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psnet.ahrq.gov/issue/prospective-validation-classification-intraoperative-adverse-events-classintra-international
November 20, 2015 - Safety (ASIPS) collaborative. … September 27, 2010
Patient perspectives of patient–provider communication after adverse … Meta-analyses on provider, patient, organisational, and handoff outcomes. … March 9, 2022
Surgical teams' attitudes about surgical safety and the surgical safety … December 16, 2020
Clinical efficacy of combined surgical patient safety system and the
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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
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psnet.ahrq.gov/node/46121/psn-pdf
January 01, 2021 - J Patient Saf.
2021;17(6):405-411. doi:10.1097/PTS.0000000000000382. … https://psnet.ahrq.gov/issue/quality-handoffs-community-pharmacies
Handoffs present a significant patient … safety hazard across multiple health care settings.
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psnet.ahrq.gov/node/837025/psn-pdf
May 04, 2022 - J Patient Saf. 2022;18(2):e387-e392.
doi:10.1097/pts.0000000000000826. … Researchers analyzed a national patient safety incident database to identify factors contributing to
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psnet.ahrq.gov/node/61059/psn-pdf
October 28, 2020 - results indicate that TeamSTEPPS
implementation was associated with improved perceptions of teamwork and patient … long-term-effects-teamwork-training-communication-and-teamwork-climate-ambulatory
https://psnet.ahrq.gov/issue/teamstepps-strategies-and-tools-enhance-performance-and-patient-safety
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psnet.ahrq.gov/node/73413/psn-pdf
June 23, 2021 - interventions-reduce-pediatric-prescribing-errors-professional-healthcare-
settings-systematic
Pediatric patients … interventions-reduce-pediatric-prescribing-errors-professional-healthcare-settings-systematic
https://psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge
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psnet.ahrq.gov/issue/adverse-effects-medicare-psi-90-hospital-penalty-system-revenue-neutral-hospital-acquired
October 30, 2024 - The program measures HAC rates by a composite Patient Safety Indicator (PSI90), which includes 10 specific … Nevertheless, concerns persist about the validity of using PSI for patient safety measurement over … September 23, 2020
Advancing the science of patient safety. … March 16, 2022
The top patient safety strategies that can be encouraged for adoption … March 13, 2013
Toward improving patient safety through voluntary peer-to-peer assessment
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psnet.ahrq.gov/web-mm/empiric-steroids-good-bad-and-ugly
June 01, 2015 - with CAP found that mortality decreased in the patients with severe CAP who were given both systemic … steroids and antibiotics.( 2 ) Other rationales for glucocorticoid therapy in severely ill patients … Effects of systemic steroids in patients with severe community-acquired pneumonia. … Safety Primers
Simulation Training
March 1, 2023 … Annual Perspective
Annual Perspective: Topics in Medication Safety
March 31
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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/issue/dropping-baton-qualitative-analysis-failures-during-transition-emergency-department-inpatient
September 26, 2012 - Prior research has found that the transfer of patients from the emergency department (ED) to inpatient … August 15, 2018
View More
Related Resources
Patient … Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of … : Clarifying Code Status
December 18, 2019
Patient and physician experience … November 5, 2014
Patient safety, error reduction, and pediatric nurses' perceptions of
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psnet.ahrq.gov/issue/implementation-and-sustainability-medication-reconciliation-toolkit-mixed-methods-evaluation
May 19, 2021 - February 12, 2020
Prevalence and causes of diagnostic errors in hospitalized patients … intensive care unit admission of delirious or mechanically ventilated patients. … September 2, 2020
Effect of patient- and medication-related factors on inpatient medication … September 30, 2020
View More
Related Resources
Patient … Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of
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psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
April 01, 2005 - For electronic filtering of patient records, patients are electronically identified with the defined … to improve patient safety. … may have experienced significant delays in care, and a patient safety event could have occurred. … Patient Safety Innovations
Reducing Preventable Patient … April 24, 2024
Patient Safety Innovations
Patient
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psnet.ahrq.gov/issue/status-implementation-world-health-organization-multimodal-hand-hygiene-strategy-united
November 13, 2024 - The seemingly simple act of hand hygiene has proved to be a formidable obstacle in patient safety, … March 11, 2015
'Clean Care is Safer Care': the Global Patient Safety Challenge 2005-2006 … July 3, 2014
Healthcare-associated infections: a national patient safety problem and … October 4, 2013
Tennessee Center for Patient Safety. … September 10, 2013
African Partnerships for Patient Safety.
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psnet.ahrq.gov/issue/implementing-computerized-provider-order-entry-existing-clinical-information-system
October 19, 2022 - Jt Comm J Qual Patient Saf. 2006;32(9):506-16. … Jt Comm J Qual Patient Saf. 2006;32(9):506-16. … Safety in the Emergency Care Setting. … safety imperative. … of medication safety alerts on patient safety, health care utilization, and cost in ambulatory care.
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psnet.ahrq.gov/issue/identifying-risks-areas-related-medication-administrations-text-mining-analysis-using-free
December 18, 2019 - January 22, 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. … safety. … June 16, 2019
A web application to involve patients in the medication reconciliation … care managers' patient safety responsibilities.
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psnet.ahrq.gov/issue/prevalence-and-economic-burden-medication-errors-nhs-england
September 11, 2018 - March 27, 2017
Improving patient safety through the involvement of patients: development … and evaluation of novel interventions to engage patients in preventing patient safety incidents and … November 16, 2016
Characterising the nature of primary care patient safety incident reports … October 2, 2013
Medical Office Survey on Patient Safety Culture: 2018 User Database Report … May 2, 2018
Hospital Survey on Patient Safety Culture: 2018 User Database Report.
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psnet.ahrq.gov/issue/chronic-hospital-nurse-understaffing-meets-covid-19-observational-study
September 27, 2017 - This study used survey data from nurses and patients in 254 hospitals in New York and Illinois between … nurses and patients and demonstrates the implications of understaffing, even before COVID-19. … February 9, 2011
Better nurse staffing is associated with survival for Black patients … June 22, 2022
Patient Safety Primers
Coronavirus Disease … Supervision, interprofessional collaboration, and patient safety in intensive care units
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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/evaluation-association-between-hospital-survey-patient-safety-culture-hsops-measures-and
December 21, 2017 - Study
Evaluation of the association between Hospital Survey on Patient Safety Culture … Evaluation of the association between Hospital Survey on Patient Safety Culture (HSOPS) measures and … Evaluation of the association between Hospital Survey on Patient Safety Culture (HSOPS) measures and … safety. … January 8, 2014
Tennessee Center for Patient Safety.
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psnet.ahrq.gov/issue/remote-video-auditing-real-time-feedback-academic-surgical-suite-improves-safety-and
August 04, 2021 - Use of the surgical safety checklist has been linked to improved patient outcomes, but checklist compliance … August 4, 2021
Advancing the science of patient safety. … September 20, 2011
The top patient safety strategies that can be encouraged for adoption … March 13, 2013
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … June 1, 2016
Structural empowerment and patient safety culture among registered nurses