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psnet.ahrq.gov/issue/its-not-all-about-me-motivating-hand-hygiene-among-health-care-professionals-focusing
May 29, 2019 - It's not all about me: motivating hand hygiene among health care professionals by focusing on patients … safety in hospitals: a sociotechnical ethnographic study in paediatric units. … record with wrong-patient order entry errors. … October 29, 2017
Using simulation to improve patient safety: dawn of a new era. … January 4, 2012
Introducing the patient safety professional: why, what, who, how, and
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psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
July 31, 2023 - The Patient Safety Authority is charged with collecting information related to patient safety events … Our end games are the same: to keep patients safe, right? … practices specific to the patients they are caring for as well as general safety practices that cross … to improve safety, both for patients and the workforce. … While national datasets such as the AHRQ Patient Safety Indicators are helpful in benchmarking performance
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psnet.ahrq.gov/perspective/conversation-barbara-drew-rn-phd
May 01, 2016 - Maybe it would be better for all the other patients to take that patient off the monitor if it isn't … Many of those patients are also on cardiac monitors, and there are fewer nurses per patient. … 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/look-alikesound-alike-drugs-literature-review-causes-and-solutions
September 28, 2022 - Safety Goals . … October 25, 2017
Identifying errors and safety considerations in patients undergoing … safety concerns. … April 30, 2014
Patient Safety Papers. … April 6, 2011
Child-specific risk factors and patient safety.
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psnet.ahrq.gov/issue/interventions-prevent-falls-older-adults-updated-evidence-report-and-systematic-review-us
November 14, 2018 - safety priority. … November 14, 2018
Trends in adverse event rates in hospitalized patients, 2010-2019. … December 16, 2020
Towards conceptualizing patients as partners in health systems: a systematic … 26, 2020
Patient safety incidents in hospice care: observations from interdisciplinary … January 5, 2012
Strategies to improve the patient safety outcome indicator: preventing
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psnet.ahrq.gov/issue/effectiveness-acute-care-remote-triage-systems-systematic-review
March 14, 2022 - safety outcomes. … safety outcomes. … Association of open communication and the emotional and behavioural impact of medical error on patients … in patient safety transformation. … October 25, 2017
Perspective
Telemedicine and Patient Safety
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psnet.ahrq.gov/issue/look-back-and-talk-openly-responding-and-communicating-about-risk-large-scale-error-pathology
November 16, 2016 - While other organizations have publicly reported large-scale safety problems, this article provides … safety through the involvement of patients: development and evaluation of novel interventions to engage … patients in preventing patient safety incidents and protecting them against unintended harm. … July 1, 2017
Measuring patient safety in the emergency department. … safety leadership.
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psnet.ahrq.gov/issue/2017-ismp-medication-safety-self-assessmentr-antithrombotic-therapy-hospitals
June 07, 2017 - Measurement Tool/Indicator
2017 ISMP Medication Safety Self Assessment® for Antithrombotic … Citation Text:
2017 ISMP Medication Safety Self Assessment® for Antithrombotic Therapy in Hospitals … June 7, 2017
Severe hyperglycemia in patients incorrectly using insulin pens at home. … October 25, 2017
ISMP Medication Safety Self Assessment for High-Alert Medications. … June 16, 2019
ISMP Medication Safety Self Assessment for High-Alert Medications.
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psnet.ahrq.gov/issue/health-apps-and-health-policy-what-needed
December 02, 2020 - Mobile health care applications are increasingly being developed and marketed to patients for self-care … and diagnosis , with little oversight as to their effectiveness or safety . … safety. … June 17, 2020
A smartphone app designed to empower patients to contribute toward safer … HIT vendors, their customers, and patients: a report of an AMIA special task force.
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psnet.ahrq.gov/issue/team-management-training-using-crisis-resource-management-results-perceived-benefits
October 03, 2011 - October 19, 2012
Overnight stay in the emergency department and mortality in older patients … of coworker reports about unprofessional behavior by surgeons with surgical complications in their patients … safety threats. … Simulator-based crew resource management training for interhospital transfer of critically ill patients … safety, teamwork, safety leadership, and simulation to healthcare leaders and managers.
