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2321. Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review. | PSNet
      psnet.ahrq.gov/issue/problems-health-information-technology-and-their-effects-care-delivery-and-patient-outcomes
      February 14, 2024 - February 8, 2023 Identifying patient safety problems associated with information technology … safety. … safety. … November 8, 2017 Identifying patient safety problems associated with information technology … November 6, 2015 The safety implications of missed test results for hospitalised patients

2322. Minimising medication errors in children. | PSNet
      psnet.ahrq.gov/issue/minimising-medication-errors-children
      August 04, 2021 - December 1, 2011 Resident supervision and patient safety: do different levels of resident … October 28, 2015 Pediatric safety.

2323. Clinical faculty: taking the lead in teaching quality improvement and patient safety. | PSNet
      psnet.ahrq.gov/issue/clinical-faculty-taking-lead-teaching-quality-improvement-and-patient-safety
      July 01, 2017 - Clinical faculty: taking the lead in teaching quality improvement and patient safety. … Patient safety has been described as an unmet need in physician training. … Clinical faculty: taking the lead in teaching quality improvement and patient safety. … January 5, 2012 To the point: integrating patient safety education Into the obstetrics … July 31, 2013 Building capacity and capability for patient safety education: a train-the-trainers

2324. A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here! | PSNet
      psnet.ahrq.gov/issue/lot-happens-when-you-report-hazard-or-error-ismp-theres-no-black-hole-here
      December 27, 2018 - ISMP Medication Safety Alert! Acute Care Edition. … a cornerstone of patient safety improvement. … November 30, 2016 ISMP survey shows provider text messaging often runs afoul of patient … safety. … April 29, 2018 "Use as directed" can cause confusion for both patients and practitioners

2325. Mind the sentinel - applying patient-safety paradigms to clinician well-being. | PSNet
      psnet.ahrq.gov/issue/mind-sentinel-applying-patient-safety-paradigms-clinician-well-being
      October 19, 2022 - Commentary Mind the sentinel - applying patient-safety paradigms to clinician well-being … Mind the sentinel - applying patient-safety paradigms to clinician well-being. … Mind the sentinel - applying patient-safety paradigms to clinician well-being. … April 24, 2018 Rate of preventable mortality in hospitalized patients: a systematic review … January 23, 2019 Patient safety after implementation of a coproduced family centered

2326. Measuring and Responding to Deaths From Medical Errors | PSNet
      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

2327. Medication errors attributed to health information technology. | PSNet
      psnet.ahrq.gov/issue/medication-errors-attributed-health-information-technology
      March 27, 2018 - PA-PSRS Patient Saf Advis. March 2017;14:1-8. … PA-PSRS Patient Saf Advis. March 2017;14:1-8. … January 16, 2019 Analysis of reported drug interactions: a recipe for harm to patients … January 20, 2016 Medication errors affecting pediatric patients: unique challenges for … December 19, 2016 Distractions and their impact on patient safety.

2328. Misplaced Nasogastric Tube Resulting in Aspiration | PSNet
      psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
      August 01, 2009 - . 10 Approaches to Improving Patient Safety Insertion Methods and Simulation Training A review of 44 … misplaced small-bore feeding tubes reported to the Pennsylvania Patient Safety Authority in 2011-2013 … Enhancing patient safety during feeding-tube insertion: a review of more than 2,000 insertions. … NHS National Patient Safety Agency. London, UK: National Health Service; 2011. … safety, learning environments, and relationships with continuity patients.

2329. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74754/psn-pdf
      February 09, 2022 - Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis … Adverse events during intrahospital transport of critically ill patients: A systematic review and meta-analysis … https://psnet.ahrq.gov/issue/adverse-events-during-intrahospital-transport-critically-ill-patients-systematic … - review-and Transporting critically ill patients within a hospital (e.g., to radiology for diagnostic … procedures) is necessary but also poses safety threats.

