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psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
September 01, 2014 - barriers represent a significant patient safety issue. … In a world in which financial harm represents a serious patient safety issue, physicians can no longer … Financial barriers represent a patient safety issue that can lead to many downstream consequences including … Like other patient safety issues, clinicians and health care systems should address this problem systematically … Accountability in Patient Safety
January 1, 2015
Is excessive resource
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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/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/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/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/assessment-patient-retention-inpatient-care-information-post-hospitalization
June 01, 2022 - of patient engagement and can improve safety. … in patient safety transformation. … September 29, 2021
Patient Safety Innovations
Project BOOST … March 31, 2021
Engaging patients and informal caregivers to improve safety and facilitate … Inform Notice Know' (PINK) patient safety video.
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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/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.
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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/node/46939/psn-pdf
July 23, 2018 - underdiagnosis-dementia-observational-study-patterns-diagnosis-and-
awareness-us-older-adults
This observation study found that patients … Many patients who
were diagnosed with dementia were not aware of their diagnosis. … underdiagnosis-dementia-observational-study-patterns-diagnosis-and-awareness-us-older-adults
https://psnet.ahrq.gov/issue/patient-safety-community-dementia-services-what-can-we-learn-experiences-caregivers-and
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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/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/medication-errors-care-transition-trauma-patients
September 02, 2020 - October 6, 2021
Implementation of safeguards to improve patient safety in chemotherapy … September 20, 2017
Safety climate associated with adverse events in nursing homes: a … April 16, 2018
Utilization of pharmacy technicians to increase the accuracy of patient … July 13, 2016
Using pharmacists to optimize patient outcomes and costs in the ED. … Professionals
Emergency Medicine
Medication Safety
Active Errors
View More
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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/issue/using-interactive-voice-response-system-improve-patient-safety-following-hospital-discharge
February 01, 2017 - Study
Using an interactive voice response system to improve patient safety following … Using an interactive voice response system to improve patient safety following hospital discharge. … Using an interactive voice response system to improve patient safety following hospital discharge. … February 1, 2017
Ottawa Hospital Patient Safety Study: incidence and timing of adverse … December 22, 2010
Improving patient safety: moving beyond the "hype" of medical errors
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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/sites/default/files/import/webmm.ahrq.gov.278_slideshow.ppt
September 01, 2012 - Improving the safety of peripheral intravenous catheters. … of 3165 patients. … of 3165 patients. … of 3165 patients. … of 3165 patients.
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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.
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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/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