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psnet.ahrq.gov/issue/did-hospital-readmissions-reduction-program-reduce-readmissions-assessment-prior-evidence-and
August 25, 2021 - Service (CMS) Hospital Readmissions and Reduction Program (HRRP) financially penalizes hospitals if patients … September 16, 2020
Aligning patient safety and stewardship: a harm reduction strategy … Safety Initiatives
July 10, 2024
Perspectives on Safety … Health Plan Patient Safety Initiatives
July 10, 2024
Association … CDC guideline for opioid prescribing associated with reduced dispensing to certain patients
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psnet.ahrq.gov/web-mm/ectopic-or-not
March 27, 2024 - In summary, several patient safety issues must be addressed when caring for patients with ectopic pregnancies … Safety Primers
Inpatient Transitions of Care: Challenges and Safety Practices … March 27, 2024
Patient Safety Primers
Discharge Planning … June 1, 2017
Patient Safety Primers
Post-Acute Transitional … communication in the long-term care setting: perceived barriers and impact on patient safety.
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psnet.ahrq.gov/issue/effort-improve-electronic-health-record-medication-list-accuracy-between-visits-patients-and
May 15, 2024 - Download Citation
Related Resources From the Same Author(s)
The safety … May 15, 2024
The safety of inpatient health care. … January 25, 2023
Effects of an online personal health record on medication accuracy and safety … May 1, 2019
Computerized prescriber order entry–related patient safety reports: analysis … September 14, 2011
Improving medication safety in primary care using electronic health
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psnet.ahrq.gov/issue/adverse-events-during-intrahospital-transport-critically-ill-patients-systematic-review-and
March 02, 2022 - is necessary but also poses safety threats. … March 2, 2022
Identifying errors and safety considerations in patients undergoing thrombolysis … March 22, 2023
Surgeon burnout, impact on patient safety and professionalism: a systematic … February 12, 2020
Outcomes and patient safety in overlapping vs. nonoverlapping total … and staff safety.
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psnet.ahrq.gov/node/33821/psn-pdf
December 01, 2016 - those risks cause harm to patients. … Setting aside the radical differences between the work of treating patients and transporting passengers … Patient safety incident reporting: a qualitative study
of thoughts and perceptions of experts 15 years … Learning from patient safety incidents: creating participative risk regulation in healthcare. … Boston, MA: National Patient
Safety Foundation; 2015.
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psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
July 31, 2023 - The Patient Safety Authority is charged with collecting information related to patient safety events … Our end games are the same: to keep patients safe, right? … practices specific to the patients they are caring for as well as general safety practices that cross … to improve safety, both for patients and the workforce. … While national datasets such as the AHRQ Patient Safety Indicators are helpful in benchmarking performance
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psnet.ahrq.gov/issue/effect-number-open-charts-intercepted-wrong-patient-medication-orders-emergency-department
May 29, 2019 - Opening multiple patients' charts in the electronic medical record simultaneously may increase the risk … of wrong-patient orders , a known patient safety hazard . … June 27, 2018
Computerized prescriber order entry–related patient safety reports: analysis … January 17, 2024
The safety of outpatient health care: review of electronic health records … May 15, 2024
The safety of inpatient health care.
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psnet.ahrq.gov/issue/pharmacist-led-intervention-reduction-inappropriate-medication-use-patients-heart-failure
December 22, 2021 - Clinical pharmacists play an important role in ensuring patient safety, particularly in interventions … Resources From the Same Author(s)
Using failure mode and effects analysis to increase patient … safety in cancer chemotherapy. … February 12, 2020
Global drug shortages due to COVID-19: impact on patient care and mitigation … , and outcomes among patients with acute coronary syndrome.
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psnet.ahrq.gov/issue/ensuring-primary-care-diagnostic-quality-era-telemedicine
May 25, 2022 - This commentary suggests a 5-part framework for examining patient, physician, technological, clinical … May 25, 2022
Challenges and strategies for patient safety in primary care: a qualitative … March 23, 2022
Ambulatory virtual care during a pandemic: patient safety considerations … March 9, 2022
The abrupt expansion of ambulatory telemedicine: implications for patient … safety.
