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psnet.ahrq.gov/issue/delayed-or-failure-follow-abnormal-breast-cancer-screening-mammograms-primary-care-systematic
December 08, 2021 - Lack of timely follow-up of test results is an ongoing patient safety problem in primary care and can … December 8, 2021
Learning from diagnostic errors to improve patient safety when GPs work … in or alongside emergency departments: incorporating realist methodology into patient safety incident … September 8, 2021
A qualitative study of what care workers do to provide patient safety … team and patients.
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psnet.ahrq.gov/issue/systematic-review-association-shift-length-protected-sleep-time-and-night-float-patient-care
November 26, 2014 - This systematic review found that while reducing shift length has some effect on patient safety, existing … November 21, 2017
Patient safety superheroes in training: using a comic book to teach … patient safety to residents. … July 17, 2019
Identifying patient safety problems during team rounds: an ethnographic … November 26, 2014
Patient safety, resident education and resident well-being following
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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/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/using-automated-methods-detect-safety-problems-health-information-technology-scoping-review
April 07, 2019 - April 7, 2019
Identifying patient safety problems associated with information technology … October 10, 2017
Partnering with patients and families living with chronic conditions … August 17, 2022
Improving patient safety and efficiency of medication reconciliation … Patient Safety
March 29, 2023
Journal Article … March 15, 2023
The potential of artificial intelligence to improve patient safety: a
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psnet.ahrq.gov/issue/visitor-restrictions-during-covid-19-pandemic-and-increased-falls-harm-canadian-hospital
June 05, 2013 - Analysis of publicly reported patient safety data from 2008 to 2011. … June 5, 2013
Optimizing post-acute care patient safety: a scoping review of multifactorial … May 6, 2020
A comprehensive obstetric patient safety program reduces liability claims … October 20, 2014
Impact of a comprehensive patient safety strategy on obstetric adverse … June 22, 2017
A comprehensive obstetrics patient safety program improves safety climate
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psnet.ahrq.gov/web-mm/crossed-coverage
September 01, 2015 - Efforts to improve the quality and safety of warfarin administration include publishing standardized … common errors were missed or extra doses.( 1 ) One alternative strategy to enhance the quality and safety … Use of specific indicators to detect warfarin-related adverse events. … Asian patients 3. Hepatic insufficiency 4. … Safety Practice
November 1, 2012
WebM&M Cases
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psnet.ahrq.gov/issue/reducing-burden-surgical-harm-systematic-review-interventions-used-reduce-adverse-events
June 21, 2016 - been shown to enhance clinical outcomes of patients undergoing surgery. … feedback programs (e.g., the National Surgical Quality Improvement Program ) and reducing the number of patients … June 21, 2016
International recommendations for national patient safety incident reporting … February 1, 2017
Patient-safety–related hospital deaths in England: thematic analysis … January 22, 2014
Characterising the nature of primary care patient safety incident reports
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psnet.ahrq.gov/issue/awareness-human-factors-operating-theatres-during-covid-19-pandemic
October 27, 2021 - February 15, 2023
Effect of illness severity and comorbidity on patient safety and adverse … January 4, 2012
Patient Safety Innovations
There is an … safety
September 29, 2021
Perspectives on patient and family engagement with … The rise of human factors: optimising performance of individuals and teams to improve patients … October 26, 2010
Attitudes to teamwork and safety in the operating theatre.
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psnet.ahrq.gov/issue/leading-highly-visible-hospital-through-serious-reportable-event
February 15, 2023 - Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery. … safety and communication and resolution program, 2013–2022. … October 23, 2024
Bad behavior in healthcare: an insidious threat to patients, staff, … October 26, 2022
Why accountability sharing in health care organizational cultures means patients … safety.
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psnet.ahrq.gov/issue/nurse-pharmacist-collaboration-medication-reconciliation-prevents-potential-harm
August 08, 2018 - safety and clinical quality improvement. … February 14, 2018
Advancing the science of patient safety. … February 18, 2011
The top patient safety strategies that can be encouraged for adoption … March 13, 2013
Description and evaluation of an interprofessional patient safety course … safety.
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psnet.ahrq.gov/issue/distracted-practice-concept-analysis
February 27, 2009 - Author(s)
Hospital rules-based system: the next generation of medical informatics for patient … safety. … 27, 2011
Condition concern: an innovative response system for enhancing hospitalized patient … care and safety. … November 28, 2016
Striving for a zero-error patient surgical journey through adoption
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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/look-alike-sound-alike-drugs-review-include-look-alike-packaging-additional-safety-check
March 24, 2021 - Jt Comm J Qual Patient Saf. 2005;31(1):47-53. … Jt Comm J Qual Patient Saf. 2005;31(1):47-53. … safety. … safety. … July 19, 2023
Patient safety curriculum for surgical residency programs: results of a
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psnet.ahrq.gov/issue/its-time-consider-national-culture-when-designing-team-training-initiatives-healthcare
January 26, 2022 - February 23, 2022
Medication-related interventions to improve medication safety and patient … February 2, 2022
Lessons learned from a systems approach to engaging patients and families … in patient safety transformation. … February 3, 2021
The effect of transitions intervention to ensure patient safety and … September 15, 2010
Crew resource management improved perception of patient safety in
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psnet.ahrq.gov/issue/slow-progress-meeting-hospital-safety-standards-learning-leapfrog-groups-efforts
May 13, 2020 - December 9, 2020
Patient Safety: Achieving a New Standard of Care. … November 3, 2021
Patient Safety: Achieving a New Standard for Care. … January 9, 2025
Patient Safety Authority Annual Reports. … April 30, 2024
Maryland Hospital Patient Safety Program Annual Report. … May 22, 2023
Partnership for Patients.
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psnet.ahrq.gov/issue/does-seasonal-variation-orthopaedic-trauma-volume-correlate-adverse-hospital-events-and
May 25, 2022 - The study team also found that patient safety events were highest during the summer, but these were not … July 28, 2021
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 … November 23, 2011
Patient safety climate among orthopaedic surgery residents.
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psnet.ahrq.gov/node/866819/psn-pdf
September 25, 2024 - electronic trigger to identify possible missed
opportunities in diagnosis (MODs) among a large cohort of VA patients … artificial-intelligence-health-care-benefits-and-challenges-machine-learning-technologies
https://psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges … psnet.ahrq.gov/issue/incidence-origins-and-avoidable-harm-missed-opportunities-diagnosis-longitudinal-patient … psnet.ahrq.gov/issue/incidence-origins-and-avoidable-harm-missed-opportunities-diagnosis-longitudinal-patient
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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/appropriate-prescribing-medications-eight-step-approach
January 10, 2024 - March 2, 2016
Impact of multidisciplinary team huddles on patient safety: a systematic … May 6, 2020
The association of acute COVID-19 infection with Patient Safety Indicator … June 16, 2019
A prescription for enhancing electronic prescribing safety. … December 12, 2018
The impact of abbreviations on patient safety. … Professionals
Patients
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