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psnet.ahrq.gov/issue/report-information-technology-and-health-deficiencies-us-nursing-homes
October 28, 2020 - safety lessons learned. … August 21, 2018
Hospital cultural competency and attributes of patient safety culture … 2022
Examining causes and prevention strategies of adverse events in deceased hospital patients … and patient safety in emergency departments: a systematic review. … March 17, 2021
Improving patient safety and efficiency of medication reconciliation through
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psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
March 01, 2018 - The state has seen steeper declines in mortality and improvements in other indicators than other states … RW : Tell us about current research on what nurses think about patient safety. … Then we used AHRQ measures on patient safety culture to appraise our hospitals. … That is not the culture of patient safety that the IOM recommended. … safety grades reported by nurses.( 4 ) Where missed care rates are higher, patients are less likely
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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/issue/safety-risks-and-workflow-implications-associated-nursing-related-free-text-communication
February 17, 2021 - March 29, 2023
Partnering with patients and families living with chronic conditions to … February 15, 2023
Improving patient safety and efficiency of medication reconciliation … July 15, 2020
Use of patient complaints to identify diagnosis-related safety concerns … October 28, 2020
e-Prescribing: characterisation of patient safety hazards in community … safety.
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psnet.ahrq.gov/issue/inside-closed-loop-medication-strategy-medication-management-targets-stages-which-errors
January 30, 2013 - January 30, 2013
Making inpatient medication reconciliation patient centered, clinically … July 14, 2021
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … October 19, 2022
Effect of genetic diagnosis on patients with previously undiagnosed … Annual Perspective
Technology as a Tool for Improving Patient … Safety
March 29, 2023
WebM&M Cases
When the
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psnet.ahrq.gov/issue/frequency-and-severity-harm-medication-errors-related-parenteral-nutrition-process-large
January 16, 2019 - August 4, 2021
Disclosing adverse events to patients: international norms and trends. … View More
Related Resources
Medical line entanglement: the unspoken patient … safety hazard of medical devices. … Sodium Chloride
May 27, 2020
Sleep deprivation and starvation in hospitalised patients … : how medical care can harm patients.
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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/health-information-technologies-hazardous-dark-side
January 24, 2024 - December 12, 2014
Patient safety, satisfaction, and quality of hospital care: cross sectional … surveys of nurses and patients in 12 countries in Europe and the United States. … May 12, 2021
View More
Related Resources
Patient safety of perioperative … August 10, 2016
The automated operating room: a team approach to patient safety and communication … January 31, 2011
Trends influencing the cost of care and patient safety.
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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/squire-guidelines-evaluation-field-5-years-post-release
November 18, 2016 - stress and improve patient safety. … July 21, 2010
The top patient safety strategies that can be encouraged for adoption now … March 13, 2013
View More
Related Resources
Impact of patient safety … climate on infection prevention practices and healthcare worker and patient outcomes. … May 10, 2023
Indication-specific opioid prescribing for US patients with Medicaid or
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psnet.ahrq.gov/issue/biased-language-simulated-handoffs-and-clinician-recall-and-attitudes
June 29, 2022 - examined the impact of biased versus neutral language on clinical information recall and attitudes towards patients … particularly blame-based bias ) led to less accurate information recall and more negative attitudes towards patients … Pathways to Excellence patient safety goals. … October 9, 2019
Sustained impact of a pediatric resident-led patient safety council. … and Quality
April 26, 2023
Patient safety outcomes after two years of an
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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/habit-and-automaticity-medical-alert-override-cohort-study
October 05, 2022 - Alert fatigue is an increasingly recognized patient safety concern . … October 5, 2022
Patients' willingness and ability to identify and respond to errors in … July 27, 2022
Patient and consumer safety risks when using conversational assistants … December 9, 2020
Adaptive design: adaptation and adoption of patient safety practices … Annual Perspective
Technology as a Tool for Improving Patient Safety
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psnet.ahrq.gov/issue/central-venous-catheter-guidewire-retention-lessons-englands-never-event-database
September 15, 2021 - Researchers analyzed a national patient safety incident database to identify factors contributing to … September 15, 2021
The patients' perspective: hematological cancer patients' experiences … March 18, 2020
Collaborative case review: a systems-based approach to patient safety … May 18, 2022
Why is patient safety a challenge? … November 2, 2022
Engaging patients in the use of real-time electronic clinical data to
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psnet.ahrq.gov/issue/academic-half-day-improves-resident-perception-education-without-compromising-patient-safety
April 10, 2024 - Academic half day improves resident perception of education without compromising patient safety. … No negative impacts on patient safety were identified. … Academic half day improves resident perception of education without compromising patient safety. … May 18, 2022
Using event reports in real-time to identify and mitigate patient safety … safety, learning environments, and relationships with continuity patients.
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psnet.ahrq.gov/issue/communication-failure-operating-room
February 25, 2009 - formalized checklists have successfully improved communication and clinical outcomes in surgical patients … safety. … March 6, 2012
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … January 27, 2012
Effect of a comprehensive surgical safety system on patient outcomes … July 6, 2011
Use of the Safety Attitudes Questionnaire as a measure in patient safety
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psnet.ahrq.gov/issue/predictors-nursing-home-nurses-willingness-report-medication-near-misses
July 31, 2024 - ' safety concerns are affected by patient, nurse and event characteristics: a factorial survey experiment … November 11, 2015
Priority patient safety issues identified by perioperative nurses. … February 15, 2023
Nursing home patient safety culture perceptions among licensed practical … February 1, 2023
Long-term care nurses' experiences with patient safety incident management … August 4, 2021
Nursing home staff turnover and perceived patient safety culture: results
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psnet.ahrq.gov/issue/efficiency-and-interpretability-text-paging-communication-medical-inpatients-mixed-methods
August 09, 2023 - safety. … Researchers analyzed 575 distinct text pages regarding 217 patients and found that the messages lacked … safety. … July 25, 2018
Improving patient safety and efficiency of medication reconciliation through … safety.
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psnet.ahrq.gov/issue/relationship-between-call-light-use-and-response-time-and-inpatient-falls-acute-care-settings
March 13, 2008 - safety: a new task design in reducing patient falls. … March 13, 2008
No safety, no quality: synthesis of research on hospital and patient safety … December 15, 2011
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) … safety improvement project on hospital-wide adverse event outcomes and patient safety culture. … February 16, 2022
Assessing the effectiveness of engaging patients and their families