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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/node/844044/psn-pdf
January 01, 2024 - Effect of contextual factors on the prevalence of
diagnostic errors among patients managed by physicians … Effect of contextual factors on the prevalence of diagnostic errors
among patients managed by physicians … https://psnet.ahrq.gov/issue/effect-contextual-factors-prevalence-diagnostic-errors-among-patients- … managed-physicians-same
Context, such as patient, clinician, location, or specialty, can affect the … psnet.ahrq.gov/issue/recommendations-using-revised-safer-dx-instrument-help-measure-and-improve-diagnostic-safety
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psnet.ahrq.gov/issue/does-teamwork-improve-performance-operating-room-multilevel-evaluation
July 02, 2014 - Jt Comm J Qual Patient Saf. 2010;36(3):133-42. … safety. … February 9, 2022
Simulation-based training for patient safety: 10 principles that matter … February 15, 2011
Validation of a teamwork perceptions measure to increase patient safety … August 18, 2010
Crew resource management improved perception of patient safety in the
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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/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/perspective/safety-radiology
October 01, 2013 - Safety in Radiology. PSNet [internet]. … , bringing radiation safety under the broad umbrella of the patient safety field. … She is a national leader in the impact of radiologic testing on patient outcomes, and in the safety—particularly … September 10, 2008
Factors influencing witnesses' perception of patient safety during … August 22, 2018
Improving patient safety: effects of a safety program on performance
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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/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/effects-cpoe-based-medication-ordering-outcomes-overview-systematic-reviews
March 10, 2021 - August 19, 2020
Medication-related interventions to improve medication safety and patient … June 24, 2020
Effect of the surgical safety checklist on provider and patient outcomes … December 21, 2022
Duplicate medication order errors: safety gaps and recommendations … 5, 2021
Impact of computerized physician order entry alerts on prescribing in older patients … August 12, 2014
E-prescribing: a focused review and new approach to addressing safety
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psnet.ahrq.gov/issue/does-leapfrog-program-help-identify-high-quality-hospitals
February 10, 2015 - Jt Comm J Qual Patient Saf. 2008;34(6):318-325. … implementation by hospitals: computerized provider order entry , intensivist coverage of critically ill patients … , evidence-based hospital referral for high-risk patients, and adoption of the National Quality Forum's … This study found that hospitals that reported implementing at least one patient safety practice also … safety.
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psnet.ahrq.gov/issue/role-anesthesia-surgical-mortality
July 19, 2023 - The authors conclude that the physical condition of patients relates most closely to the contribution … safety. … Safety Practices. … April 24, 2018
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … April 6, 2011
What is the patient really taking?
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psnet.ahrq.gov/issue/tradeoffs-between-safety-and-alert-fatigue-data-national-evaluation-hospital-medication
March 17, 2021 - Study
The tradeoffs between safety and alert fatigue: data from a national evaluation … August 7, 2019
Improving patient safety and efficiency of medication reconciliation through … Annual Perspective
Technology as a Tool for Improving Patient … Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients … 1, 2016
Impact of computerized physician order entry alerts on prescribing in older patients
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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/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/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/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/issue/obtaining-best-possible-medication-history-hospital-admission-description-pharmacy-technician
October 31, 2023 - In this study, Certified Pharmacy Technicians (CPhTs) obtained BPMH from patients admitted through the … August 14, 2019
Medication dosing safety for pediatric patients: recognizing gaps, safety … Effect of cognitive aids on adherence to best practice in the treatment of deteriorating surgical patients … safety in intensive care during COVID-19. … the analysis of patient safety event reports.
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psnet.ahrq.gov/issue/deaths-among-opioid-users-impact-potential-inappropriate-prescribing-practices
October 19, 2011 - Inappropriate opioid prescribing increases risk of patient harm and misuse. … In this retrospective study, researchers examined pharmacy claims data on Georgia Medicaid patients without … safety. … Safety Primers
Opioid Safety
December 15, 2024
Evaluation … of policies limiting opioid exposure on opioid prescribing and patient pain in opioid-naive patients