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psnet.ahrq.gov/issue/use-recalled-devices-new-device-authorizations-under-us-food-and-drug-administrations-510k
April 13, 2022 - Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients … March 2, 2011
Improving patient safety and efficiency of medication reconciliation through … the prevalence and association of polypharmacy and drug administration errors in hospitalized adult patients … May 29, 2019
Unintended patient safety risks due to wireless smart infusion pump library … October 8, 2014
Impact of a comprehensive safety initiative on patient-controlled analgesia
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psnet.ahrq.gov/issue/culture-change-infection-control-applying-psychological-principles-improve-hand-hygiene
November 21, 2021 - The seemingly simple act of hand hygiene has proved to be a formidable obstacle in patient safety, … August 2, 2017
Indication-specific opioid prescribing for US patients with Medicaid or … safety. … February 6, 2014
'Not another safety culture survey': using the Canadian patient safety … August 14, 2013
What is patient safety culture? A review of the literature.
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psnet.ahrq.gov/issue/association-unexpected-newborn-deaths-changes-obstetric-and-neonatal-process-care
June 01, 2022 - June 1, 2022
Evaluation of a patient-centered fall-prevention tool kit to reduce falls … January 4, 2021
Association of display of patient photographs in the electronic health … record with wrong-patient order entry errors. … December 2, 2020
Maternal and neonatal health care worker well-being and patient safety … Can routinely collected data be repurposed to predict avoidable patient harm?
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psnet.ahrq.gov/issue/impact-drug-error-reduction-software-preventing-harmful-adverse-drug-events-england
November 16, 2022 - Smart pump software can improve medication safety but can also introduce patient safety hazards, such … DERS was 45%, but across one year of implementation, severe harm or death was avoided in up to 110 patients … Technology as a Tool for Improving Patient Safety
March 29, 2023 … August 31, 2022
Impact of smart pump-electronic health record interoperability on patient … June 16, 2019
Unintended patient safety risks due to wireless smart infusion pump library
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psnet.ahrq.gov/issue/impact-inpatient-electronic-prescribing-system-prescribing-error-causation-qualitative
February 16, 2022 - safety incident data. … how a closed-loop documentation system for IV infusion administration contributes to and compromises patient … safety. … across health, social care and patient safety: a systematic review of reviews. … August 29, 2018
Quality and variability of patient directions in electronic prescriptions
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psnet.ahrq.gov/node/61117/psn-pdf
November 11, 2020 - https://psnet.ahrq.gov/issue/impact-covid-19-pandemic-cancer-care-global-collaborative-study
Patients … Respondents also reported potential patient harm due to
interruptions in cancer-specific and non-cancer … https://psnet.ahrq.gov/issue/global-oncology-pharmacy-response-covid-19-pandemic-medication-access-and-safety … https://psnet.ahrq.gov/issue/coronavirus-strains-hospitals-cancer-patients-face-treatment-delays-uncertainty
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psnet.ahrq.gov/issue/patient-clinician-diagnostic-concordance-upon-hospital-admission
October 16, 2024 - Patient-clinician diagnostic concordance upon hospital admission. … October 20, 2021
Effect of digital tools to promote hospital quality and safety on adverse … February 15, 2023
Comparison of a voluntary safety reporting system to a global trigger … August 3, 2022
Lessons learned implementing a complex and innovative patient safety learning … multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing Safety
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psnet.ahrq.gov/issue/some-unintended-consequences-information-technology-health-care-nature-patient-care
November 18, 2020 - September 25, 2019
Engaging the patient and family in the surgical safety process utilizing … June 26, 2019
An opportunity to engage obstetrics and gynecology patients through shared … : Understanding how the clinician–patient relationship influences patient engagement in safety. … March 27, 2019
Engaging hospital patients in the medication reconciliation process using … safety.
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psnet.ahrq.gov/issue/association-current-opioid-use-serious-adverse-events-among-older-adult-survivors-breast
February 15, 2023 - Chronic opioid use for noncancer pain is a well-established patient safety problem but less is known … record with wrong-patient order entry errors. … safety? … September 3, 2014
Building capacity and capability for patient safety education: a train-the-trainers … Patient safety in chemotherapy care—a review of the literature.
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psnet.ahrq.gov/node/33808/psn-pdf
May 01, 2016 - Reducing the Safety Hazards of Monitor Alert and Alarm
Fatigue
May 1, 2016
Jacques S, Williams E. … Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue. PSNet [internet].
