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psnet.ahrq.gov/issue/evolving-factors-hospital-safety-systematic-review-and-meta-analysis-hospital-adverse-events
February 02, 2022 - culture and patient safety in emergency departments: a systematic review. … 2022
Examining causes and prevention strategies of adverse events in deceased hospital patients … June 16, 2021
Registered nurses' and medical doctors' experiences of patient safety in … Safety Primers
Patient Safety 101
June 15, 2024 … Patient Safety Primers
Long-term Care and Patient Safety
April 10, 2024
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psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-incidents-nations
July 06, 2022 - harm: an analysis of patient safety reports from 92 hospitals. … October 7, 2020
Safety events impacting hospitalized patients following motor vehicle … July 15, 2020
Lessons learned from a systems approach to engaging patients and families … in patient safety transformation. … June 4, 2024
Patient Safety Authority Annual Reports.
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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
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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/issue/disruptive-physician-behavior-importance-recognition-and-intervention-and-its-impact-patient
January 26, 2022 - Safety. … March 14, 2022
Patient safety in the cardiac operating room: human factors and teamwork … October 7, 2013
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … safety climate and patient satisfaction. … September 19, 2018
Technical rationality and the decentring of patients and care delivery
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psnet.ahrq.gov/issue/patient-engagement-inpatient-setting-systematic-review
November 02, 2018 - Patients are increasingly encouraged to take an active role in their own safety during hospital care … Some have criticized this strategy for shifting responsibility for patient safety. … in safety. … January 8, 2014
Identifying Risks and Monitoring Safety: the Role of Patients and Citizens … April 24, 2013
Culture, language, and patient safety: making the link.
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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
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psnet.ahrq.gov/issue/influence-covid-19-visitation-restrictions-patient-experience-and-safety-outcomes-critical
July 14, 2021 - The influence of COVID-19 visitation restrictions on patient experience and safety outcomes: a critical … ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients … July 7, 2021
COVID-19: patient safety and quality improvement skills to deploy during … patient and workforce safety. … 'There is a real cost’: as Covid shows, barring bedside visitors from ICU deprives patients
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psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national-database
October 03, 2018 - Executive Information System database in England regarding errors in the postmortem management of patients … October 3, 2018
Learning from patient safety incidents involving acutely sick adults … August 25, 2021
A mixed-methods analysis of patient safety incidents involving opioid … September 24, 2017
Classification of patient-safety incidents in primary care. … November 22, 2017
A qualitative formative evaluation of a patient-centred patient safety
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psnet.ahrq.gov/issue/safety-perceptions-health-care-leaders-2-canadian-academic-acute-care-centers
March 14, 2022 - February 14, 2017
Effect of a comprehensive surgical safety system on patient outcomes … June 2, 2019
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Patient safety culture … June 9, 2021
Nursing home staff turnover and perceived patient safety culture: results … with patient safety: a multilevel analysis. … February 20, 2019
A qualitative study of speaking out about patient safety concerns in
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psnet.ahrq.gov/issue/systematic-review-nurses-safety-attitudes-and-their-impact-patient-outcomes-acute-care
December 16, 2020 - Review
Systematic review: nurses' safety attitudes and their impact on patient outcomes … Systematic review: nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals … Nurse attitudes towards patient safety culture have shown to impact missed nursing care, iatrogenic … September 7, 2022
Barriers and facilitators to patient engagement in patient safety from … patients and healthcare professionals' perspectives: a systematic review and meta-synthesis.
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psnet.ahrq.gov/issue/safety-competency-exploring-impact-environmental-and-personal-factors-nurses-ability-deliver
September 14, 2022 - to promote patient and workforce safety. … October 27, 2021
The relationship between patient safety culture and the intentions of … May 25, 2022
Medication-related interventions to improve medication safety and patient … February 2, 2022
Patients' willingness and ability to identify and respond to errors … August 20, 2018
CE: nursing's evolving role in patient safety.
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psnet.ahrq.gov/issue/ismp-medication-errors-reporting-program
January 26, 2023 - The program also provides access to ISMP's patient safety organization reporting mechanism and publishes … March 6, 2018
2012 ISMP International Medication Safety Self Assessment for Oncology. … June 28, 2019
Medication Safety Dashboard. … May 23, 2018
Patient Safety Project 2015–2017. … October 19, 2011
Health care work environments, employee satisfaction, and patient safety
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psnet.ahrq.gov/issue/patient-harm-resulting-medication-reconciliation-process-failures-study-serious-events
October 07, 2020 - Patient Safety. 2021;3(1):10-22. doi:10.33940/data/2021.3.1. … Patient Safety. 2021;3(1):10-22. doi:10.33940/data/2021.3.1. … October 7, 2020
Safety events impacting hospitalized patients following motor vehicle … patient safety reports from 92 hospitals. … of Patient Safety Databases.
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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/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/perspective/suicide-prevention
March 24, 2025 - Patients with lower severity may receive a calming discussion and an initial safety plan, along with … [Available at] Key Substance Use and Mental Health Indicators in the United States: Results from the … [Free full text] National Patient Safety Goal for suicide prevention. … One tool that we have created and validated is called the Patient Safety Screener. … Safety
The Role of Undergraduate Nursing Education in Patient Safety
November 27
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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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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/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/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.