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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-electronic-health-record-alert-inappropriate-prescribing-high-risk-medications
August 25, 2021 - safety and finances at a community hospital
August 25, 2021
Comparing patient-reported … September 11, 2019
Do patient engagement interventions work for all patients? … A systematic review and realist synthesis of interventions to enhance patient safety. … September 15, 2021
What do patients and their carers do to support the safety of cancer … and user perceptions of a patient-specific indication-based prescribing tool with current practice:
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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/node/45897/psn-pdf
August 20, 2018 - clinical-reasoning-education-us-medical-schools-results-national-survey-
internal-medicine
In recent years, diagnostic error has gained widespread attention as a major patient … safety issue. … /issue/teaching-clinical-reasoning
https://psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
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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
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Patient … Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of
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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
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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/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/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/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/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/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/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/it-time-define-antimicrobial-never-events
November 16, 2022 - Never events are devastating to patients and indicate serious underlying organizational safety problems … September 8, 2016
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … October 23, 2024
Development of patient safety measures to identify inappropriate diagnosis … July 17, 2024
Patient safety after implementation of a coproduced family centered communication … Related Resources
In the eye of the storm: the role of the pharmacist in medication safety
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psnet.ahrq.gov/issue/characterising-complexity-medication-safety-using-human-factors-approach-observational-study
March 15, 2017 - As the patient safety field matures, there is increasing recognition of the need to incorporate human … May 10, 2013
A family-centered rounds checklist, family engagement, and patient safety … October 13, 2010
Human factors systems approach to healthcare quality and patient safety … 2016
A clinical case of electronic health record drug alert fatigue: consequences for patient … June 20, 2011
Patient safety in intensive care: results from the multinational Sentinel
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psnet.ahrq.gov/issue/state-medical-board-regulation-compounding-physician-offices
July 13, 2022 - February 3, 2021
Older patients' engagement in hospital medication safety behaviours. … Interview
In Conversation With...Amy Helwig about Health Plan Patient … Safety Initiatives
July 10, 2024
Perspectives on Safety … Health Plan Patient Safety Initiatives
July 10, 2024
Nearly all … November 3, 2015
Potentially inappropriate medication use among elderly home care patients
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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
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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/learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and
September 25, 2024 - July 1, 2015
Transforming concepts in patient safety: a progress report. … March 18, 2019
Preventable adverse drug events in hospitalized patients: a comparative … July 13, 2022
The association of acute COVID-19 infection with Patient Safety Indicator … Navigating a ship with a broken compass: evaluating standard algorithms to measure patient … safety.
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psnet.ahrq.gov/issue/effects-three-consecutive-12-hour-shifts-cognition-sleepiness-and-domains-nursing-performance
December 01, 2021 - safety. … August 5, 2015
Ethical considerations and patient safety concerns for cancelling non-urgent … care quality, and safety
January 22, 2020
Caregiver fatigue: implications for patient … February 2, 2011
The working hours of hospital staff nurses and patient safety. … February 19, 2010
Effects of extended work shifts and shift work on patient safety, productivity
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psnet.ahrq.gov/issue/computerized-dose-range-checking-using-hard-and-soft-stop-alerts-reduces-prescribing-errors
June 16, 2010 - J Patient Saf. 2017;13(3):144-148. doi:10.1097/PTS.0000000000000132. … J Patient Saf. 2017;13(3):144-148. doi:10.1097/PTS.0000000000000132. … November 29, 2023
Association of rapid response teams with hospital mortality in Medicare patients … safety. … 1, 2016
Impact of computerized physician order entry alerts on prescribing in older patients