2016. … The recent Joint Commission National Patient Safety Goal on clinical alarm safety highlighted the
complexities … Default settings are useful when patients first arrive on a unit; they can act as a safety net by detecting … The Joint Commission announces 2014
National Patient Safety Goal.
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psnet.ahrq.gov/issue/opioids-medicare-part-d-concerns-about-extreme-use-and-questionable-prescribing
October 29, 2008 - Misuse of prescription opioids represents a serious patient safety issue. … This data brief reviews federal Medicare statistics on opioid use by older Americans to highlight patient … and Workforce Safety Webinar Series. … February 11, 2015
New HHS Data Shows Major Strides Made in Patient Safety, Leading to … May 21, 2014
Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices
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psnet.ahrq.gov/issue/trend-analysis-radiation-therapy-incidents-over-seven-years
December 20, 2023 - December 20, 2023
Overnight stay in the emergency department and mortality in older patients … August 15, 2016
Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): … a patient-centered fall prevention toolkit. … June 21, 2023
Identifying patients whose symptoms are underrecognized during treatment … January 29, 2020
Communicating with patients about diagnostic errors in breast cancer
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psnet.ahrq.gov/issue/effect-pharmacists-medication-errors-emergency-department
September 23, 2020 - September 23, 2020
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … safety. … More
Related Resources
How accurately do older adult emergency department patients … August 12, 2020
Utilization of pharmacy technicians to increase the accuracy of patient … reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients
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psnet.ahrq.gov/issue/reducing-readmission-academic-medical-center-results-pharmacy-facilitated-discharge
August 04, 2021 - August 4, 2021
Unintended consequences of patient online access to health records: a … February 2, 2022
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … , 2020
Impact of pharmacist involvement in the transitional care of high-risk patients … February 3, 2016
Impact of a pharmacist on medication reconciliation on patient admission … process for elderly patients.
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psnet.ahrq.gov/issue/developing-framework-nursing-handover-emergency-department-individualised-and-systematic
October 06, 2016 - January 12, 2022
Characterising the nature of primary care patient safety incident reports … More
Related Resources
Does a unit shift report "blackout" period improve patient … safety? … December 5, 2018
Optimizing the patient handoff between EMS and the emergency department … October 27, 2010
Bedside shift report improves patient safety and nurse accountability
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psnet.ahrq.gov/issue/prevalence-burnout-among-surgical-residents-and-surgeons-switzerland
December 21, 2014 - June 26, 2019
Lessons learned implementing a complex and innovative patient safety learning … April 5, 2013
Effects of an online personal health record on medication accuracy and safety … February 21, 2024
Using failure mode and effects analysis to reduce patient safety risks … safety. … December 6, 2013
The relationship of the emotional climate of work and threat to patient
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psnet.ahrq.gov/issue/association-primary-care-clinic-appointment-time-opioid-prescribing
September 01, 2021 - trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients … September 1, 2018
A patient safety toolkit for family practices. … August 10, 2016
Patient mortality during unannounced accreditation surveys at US hospitals … December 16, 2020
Limits on opioid prescribing leave patients with chronic pain vulnerable
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psnet.ahrq.gov/issue/structured-approach-ehr-surveillance-diagnostic-error-acute-care-exploratory-analysis-two
October 16, 2024 - Related Resources From the Same Author(s)
Adverse diagnostic events in hospitalised patients … October 20, 2021
Patient-clinician diagnostic concordance upon hospital admission. … March 24, 2021
View More
Related Resources
Patient … August 28, 2019
An electronic health record–based real-time analytics program for patient … safety surveillance and improvement.
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psnet.ahrq.gov/issue/unscheduled-radiologic-examination-orders-electronic-health-record-novel-resource-targeting
March 30, 2022 - safety event investigation and analysis. … March 30, 2022
Classifying safety events related to diagnostic imaging from a safety … record with wrong-patient order entry errors. … June 21, 2016
View More
Related Resources
Patient Safety … safety.
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psnet.ahrq.gov/issue/global-comparators-project-international-comparison-30-day-hospital-mortality-day-week
May 04, 2016 - four countries, in-hospital mortality within 30 days of admission or surgical procedure was higher for patients … safety indicator. … May 4, 2017
Monitoring patient safety in primary care: an exploratory study using in-depth … January 7, 2015
A review of patient safety measures based on routinely collected hospital … May 10, 2023
Patient Safety in Ambulance Services: A Scoping Review.