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psnet.ahrq.gov/node/33692/psn-pdf
February 01, 2010 - We asked him to speak with us about the role of the ACGME in
patient safety.
Dr. … RW: How do you think the ACGME's work has changed in the last 10 years with the modern patient safety … Most of the analyses looking at the quality
or the safety of patient care in teaching hospitals would … So, we start from a position that there is not some dramatic
deficiency in the safety of patient care … We have dual
responsibilities not only for the safety of patients in the training environment, but also
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psnet.ahrq.gov/issue/preventing-errors-when-preparing-and-administering-medications-enteral-feeding-tubes
November 30, 2016 - ISMP Medication Safety Alert! Acute care edition. November 17, 2022;27(23). … improvement recommendations that include best practice adherence, standardization, monitoring, and patient … December 2, 2020
Managing hospitalized patients with ambulatory pumps: findings from … Related Resources
Temporarily holding medication orders safely in order to prevent patient … Latent and active failures perfectly align to allow a preventable adverse event to reach a patient
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psnet.ahrq.gov/issue/adverse-outpatient-drug-events-problem-and-opportunity
April 12, 2011 - July 17, 2024
Patient safety's missing link: using clinical expertise to recognize, respond … January 5, 2017
Medication dosing errors for patients with renal insufficiency in ambulatory … August 31, 2016
Encouraging patients to ask questions: how to overcome "white-coat silence … Follow-up of markedly elevated serum potassium results in the ambulatory setting: implications for patient … safety.
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psnet.ahrq.gov/issue/exploration-factors-associated-reported-medication-administration-errors-north-carolina
September 20, 2012 - August 31, 2022
Speaking up about traditional and professionalism-related patient safety … September 25, 2019
'Speaking up' about patient safety concerns and unprofessional behaviour … November 20, 2015
Improving resident engagement in quality improvement and patient safety … Health Plan Patient Safety Initiatives
July 10, 2024
Public opinion … February 9, 2022
The safety of health care for ethnic minority patients: a systematic
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psnet.ahrq.gov/issue/influence-psychological-safety-and-organizational-support-impact-humiliation-trainee-well
January 26, 2022 - J Patient Saf. 2022;18(4):370-375. doi:10.1097/pts.0000000000000927. … J Patient Saf. 2022;18(4):370-375. doi:10.1097/pts.0000000000000927. … culture and patient safety in emergency departments: a systematic review. … October 12, 2022
Patient safety and quality improvement adaptation during the COVID-19 … June 12, 2019
Trainees' perceptions of patient safety practices: recounting failures
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psnet.ahrq.gov/issue/patient-identification-diagnostic-safety-blindspots-and-participation-good-catches-through
October 27, 2021 - Study
Patient identification of diagnostic safety blindspots and participation in … Patient identification of diagnostic safety blindspots and participation in "good catches" through shared … Patients who access their electronic health record (EHR) through a patient portal have identified clinically … patient and family engagement in safety. … February 16, 2022
When doctors share visit notes with patients: a study of patient and
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psnet.ahrq.gov/issue/duplicate-medication-order-errors-safety-gaps-and-recommendations-improvement
March 22, 2023 - Patient Safety. 2022;4(3):39-47. doi:10.33940/data/2022.9.6. … Patient Safety . 2022; 4 (3) :39-47 .
View more articles from the same authors. … Patient Safety. 2022;4(3):39-47. doi:10.33940/data/2022.9.6. … the analysis of patient safety event reports. … January 25, 2023
Medication dosing safety for pediatric patients: recognizing gaps, safety
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psnet.ahrq.gov/issue/safety-trade-offs-home-care-during-covid-19-mixed-methods-study-capturing-perspective
September 01, 2021 - Patient Safety. 2021;3(3):6-17. doi:10.33940/infection/2021.9.1. … Patient Safety . 2021; 3 (3) :6-17 .
