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psnet.ahrq.gov/node/73207/psn-pdf
May 05, 2021 - Diagnostic accuracy of prehospital triage tools for
identifying major trauma in elderly injured patients … Diagnostic accuracy of prehospital triage tools for identifying major
trauma in elderly injured patients … Accurate triage tools are
necessary to ensure that patients are not over- or undertriaged. … found high variability in
sensitivity and specificity across geriatric triage tools indicating some patients … diagnostic-accuracy-prehospital-triage-tools-identifying-major-trauma-elderly-injured
https://psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
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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/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/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/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
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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
View More
Related Resources
Seen through the patients
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psnet.ahrq.gov/issue/exploring-nurses-attitudes-skills-and-beliefs-medication-safety-practices
October 21, 2020 - nurses are away from patients? … safety. … Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient … safety incident. … May 25, 2022
Nurse-reported bullying and documented adverse patient events: an exploratory
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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - A root cause analysis was performed by the hospital's safety committee, which revealed that pharmacists … Use of video-assisted patient educational materials may benefit patients and their caregivers in some … While policies such as the requirement of co-prescribing naloxone are intended to improve public safety … Opioid Safety and How to Use Naloxone. California Board of Pharmacy. … January 27, 2021
Nurses' influence on consumers' experience of safety in acute mental
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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/web-mm/inappropriate-antibiotic-use
September 22, 2010 - Patient safety: infection control - a problem for patient safety. … Hospital-onset infections: a patient safety issue. … September 22, 2010
Patient safety event reporting in critical care: a study of three … Safety
March 27, 2024
Patient Safety Innovations … Annual Perspective
Technology as a Tool for Improving Patient Safety
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psnet.ahrq.gov/node/865666/psn-pdf
April 24, 2024 - presents nurses' strategies to overcome challenges such as incorporating
informal teaching into every patient … issue/why-do-nurses-miss-nursing-care-qualitative-meta-synthesis
https://psnet.ahrq.gov/issue/impact-safety-culture-quality-care-missed-care-and-nurse-staffing-patient-falls-multisource
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psnet.ahrq.gov/node/73591/psn-pdf
August 11, 2021 - downstream-cascade-costs
Inappropriate use or overuse of clinical tests such as MRIs can be harmful to patients … unintended-consequences-quantifying-benefits-iatrogenic-harms-and-downstream-cascade-costs
https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem
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psnet.ahrq.gov/node/837668/psn-pdf
July 13, 2022 - Jt Comm J Qual Patient Saf. 2022;48(9):492-496.
doi:10.1016/j.jcjq.2022.05.006. … factors-associated-malpractice-claim-payout-analysis-closed-emergency-
department-claims
Analysis of closed malpractice claims can be used to identify potential safety … factors-associated-malpractice-claim-payout-analysis-closed-emergency-department-claims
https://psnet.ahrq.gov/issue/breakdowns-initial-patient-provider-encounter-are-frequent-source-diagnostic-error-among
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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/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
View More
Related Resources
Patient Safety … safety between Medicaid and privately insured hospital patients. … from patient safety goals.
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psnet.ahrq.gov/issue/hardwiring-safety-computer-system-one-hospitals-actions-provide-technology-support-u-500
February 24, 2016 - ISMP Medication Safety Alert! Acute Care Edition. May 5, 2016;21:1-4. … a high-alert drug, and its use is becoming more complex due to the insulin resistance in diabetic patients … ISMP Medication Safety Alert! Acute Care Edition. May 5, 2016;21:1-4. … March 15, 2022
Controlled substance drug diversion by healthcare workers as a threat to patient … safety.
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psnet.ahrq.gov/issue/ismp-survey-provides-insights-preparation-and-admixture-practices-outside-pharmacy
December 02, 2020 - ISMP Medication Safety Alert! Acute care edition. November 5, 2020;25(22)1-5. … Mistakes in the intravenous medication preparation process can result in patient harm. … Safety issues documented include time pressures, lack of staff training, and unreliable adherence to … ISMP Medication Safety Alert! Acute care edition. November 5, 2020;25(22)1-5. … Latent and active failures perfectly align to allow a preventable adverse event to reach a patient
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psnet.ahrq.gov/sites/default/files/2019-11/webmm_spotlight_suicide_risk_assessment.pdf
January 01, 2019 - say at
one point in time
– While checklists are often a helpful tool in patient safety, in cases of … Suicide Screening (2)
The Joint Commission: National Patient Safety Goal (NPSG)
• 2016: Universal suicide … Suicide Risk Reduction and Treatment Planning (2)
• The Brown-Stanley safety plan is a collaborative … document that
providers can work through with suicidal patients in crisis:
– Providers work with patients … safety problem
• Suicide screening is indicated for patients who receive medical care
in EDs and medical