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psnet.ahrq.gov/issue/are-we-heeding-warning-signs-examining-providers-overrides-computerized-drug-drug-interaction
September 01, 2016 - More than 30% of alert overrides were considered inappropriate and put patients at significant risks … This study suggests that medication alert overrides will likely remain an important source of patient … Related Resources
Adherence to drug–drug interaction alerts in high-risk patients … May 19, 2014
Patient safety, error reduction, and pediatric nurses' perceptions of smart … View More
See More About The Topic
Hospitals
Physicians
Quality and Safety
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psnet.ahrq.gov/issue/body-ct-technical-advances-improving-safety
September 28, 2022 - September 24, 2018
Patient safety in primary care: conceptual meanings to the health … care team and patients. … May 20, 2009
Association of implementation and social network factors with patient safety … May 29, 2019
Improving patient safety in radiation oncology. … January 4, 2010
An international review of patient safety measures in radiotherapy practice
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psnet.ahrq.gov/node/850917/psn-pdf
June 21, 2023 - Improving safety outcomes through medical error
reduction via virtual reality-based clinical skills … Improving safety outcomes through medical error reduction via
virtual reality-based clinical skills … Safety Sci. 2023;165:106200. doi:10.1016/j.ssci.2023.106200. … https://psnet.ahrq.gov/issue/improving-safety-outcomes-through-medical-error-reduction-virtual-reality … effectiveness-using-simulation-development-clinical-reasoning-undergraduate-nursing-students
https://psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
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psnet.ahrq.gov/issue/hospital-rphs-weigh-new-jcaho-patient-safety-goals
May 20, 2020 - Newspaper/Magazine Article
Hospital R.Ph.s weigh in on new JCAHO patient safety goals … Citation Text:
Hospital R.Ph.s weigh in on new JCAHO patient safety goals. Vecchione A. … safety goals. … Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients … September 6, 2016
Developing a medication patient safety program — infrastructure and
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psnet.ahrq.gov/issue/patient-who-falls-its-always-trade
February 17, 2011 - The patient who falls: "It's always a trade-off". … March 17, 2021
Surgical teams' attitudes about surgical safety and the surgical safety … November 15, 2023
Patient Safety Innovations
Preventing … April 26, 2023
Healthcare-associated adverse events in alternate level of care patients … May 12, 2010
Strategies to improve the patient safety outcome indicator: preventing or
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psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
March 01, 2018 - Missed Nursing Care: A Key Measure for Patient Safety. PSNet [internet]. … Missed Nursing Care: A Key Measure for Patient Safety. PSNet [internet]. … safety grades reported by nurses.( 4 ) Where missed care rates are higher, patients are less likely … The state has seen steeper declines in mortality and improvements in other indicators than other states … February 23, 2022
Patient Safety Primers
Nursing and Patient
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psnet.ahrq.gov/issue/wrong-patient-wrong-site-procedures-persist-despite-safety-protocol
April 24, 2013 - Newspaper/Magazine Article
Wrong-patient, wrong-site procedures persist despite safety … Citation Text:
Wrong-patient, wrong-site procedures persist despite safety protocol. … safety now. … August 6, 2008
Patient safety: what can medicine learn from aviation? … February 10, 2010
Can protecting patients be made recession-proof?
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psnet.ahrq.gov/node/837892/psn-pdf
January 01, 2023 - J Patient Saf. 2023;19(1):36-41. doi:10.1097/pts.0000000000001070. … psnet.ahrq.gov/issue/teamwork-and-during-covid-19-good-same-and-ugly
Teamwork is an essential component of patient … safety. … facilities with worsening teamwork climate had
corresponding decreases in other measured domains, including safety … researchers suggest that healthcare organizations should proactively increase team-based
training to reduce patient
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psnet.ahrq.gov/node/45362/psn-pdf
January 23, 2017 - The authors describe a patient-controlled
analgesia failure to illustrate the scenario method. … capturing-essential-information-achieve-safe-interoperability
https://psnet.ahrq.gov/issue/indication-based-prescribing-prevents-wrong-patient-medication-errors-computerized-provider … psnet.ahrq.gov/issue/clinical-ict-systems-victorian-public-health-sector
https://psnet.ahrq.gov/issue/pca-safety-data-review-after-clinical-decision-support-and-smart-pump-technology … https://psnet.ahrq.gov/issue/pca-safety-data-review-after-clinical-decision-support-and-smart-pump-technology … https://psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
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psnet.ahrq.gov/issue/are-workarounds-ethical-managing-moral-problems-health-care-systems
March 09, 2016 - July 7, 2021
Improving Patient Safety Through Teamwork and Team Training. … January 29, 2014
Practical Patient Safety. … November 13, 2018
Oxford Professional Practice: Handbook of Patient Safety. … February 26, 2014
Identifying Risks and Monitoring Safety: the Role of Patients and Citizens … June 6, 2012
Patient Safety: An Engineering Approach.
