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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/accreditation-council-graduate-medical-educations-limits-residents-work-hours-and-patient
July 10, 2008 - The patient safety effects of 2003 regulations reducing housestaff work hours have yet to be determined … July 10, 2008
Assessing patient safety culture: a review and synthesis of the measurement … July 5, 2016
Hospitalized patients' participation and its impact on quality of care and … patient safety. … August 27, 2012
Patient safety climate in hospitals: act locally on variation across
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psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
October 31, 2023 - safety. 11 Workforce stress and burnout negatively impact patient safety culture , leading to consequent … Safety leaders recognize workplace violence as a significant patient safety issue; workforce safety is … a culture of patient safety. … If we viewed workplace violence as part of that patient safety culture, then workers and patients may … We know that in patient safety, safety champions are needed to support patient safety initiatives.
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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/what-contributes-diagnostic-error-or-delay-qualitative-exploration-across-diverse-acute-care
March 16, 2022 - Diagnostic errors and delays continue to be a widespread patient safety concern in hospitalized patients … September 14, 2022
Filling a gap in safety metrics: development of a patient-centred … July 7, 2021
Encouraging patients to speak up about problems in cancer care. … Annual Perspective
Technology as a Tool for Improving Patient Safety … December 15, 2021
Safety events impacting hospitalized patients following motor vehicle
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psnet.ahrq.gov/issue/effects-electronic-nursing-handover-patient-safety-general-non-covid-19-and-covid-19
February 26, 2020 - Study
The effects of electronic nursing handover on patient safety in the general … The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID- … safety and handover quality among patients both with and without COVID-19 in the intensive care unit … The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID- … March 23, 2022
Remote patient monitoring during COVID-19: an unexpected patient safety
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psnet.ahrq.gov/issue/towards-safer-better-healthcare-harnessing-natural-properties-complex-sociotechnical-systems
April 08, 2011 - April 8, 2011
Improving patient safety governance and systems through learning from successes … and mortality following implementation of a checklist-based surgical safety intervention. … Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient … safety studies. … October 8, 2014
Tracing the foundations of a conceptual framework for a patient safety
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psnet.ahrq.gov/issue/qualitative-study-why-general-practitioners-may-participate-significant-event-analysis-and
October 29, 2008 - of patient care. … July 19, 2023
Patient safety skills in primary care: a national survey of GP educators … March 12, 2014
Do we know what foundation year doctors think about patient safety incident … June 27, 2012
Adverse drug events in general practice patients in Australia. … June 13, 2011
Confidential reporting of patient safety events in primary care: results
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psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
September 01, 2004 - desired, retracts it, and then optionally enters a new but closely related order, and they are useful indicators … Discourses about patient safety tend to involve a good deal of talk about systems thinking, but actually … Leapfrog initiatives to drive great leaps in patient safety.
2. Ranji S, Wachter RM, Hartman EE. … Patient Safety Primer: Computerized Provider Order Entry. AHRQ Patient Safety Network. … Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. 2nd ed.
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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/uncovering-creating-or-constructing-problems-enacting-new-role-support-staff-who-raise
September 29, 2021 - Same Author(s)
Why do systems for responding to concerns and complaints so often fail patients … December 13, 2023
What can safety cases offer for patient safety? … July 11, 2019
View More
Related Resources
'Speaking Up' for patient … safety and staff well-being: a qualitative study. … February 3, 2011
Making patients safer: nurses' responses to patient safety alerts.
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psnet.ahrq.gov/issue/post-hospital-medication-discrepancies-home-risk-factor-90-day-return-emergency-department
March 18, 2020 - Home health providers often detect medication discrepancies in patients recently discharged from the … safety. … November 2, 2022
Patient and consumer safety risks when using conversational assistants … Safety Primers
Deprescribing as a Patient Safety Strategy
October 27, 2021 … safety: final results of the MARQUIS study.
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psnet.ahrq.gov/issue/excess-mortality-caused-medical-injury
June 29, 2011 - safety. … July 3, 2014
Description and evaluation of an interprofessional patient safety course … January 3, 2017
Engaging patients in medication reconciliation via a patient portal following … Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients … December 18, 2013
Whole-patient measure of safety: using administrative data to assess
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psnet.ahrq.gov/issue/evaluation-communication-and-safety-behaviors-during-hospital-wide-code-response-simulation
February 23, 2022 - safety. … July 24, 2019
COVID-19: patient safety and quality improvement skills to deploy during … culture and patient safety in emergency departments: a systematic review. … for in-hospital reporting from families and patients. … June 21, 2015
A 'Communication and Patient Safety' training programme for all healthcare
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psnet.ahrq.gov/node/73363/psn-pdf
June 09, 2021 - issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-
outcomes-falls
Safe patient … This review aimed to identify which nursing handover interventions result in improved
patient outcomes … (i.e., patient falls, pressure injuries, medication administration errors). … a structured approach, such as Situation, Background, Assessment, Recommendation (SBAR) improved
patient … nursing-bedside-clinical-handover-integrated-review-issues-and-tools
https://psnet.ahrq.gov/issue/impact-communication-and-patient-hand-tool-sbar-patient-safety-systematic-review
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psnet.ahrq.gov/issue/association-between-night-time-surgery-and-occurrence-intraoperative-adverse-events-and
October 13, 2021 - ' for clinicians as well as patients. … improved patient safety outcomes: a stepped-wedge, cluster-randomised multicentre trial. … February 9, 2022
Sitters as a patient safety strategy to reduce hospital falls: a systematic … safety. … March 27, 2019
Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator
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psnet.ahrq.gov/issue/human-factors-analysis-latent-safety-threats-pediatric-critical-care-unit
April 28, 2021 - safety. … April 6, 2016
System factors affecting patient safety in the OR: an analysis of safety … August 25, 2021
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … WebM&M Cases
Mitigating the Risk of Intrahospital Transport for Pediatric Patients … Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients
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psnet.ahrq.gov/issue/outcomes-quality-improvement-project-educating-nurses-medication-administration-and-errors
April 24, 2018 - November 12, 2014
Patient safety after implementation of a coproduced family centered … December 19, 2018
Sitters as a patient safety strategy to reduce hospital falls: a systematic … , and patient outcomes. … July 1, 2016
Continuing education in patient safety: massive open online courses as a … safety culture.
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psnet.ahrq.gov/issue/prevention-wrong-location-misadministration-through-use-intradepartmental-incident-learning
January 22, 2017 - March 4, 2020
Assessing the relationship between patient safety culture and EHR strategy … safety climate and patient satisfaction. … safety climate. … Safety in Acute Hospital Care Units
April 26, 2023
Factors impacting on patient … November 9, 2022
Identifying patients whose symptoms are underrecognized during treatment
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psnet.ahrq.gov/issue/utilization-seniors-falls-investigation-methodology-identify-system-wide-causes-falls
November 21, 2014 - Root cause analysis methodology was used to identify predisposing causes of falls in geriatric patients … September 8, 2016
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … January 5, 2012
Adverse events experienced by homecare patients: a scoping review of … February 2, 2011
Strategies to improve the patient safety outcome indicator: preventing … Scientists
Geriatrics
Patient Falls
Root Cause Analysis