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psnet.ahrq.gov/issue/does-clinical-supervision-health-professionals-improve-patient-safety-systematic-review-and
August 04, 2021 - Review
Does clinical supervision of health professionals improve patient safety? … Does clinical supervision of health professionals improve patient safety? … The patient safety movement catalyzed a well-known change in physician duty hours . … Does clinical supervision of health professionals improve patient safety? … May 18, 2022
Patient safety: Part I. Patient safety and the dermatologist.
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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/drug-name-confusion-preventing-medication-errors
January 29, 2018 - medical record alert associated with reduced opioid and benzodiazepine coprescribing in high-risk Veteran patients … January 29, 2018
The ritualisation of the surgical safety checklist and its decoupling … from patient safety goals. … and public safety, and costs. … 2005
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See More About The Topic
Physicians
Pharmacists
Patients
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psnet.ahrq.gov/issue/mail-service-and-community-pharmacies-must-work-tandem
December 07, 2022 - This article discusses how community pharmacies are contributing to patient safety and suggests that … December 27, 2018
Just Culture and its critical link to patient safety—part 1 and part … June 16, 2019
Two steps forward and one step back for patient safety? … More About The Topic
Outpatient Pharmacy
Pharmacists
Community Pharmacy
Medication Safety … Provider-Patient Communication
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psnet.ahrq.gov/issue/using-communication-and-teamwork-skills-cats-assessment-measure-health-care-team-performance
July 05, 2013 - safety, work-life balance, burnout, and depression. … safety culture, higher employee engagement and lower burnout. … Organization (HRO) Principles and Patient Safety
February 26, 2025
An in … The rise of human factors: optimising performance of individuals and teams to improve patients … July 10, 2019
Patient Safety Papers.
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psnet.ahrq.gov/issue/effects-leadership-self-worth-inclusion-trust-and-psychological-safety-medical-error
March 30, 2022 - September 14, 2022
Clinical data sharing improves quality measurement and patient safety … January 27, 2021
Toward the translation of systems thinking methods in patient safety … August 20, 2018
Nature of blame in patient safety incident reports: mixed methods analysis … February 8, 2018
Junior doctors' views on reporting concerns about patient safety: a … November 6, 2015
Effects of patient safety culture interventions on incident reporting
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psnet.ahrq.gov/node/60242/psn-pdf
March 01, 2021 - 1994 and 1996 found that they
received indicated care less than two-thirds of the time for 16 of 40 indicators … In addition, the team performs a home safety evaluation. … what impact the program had on Assessing Care of Vulnerable Elders quality
indicators, which have been … Innovation Patient Safety Focus
The GRACE program provides services to low-income seniors to help ensure … A
review of key quality indicators showed an improvement in falls, depression, medication management
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psnet.ahrq.gov/issue/resident-and-rn-perceptions-impact-medical-emergency-team-education-and-patient-safety
September 24, 2010 - Resident and RN perceptions of the impact of a medical emergency team on education and patient safety … Rapid response systems serve an important patient safety function in hospitals by helping detect systematic … Both groups agreed that the presence of the RRT improved patient safety, and both also felt that the … Resident and RN perceptions of the impact of a medical emergency team on education and patient safety … January 15, 2020
Patient safety after implementation of a coproduced family centered
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psnet.ahrq.gov/issue/cracking-code-quality-interrelationships-culture-nurse-demographics-advocacy-and-patient
December 01, 2011 - in-hospital reporting from families and patients. … March 9, 2022
Enhancing teamwork communication and patient safety responsiveness in a … July 24, 2024
The impact of rationing nursing care on patient safety: a systematic review … December 8, 2021
Estimating the economic cost of nurse sensitive adverse events amongst patients … August 5, 2020
Inter- and intra-disciplinary collaboration and patient safety outcomes
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psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment
September 29, 2017 - Geriatric patients are particularly vulnerable to adverse drug events due to comorbidities, complicated … safety. … September 29, 2017
Failure to engage hospitalized elderly patients and their families … Safety Innovations
Preventing Falls Through Patient and Family Engagement to Create … and Quality
April 26, 2023
The evolution of patient safety procedures in
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psnet.ahrq.gov/issue/tracking-virtual-slides-tool-study-diagnostic-error-histopathology
January 08, 2020 - safety incident reports for older adult patient transfers, handovers, and discharges: do they serve … organizations, staff, or patients? … December 22, 2021
