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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/chemotherapy-home-care-one-teams-performance-improvement-journey-toward-reducing-medication
November 16, 2016 - safety statewide. … September 27, 2017
View More
Related Resources
Patient safety in … , patients, and caregivers. … February 19, 2020
Safety of care by caregivers of cancer patients. … September 24, 2010
Strategies to improve the patient safety outcome indicator: preventing
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psnet.ahrq.gov/node/72737/psn-pdf
February 09, 2021 - information to
be seen by providers across the health system, for the abstraction of key performance indicators … for access by all
patients. … Data has stabilized at 9-deaths per
1,000 engaged patient-months.
Increased patient engagement. … categories of patient-program objectives has increased patient engagement
in the program from 130 days … Innovation Patient Safety Focus
The program has succeeded in reducing mortality among individuals suffering
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psnet.ahrq.gov/issue/health-care-worker-fatigue
July 08, 2020 - This commentary discusses incidents reported to Pennsylvania Patient Safety Reporting System that demonstrate … residents based on experiential knowledge related to patient safety culture at the nursing home front … safety. … September 14, 2016
Caregiver fatigue: implications for patient and staff safety—part … September 7, 2016
The effect of staff nurses' shift length and fatigue on patient safety
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psnet.ahrq.gov/issue/surgical-skill-predicted-ability-detect-errors
September 02, 2020 - August 28, 2024
Patient safety incidents in endoscopy: a human factors analysis of non-procedural … July 8, 2020
Effectiveness and safety of pulse oximetry in remote patient monitoring … of patients with COVID-19: a systematic review. … April 20, 2022
How do hospital inpatients conceptualise patient safety? … knowledge, attitudes and awareness of patient safety.
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psnet.ahrq.gov/issue/health-service-accreditation-predictor-clinical-and-organisational-performance-blinded-random
October 19, 2022 - June 29, 2011
Implementation of a patient safety incident management system as viewed … June 18, 2013
The role of the chief executive officer in maximizing patient safety. … August 26, 2011
Culture, language, and patient safety: making the link. … June 29, 2011
Patient safety culture: factors that influence clinician involvement in … patient safety behaviours.
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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/surgical-fire-united-states-2000-2020
March 03, 2021 - Surgical fires, while rare, can result in the injury , permanent disability, or death of patients or … August 19, 2020
Examining medication ordering errors using AHRQ Network of Patient Safety … July 24, 2024
Grading recommendations for enhanced patient safety in sentinel event analysis … safety events. … March 3, 2021
Automation failures and patient safety.
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psnet.ahrq.gov/issue/continuing-education-patient-safety-massive-open-online-courses-new-training-tool
September 01, 2021 - Study
Continuing education in patient safety: massive open online courses as a new … Continuing Education in Patient Safety: Massive Open Online Courses as a New Training Tool. … June 30, 2021
Partnering with patients and families living with chronic conditions to … March 7, 2012
Patient safety in nursing practice. … , nurses, and patients.
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psnet.ahrq.gov/issue/implementing-commercial-rule-base-medication-order-safety-net
January 03, 2017 - Implementing a commercial rule base as a medication order safety net. … the Same Author(s)
Clinical validation of the AHRQ postoperative venous thromboembolism patient … safety indicator. … January 3, 2017
Patient concerns about medical errors in emergency departments. … September 30, 2020
WebM&M Cases
Fatal Patient-Controlled
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psnet.ahrq.gov/issue/how-safe-primary-care-systematic-review
December 18, 2013 - Patient safety in ambulatory care settings has received less attention than in the hospital setting … , where the patient safety movement originated. … Estimates diverged widely between studies, and most patient safety incidents did not lead to harm. … for patient safety in primary care. … October 21, 2015
Tools for primary care patient safety: a narrative review.
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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/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/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/issue/blaming-learning-re-framing-organisational-learning-adverse-incidents
October 05, 2022 - study reports on an effort to use voluntary error reporting as a tool for teaching trainees about patient … safety. … November 11, 2020
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Related Resources
Patient … and Quality
April 26, 2023
The relationship between patient safety culture … September 1, 2011
The need for organizational change in patient safety initiatives.
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psnet.ahrq.gov/issue/handoffs-and-communication-underappreciated-roles-situational-awareness-and-inattentional
February 01, 2003 - Eisenberg Patient Safety Awards. … System innovation: Veterans Health Administration National Center for Patient Safety. … June 12, 2019
Teams, tribes and patient safety: overcoming barriers to effective teamwork … Safety (TOPS) experience. … August 18, 2010
Patient safety and collaboration of the intensive care unit team.
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psnet.ahrq.gov/issue/bachelors-degree-nurse-graduates-report-better-quality-and-safety-educational-preparedness
December 21, 2018 - January 5, 2017
Prevalence and predictors of adverse events in older surgical patients … Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety
November 27, 2023 … Nursing Education in Patient Safety
November 27, 2023
Peer training using … July 14, 2010
Using simulation to teach patient safety behaviors in undergraduate nursing … February 20, 2010
Fostering patient safety competencies using multiple-patient simulation
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psnet.ahrq.gov/issue/reporting-health-information-technology-system-related-patient-safety-incidents-effects
August 19, 2020 - Study
Reporting of health information technology system-related patient safety incidents … Reporting of health information technology system-related patient safety incidents: the effects of organizational … Organizational culture can influence whether or not clinicians report patient safety incidents. … June 1, 2022
Increased patient safety-related incidents following the transition into … June 28, 2023
The relationship between patient safety culture and the intentions of the
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.227_slideshow.ppt
November 01, 2010 - Describe current best practices for reducing patient safety risks associated with hospital discharge … safety and continuity of care. … Patient safety concerns arising from test results that return after hospital discharge. … safety awareness in general
Presence of electronic medical record
*
See Notes for references. … Successful TPAD management requires physicians to have high safety awareness and to use technology for
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psnet.ahrq.gov/issue/collaborating-or-selling-patients-conceptual-framework-emergency-department-inpatient-handoff
December 21, 2017 - June 25, 2014
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … October 19, 2022
Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator … June 7, 2017
Patient safety: disclosure of medical errors and risk mitigation. … August 7, 2019
Does a unit shift report "blackout" period improve patient safety? … December 12, 2012
Bedside shift report improves patient safety and nurse accountability