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psnet.ahrq.gov/issue/sleep-and-errors-group-australian-hospital-nurses-work-and-during-commute
February 14, 2024 - February 14, 2024
Do patients' disruptive behaviours influence the accuracy of a doctor's … on the number of pharmaceutical interventions among patients discharged from the hospital. … safety. … September 26, 2016
Caregiver fatigue: implications for patient and staff safety—part … safety.
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psnet.ahrq.gov/node/838900/psn-pdf
October 27, 2022 - The patient was discharged home on postoperative day 15. … Safety
Consideration of Patient History and Anatomy
The success and safety of laparoscopic access … rather than Veress
access to avoid injury from the Veress needle.11,12
Surgical Maneuvers to Increase Safety … with obesity, such as the patient in this case. … Conclusion
The patient in this case had a complicated medical history and anatomy.
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psnet.ahrq.gov/issue/ecri-out-10-deadly-healthcare-technology-hazards-2017
February 21, 2024 - consensus report identifying health care technology hazards likely to be associated with accidental patient … May 7, 2014
Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio … May 24, 2015
What are the implications for patient safety and experience of a major healthcare … March 13, 2019
Fail-safe patient ID matching remains just out of reach. … October 29, 2017
The texting debate: beneficial means of communication or safety and
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psnet.ahrq.gov/issue/using-consumer-based-kiosk-technology-improve-and-standardize-medication-reconciliation
August 23, 2023 - Jt Comm J Qual Patient Saf. 2009;35(5):264-70. … This study used an innovative approach to involving patients in safety efforts by using an interactive … June 2, 2021
The top patient safety strategies that can be encouraged for adoption now … March 13, 2013
Advancing the science of patient safety. … Chemotherapy patients' perspectives towards engaging in their safety.
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psnet.ahrq.gov/node/33748/psn-pdf
April 01, 2013 - His research on strategies to mitigate fatigue to improve patient safety has influenced the
Accreditation … Robert Wachter, Editor, AHRQ WebM&M: Tell us how your thinking about duty hours and patient
safety has … CL: My suspicion is that we might be seeing the beginnings of improvement now, as the patient safety … to other realms within the hospital, where we see a host of patient safety
problems that have not yet … Improving patient safety throughout the hospital is
entirely possible, but it will require a sustained
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psnet.ahrq.gov/issue/observational-evidence-prevalence-and-association-polypharmacy-and-drug-administration-errors
August 11, 2021 - drug events, and quality of life in older patients: an observational study. … May 4, 2022
View More
Related Resources
Patient Safety … 31, 2023
Annual Perspective
Improving Diagnostic Safety … and Quality
April 26, 2023
Patient Safety Innovations … June 6, 2012
A secondary care nursing perspective on medication administration safety
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psnet.ahrq.gov/node/34861/psn-pdf
November 11, 2015 - Royal Infirmary cardiac surgery scandal—to determine the nature of the system factors that resulted
in patient … In most cases, problems were well known, but not addressed, indicating pervasive
problems with safety
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psnet.ahrq.gov/issue/electronic-health-records-and-malpractice-claims-office-practice
December 31, 2014 - May 15, 2024
The safety of inpatient health care. … September 9, 2020
Prevalence and causes of diagnostic errors in hospitalized patients … April 12, 2023
Organization and representation of patient safety data: current status … December 21, 2014
Effect of a comprehensive obstetric patient safety program on compensation … December 1, 2010
Characteristics of medical professional liability claims in patients
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psnet.ahrq.gov/issue/electronic-prescribing-systems-pediatrics-rationale-and-functionality-requirements
November 25, 2013 - encourages the use of electronic prescribing in pediatric practice as a way to prevent errors and improve patient … November 19, 2018
Pediatric medication safety in the emergency department. … March 14, 2018
Patient safety in the pediatric emergency care setting. … February 3, 2011
Principles of pediatric patient safety: reducing harm due to medical … Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients
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psnet.ahrq.gov/issue/cardiovascular-drugs-linked-many-errors
June 07, 2006 - Copy Citation
Related Resources From the Same Author(s)
USP drug safety review … Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients … August 31, 2005
Hospital R.Ph.s weigh in on new JCAHO patient safety goals. … Annual Perspective
Annual Perspective: Topics in Medication Safety