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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/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/leapfrog-hospital-safety-score-magnet-designation-and-healthcare-associated-infections-united
July 27, 2022 - J Patient Saf. 2021;17(6):445-450. doi:10.1097/PTS.0000000000000378. … J Patient Saf . 2021; 17 (6) :445-450 .
View more articles from the same authors. … J Patient Saf. 2021;17(6):445-450. doi:10.1097/PTS.0000000000000378. … January 26, 2022
Hospital cultural competency and attributes of patient safety culture … December 18, 2017
Balancing "no blame" with accountability in patient safety.
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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
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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/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/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/improving-transfusion-safety-operating-room-barcode-scanning-system-designed-specifically
February 01, 2023 - Transfusion errors due to patient misidentification can have serious consequences . … system improved documentation compliance and averted transfusion of mismatched blood products in 20 patients … April 5, 2023
Serious hazards of transfusion: evaluating the dangers of a wrong patient … September 28, 2022
Registration errors among patients receiving blood transfusions: a … : the nature and outcomes of errors in patient registration.
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psnet.ahrq.gov/issue/efficacy-medical-team-training-improved-team-performance-and-decreased-operating-room-delays
October 06, 2016 - October 6, 2016
To the point: integrating patient safety education Into the obstetrics … influence attempts within safety practice. … July 5, 2013
Effect of a comprehensive surgical safety system on patient outcomes. … September 20, 2011
The relationship of the emotional climate of work and threat to patient … August 18, 2010
Crew resource management improved perception of patient safety in the
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psnet.ahrq.gov/issue/impact-traditional-and-smart-pump-infusion-technology-nurse-medication-administration
May 18, 2022 - safety. … bundle and barcode-based safety system. … May 2, 2018
Enhancing patient safety with intelligent intravenous infusion devices: experience … March 2, 2012
Medication administration technologies and patient safety: a mixed-method … March 30, 2011
Impact of a comprehensive safety initiative on patient-controlled analgesia
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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/predictors-adverse-events-patients-after-discharge-intensive-care-unit
December 08, 2021 - December 8, 2021
Effect of using a safety checklist on patient complications after surgery … August 1, 2012
Older patients' engagement in hospital medication safety behaviours. … June 16, 2021
Patient preferences for participation in patient care and safety activities … deterioration to ensure patient safety? … September 24, 2016
Improving patient safety in the ICU by prospective identification
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psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
January 31, 2024 - 47%).(10) These significant knowledge and practice gaps must be addressed to improve the quality and safety … of patient care. … Assist in healing of open sacral/perineal wound in incontinent patients. … products in male and female patients with urinary incontinence. … May 1, 2019
Improving nurse-to-patient staffing ratios as a cost-effective safety intervention
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psnet.ahrq.gov/issue/twelve-month-review-infusion-pump-near-miss-medication-and-dose-selection-errors-and-user
November 04, 2020 - factors and severity of medication errors associated with direct-acting oral anticoagulants in adult patients … May 26, 2021
Surgeon burnout, impact on patient safety and professionalism: a systematic … July 29, 2020
Enhancing teamwork communication and patient safety responsiveness in a … paediatric intensive care unit using the daily safety huddle tool. … June 16, 2019
Unintended patient safety risks due to wireless smart infusion pump library
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psnet.ahrq.gov/issue/cost-poor-blood-specimen-quality-and-errors-preanalytical-processes
April 22, 2009 - safety incidents. … May 31, 2017
Improving patient safety through simulation training in anesthesiology: … November 25, 2020
Is there evidence for a better health care for cancer patients after … transfusion safety. … More
See More About The Topic
Hospitals
Health Care Providers
Quality and Safety
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psnet.ahrq.gov/issue/identifying-systems-failures-pathway-catastrophic-event-analysis-national-incident-report
January 22, 2014 - January 22, 2014
Characterising the nature of primary care patient safety incident reports … December 16, 2015
Patient-safety–related hospital deaths in England: thematic analysis … December 18, 2013
Safety incidents in the primary care office setting. … : findings from the 2012 ISMP International Medication Safety Self Assessment for Oncology. … patients.
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psnet.ahrq.gov/issue/application-human-factors-analysis-and-classification-system-methodology-cardiovascular
January 06, 2012 - September 27, 2016
Patient safety in the cardiac operating room: human factors and teamwork … November 6, 2019
Communication practices on 4 Harvard surgical services: a surgical safety … the reduction of communication breakdowns in inpatient surgical care: results from a Harvard surgical safety … October 5, 2022
Cognitive engineering to improve patient safety and outcomes in cardiothoracic … February 25, 2015
Patient safety in the cardiac operating room: human factors and teamwork
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psnet.ahrq.gov/curated-library/covid-19-pandemic-impact-healthcare-associated-conditions
July 21, 2025 - Patient Exp J . 2021; 8 (1) :30-39 . … safety events. … experience and safety outcomes. … safety. … The COVID-19 pandemic has led to patients delaying or forgoing necessary health care, which can contribute
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psnet.ahrq.gov/issue/health-care-associated-infections-among-critically-ill-children-us-2013-2018
May 18, 2022 - diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient … June 22, 2022
Association of patient and family reports of hospital safety climate with … January 12, 2022
Factors related to serious safety events in a children's hospital patient … safety collaborative. … June 3, 2020
Uncertain diagnoses in a children's hospital: patient characteristics and