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psnet.ahrq.gov/issue/cost-serious-fall-related-injuries-three-midwestern-hospitals
January 03, 2017 - safety indicator. … April 17, 2013
Insights into the climate of safety towards the prevention of falls among … September 20, 2011
Chronic kidney disease adversely influences patient safety. … June 30, 2011
Patient-assisted incident reporting: including the patient in patient safety … safety learning opportunities.
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psnet.ahrq.gov/node/33560/psn-pdf
June 15, 2024 - the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient … safety field. … ,
providing limited information to the patient and family and avoiding admissions of fault. … safety activities and
providing training and support for physicians. … In a 2022 study, 38 state medical boards viewed patient disclosure favorably and those actions
would
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psnet.ahrq.gov/web-mm/isolated-clot-real-error
December 01, 2013 - Because of the patient's life-threatening postoperative bleeding, the team agreed the patient was not … The team recognized the error and disclosed it to the patient and family. … Ideally, this patient would have received an ultrasound of just the proximal veins. … Safety
August 22, 2014
Patient Safety Primers … Inpatient Transitions of Care: Challenges and Safety Practices
March 27, 2024
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psnet.ahrq.gov/issue/identification-inpatient-dnr-status-safety-hazard-begging-standardization
January 19, 2012 - survey of nurse leaders at academic medical centers found great variation in the method used to document patients … This lack of standardization has been recognized as a patient safety problem, and resources exist to … outcomes: results from the Triad for Optimal Patient Safety (TOPS) project. … Safety (TOPS) experience. … February 18, 2011
Patient whiteboards as a communication tool in the hospital setting
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psnet.ahrq.gov/issue/drug-errors-show-need-tech-aid
August 17, 2016 - systems that provide more sophisticated alerts, such as drug dosages and strategies for monitoring patients … Copy Citation
Related Resources From the Same Author(s)
A better safety net … October 23, 2018
Health-care providers want patients to read medical records, spot errors … June 25, 2014
Why hospitals want patients to ask doctors, 'Have you washed your hands … July 16, 2014
E-prescribing: a focused review and new approach to addressing safety in
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psnet.ahrq.gov/issue/prevalence-incivility-hospitals-and-effects-incivility-patient-safety-culture-and-outcomes
March 24, 2019 - The prevalence of incivility in hospitals and the effects of incivility on patient safety culture and … Workplace incivility is known to decrease patient safety culture. … The prevalence of incivility in hospitals and the effects of incivility on patient safety culture and … October 19, 2022
Do patient engagement interventions work for all patients? … A systematic review and realist synthesis of interventions to enhance patient safety.
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psnet.ahrq.gov/node/836773/psn-pdf
March 23, 2022 - Association between operative autonomy of surgical
residents and patient outcomes. … Association between operative autonomy of surgical residents and
patient outcomes. … https://psnet.ahrq.gov/issue/association-between-operative-autonomy-surgical-residents-and-patient- … outcomes
Physician autonomy is an important component to medical training, but carries risks to patient … safety.
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psnet.ahrq.gov/node/34651/psn-pdf
March 04, 2011 - Incidence and types of preventable adverse events in
elderly patients: population based review of medical … Incidence and types of preventable adverse events in elderly patients: population
based review of medical … https://psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population … Results indicated a significant number of adverse events in both elderly (>65) and nonelderly patient … events, and events
related to procedures; these findings suggest potential areas for safety interventions
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psnet.ahrq.gov/node/39879/psn-pdf
September 29, 2010 - effect-resident-duty-hour-restriction-trauma-center-outcomes-teaching-
hospitals-state
The clinical outcomes of trauma patients … residents, indicating that the duty hour regulations probably were not responsible for the
improved patient … effect-resident-duty-hour-restriction-trauma-center-outcomes-teaching-hospitals-state
https://psnet.ahrq.gov/primer/duty-hours-and-patient-safety
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psnet.ahrq.gov/issue/pharmacy-nursing-intervention-improve-accuracy-and-completeness-medication-histories
May 29, 2014 - column describes how one group designed and tested a six-step tool to help nurses collect effective patient … December 12, 2012
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … October 19, 2022
Increasing patient safety and efficiency in transfusion therapy using … August 30, 2017
Surveillance: a strategy for improving patient safety in acute and critical … June 6, 2012
Adverse drug events in hospitalized cardiac patients.