Testimonial injustice: linguistic bias in the medical records of black patients … safety in the out-of-hospital emergency care of children: a qualitative study. … August 17, 2022
Patient Safety Primers
Coronavirus Disease
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psnet.ahrq.gov/issue/do-we-know-what-foundation-year-doctors-think-about-patient-safety-incident-reporting
April 12, 2017 - Study
Do we know what foundation year doctors think about patient safety incident … Do we know what foundation year doctors think about patient safety incident reporting? … Do we know what foundation year doctors think about patient safety incident reporting? … January 20, 2016
Patient safety skills in primary care: a national survey of GP educators … September 26, 2017
Hospital patient safety grades may misrepresent hospital performance
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psnet.ahrq.gov/issue/association-between-measured-teamwork-and-medical-errors-observational-study-prehospital-care
May 18, 2022 - Many patient safety strategies focus on effective teamwork among healthcare professionals. … March 22, 2017
Pediatric airway management and prehospital patient safety: results of … August 1, 2018
Patient safety events in out-of-hospital paediatric airway management: … January 22, 2016
Out-of-hospital pediatric patient safety events: results of the CSI … August 1, 2018
Pediatric airway management and prehospital patient safety: results of
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psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
August 13, 2014 - patients, allowing for appropriate responses such as increased monitoring and staffing for patients … safety. … March 10, 2021
Preventing harm in the ICU—building a culture of safety and engaging patients … June 19, 2024
Patient falls in the operating room setting: an analysis of reported safety … Safety.
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psnet.ahrq.gov/issue/patient-participation-surgical-site-marking-can-be-additional-tool-help-avoid-wrong-site
March 14, 2022 - In this study, investigators attempted to engage patients in safety by having patients themselves sign … June 15, 2022
Use of the WHO surgical safety checklist in trauma and orthopaedic patients … safety. … November 23, 2011
Patient safety climate among orthopaedic surgery residents. … safety.
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psnet.ahrq.gov/issue/team-relations-and-role-perceptions-during-anesthesia-crisis-management-magnetic-resonance
December 13, 2023 - January 22, 2016
The association of acute COVID-19 infection with Patient Safety Indicator … May 25, 2022
Patient safety in the cardiac operating room: human factors and teamwork … August 25, 2015
Toward improving patient safety through voluntary peer-to-peer assessment … August 21, 2024
Radiographers' experience of preventing patient safety incidents in the … Related to Diagnostic Imaging
July 8, 2022
Patient safety in chiropractic
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psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
January 01, 2024 - SAFETY
&
PATIENT SAFETY TARGET
20
Approaches to Improving Safety (1)
With unexpected, abnormal, … finding associated with increased risk of ventricular arrhythmia.
21
21
Approaches to Improving Safety … EHR systems should incorporate easily seen indicators and notifications when hemolysis is detected. … safety of hyperkalemia treatment:
Protocols for the treatment of hyperkalemia should be based on severity … and should include indications for telemetry monitoring of patients at high risk of developing severe
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psnet.ahrq.gov/issue/ems-non-conveyance-safe-practice-decrease-ed-crowding-or-threat-patient-safety
January 12, 2022 - EMS non-conveyance: A safe practice to decrease ED crowding or a threat to patient safety? … EMS non-conveyance: A safe practice to decrease ED crowding or a threat to patient safety? … September 8, 2021
A qualitative study of what care workers do to provide patient safety … June 23, 2021
Ethical considerations and patient safety concerns for cancelling non-urgent … concerning patient safety issues: a qualitative study.
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psnet.ahrq.gov/issue/assessing-state-safe-medication-practices-using-ismp-medication-safety-self-assessment
March 02, 2016 - The Joint Commission Journal on Quality and Patient Safety. 2016;40(2). doi:10.1016/s1553-7250(14)40007 … The Joint Commission Journal on Quality and Patient Safety . 2016; 40 (2) . … The Joint Commission Journal on Quality and Patient Safety. 2016;40(2). doi:10.1016/s1553-7250(14)40007 … April 22, 2017
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Related Resources
Partnership for Patients … March 19, 2014
Hospital patient safety grades may misrepresent hospital performance.
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psnet.ahrq.gov/issue/perioperative-handoff-enhancement-opportunities-through-technology-and-artificial
March 20, 2019 - Jt Comm J Qual Patient Saf . 2023; 49 (8) :410-421 . … January 8, 2025
Fire safety in the operating room. … December 14, 2022
The evolution of the Anesthesia Patient Safety Movement in America: … lessons learned and considerations to promote further improvement in patient safety. … safety.