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psnet.ahrq.gov/node/837847/psn-pdf
August 17, 2022 - defining-and-studying-errors-surgical-care-systematic-review
https://psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-and-event-reporting
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psnet.ahrq.gov/issue/intravenous-fluid-prescribing-errors-children-mixed-methods-analysis-critical-incidents
June 14, 2023 - as well as patients. … July 25, 2011
Patient safety: a consumer's perspective. … safety indicator. … safety. … December 21, 2017
Patient safety incidents involving sick children in primary care in
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psnet.ahrq.gov/issue/disruptions-surgical-flow-and-their-relationship-surgical-errors-exploratory-investigation
August 26, 2011 - September 27, 2016
Patient safety in the cardiac operating room: human factors and teamwork … February 12, 2020
Starting elective cardiac surgery after 3 pm does not impact patient … January 23, 2017
Patient safety in the cardiac operating room: human factors and teamwork … interventions to improve emotional climate, indices of team skills and communication, and threat to patient … cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient
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psnet.ahrq.gov/issue/healthcare-personnels-working-conditions-relation-risk-behaviours-organism-transmission-mixed
June 15, 2022 - Healthcare associated infections (HAI) affect thousands of hospitalized patients each year. … June 8, 2022
Effect of the surgical safety checklist on provider and patient outcomes … and patient-reported outcomes during treatment with new oral anticancer agents. … nurses are away from patients? … September 24, 2016
Reducing interruptions to improve medication safety.
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psnet.ahrq.gov/issue/effect-resident-duty-hour-restriction-trauma-center-outcomes-teaching-hospitals-state
September 12, 2016 - The clinical outcomes of trauma patients improved at Pennsylvania hospitals after the implementation … Related Resources From the Same Author(s)
Failure events in transition of care for surgical patients … safety imperative. … January 15, 2014
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … October 26, 2011
Duty hours in emergency medicine: balancing patient safety, resident
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psnet.ahrq.gov/issue/contributing-factors-pediatric-ambulatory-diagnostic-process-errors-project-redde
November 30, 2022 - safety during the COVID-19 pandemic. … unique patient-safety challenge in obstetrics. … Safety Databases. … October 29, 2012
Developing the Safer Dx Checklist of Ten Safety Recommendations for … automatic method for finding missed and misidentified lesions in cross-sectional follow-up of oncology patients
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psnet.ahrq.gov/issue/resilience-nursing-medication-administration-practice-systematic-review-narrative-synthesis
February 18, 2017 - February 23, 2022
Comparing safety, performance and user perceptions of a patient-specific … safety incident data. … safety. … safety: an integrative review. … November 27, 2013
Medication administration technologies and patient safety: a mixed-method
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psnet.ahrq.gov/issue/impact-technology-prescribing-errors-pediatric-intensive-care-and-after-study
November 16, 2022 - November 16, 2022
The top patient safety strategies that can be encouraged for adoption … July 19, 2023
Advancing the science of patient safety. … March 5, 2025
A patient safety toolkit for family practices. … January 26, 2022
A qualitative study of what care workers do to provide patient safety … unique patient-safety challenge in obstetrics.
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psnet.ahrq.gov/web-mm/secured-not-always-safe
October 01, 2015 - .( 1 ) Each year, millions of patients receive care with the devices. … The LMA ( Figure ) is placed in an anesthetized patient (or, in the unanesthetized patient, in a topically … Many anesthesiologists choose to avoid LMA use in these higher risk patients. … Discussion with Patients
The preoperative discussion with patients is very important to allay fears … safety.
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psnet.ahrq.gov/node/836841/psn-pdf
June 01, 2020 - Interviews with 44 participating patients and providers highlighted lack of patient understanding about … Innovation Patient Safety Focus
The focus of the HRTIC program is to reduce preventable 30-day hospital … https://www.ahrq.gov/patient-safety/resources/improve-discharge/index.html
Footnotes
1. … Health
Aff (Millwood). 2017;36(3):425-432. doi:10.1377/hlthaff.2016.1305
https://www.ahrq.gov/patient-safety … Indicators of intensive care unit capacity strain: a
systematic review. Crit Care. 2018;22(1):86.
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psnet.ahrq.gov/issue/impact-pharmacist-administered-deprescribing-intervention-nursing-home-residents-randomized
September 09, 2020 - January 5, 2017
The Canadian interprofessional patient safety competencies: their role … August 21, 2024
Correlation between the number of patient-reported adverse events, adverse … drug events, and quality of life in older patients: an observational study. … October 27, 2021
Patient Safety Primers
Deprescribing as … a Patient Safety Strategy
October 27, 2021
Medication use and cognitive impairment