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psnet.ahrq.gov/issue/responses-physicians-objective-safety-and-quality-knowledge-test-cross-sectional-study
March 24, 2021 - This study of US primary care physicians tested their patient safety and quality knowledge. … Five topic areas were assessed: 1) patient management, 2) radiation risk, 3) general safety and quality … The average score was 48% correct, indicating additional education in patient safety and quality for … March 24, 2021
How do patients respond to safety problems in ambulatory care? … January 16, 2013
Speaking up or remaining silent about patient safety concerns in rehabilitation
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psnet.ahrq.gov/issue/impact-nurse-shortage-hospital-patient-care-comparative-perspectives
March 23, 2011 - safety outcomes . … complications or worsened patient safety overall. … February 17, 2011
Description and evaluation of an interprofessional patient safety course … February 12, 2020
The top patient safety strategies that can be encouraged for adoption … safety.
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psnet.ahrq.gov/issue/infrequent-physician-use-implantable-cardioverter-defibrillators-risks-patient-safety
August 28, 2019 - Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. … Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. … October 10, 2018
The Armstrong Institute: an academic institute for patient safety and … emergencies occurs frequently among transfers to aortic referral centers: an analysis of over 3700 patients … July 5, 2013
Quality, patient safety, and the cardiac surgical team.
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psnet.ahrq.gov/issue/discussing-harm-causing-errors-patients-ethics-primer-plastic-surgeons
February 28, 2018 - Discussing harm-causing errors with patients: an ethics primer for plastic surgeons. … May 27, 2020
Patient safety in the office-based setting. … April 9, 2013
Patient safety in the operating room—part 1 and part 2. … November 21, 2012
Patient safety in plastic surgery. … July 10, 2008
Promoting a culture of patient safety: a review of the Florida moratoria
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psnet.ahrq.gov/issue/patient-safety-culture-and-association-safe-resident-care-nursing-homes
September 19, 2018 - Patient safety culture and the association with safe resident care in nursing homes. … on Patient Safety Culture to analyze relationships between a structure ( safety culture ), a process … October 20, 2021
Enhancing patient safety in prehospital environment: analyzing patient … WebM&M Cases
Failure to Ensure Patient Safety Leads to Patient Falls … April 20, 2022
Focus on Patient Safety.
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psnet.ahrq.gov/web-mm/anemia-and-delayed-colon-cancer-diagnosis
July 21, 2020 - Fecal occult blood test performance indicators in warfarin-treated patients. … Safety Primers
Telehealth and Patient Safety. … July 23, 2019
Linking Joint Commission inpatient core measures and National Patient Safety … May 6, 2009
Journey to no preventable risk: The Baylor Health Care System patient safety … August 4, 2021
Optimizing Pediatric Patient Safety in the Emergency Care Setting.
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psnet.ahrq.gov/node/40296/psn-pdf
October 01, 2014 - J Patient Saf. 2011;7(1):45-59. doi:10.1097/PTS.0b013e31820d164b. … development-trigger-tools-surveillance-adverse-events-ambulatory-surgery
https://psnet.ahrq.gov/issue/clinical-validation-ahrq-postoperative-venous-thromboembolism-patient-safety-indicator
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psnet.ahrq.gov/node/47667/psn-pdf
February 27, 2019 - https://psnet.ahrq.gov/issue/it-time-define-antimicrobial-never-events
Never events are devastating to patients … and indicate serious underlying organizational safety problems. … prevalence-inappropriate-antibiotic-prescriptions-among-us-ambulatory-care-visits-2010-2011
https://psnet.ahrq.gov/issue/vital-signs-improving-antibiotic-use-among-hospitalized-patients
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psnet.ahrq.gov/issue/patient-and-carer-identified-factors-which-contribute-safety-incidents-primary-care
March 18, 2016 - The patient safety field's understanding of safety issues in ambulatory care continues to evolve. … Some of these themes were also found in a prior study of primary care patients in the United Kingdom … January 31, 2018
Involving patients and carers in patient safety in primary care: a qualitative … study of a co-designed patient safety guide. … Safety in the Ambulatory Care Setting
August 5, 2022
Classification of patient-safety
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psnet.ahrq.gov/issue/honest-communication-and-social-asymmetries-inside-hospital-pitfalls-clinicians
March 02, 2022 - (FIQS): using mobile technology for in-hospital reporting from families and patients. … June 15, 2022
The association of acute COVID-19 infection with Patient Safety Indicator … September 21, 2022
Learning from patient safety incidents involving acutely sick adults … October 7, 2020
Understanding middle managers' influence in implementing patient safety … March 28, 2011
Patient Safety Papers 5.