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psnet.ahrq.gov/issue/exploring-how-ward-staff-engage-implementation-patient-safety-intervention-uk-based
December 21, 2016 - December 21, 2016
What can patients tell us about the quality and safety of hospital … August 17, 2018
Can patient involvement improve patient safety? … July 21, 2017
Improving patient safety through the involvement of patients: development … and evaluation of novel interventions to engage patients in preventing patient safety incidents and … November 22, 2017
A qualitative formative evaluation of a patient-centred patient safety
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psnet.ahrq.gov/node/73092/psn-pdf
March 31, 2021 - safer-care-improving-caregiver-comprehension-discharge-instructions
Breakdowns in communication between clinicians and patients … safer-care-improving-caregiver-comprehension-discharge-instructions
https://psnet.ahrq.gov/issue/communication-discrepancies-between-physicians-and-hospitalized-patients … psnet.ahrq.gov/issue/parent-provider-miscommunications-hospitalized-children
https://psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
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psnet.ahrq.gov/issue/preventing-medical-errors-how-proceed-caution
January 24, 2024 - This article provides an overview of patient safety issues in audiology such as diagnostic error and … the care of injured patients in a new physical space. … May 20, 2020
Integrating implementation science in a quality and patient safety improvement … February 23, 2011
Neurologic patient safety: an in-depth study of malpractice claims. … July 12, 2006
How safe do patients feel?
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psnet.ahrq.gov/issue/association-surgeon-patient-sex-concordance-postoperative-outcomes
September 09, 2020 - Gender , racial, and ethnic disparities in healthcare can adversely impact patient safety and lead … Among 1.3 million patients, sex discordance between surgeon and patient was associated with a significant … September 9, 2020
Association of patient and family reports of hospital safety climate … October 30, 2024
Digital health interventions and patient safety in abdominal surgery … February 21, 2024
What kinds of insights do Safety-I and Safety-II approaches provide
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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
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psnet.ahrq.gov/issue/language-discordance-and-patient-care-babel
October 30, 2024 - Language discordance and patient care-Babel. … Language discordance and patient care-Babel. … patients and families in research. … March 24, 2012
Bar-coding surgical sponges to improve safety: a randomized controlled … October 30, 2024
Impact of patient safety bundle and team-based training on obstetric
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.356_slideshow.ppt
September 01, 2015 - No imaging was performed at this initial visit.
4
Case: Abdominal Pain in Early Pregnancy (2)
The patient … appropriately raised concern for a nonpregnancy-related cause and triggered further investigations
The patient … intra-abdominal pathology, would have been appropriate
14
14
Case: Abdominal Pain in Early Pregnancy (3)
The patient … An emergent laparoscopic appendectomy was performed, which the patient tolerated well. … The effects of safety checklists in medicine: a systematic review.
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psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
March 25, 2025 - One tool that we have created and validated is called the Patient Safety Screener. … 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. … Safety
The Role of Undergraduate Nursing Education in Patient Safety
November 27
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psnet.ahrq.gov/node/46135/psn-pdf
July 11, 2017 - issue/two-state-collaborative-study-multifaceted-intervention-decrease-ventilator-
associated-events
Patients … This AHRQ-funded study examined the effect of a collaborative to prevent
adverse events in patients … participating ICUs introduced a multifaceted intervention structured around the
Comprehensive Unit-based Safety … Program, focusing on implementing evidence-based safety processes
by explicitly addressing barriers
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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/web-mm/antibiotics-urisinusitis-simple-decision-gone-bad
January 01, 2014 - The patient was brought to the emergency department for evaluation. … Jt Comm J Qual Patient Saf. 2008;34:116-123. … Related Resources From the Same Author(s)
Annual Perspective
Safety … Safety and the Evolution of WebM&M and PSNet
September 1, 2019
Prevalence … Related Resources
Annual Perspective
Improving Diagnostic Safety
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psnet.ahrq.gov/issue/pediatric-drug-labeling-improving-safety-and-efficacy-pediatric-therapies
January 24, 2024 - Study
Pediatric drug labeling: improving the safety and efficacy of pediatric therapies … January 24, 2024
Simulation in the executive suite: lessons learned for building patient … safety leadership. … Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients … December 2, 2015
Public Meeting on Improving Patient Safety by Enhancing the Container
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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/issue/reducing-anticoagulant-medication-adverse-events-and-avoidable-patient-harm
May 19, 2021 - Hospitalized patients receiving anticoagulants such as warfarin are at high risk for adverse drug events … , and reducing the incidence of such errors is one of the Joint Commission's 2008 National Patient Safety … In this study, a hospital system instituted several patient safety measures, including an anticoagulation … Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients … Safety Goals.
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psnet.ahrq.gov/issue/can-technology-improve-intershift-report-what-research-reveals
October 02, 2024 - Related Resources From the Same Author(s)
Accuracy of a chatbot in answering questions that patients … , and patient outcomes. … Safety: Promise and Challenges
March 27, 2024
Patient Safety Innovations … and Quality
April 26, 2023
Delayed recognition of deterioration of patients … January 18, 2013
Anatomic pathology databases and patient safety.
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psnet.ahrq.gov/issue/clinical-progress-note-situation-awareness-clinical-deterioration-hospitalized-children
January 19, 2022 - It features rapid response models enhanced by event review, psychological safety, and patient and family … with standard restraints in agitated hospitalized patients. … January 9, 2008
The association of acute COVID-19 infection with Patient Safety Indicator … for in-hospital reporting from families and patients. … April 20, 2022
Rapid response teams as a patient safety practice for failure to rescue
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psnet.ahrq.gov/issue/inpatient-notes-human-factors-engineering-and-inpatient-care-new-ways-solve-old-problems
December 27, 2018 - April 24, 2015
COVID-19: the dark side and the sunny side for patient safety. … methicillin-resistant Staphylococcus aureus at hospital admission and nosocomial infection in surgical patients … Parkland Hospital: the impact of evidence-based design strategies on patient safety, healing, and satisfaction … September 27, 2016
Designing for Patient Safety: Developing Methods to Integrate Patient … October 24, 2012
Patient Safety.
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psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
January 27, 2021 - The key aspects of ensuring safety during the transport of patients on ECMO include:
A dedicated … safety and team efficiency. … Safety Issues Related to this Case
Two safety issues arose in the Case described herein. … ill patients. … "Team time-out" and surgical safety-experiences in 12,390 neurosurgical patients.
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psnet.ahrq.gov/issue/ismp-2007-survey-high-alert-medications-differences-between-nursing-and-pharmacy-perspectives
February 13, 2019 - ISMP Medication Safety Alert! Acute care edition. May 17, 2007. … Related Resources From the Same Author(s)
Just Culture and its critical link to patient … safety—part 1 and part 2. … November 30, 2016
Pump up the volume: tips for increasing error reporting and decreasing patient … June 17, 2014
Medication safety issue brief.
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psnet.ahrq.gov/issue/striving-high-reliability-healthcare-qualitative-study-implementation-hospital-safety
July 10, 2019 - November 3, 2021
Temporal trends in patient safety in the Netherlands: reductions in … February 9, 2022
How do hospital inpatients conceptualise patient safety? … September 24, 2014
Patient safety: where is nursing education? … from patient safety events. … June 28, 2010
Patient Safety in Canada: An Update.