View more articles from the same authors. … Patient Safety. 2021;3(3):6-17. doi:10.33940/infection/2021.9.1. … 94 hospitals
September 1, 2021
Patient safety in chiropractic teaching programs: … September 30, 2020
Management and patient safety of complex elderly patients in primary
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psnet.ahrq.gov/issue/multi-site-assessment-inpatient-safety-event-rates-during-coronavirus-disease-2019-pandemic
May 25, 2022 - between staffing levels during the pandemic and patient safety event rates. … May 25, 2022
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … July 20, 2022
The perception of patient safety in an alternate site of care for elective … August 31, 2022
Using event reports in real-time to identify and mitigate patient safety … September 23, 2020
Role of artificial intelligence in patient safety outcomes: systematic
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psnet.ahrq.gov/node/72579/psn-pdf
January 01, 2021 - Registration errors among patients receiving blood
transfusions: a national analysis from 2008 to 2017 … Registration errors among patients receiving blood transfusions: a
national analysis from 2008 to 2017 … https://psnet.ahrq.gov/issue/registration-errors-among-patients-receiving-blood-transfusions-national … This retrospective analysis used a Canadian national
database to characterize patient registration-related … https://psnet.ahrq.gov/issue/transfusion-safety-nature-and-outcomes-errors-patient-registration
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psnet.ahrq.gov/issue/understanding-link-between-burnout-and-sub-optimal-care-why-should-healthcare-education-be
August 03, 2022 - Difficulty speaking up about patient safety concerns and unprofessional behavior indicates a safety culture … safety and quality of care. … May 26, 2021
Psychological intervention to improve communication and patient safety in … Association between language use and ICU transfer and serious adverse events in hospitalized pediatric patients … August 17, 2022
Nurse burnout syndrome and work environment impact patient safety grade
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psnet.ahrq.gov/issue/validation-secondary-screener-suicide-risk-results-emergency-department-safety-assessment-and
May 31, 2023 - Evaluation (ED-SAFE) Secondary Screener among adult patients at eight emergency departments (EDs) in … and patient safety in emergency departments: a systematic review. … January 26, 2022
Analysis of risk factors for patient safety events occurring in the … investigation of providers' reported emotions and implications for patient safety
February 26, 2020 … Medication reconciliation and patient safety in trauma: Applicability of existing strategies
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psnet.ahrq.gov/issue/speaking-about-patient-safety-psychiatric-hospitals-cross-sectional-survey-study-among
July 06, 2022 - Study
Speaking up about patient safety in psychiatric hospitals - a cross-sectional … Speaking up about patient safety in psychiatric hospitals - a cross-sectional survey study among healthcare … Although nurses reported patient safety concerns more frequently, they also remained silent more often … July 27, 2022
Speaking up about patient safety concerns: the influence of safety management … September 1, 2021
Safe clinical practice for patients hospitalised in mental health wards
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psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
August 01, 2010 - Operationalizing Patient Safety at Academic Medical Centers. PSNet [internet]. … Operationalizing Patient Safety at Academic Medical Centers. PSNet [internet]. … to patient safety initiatives at AMCs. … Eisenberg patient safety and quality awards. … , solid tumor patients, and bone marrow transplant patients.
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psnet.ahrq.gov/issue/effect-physicians-long-term-use-cpoe-their-test-management-work-practices
March 23, 2011 - March 23, 2011
Failure to follow-up test results for ambulatory patients: a systematic … Emergency physicians' views of direct notification of laboratory and radiology results to patients … March 25, 2015
The safety implications of missed test results for hospitalised patients … February 20, 2012
View More
Related Resources
Patient … Patient Safety
March 29, 2023
Evaluating the medication process in the context
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psnet.ahrq.gov/issue/teamstepps-evidence-based-approach-reduce-clinical-errors-threatening-safety-outpatient
November 18, 2009 - January 31, 2018
Patient safety curriculum for surgical residency programs: results of … November 29, 2023
Connecting patients and clinicians: the anticipated effects of Open … Notes on patient safety and quality of care. … safety: a modelling perspective. … August 29, 2018
Social disparities in patient safety in primary care: a systematic review
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psnet.ahrq.gov/node/846171/psn-pdf
July 26, 2022 - diagnostic
https://psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety … cause skin
https://psnet.ahrq.gov/issue/burnout-and-sources-stress-among-health-care-risk-managers-and-patient-safety-personnel … , which may cause safety issues.20 Methods to mitigate
these problems include increasing observation … nocturnal awakenings, and encouraging mobility.16-19
Approaches to Improving Patient Safety
Beyond … psnet.ahrq.gov//#16
https://psnet.ahrq.gov//#19
https://psnet.ahrq.gov//#21
https://psnet.ahrq.gov/issue/safety-patients-isolated-infection-control
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psnet.ahrq.gov/issue/ockenden-report-emerging-fndings-and-recommendations-independent-review-maternity-services
April 27, 2022 - July 1, 2020
Coding for Success: Simple Technology for Safer Patient Care. … February 13, 2013
Safety First: a Report for Patients, Clinicians and Healthcare Managers … Trends in Severe Maternal Morbidity Complications by Patient Characteristics, 2016-2021. … January 12, 2022
The Safety of Maternity Services in England. … The Report of the Independent Medicines and Medical Devices Safety Review.
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psnet.ahrq.gov/issue/defensive-medicine-among-high-risk-specialist-physicians-volatile-malpractice-environment
February 17, 2011 - An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement … February 4, 2015
Taking the pulse of health care systems: experiences of patients with … February 22, 2010
Disclosure of medical injury to patients: an improbable risk management … February 9, 2011
"Health courts" and accountability for patient safety. … March 1, 2011
Neurologic patient safety: an in-depth study of malpractice claims.
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psnet.ahrq.gov/issue/when-medical-error-becomes-personal-activism-becomes-painful
August 21, 2019 - The piece discusses how these detractors from safety were all present at the hospital involved. … August 21, 2019
Room of hazards: a comparison of differences in safety hazard recognition … July 27, 2022
Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic … September 14, 2022
The lurking danger in the “business case” for patient safety
December … Safety Innovations
Remote Response Team and Customized Alert Settings Help Improve