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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/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/reducing-inappropriate-polypharmacy-primary-care-through-pharmacy-led-interventions
August 18, 2021 - February 17, 2011
The patient perspective on errors in cancer care: results of a cross-sectional … December 1, 2019
Perspectives on patient and family engagement with reduction in harm … June 29, 2022
Medicine Safety: Take Care. … March 17, 2021
How can patient-held lists of medication enhance patient safety? … care patients.
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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
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psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
August 01, 2012 - is called the Minimum Data Set or the MDS, which gives a lot of information about the residents (patients … There is not one per se that highlights patient safety. … says this is a patient safety score or this is a patient safety culture score or anything along those … The Value of Close Calls in Improving Patient Safety. … homes associated with "Nursing Home Compare" performance indicators.
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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/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/variability-measurement-hospital-wide-mortality-rates
July 01, 2016 - August 15, 2018
Association between hospital performance on patient safety and 30-day … April 24, 2018
View More
Related Resources
Patient Safety Authority … April 30, 2024
Maryland Hospital Patient Safety Program Annual Report. … August 27, 2014
Hospital patient safety grades may misrepresent hospital performance. … February 12, 2014
Variation in Patient Safety Outcomes and the Importance of Being Informed
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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/comparative-economic-analyses-patient-safety-improvement-strategies-acute-care-systematic
November 07, 2012 - Review
Comparative economic analyses of patient safety improvement strategies in … Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review … October 31, 2014
Assessing Patient Safety Practices and Outcomes in the U.S. … April 24, 2013
Improving patient safety through the systematic evaluation of patient … January 6, 2010
Scottish Patient Safety Programme.
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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/teams-tribes-and-patient-safety-overcoming-barriers-effective-teamwork-healthcare
November 17, 2014 - Review
Teams, tribes and patient safety: overcoming barriers to effective teamwork … Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. … Teamwork in health care has been embraced as a key element of patient safety. … Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. … November 17, 2014
Promoting a culture of safety as a patient safety strategy: a systematic
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psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-reducing-inpatient-harm
February 26, 2025 - Evidence Rating
Moderate: The evidence consists of improvements in patient safety metrics and safety … Jt Comm J Qual Patients Saf. 2018;44(7):389-400. … /thesource/supply-chain-optimization/teaming-up-for-patient-safety/
Holman, R. … Jt Comm J Qual Patients Saf. 2018;44(7):389-400. … and Enhances Satisfaction for Elderly Patients.
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psnet.ahrq.gov/issue/assessment-impact-just-culture-quality-and-safety-us-hospitals
April 13, 2017 - safety. … April 4, 2011
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … June 19, 2024
View More
Related Resources
Patient Safety … Primers
Patient Safety 101
June 15, 2024
Posttraumatic growth … April 18, 2018
Balancing "no blame" with accountability in patient safety.
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psnet.ahrq.gov/issue/provencare-quality-improvement-model-designing-highly-reliable-care-cardiac-surgery
February 09, 2011 - intervention with a rigorous data analysis and feedback component to improve the quality of care provided to patients … February 9, 2011
A Department of Medicine infrastructure for patient safety and clinical … November 16, 2022
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … safety. … safety in Michigan.
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psnet.ahrq.gov/issue/team-based-care-changing-face-cardiothoracic-surgery
October 07, 2013 - RIS
Download Citation
Related Resources From the Same Author(s)
Patient … November 29, 2023
Learning and mindfulness: improving perioperative patient safety. … April 19, 2017
Patient safety science in cardiothoracic surgery: an overview. … January 23, 2017
Patient safety in the cardiac operating room: human factors and teamwork … July 5, 2013
Quality, patient safety, and the cardiac surgical team.
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psnet.ahrq.gov/issue/hospital-medication-errors-cross-sectional-study
September 30, 2020 - Reducing medication errors continues to be a priority area in patient safety. … years of data from one large hospital in Australia, the authors estimate that 1.05 per 100 admitted patients … March 11, 2020
Provider-patient communication and hospital ratings: perceived gaps and … September 30, 2020
COVID-19: patient safety and quality improvement skills to deploy … June 24, 2020
View More
Related Resources
Patient safety in nursing
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psnet.ahrq.gov/issue/august-always-nightmare-results-royal-college-physicians-edinburgh-and-society-acute-medicine
November 05, 2014 - care, safety, and training. … March 17, 2014
A systematic review of evidence on the links between patient experience … and clinical safety and effectiveness. … Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges
August … February 24, 2011
Patient Safety.
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psnet.ahrq.gov/issue/comparison-voluntary-safety-reporting-system-global-trigger-tool-identifying-adverse-events
July 24, 2017 - the safety and reliability of their own care. … May 4, 2022
Lessons learned implementing a complex and innovative patient safety learning … safety: literature review. … in patient safety. … : using medication triggers to identify patient harm in a specialized pediatric patient population.