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psnet.ahrq.gov/node/73976/psn-pdf
October 20, 2021 - retrospective-analysis-demonstrates-failure-document-key-comorbid-diseases-anesthesia
https://psnet.ahrq.gov/issue/safety-and-quality-perioperative-anaesthesia-care … https://psnet.ahrq.gov/issue/effect-illness-severity-and-comorbidity-patient-safety-and-adverse-events
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psnet.ahrq.gov/node/50733/psn-pdf
December 11, 2019 - association-between-measured-teamwork-and-medical-errors-observational-
study-prehospital-care
Many patient … safety strategies focus on effective teamwork among healthcare professionals. … how-effective-teamwork-really-relationship-between-teamwork-and-performance-healthcare-teams
https://psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
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psnet.ahrq.gov/node/60940/psn-pdf
September 23, 2020 - impact-interoperability-smart-infusion-pumps-and-electronic-medical-record-critical-care
https://psnet.ahrq.gov/issue/controlled-trial-smart-infusion-pumps-improve-medication-safety-critically-ill-patients … https://psnet.ahrq.gov/issue/smart-pumps-improve-medication-safety-increase-alert-burden-neonatal-care
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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/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/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/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/web-mm/waiting-too-long
February 01, 2013 - Commission on Accreditation of Healthcare Organizations (JCAHO) requires staffing assessment using specific indicators … Safety? … July 31, 2013
Identifying organizational cultures that promote patient safety. … Safety
March 27, 2024
WebM&M Cases
Uterine … December 22, 2010
Maternity ward at Highland under fire from patients.
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psnet.ahrq.gov/issue/nurses-role-detecting-deterioration-ward-patients-systematic-literature-review
March 27, 2018 - Review
Nurses' role in detecting deterioration in ward patients: systematic literature … March 27, 2018
Do HSMRs really measure patient safety? … October 5, 2015
Understanding care transitions as a patient safety issue. … September 6, 2016
View More
Related Resources
Patient … Safety Innovations
Remote Response Team and Customized Alert Settings Help Improve
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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/pharmacist-staffing-and-use-technology-small-rural-hospitals-implications-medication-safety
August 01, 2012 - August 1, 2012
Advances in Patient Safety and Medical Liability. … December 22, 2014
Patient Safety 2030. … October 23, 2019
AHRQ's Safety Program for Ambulatory Surgery. … June 16, 2019
Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative … April 30, 2012
An extra dose of safety.
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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/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/key-vulnerabilities-surgical-environment-container-mix-ups-and-syringe-swaps
June 10, 2018 - Citation
Related Resources From the Same Author(s)
Managing hospitalized patients … November 30, 2016
ISMP survey shows provider text messaging often runs afoul of patient … safety. … November 29, 2017
View More
Related Resources
Anesthesia Patient … Safety Podcast.
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psnet.ahrq.gov/node/44026/psn-pdf
November 03, 2015 - Effect of a postdischarge virtual ward on readmission or
death for high-risk patients: a randomized … Effect of a postdischarge virtual ward on readmission or death for high-
risk patients: a randomized … found that a
similarly intensive intervention did not reduce readmissions in a vulnerable elderly patient … https://psnet.ahrq.gov/issue/new-hhs-data-shows-major-strides-made-patient-safety-leading-improved-care-and-savings … https://psnet.ahrq.gov/issue/hospital-initiated-transitional-care-interventions-patient-safety-strategy-systematic-review
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psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
January 12, 2022 - Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic
January … Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic. … Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic. … data voluntarily submitted by federally listed Patient Safety Organizations (PSOs) to the Patient Safety … safety risks in both COVID-19 and non-COVID-19 patients.
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psnet.ahrq.gov/node/60888/psn-pdf
January 01, 2021 - chronic-hospital-nurse-understaffing-meets-covid-19-observational-study
This study used survey data from nurses and patients … December 2019 and February 2020 to determine the association between nurse staffing and outcomes,
patient … A significant number of nurses who experienced burnout viewed
their hospitals’ safety unfavorably and … Analyses indicated that each
additional patient per nurse increased the odds of unfavorable reports … from nurses and patients and
demonstrates the implications of understaffing, even before COVID-19.
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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/issue/2013-annual-hospital-acquired-condition-rate-and-estimates-cost-savings-and-deaths-averted
May 01, 2017 - June 21, 2016
Patient Safety in Ambulatory Settings. … Patient Safety Practices: Developing Criteria. … Reporting System for Patient Safety Events. … May 6, 2015
Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms … October 9, 2013
Eliminating CLABSI: A National Patient Safety Imperative.
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psnet.ahrq.gov/issue/cms-proposal-suppress-hospital-safety-data-angers-advocates-agency-says-covid-disruptions
June 15, 2022 - The change would limit the sharing of patient safety indicator data that informs Care Compare and hospital … scorecard of avoidable patient harm after all. … May 25, 2022
Patients should know who's operating, surgeons say. … July 20, 2022
After a medical error, patients could become hospital insiders. … scorecard of avoidable patient harm after all.