2330. Relationships of multitasking, physicians' strain, and performance: an observational study in ward physicians. | PSNet
      psnet.ahrq.gov/issue/relationships-multitasking-physicians-strain-and-performance-observational-study-ward
      September 24, 2016 - April 21, 2021 Quality of care transition, patient safety incidents, and patients' health … June 26, 2024 Motivation for patient engagement in patient safety: a multi-perspective … a recurrence of patient safety incidents: an observational study. … December 12, 2014 'Not another safety culture survey': using the Canadian patient safety … May 8, 2013 Putting the 'patient' in patient safety: a qualitative study of consumer

2331. Patient safety in dentistry—state of play as revealed by a national database of errors. | PSNet
      psnet.ahrq.gov/issue/patient-safety-dentistry-state-play-revealed-national-database-errors
      August 29, 2018 - Study Patient safety in dentistry—state of play as revealed by a national database … Patient safety in dentistry - state of play as revealed by a national database of errors. … This study investigated the different types of patient safety incidents in dentistry , along with the … Patient safety in dentistry - state of play as revealed by a national database of errors. … August 12, 2014 Patient-safety–related hospital deaths in England: thematic analysis

2332. Some IV medications are diluted unnecessarily in patient care areas, creating undue risk. | PSNet
      psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating-undue-risk
      June 18, 2014 - Newspaper/Magazine Article Some IV medications are diluted unnecessarily in patient … Citation Text: Some IV medications are diluted unnecessarily in patient care areas, creating undue … ISMP Medication Safety Alert! Acute Care Edition. June 19, 2014;19:1-5. … Newborn naming conventions and wrong-patient errors. … June 10, 2018 How studying human factors improves patient safety.

2333. Influences of leadership, organizational culture, and hierarchy on raising concerns about patient deterioration: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/influences-leadership-organizational-culture-and-hierarchy-raising-concerns-about-patient
      December 04, 2013 - Traditional organizational hierarchies can prevent staff and patients from speaking up about safety concerns … January 24, 2024 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … July 28, 2021 Implementing and evaluating patient-focused safety technology on adult … Organization (HRO) Principles and Patient Safety February 26, 2025 … Patient Safety Innovations Rescue Improvement Conference Innovation Summary

2334. Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. | PSNet
      psnet.ahrq.gov/issue/patient-safety-factors-and-perceived-consequences-nursing-errors-nursing-staff-home-care
      May 18, 2022 - Study Patient safety. … Patient safety. … Patient safety. … in-hospital reporting from families and patients. … May 26, 2021 Emotional safety is patient safety.

2335. The incidence and preventability of adverse events in older acutely admitted patients: a longitudinal study with 4292 patient records. | PSNet
      psnet.ahrq.gov/issue/incidence-and-preventability-adverse-events-older-acutely-admitted-patients-longitudinal
      June 08, 2022 - : a longitudinal study with 4292 patient records. … study with 4292 patient records. … study with 4292 patient records. … safety programme in the Netherlands. … December 8, 2021 Differences between professionals' views on patient safety culture in

2336. Potentially inappropriate medication combination with opioids among older dental patients: a retrospective review of insurance claims data. | PSNet
      psnet.ahrq.gov/issue/potentially-inappropriate-medication-combination-opioids-among-older-dental-patients
      March 18, 2020 - March 18, 2020 Are dental patients concerned about safety? … : A nationwide cross-sectional survey October 16, 2019 Developing a patient safety … September 14, 2022 Dental Patient Safety Foundation. … December 22, 2021 Developing a patient safety culture in primary dental care. … May 6, 2020 Factors affecting patient safety culture among dental healthcare workers:

2337. A multiobserver study of the effects of including point-of-care patient photographs with portable radiography: a means to detect wrong-patient errors. | PSNet
      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

2338. Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions. | PSNet
      psnet.ahrq.gov/issue/do-nurse-and-patient-injuries-share-common-antecedents-analysis-associations-safety-climate
      February 29, 2012 - Do nurse and patient injuries share common antecedents? … adverse events for patients and an increased risk of injuries (such as needlesticks) among nurses, indicating … Do nurse and patient injuries share common antecedents? … May 20, 2009 How will we know patients are safer? … September 26, 2016 Improving patient safety using the sterile cockpit principle during

2339. The Cleveland Clinic Pairs Advanced Practice Registered Nurses and Paramedics To Provide Home Visits to Recently Discharged Patients at Highest Risk for Hospital Readmission | PSNet
      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

2340. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43311/psn-pdf
      July 02, 2014 - Some IV medications are diluted unnecessarily in patient care areas, creating undue risk. … July 2, 2014 ISMP Medication Safety Alert! Acute Care Edition. June 19, 2014;19:1-5. … https://psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating … https://psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating-undue-risk … https://psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating-undue-risk