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psnet.ahrq.gov/node/73642/psn-pdf
August 25, 2021 - primer/never-events
https://psnet.ahrq.gov//#12
https://psnet.ahrq.gov//#13
Approach to Improving Safety … Approach to Improving Systemic Safety: Non-technical Considerations
Even with implementation of all … safety. … safety by
improving not only the technical aspects of endoscopy and resuscitation, but also the non-technical … Pediatric Endoscopy and High-risk Patients: A Clinical Report
From the NASPGHAN Endoscopy Committee.
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psnet.ahrq.gov/web-mm/privacy-gone-awry
February 24, 2011 - in our patients' best interests. … When HIPAA appears to compromise good patient care or safety, HIPAA must be set aside, not because HIPAA … This case raises a number of issues about patient safety ( 13-17 ) and common misconceptions about HIPAA … When a tradeoff between privacy/confidentiality and safety exists, we should ask our patients whether … Apparent conflicts between HIPAA and patient safety often reveal underlying unsafe practices and misunderstandings
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psnet.ahrq.gov/web-mm/refused-medication-error
November 01, 2005 - First, patient and family engagement is an important component in all health care safety programs.( 12 … ) This cultural shift requires resources to support patients and providers in a patient-centered, collaborative … Good team communication is a critical element of patient safety and should be an ongoing priority for … Patient Safety and Quality: An Evidence-Based Handbook for Nurses. … The role of consumers, families and the community in patient safety: learning from experience.
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psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review
October 14, 2020 - Learning from adverse events is a core component of patient safety improvement. … July 2, 2009
Assessing the relationship between patient safety culture and EHR strategy … safety climate and patient satisfaction. … September 27, 2016
Society of Interventional Radiology IR Pre-Procedure Patient Safety … March 4, 2015
A checklist to improve patient safety in interventional radiology.
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psnet.ahrq.gov/issue/improving-rapid-response-systems-progress-issues-and-future-directions
January 26, 2022 - January 26, 2022
Advancing the science of patient safety. … October 17, 2016
How does context affect interventions to improve patient safety? … An assessment of evidence from studies of five patient safety practices and proposals for research. … June 29, 2011
A framework for classifying patient safety practices: results from an expert … July 22, 2011
Examining medication ordering errors using AHRQ Network of Patient Safety
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psnet.ahrq.gov/issue/potential-drug-interactions-hospitalized-cancer-patients
June 07, 2016 - Potential for drug interactions in hospitalized cancer patients. … September 16, 2015
The impact of nursing practice environments on patient safety culture … safety network system on outcomes of medical patients- a before and after cohort study. … and patient-reported outcomes during treatment with new oral anticancer agents. … September 29, 2010
Chemotherapy error: practical approaches to increasing patient safety
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psnet.ahrq.gov/web-mm/emergent-triage-miss
March 06, 2015 - two levels; this approach favors patient safety over resource allocation. … (CTAS) in the principality of Andorra: can triage parameters serve as emergency department quality indicators … March 6, 2015
Do healthcare professionals work around safety standards, and should we … October 23, 2024
Sequential implementation of the EQUIPPED geriatric medication safety … March 15, 2017
10,000 good catches: increasing safety event reporting in a pediatric
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psnet.ahrq.gov/issue/ash-clinical-practice-guidelines-venous-thromboembolism
September 14, 2007 - safety problem among hospitalized patients. … September 14, 2007
Diagnostic Safety Toolkit. … June 1, 2022
Quality Improvement and Patient Safety Competencies Across the Learning … June 5, 2013
Medication errors in acute cardiovascular and stroke patients. … Safety Agency.
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psnet.ahrq.gov/issue/delineation-risk-through-exploration-culture-safety-community-home-health
December 04, 2016 - for patient safety. … January 25, 2023
Safety of care by caregivers of cancer patients. … February 6, 2013
Patient safety culture in home care: experiences of home-care nurses … to patient safety? … February 6, 2008
Improving Patient Safety.
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psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
January 09, 2019 - November 18, 2011
Leadership Guide to Patient Safety: Resources and Tools for Establishing … and Maintaining Patient Safety. … Safety. … February 15, 2017
Safer Together Survey: Advancing Patient and Workforce Safety
January … January 29, 2015
Safety First: a Report for Patients, Clinicians and Healthcare Managers
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psnet.ahrq.gov/issue/sentinel-event-statistics-1995-2019
February 28, 2018 - February 28, 2018
Joint Commission International Center for Patient Safety. … Eisenberg Patient Safety and Quality Award Winners. … April 27, 2022
View More
Related Resources
Patient … November 8, 2013
Priority patient safety issues identified by perioperative nurses. … April 4, 2011
Patient safety in dermatology: a review of the literature.
