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psnet.ahrq.gov/issue/learning-through-experience-influence-formal-and-informal-training-medical-error-disclosure
March 16, 2022 - safety collaborative. … June 16, 2021
I-PASS illness diversity identifies patients at risk for overnight clinical … July 14, 2021
A narrative review of strategies to increase patient safety event reporting … and safety? … December 6, 2013
Patient-led training on patient safety: a pilot study to test the feasibility
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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/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/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
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psnet.ahrq.gov/issue/point-prevalence-surgical-checklist-use-europe-relationship-hospital-mortality
January 23, 2019 - study evaluated checklist use in 426 hospitals across 28 European nations, involving more than 45,000 patients … there was striking variation in surgical checklist exposure, with checklists used for 0% to 99.6% of patients … November 20, 2015
Global patient outcomes after elective surgery: prospective cohort … December 7, 2016
Patient safety in intensive care: results from the multinational Sentinel … May 27, 2010
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Seen through the patients
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psnet.ahrq.gov/issue/managed-care-penetration-and-other-factors-affecting-computerized-physician-order-entry
October 06, 2011 - safety and cost control functions. … March 4, 2020
Assessing the relationship between patient safety culture and EHR strategy … safety climate and patient satisfaction. … safety climate. … Related Resources
Adherence to drug–drug interaction alerts in high-risk patients
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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/issue/differences-between-methods-detecting-medication-errors-secondary-analysis-medication
December 18, 2019 - June 8, 2022
Differences between professionals' views on patient safety culture in long-term … July 20, 2022
Content analysis of patient safety incident reports for older adult patient … transfers, handovers, and discharges: do they serve organizations, staff, or patients? … Safety Databases. … February 22, 2023
Toward the translation of systems thinking methods in 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/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/issue/call-me-ishmael-addressing-white-whale-team-communication-operating-room-labelled-surgical
November 16, 2022 - safety. … April 24, 2018
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … June 28, 2013
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Patient Safety … safety between Medicaid and privately insured hospital patients. … from patient safety goals.
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psnet.ahrq.gov/issue/effect-race-and-sex-physicians-recommendations-cardiac-catheterization
July 15, 2020 - Gender, racial , and ethnic disparities in healthcare can affect patient safety and lead to poor … Analyses indicate that women and Black patients with chest pain were less likely to be referred for cardiac … August 4, 2021
Effect of illness severity and comorbidity on patient safety and adverse … July 6, 2022
Incidence of adverse events and negligence in hospitalized patients. … February 23, 2022
Speaking up about traditional and professionalism-related patient safety
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psnet.ahrq.gov/issue/medication-errors-year-review
May 02, 2018 - September 30, 2020
Are hospitals in a med safety standard slump? … January 14, 2019
Complications associated with the anesthesia transport of pediatric patients … November 17, 2010
Work effort, readability and quality of pharmacy transcription of patient … March 31, 2021
Mapping the resilience performance of community pharmacy to maintain patient … safety during the Covid-19 pandemic.
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psnet.ahrq.gov/issue/potentially-inappropriate-opioid-prescribing-overdose-and-mortality-massachusetts-2011-2015
January 23, 2019 - Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient … Related Resources
Annual Perspective
Equity in Patient … Safety
March 27, 2024
Medication for opioid use disorder after nonfatal opioid … August 8, 2018
Quality and variability of patient directions in electronic prescriptions … observational study of direct oral anticoagulant awareness indicating inadequate recognition with potential for patient
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.278_slideshow.ppt
September 01, 2012 - Improving the safety of peripheral intravenous catheters. … of 3165 patients. … of 3165 patients. … of 3165 patients. … of 3165 patients.
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psnet.ahrq.gov/issue/hospital-characteristics-associated-penalties-centers-medicare-medicaid-services-hospital
November 18, 2016 - Teaching institutions, hospitals whose case mix included more complex patients, and safety-net hospitals … July 24, 2019
Safety in numbers: the development of Leapfrog's composite patient safety … September 19, 2012
Effect of illness severity and comorbidity on patient safety and adverse … January 4, 2012
Effect of critical access hospital conversion on patient safety. … January 13, 2010
Advancing Patient Safety: A Decade of Evidence, Design, and Implementation
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psnet.ahrq.gov/node/73315/psn-pdf
May 26, 2021 - J Patient Saf. 2021;17(4):239-248.
doi:10.1097/pts.0000000000000817. … what-contributes-diagnostic-error-or-delay-qualitative-exploration-across-
diverse-acute-care
Diagnostic errors and delays continue to be a widespread patient … safety concern in hospitalized patients. … Clinicians indicated that organizational, interactional, clinician, and patient
factors all interact
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psnet.ahrq.gov/issue/national-survey-patient-safety-experiences-hospital-medicine-during-covid-19-pandemic
November 30, 2022 - Study
National survey of patient safety experiences in hospital medicine during the … National survey of patient safety experiences in hospital medicine during the COVID-19 pandemic. … Qualitative responses suggest these factors had a negative impact on COVID patients , non-COVID patients … National survey of patient safety experiences in hospital medicine during the COVID-19 pandemic. … July 15, 2020
Preserving organizational resilience, patient safety, and staff retention
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psnet.ahrq.gov/node/35317/psn-pdf
July 14, 2009 - they acquired technical experience through repetition in a low-
stress environment with no threat to patient … safety.
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psnet.ahrq.gov/issue/detection-adverse-events-surgical-patients-using-trigger-tool-approach
February 15, 2011 - Detection of adverse events in surgical patients using the Trigger Tool approach. … February 15, 2011
Measuring patient safety in real time: an essential method for effectively … improving the safety of care. … August 4, 2021
Maximizing the ability of health IT and AI to improve patient safety. … February 10, 2011
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Patient