urgent for medical or safety reasons, use IV push haloperidol but attempt to keep … Efficacy and safety of IM ziprasidone vs.
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psnet.ahrq.gov/web-mm/no-blood-please
January 14, 2011 - Patients' choices of allowing and refusing treatment may present significant safety challenges. … Since patient preferences sometimes create safety challenges, clear policies and procedures should be … January 14, 2011
The Patient Safety and Quality Improvement Act of 2005: developing an … error reporting system to improve patient safety. … Intelligence and Patient Safety: Promise and Challenges
March 27, 2024
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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/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