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psnet.ahrq.gov/node/44204/psn-pdf
June 17, 2015 - Effectiveness of interventions to improve patient
handover in surgery: a systematic review. … Effectiveness of interventions to improve patient handover in
surgery: A systematic review. … https://psnet.ahrq.gov/issue/effectiveness-interventions-improve-patient-handover-surgery-systematic- … review found indications that
checklists can improve the quality of care transitions for surgical patients … https://psnet.ahrq.gov/issue/national-patient-safety-goals
https://psnet.ahrq.gov/issue/new-recommendations-duty-hours-acgme-task-force
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psnet.ahrq.gov/issue/implementing-systematic-response-medication-errors
August 27, 2009 - March 19, 2018
Remote patient monitoring during COVID-19: an unexpected patient safety … March 22, 2017
Patient safety perceptions in pediatric out-of-hospital emergency care … June 16, 2019
Understanding patient safety and quality outcome data. … February 22, 2019
Improving patient safety by practicing in a just culture. … safety in a care pathway.
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psnet.ahrq.gov/issue/patient-safety-operating-room-part-1-and-part-2
October 19, 2022 - Review
Patient safety in the operating room—part 1 and part 2. … Patient safety in the operating room: II. Intraoperative and postoperative. … patients and describe techniques to prevent adverse events. … Patient safety in the operating room: II. Intraoperative and postoperative. … April 9, 2013
Patient safety in plastic surgery.
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psnet.ahrq.gov/issue/geriatric-medication-reconciliation-home-setting
September 01, 2021 - August 15, 2012
Where should patient safety be installed? … -Routine measurement of patient experience with patient safety in ambulatory care: a mixed-mode survey … for home-dwelling older patients. … to patient safety? … August 26, 2011
Strategies to improve the patient safety outcome indicator: preventing
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psnet.ahrq.gov/issue/family-safety-reporting-hospitalized-children-medical-complexity
September 18, 2024 - October 4, 2023
Patient safety after implementation of a coproduced family centered communication … August 9, 2023
Serious experience events: applying patient safety concepts to improve … in-hospital reporting from families and patients. … failures in patient safety events. … November 11, 2020
Patient safety after implementation of a coproduced family centered
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psnet.ahrq.gov/node/73389/psn-pdf
June 16, 2021 - Estimating the economic cost of nurse sensitive adverse
events amongst patients in medical and surgical … Estimating the economic cost of nurse sensitive adverse events
amongst patients in medical and surgical … https://psnet.ahrq.gov/issue/estimating-economic-cost-nurse-sensitive-adverse-events-amongst-patients … This retrospective study, based on
patient discharge data from three Irish hospitals, characterized … https://psnet.ahrq.gov/primer/nursing-and-patient-safety
https://psnet.ahrq.gov/issue/nurse-working-conditions-and-patient-safety-outcomes
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psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - We spoke to her about zero harm and patient safety. … Safety is a commitment we make to the patients we serve, and the goal of that commitment is zero harm … These kinds of leading and real-time indicators are the right focal point in the effort to change outcomes … in patient and workforce safety. … Instead, with “Safety II,” risk reduction can motivate improvements in patient safety by focusing on
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psnet.ahrq.gov/issue/ismp-medication-safety-self-assessmentr-perioperative-settings
January 26, 2023 - Citation Text:
ISMP Medication Safety Self Assessment® for Perioperative Settings. … participation can identify strengths and gaps in their systems to design opportunities that prevent patient … August 7, 2024
View More
Related Resources
Patient Safety Authority … WebM&M Cases
Saline Flush Leads to Acute Paralysis of an Awake Patient … November 17, 2021
Technology, Education and Safety.
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psnet.ahrq.gov/node/836986/psn-pdf
April 27, 2022 - habit-and-automaticity-medical-alert-override-cohort-study
Alert fatigue is an increasingly recognized patient … safety concern. … habit-and-automaticity-medical-alert-override-cohort-study
https://psnet.ahrq.gov/primer/alert-fatigue
https://psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue