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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/processes-disciplining-nurses-unprofessional-conduct-serious-nature-critique
June 29, 2011 - June 29, 2011
Clinical risk management and patient safety education for nurses: a critique … September 29, 2010
Engaging patients as safety partners: some considerations for ensuring … July 13, 2022
The impact of nursing practice environments on patient safety culture in … Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety
November 27, 2023 … Nursing Education in Patient Safety
November 27, 2023
The impact of nursing
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psnet.ahrq.gov/node/72516/psn-pdf
November 25, 2020 - In a study of patients with a hemorrhage secondary to anticoagulation, 76% of patients with intracranial … Approach to Improving Safety and Systems Change Needed
To help clinicians avoid similar errors, hospitals … “Has this patient suffered recent head trauma or is this patient at increased risk of head trauma?”) … like checklists and forcing functions, when integrated into the EHR, provide
additional measures of safety … A surgical safety checklist to reduce morbidity and mortality
in a global population.
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psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors
April 01, 2008 - who die due to medical errors has been a controversial subject since the inception of the patient safety … Identifying and Analyzing Preventable Deaths
The Patient Safety Primer on Measurement of Patient Safety … Death Rate in Low-Mortality Diagnosis Related Groups is an AHRQ Patient Safety Indicator and is appropriate … Safety Primers
Falls
June 15, 2024
Patient Safety … Patient Safety
March 29, 2023
Annual Perspective
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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/39549/psn-pdf
March 22, 2011 - have found
that smart pumps alone may not significantly reduce errors, as they do not eliminate wrong-patient … where-errors-occur-preparation-and-administration-intravenous-medicines-systematic-review-and
https://psnet.ahrq.gov/issue/controlled-trial-smart-infusion-pumps-improve-medication-safety-critically-ill-patients … https://psnet.ahrq.gov/issue/controlled-trial-smart-infusion-pumps-improve-medication-safety-critically-ill-patients … insights-sharp-end-intravenous-medication-errors-implications-infusion-pump-technology
https://psnet.ahrq.gov//#workaround
https://psnet.ahrq.gov/issue/effect-bar-code-technology-safety-medication-administration
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psnet.ahrq.gov/issue/safety-academic-medical-center-transforming-challenges-ingredients-improvement
February 17, 2011 - This article reviews the current status of patient safety efforts at academic medical centers (AMCs). … that patients cared for at AMCs are not safer than those hospitalized elsewhere. … The authors discuss the unique aspects of AMCs that may hinder patient safety and quality improvement … A prior study examined the culture of safety within an AMC and used findings to guide patient safety … December 20, 2017
Competencies for patient safety and quality improvement: a synthesis
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psnet.ahrq.gov/issue/value-learning-near-misses-improve-patient-safety-scoping-review
April 27, 2022 - The value of learning from near misses to improve patient safety: a scoping review. … Reporting and learning from adverse events is a core patient safety activity. … The value of learning from near misses to improve patient safety: a scoping review. … April 27, 2022
What do patients and their carers do to support the safety of cancer treatment … March 8, 2023
Do patient engagement interventions work for all patients?
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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/issue/multiobserver-study-effects-including-point-care-patient-photographs-portable-radiography
March 04, 2015 - : a means to detect wrong-patient errors. … safety. … June 16, 2019
WebM&M Cases
Speaking Up for Patient Safety … March 4, 2015
Wrong-patient, wrong-site procedures persist despite safety protocol. … November 10, 2010
Closing the safety loop: evaluation of the National Patient Safety
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psnet.ahrq.gov/issue/poetry-and-medicine-mistakes-0
September 25, 2019 - Medical mistakes are a source of anxiety for both patients and clinicians. … December 9, 2020
Trends in adverse event rates in hospitalized patients, 2010-2019. … safety collaborative. … June 2, 2021
View More
Related Resources
Patient Safety … November 5, 2014
Relating faults in diagnostic reasoning with diagnostic errors and patient
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psnet.ahrq.gov/issue/poetry-and-medicine-mistakes
September 25, 2019 - Medical mistakes are a source of anxiety for both patients and clinicians. … December 9, 2020
Trends in adverse event rates in hospitalized patients, 2010-2019. … 2022
Association between hospital acquired harm outcomes and membership in a national patient … safety collaborative. … May 19, 2014
Patient safety, error reduction, and pediatric nurses' perceptions of smart
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psnet.ahrq.gov/issue/improving-safety-culture-adult-medical-units-through-multidisciplinary-teamwork-and
February 18, 2011 - Safety culture was measured using the AHRQ Hospital Survey on Patient Safety Culture . … outcomes: results from the Triad for Optimal Patient Safety (TOPS) project. … November 25, 2009
Prevalence and causes of diagnostic errors in hospitalized patients … September 23, 2020
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … December 21, 2014
Promoting a culture of safety as a patient safety strategy: a systematic
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psnet.ahrq.gov/issue/educational-intervention-enhance-nurse-leaders-perceptions-patient-safety-culture
February 14, 2015 - An educational intervention to enhance nurse leaders' perceptions of patient safety culture. … An educational intervention to enhance nurse leaders' perceptions of patient safety culture. … February 14, 2015
'Not another safety culture survey': using the Canadian patient safety … January 30, 2013
Advancing measurement of patient safety culture. … from patient safety events.
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psnet.ahrq.gov/node/73131/psn-pdf
April 14, 2021 - identification-common-themes-never-events-data-published-nhs-england
Never events can result in serious patient … harm and indicate serious underlying organizational safety
problems. … these themes may support focused efforts to reduce
their incidence and development of specific local safety … common-general-surgical-never-events-analysis-nhs-england-never-event-data
https://psnet.ahrq.gov/issue/national-safety-standards-invasive-procedures-natssips
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psnet.ahrq.gov/node/73985/psn-pdf
October 20, 2021 - work shift for nurses and some studies have shown a resulting
increase in burnout and decrease in patient … safety. … hour-shifts-cognition-sleepiness-and-domains-nursing-performance
https://psnet.ahrq.gov/issue/longer-shifts-hospital-nurses-higher-levels-burnout-and-patient-dissatisfaction … training-program-nurses-shift-work-and-long-work-hours
https://psnet.ahrq.gov/primer/fatigue-sleep-deprivation-and-patient-safety
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psnet.ahrq.gov/issue/how-physicians-financial-wellness-could-impact-patient-safety
May 08, 2024 - Commentary
How the physician's financial wellness could impact patient safety. … How the physician’s financial wellness could impact patient safety. … How the physician’s financial wellness could impact patient safety. … February 19, 2014
The effect of collaboration on obstetric patient safety in three academic … May 17, 2023
The evolving curriculum in quality improvement and patient safety in undergraduate
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psnet.ahrq.gov/issue/addressing-patient-safety-rapid-response-activations-nonhospitalized-persons
June 18, 2014 - Study
Addressing patient safety in rapid response activations for nonhospitalized … Addressing Patient Safety in Rapid Response Activations for Nonhospitalized Persons. … Addressing Patient Safety in Rapid Response Activations for Nonhospitalized Persons. … January 6, 2017
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … October 20, 2021
Engaging the patient and family in the surgical safety process utilizing
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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
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psnet.ahrq.gov/issue/patient-comprehension-emergency-department-care-and-instructions-are-patients-aware-when-they
September 23, 2020 - Patient comprehension of emergency department care and instructions: are patients aware of when they … Patient comprehension of emergency department care and instructions: are patients aware of when they … safety. … safety in the United States. … safety in the emergency department.