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psnet.ahrq.gov/node/33813/psn-pdf
August 01, 2016 - patient safety practices; (iii) teaching, disseminating, and implementing effective patient safety … threats to patient safety in the dental office. … safety events (e.g., wrong site or
wrong patient), creating a severity scale for dental patient safety … Ultimately, patient safety, like politics, is local. … Is ambulatory patient safety just like hospital safety, only without the "stat"?
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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/adverse-drug-events-and-medication-problems-hospital-home-patients
December 16, 2020 - Adverse drug events and medication problems in "Hospital at Home" patients. … safety within the context of telehealth in home care: a scoping review. … May 28, 2014
Patient safety incidents in hospice care: observations from interdisciplinary … December 13, 2013
Toward increased patient safety? … March 11, 2013
Patient safety culture in home care: experiences of home-care nurses.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.137_slideshow.ppt
November 01, 2006 - outcomes
No evidence that public reporting affects patients' decisions on where to receive care
Case … Later that day, the patient complained of pain over her right upper arm. … The next day, the patient reported that her pain was worse, and the team noted an 8 cm hematoma within … Note for speaker:
Example of measures validated for one purpose used for another: patient safety indicators … Current immunization measures apply only to patients with pneumonia
Patient may have benefited but there
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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/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/issue/handoffs-and-teamwork-framework-care-transition-communication
September 28, 2022 - safety incident investigations. … A model for improving health care quality for transgender and gender nonconforming patients … December 9, 2020
Communication with patients and families regarding health care-associated … Organization (HRO) Principles and Patient Safety
February 26, 2025 … October 7, 2020
What is an ethically informed approach to managing patient safety risk
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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/node/47846/psn-pdf
March 06, 2019 - Survey data obtained from patients, providers,
and pharmacists at various points after the FDA program's … Analysis of claims data 5 years into the program revealed that anywhere
from 35% to 55% of patients … cdc-guideline-prescribing-opioids-chronic-pain-united-states-2016
https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
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psnet.ahrq.gov/node/72718/psn-pdf
February 10, 2021 - This study
involved simulated patients with chronic opioid use who called primary care clinics in need … Findings indicate that
primary care providers were generally unwilling to prescribe opioids to patients … suggestive of misuse, which may raise access to care concerns and cause potential unintended
harm for some patients … assessing-reasons-decreased-primary-care-access-individuals-prescribed-opioids-audit-study
https://psnet.ahrq.gov/primer/opioid-safety
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psnet.ahrq.gov/issue/assessment-safety-enhancement-hospital-medication-reconciliation-process-elderly-patients
August 04, 2021 - Study
Assessment of a safety enhancement to the hospital medication reconciliation … process for elderly patients. … Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients … Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients … safety.
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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/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/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
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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/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/41925/psn-pdf
November 26, 2014 - Medication reconciliation accuracy and patient
understanding of intended medication changes on
hospital … Medication reconciliation accuracy and patient understanding
of intended medication changes on hospital … https://psnet.ahrq.gov/issue/medication-reconciliation-accuracy-and-patient-understanding-intended- … of medication discrepancies at discharge compared with prior studies, but
concerningly, patients were … than the
primary hospital diagnosis, indicating that disease-specific efforts to improve medication safety
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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.