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psnet.ahrq.gov/node/73106/psn-pdf
April 01, 2021 - to
understand, track and communicate performance on patient safety metrics. … patient safety between
health care sites, determine effectiveness of patient safety interventions, … Safety Data
Two widely used tools for visually tracking and sharing patient safety data are run charts … risk of post-hospitalization adverse
events and hospital readmission for patients. … https://psnet.ahrq.gov//#1
https://psnet.ahrq.gov//#2
https://psnet.ahrq.gov/issue/guide-improving-patient-safety-primary-care-settings-engaging-patients-and-families
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psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
March 27, 2024 - Innovation Patient Safety Focus
CTI focuses on patient empowerment during the care transition process … Knowledge of “red flags”: The patient is knowledgeable of indicators that his or her condition is worsening … Safety Innovations
Patient and Family Centered I-PASS (Family-Centered Communication … Nursing Home Residents
July 28, 2021
Patient Safety Innovations … 26, 2021
Patient Safety Innovations
Team-Developed
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psnet.ahrq.gov/issue/hospitalinspectionsorg
February 24, 2025 - Safety. … October 31, 2012
The association between health care staff engagement and patient safety … May 13, 2019
Managing the after effects of serious patient safety incidents in the NHS … May 17, 2013
Medicare releases patient safety ratings for hospitals. … November 29, 2009
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See More About The Topic
Hospitals
Media
Patients
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psnet.ahrq.gov/issue/wrong-patient-ordering-errors-peripartum-mother-newborn-pairs-unique-patient-safety-challenge
July 28, 2021 - patient-safety challenge in obstetrics. … Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in … Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in … February 22, 2023
Critical care clinicians' experiences of patient safety during the … September 23, 2020
The psychological experience of obstetric patients and health care
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psnet.ahrq.gov/issue/follow-markedly-elevated-serum-potassium-results-ambulatory-setting-implications-patient
September 29, 2021 - medical records to analyze follow-up procedures for episodes of hyperkalemia and found that 25% of patients … reporting and resident perception of their role in patient safety
September 29, 2021 … May 17, 2013
The patient safety battles—put on your armor. … July 14, 2010
Patient safety practices: leaders can turn barriers into accelerators. … January 13, 2021
Patient Safety Innovations
Awareness of
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psnet.ahrq.gov/node/843083/psn-pdf
January 25, 2023 - administrations-510k
The Food and Drug Administration (FDA) plays an important role in ensuring the safety … risk of future Class 1 FDA recall (the most
serious recall designation, indicating serious risks to patient … safety) among previously authorized devices
(predicates) with prior Class 1 recalls. … use-recalled-devices-new-device-authorizations-under-us-food-and-drug-administrations-510k
https://psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety … https://psnet.ahrq.gov/perspective/safety-medical-devices
https://psnet.ahrq.gov/issue/anatomy-medical-device-recall-how-defective-products-can-slip-through-outdated-system
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psnet.ahrq.gov/node/49662/psn-pdf
August 01, 2012 - These four safety procedures (Table 3
) minimize inadvertent insertion of the PEG tube through intervening … review of 28 such cases, 16 occurred after PEG replacement; thus, it is important to
follow standard safety … 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
https … PEG Insertion Safety Procedures.
Four PEG Insertion Safety Procedures
1. Insufflate stomach
2.
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psnet.ahrq.gov/node/846564/psn-pdf
March 29, 2023 - Technology as a Tool for Improving Patient Safety
March 29, 2023
Holmgren AJ, McBride S, Gale B, et … Technology as a Tool for Improving Patient Safety . PSNet
[internet]. 2023. … Susan
McBride, PhD, subject matter experts in health IT and its role in patient safety. … CDS provides clinicians, patients, and other
individuals with relevant data (e.g. patient-specific information … https://psnet.ahrq.gov/issue/patient-safety-informatics-criteria-development-assessing-maturity-digital-patient-safety
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psnet.ahrq.gov/node/72737/psn-pdf
February 09, 2021 - information to
be seen by providers across the health system, for the abstraction of key performance indicators … for access by all
patients. … Data has stabilized at 9-deaths per
1,000 engaged patient-months.
Increased patient engagement. … categories of patient-program objectives has increased patient engagement
in the program from 130 days … Innovation Patient Safety Focus
The program has succeeded in reducing mortality among individuals suffering
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psnet.ahrq.gov/issue/radonda-vaught-medication-safety-and-profession-pharmacy-steps-improve-safety-and-ensure
May 25, 2022 - to improve safety and ensure justice. … RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure … RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure … September 1, 2015
Looking back on the history of patient safety: an opportunity to reflect … the shape of medication containers can improve medication safety.