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psnet.ahrq.gov/node/49529/psn-pdf
February 01, 2007 - Efforts to improve the quality and safety of warfarin administration include publishing standardized … most common errors were missed or extra doses.(1)
One alternative strategy to enhance the quality and safety … Evaluation of warfarin dosing by pharmacists for elderly medical in-patients. … Use of specific indicators to detect warfarin-related adverse events. … African-American patients
3. Clinical hypothyroidism
4.
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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/issue/effects-work-hour-reduction-residents-lives-systematic-review
March 02, 2011 - safety. … September 19, 2012
Graduate medical education and patient safety: a busy--and occasionally … July 2, 2008
How do hospitalized patients feel about resident work hours, fatigue, and … safety: a lean thinking approach. … March 3, 2011
Systematic review: effects of resident work hours on patient safety.
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psnet.ahrq.gov/issue/adc-survey-shows-some-improvements-unnecessary-risks-still-exist
January 23, 2019 - ISMP Medication Safety Alert! Acute care edition. January 17, 2008. … Facebook
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Linkedin
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May 2, 2018
ISMP Medication Safety … ISMP Medication Safety Alert! Acute care edition. January 17, 2008. … December 7, 2022
Just Culture and its critical link to patient safety—part 1 and part … May 2, 2018
Pump up the volume: tips for increasing error reporting and decreasing patient
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psnet.ahrq.gov/issue/engaging-patients-medication-reconciliation-patient-portal-following-hospital-discharge
February 03, 2011 - Study
Engaging patients in medication reconciliation via a patient portal following … Engaging patients in medication reconciliation via a patient portal following hospital discharge. … Other methods of leveraging information technology to engage patients in medication safety efforts have … Engaging patients in medication reconciliation via a patient portal following hospital discharge. … September 25, 2024
Safety on the ground: using critical incident technique to explore
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psnet.ahrq.gov/issue/effects-aviation-style-non-technical-skills-training-technical-performance-and-outcome
March 03, 2011 - January 4, 2010
Improving patient safety by identifying latent failures in successful … March 2, 2011
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … July 5, 2013
Poor resident–attending intraoperative communication may compromise patient … safety. … September 15, 2010
Crew resource management improved perception of patient safety in
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psnet.ahrq.gov/issue/briefing-and-debriefing-operating-room-using-fighter-pilot-crew-resource-management
May 29, 2024 - May 29, 2024
Frontline providers' and patients' perspectives on improving diagnostic … May 8, 2024
Association of patient and family reports of hospital safety climate with … October 27, 2021
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … December 22, 2018
Patient Safety and the Invitational Conference on Contemporary Surgical … February 13, 2014
Improving patient safety by identifying latent failures in successful
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psnet.ahrq.gov/issue/role-computerized-physician-order-entry-usability-reduction-prescribing-errors
June 23, 2021 - safety. … January 23, 2019
Patient and consumer safety risks when using conversational assistants … September 19, 2018
Effect of genetic diagnosis on patients with previously undiagnosed … safety incidents: a systematic review. … Annual Perspective
Technology as a Tool for Improving Patient
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psnet.ahrq.gov/issue/incomplete-ehr-adoption-late-uptake-patient-safety-and-cost-control-functions
July 25, 2011 - Commentary
Incomplete EHR adoption: late uptake of patient safety and cost control … Incomplete EHR adoption: late uptake of patient safety and cost control functions. … Incomplete EHR adoption: late uptake of patient safety and cost control functions. … March 4, 2020
Assessing the relationship between patient safety culture and EHR strategy … safety climate and patient satisfaction.
