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psnet.ahrq.gov/node/50614/psn-pdf
October 30, 2019 - His research efforts focus on improving the safety
of hospitalized patients by preventing hospital-acquired … We spoke with him about safety of peripherally inserted central
catheters and central lines.
Dr. … safety of the two
approaches? … safety. … And if you choose patient, information on what
patients need to know about their PICCs—what questions
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psnet.ahrq.gov/issue/health-system-resilience-accreditation-high-quality-care-and-continuous-quality-improvement
November 25, 2020 - (i.e., not “lowering the bar” due to the impact of the COVID-19 pandemic) to ensure patients continue … February 10, 2012
Navigating the complex terrain of patient safety: challenges, strategies … December 19, 2018
A patient safety toolkit for family practices. … Health Plan Patient Safety Initiatives
July 10, 2024 … August 3, 2022
Improving patient safety—five years after the IOM report.
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psnet.ahrq.gov/node/60793/psn-pdf
August 12, 2020 - there-link-between-nursing-home-reported-quality-and-covid-19-cases-evidence-california
https://psnet.ahrq.gov/issue/does-nursing-home-compare-reflect-patient-safety-nursing-homes … https://psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
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psnet.ahrq.gov/node/848038/psn-pdf
April 26, 2023 - room-simulation
Simulated hospital rooms have been used in medical education to identify potential safety … assessing-system-thinking-senior-pharmacy-students-using-innovative-horror-room-simulation
https://psnet.ahrq.gov/issue/patient-safety-room-horrors-novel-method-assess-medical-students-and-entering-residents
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psnet.ahrq.gov/node/50945/psn-pdf
February 26, 2020 - illustrates conditions in the broader indigenous
peoples’ community that indicate a lack of respect and patient-centeredness … she-hoped-shine-light-maternal-mortality-among-native-americans-instead-she-became-statistic
https://psnet.ahrq.gov/perspective/maternal-safety … https://psnet.ahrq.gov/issue/impact-agency-healthcare-research-and-qualitys-safety-program-perinatal-care
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psnet.ahrq.gov/issue/systematic-review-types-and-causes-prescribing-errors-generated-using-computerized-provider
July 02, 2019 - Related Resources
Analysis of the nature and contributory factors of medication safety … April 5, 2023
Electronic prescribing systems in hospitals to improve medication safety … effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and improve safety … interruptive medication prescribing alerts in hospital CPOE systems to change prescriber behavior and improve patient … safety.
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psnet.ahrq.gov/issue/safer-care-improving-caregiver-comprehension-discharge-instructions
October 26, 2022 - Breakdowns in communication between clinicians and patients and their caregivers are common and can … March 23, 2022
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … March 8, 2023
Patient Safety Innovations
Journal … literacy failures in patient safety events. … July 28, 2021
Patient Safety Innovations
Project BOOST
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psnet.ahrq.gov/issue/evaluating-patient-safety-learning-laboratory-create-interdisciplinary-ecosystem-health-care
December 21, 2022 - Study
Evaluating a patient safety learning laboratory to create an interdisciplinary … Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care … September 14, 2022
Why is patient safety a challenge? … to patient safety WalkRounds. … and Maintaining Patient Safety.
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psnet.ahrq.gov/issue/human-factors-engineering-tool-medical-device-evaluation-hospital-procurement-decision-making
June 28, 2017 - June 28, 2017
Patient safety climate strength: a concept that requires more attention … nurses, allied health professionals and clerical staff perceptions of patient safety. … December 4, 2015
Self-reported patient safety competence among Canadian medical students … February 16, 2022
"Some version, most of the time": the surgical safety checklist, patient … June 9, 2011
Video capture of clinical care to enhance patient safety.
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psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
February 26, 2025 - feedback, and patient safety research. … is supportive, with elements such as a patient safety culture, existing safety programs, and adequate … A culture focused on patient safety helps to identify underlying factors that lead to missed diagnoses … safety program with patient safety specialists or risk managers. … https://www.ahrq.gov/patient-safety/resources/diagnostic-safety/toolkit.html
Grants to enable diagnostic
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psnet.ahrq.gov/issue/influence-gender-profession-and-managerial-function-clinicians-perceptions-patient-safety
September 07, 2022 - to improving patient safety in hospitals. … and patient safety in emergency departments: a systematic review. … January 26, 2022
Assessing patients' perceptions of safety culture in the hospital setting … : development and initial evaluation of the patients' perceptions of safety culture scale. … March 25, 2021
The Economics of Patient Safety Part III: Long-term Care: Valuing Safety
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psnet.ahrq.gov/issue/survey-results-pharmacists-provide-support-enhance-organizational-response-codes
November 02, 2022 - Patient resuscitation is a complex, distinct, team activity that can be prone to error. … ’s Healthcare Safety Investigation Branch (HSIB). … July 8, 2015
A crack in our best armor: "wrong patient" injections from insulin pens … December 4, 2024
WebM&M Cases
Medication Mix-Up Leads to Patient … Work system barriers and facilitators in inpatient care transitions of pediatric trauma 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/safety-checklists-emergency-response-driving-and-patient-transport-experiences-emergency
August 10, 2022 - Study
Safety checklists for emergency response driving and patient transport: experiences … Safety checklists for emergency response driving and patient transport: experiences from emergency medical … April 21, 2021
Registered nurses' and medical doctors' experiences of patient safety … to patient safety WalkRounds. … in patient safety transformation.
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psnet.ahrq.gov/issue/evaluation-collaborative-safety-focused-nurse-pharmacist-intervention-improving-accuracy
April 28, 2010 - December 12, 2012
Increasing patient safety and efficiency in transfusion therapy using … August 30, 2017
Surveillance: a strategy for improving patient safety in acute and critical … April 24, 2018
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients … August 24, 2011
A comprehensive pharmacist intervention to reduce morbidity in patients
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psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
February 28, 2024 - His research efforts focus on improving the safety of hospitalized patients by preventing hospital-acquired … We spoke with him about safety of peripherally inserted central catheters and central lines.
Dr. … safety of the two approaches? … safety. … And if you choose patient, information on what patients need to know about their PICCs—what questions
-
psnet.ahrq.gov/node/49524/psn-pdf
November 01, 2006 - .(1)
Each year, millions of patients receive care with the devices. … The LMA (Figure) is placed in an anesthetized patient (or, in the unanesthetized patient, in a topically … Many anesthesiologists choose to avoid LMA use in these higher risk
patients. … safety. … Safety, efficacy, and current use. Am J Anesthiol.
1995;22:65-69.
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psnet.ahrq.gov/issue/how-differences-between-manager-and-clinician-perceptions-safety-culture-impact-hospital
December 21, 2018 - safety climate and patient satisfaction. … November 7, 2018
Assessing the relationship between patient safety culture and EHR strategy … July 25, 2011
View More
Related Resources
Patient safety culture … nurses, allied health professionals and clerical staff perceptions of patient safety. … April 11, 2018
Nature of blame in patient safety incident reports: mixed methods analysis
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psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm
December 04, 2016 - patient safety is crucial in end-of-life care. … safety. … Medical errors and patient safety in palliative care: a review of current literature. … Patients' perception of safety while receiving specialist community palliative care. … December 4, 2016
Patients' and families' perspectives of patient safety at the end of
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psnet.ahrq.gov/node/865540/psn-pdf
April 11, 2024 - .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 … Incorporating Alternative Techniques to Verify Placement
One final option to improve patient safety … 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.