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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/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/issue/texting-debate-beneficial-means-communication-or-safety-and-security-risk
July 12, 2023 - Adopting new technologies in health care can have unintended consequences that diminish patient safety … patients. … July 2, 2014
View More
Related Resources
Patient Safety … Technology as a Tool for Improving Patient Safety
March 29, 2023 … Cybersecurity is Patient Safety: Policy Options in the Health Care Sector.
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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/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/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
View More
See More About The Topic
Hospitals
Media
Patients
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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/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/issue/preventing-adverse-drug-events
June 15, 2011 - August 2, 2016
Promoting Patient Safety Through Effective Health Information Technology … Reporting System for Patient Safety Events. … , and patient outcomes. … May 2, 2018
Medication governance: preventing errors and promoting patient safety. … January 27, 2016
Continuing education in patient safety: massive open online courses
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psnet.ahrq.gov/node/73102/psn-pdf
July 01, 2022 - The HomeMeds
Medication Safety Program identified and addressed targeted medication problems, leading … , pulse rate), other clinical indicators (e.g., falls, dizziness, confusion),
and medication use—usually … Based on the client's medication list and clinical indicators, the
software identifies five types of … about community resources, visit the home of high-risk individuals to conduct a formal medication safety … Innovation Patient Safety Focus
This innovation is designed to reduce potentially inappropriate prescribing
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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/supplemental-item-set-nursing-home-sops-call-pilot-participants
December 24, 2008 - The potential for workplace violence degrades patient and staff safety. … December 18, 2008
AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety … February 28, 2025
Nursing Home Survey on Patient Safety Culture. … December 20, 2023
Challenge Competition: Impact of Patient Safety Tools. … Safety by Engaging Patients and Families.
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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/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/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/care-quality-patient-safety-and-nurse-outcomes-hospitals-serving-economically-disadvantaged
December 09, 2020 - Study
Care quality, patient safety, and nurse outcomes at hospitals serving economically … Care quality, patient safety, and nurse outcomes at hospitals serving economically disadvantaged patients … safety , and patient outcomes. … Care quality, patient safety, and nurse outcomes at hospitals serving economically disadvantaged patients … in patient safety transformation.
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psnet.ahrq.gov/issue/unintended-consequences-new-problems-and-new-solutions
June 27, 2018 - Eisenberg Patient Safety and Quality Awards. … April 19, 2017
Patient Safety and Adverse Events. … February 27, 2019
Patient Safety and Adverse Events. … May 3, 2017
The Economics of Patient Safety: Strengthening a Value-based Approach to … December 7, 2016
Special Section on Patient Safety and Quality in Healthcare.
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psnet.ahrq.gov/periodic-issue/periodic-issue-471
December 31, 2024 - January 22, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news … Maintaining hand hygiene is a critical safety activity for patients, families, and healthcare workers … Commentary
AI: promise or peril for patient safety. … Patients for Patient Safety US (PFPS-US) is a patient- and family-led organization to improve healthcare … safety, equitable healthcare, and patient outcomes.
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psnet.ahrq.gov/issue/quality-and-safety-nursing-competency-approach-improving-outcomes-second-edition
May 13, 2009 - December 5, 2018
Patient Safety, 2nd edition. … May 13, 2015
Improving Usability, Safety and Patient Outcomes With Health Information … December 6, 2017
Medication governance: preventing errors and promoting patient safety … November 5, 2013
Using the ABCs of situational awareness for patient safety. … June 6, 2012
Keeping Patients Safe: Transforming the Work Environment of Nurses.
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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