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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/aspen-survey-parenteral-nutrition-access-issues-how-system-fails-patients
October 02, 2013 - Study
ASPEN survey of parenteral nutrition access issues: how the system fails the patients … In this study, patients and caregivers were surveyed about supply and access issues related to home parenteral … safety. … July 19, 2023
The impact of health information management professionals on patient safety … December 22, 2021
The Psychological Safety Scale of the Safety, Communication, Operational
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psnet.ahrq.gov/node/60879/psn-pdf
September 02, 2020 - discontinuation would conflict with local guidelines, when systems clearly
indicated antibiotics, and when patients … why-do-hospital-prescribers-continue-antibiotics-when-it-safe-stop-results-choice-experiment
https://psnet.ahrq.gov/issue/antimicrobial-stewardship-and-patient-safety
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psnet.ahrq.gov/node/46252/psn-pdf
September 24, 2017 - paging in the health care setting may not be the most effective mode of
communication for promoting patient … safety. … Researchers analyzed 575 distinct text pages regarding 217
patients and found that the messages lacked
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psnet.ahrq.gov/issue/applied-use-safety-event-occurrence-control-charts-harm-and-non-harm-events-case-study
October 23, 2024 - February 22, 2019
The SAGES FUSE program: bridging a patient safety gap. … June 1, 2022
View More
Related Resources
Patient Safety … 31, 2013
Creating an oversight infrastructure for electronic health record–related patient … safety hazards. … November 30, 2011
Using incident reporting to improve patient safety: a conceptual model
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psnet.ahrq.gov/node/38608/psn-pdf
January 02, 2017 - Jt Comm J Qual Patient Saf.
2009;35(5):264-70. … in safety efforts by using an interactive kiosk
paired with the medication list from the electronic … with pill pictures, and patients had to indicate if
they were taking the medication. … This novel strategy may represent an
effective, patient-centered approach to this problem. … limited-health-literacy-barrier-medication-reconciliation-ambulatory-care
https://psnet.ahrq.gov/issue/through-patients-eyes-understanding-and-promoting-patient-centered-care
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psnet.ahrq.gov/node/73370/psn-pdf
June 09, 2021 - Burnout and its relationship to self-reported quality of
patient care and adverse events during COVID … reported quality of patient care
and adverse events during COVID?19: a cross? … https://psnet.ahrq.gov/issue/burnout-and-its-relationship-self-reported-quality-patient-care-and-adverse … safety outcomes. … and family
verbal abuse, medication errors, and patient and family complaints.
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psnet.ahrq.gov/issue/linking-patient-safety-climate-missed-nursing-care-labor-and-delivery-units-findings-laborrns
January 19, 2022 - Study
Linking patient safety climate with missed nursing care in labor and delivery … Linking patient safety climate with missed nursing care in labor and delivery units: findings from the … Missed nursing care is a key indicator of patient safety and has been linked to safety climate . … Linking patient safety climate with missed nursing care in labor and delivery units: findings from the … May 31, 2023
Attitudes of clinicians and patient safety culture before and after the
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psnet.ahrq.gov/issue/multi-hospital-after-observational-study-using-point-prevalence-approach-infusion-safety
January 23, 2017 - Intravenous medication administration errors related to smart pumps can compromise patient safety. … April 24, 2018
Engaging patients in the use of real-time electronic clinical data to … May 4, 2022
Adverse diagnostic events in hospitalised patients: a single-centre, retrospective … November 12, 2014
Lessons learned implementing a complex and innovative patient safety … safety.
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psnet.ahrq.gov/node/61099/psn-pdf
November 04, 2020 - twelve-month-review-infusion-pump-near-miss-medication-and-dose-selection-
errors-and-user
Smart pumps are considered a valuable method to improve medication safety … benefits-and-risks-using-smart-pumps-reduce-medication-error-rates-systematic-review
https://psnet.ahrq.gov/issue/controlled-trial-smart-infusion-pumps-improve-medication-safety-critically-ill-patients
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psnet.ahrq.gov/node/49818/psn-pdf
January 01, 2018 - barriers represent a significant patient safety issue. … In a world in which financial harm represents a serious patient safety issue, physicians can no
longer … safety issues of this magnitude. … 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