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psnet.ahrq.gov/issue/impact-state-nurse-practitioner-regulations-potentially-inappropriate-medication-prescribing
March 24, 2021 - October 19, 2022
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) … February 17, 2021
The Psychological Safety Scale of the Safety, Communication, Operational … September 14, 2022
Nurse burnout syndrome and work environment impact patient safety … December 2, 2020
Impact of patient safety culture on missed nursing care and adverse … patient events.
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psnet.ahrq.gov/issue/qualitative-study-senior-hospital-managers-views-current-and-innovative-strategies-improve
March 08, 2023 - The leaders stressed the importance of visible champions , engaged patients , and regular audit and … February 4, 2009
Interventions to improve hand hygiene compliance in patient care. … safety. … safety initiative. … October 8, 2014
Positive deviance: a new tool for infection prevention and patient safety
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psnet.ahrq.gov/issue/probabilistic-risk-assessment-accidental-abo-incompatible-thoracic-organ-transplantation-and
June 24, 2020 - June 29, 2009
Risk from delayed or missed care and non-COVID-19 outcomes for older patients … June 24, 2020
Identifying and categorising patient safety hazards in cardiovascular operating … July 5, 2013
Quality, patient safety, and the cardiac surgical team. … safety. … , 2011
Standardized multidisciplinary protocol improves handover of cardiac surgery patients
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psnet.ahrq.gov/issue/pharmacist-linkage-care-transitions-academic-medical-center-community
November 16, 2022 - November 16, 2022
Duplicate medication order errors: safety gaps and recommendations … January 8, 2020
Speaking up about traditional and professionalism-related patient safety … September 1, 2021
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) … for patients with monitored dosage systems following hospital discharge. … February 22, 2023
Understanding factors that could influence patient acceptability of
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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/why-do-people-sue-doctors-study-patients-and-relatives-taking-legal-action
August 04, 2021 - A study of patients and relatives taking legal action. … In addition, a case study presented the tension between malpractice claims and patient safety initiatives … January 22, 2016
The association of acute COVID-19 infection with Patient Safety Indicator … July 26, 2023
Patient safety in developing countries: retrospective estimation of scale … and nature of harm to patients in hospital.
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psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
March 01, 2015 - in the ambulatory setting is a crucial component of improving the quality and safety of patient care … Yet patients often refuse counseling, especially for medication refills. … Health care systems are adopting systems approaches to improve patient safety. … May 26, 2010
Patient safety in nursing practice. … June 23, 2009
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Related Resources
Patient Safety
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psnet.ahrq.gov/node/837324/psn-pdf
July 08, 2022 - hospitals that were not participating in, or exposed to,
the statewide campaign, and adjusting for patient … multiple stakeholders, including policymakers, payers, healthcare administrators,
clinicians, and patients … A multi-pronged patient safety bundle that includes a toolkit for clinicians and educational resources … safety maternal health
bundles that includes a bundle on reducing primary cesareans.25 The AIM safety … https://saferbirth.org/
https://psnet.ahrq.gov//#24
https://psnet.ahrq.gov//#25
https://saferbirth.org/patient-safety-bundles
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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/development-and-piloting-ambulatory-electronic-health-record-evaluation-tool-lessons-learned
July 29, 2020 - This article describes the development and testing of an ambulatory medication safety evaluation tool … 2022
Development and pilot evaluation of an electronic health record usability and safety … February 17, 2021
Identifying and reconciling patients' allergy information within the … Technology as a Tool for Improving Patient Safety
March 29, 2023 … alerts on patient safety, health care utilization, and cost in ambulatory care.
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psnet.ahrq.gov/node/49600/psn-pdf
April 01, 2010 - Both medication errors and adverse drug events (ADEs) are types of medication safety events. … in the ambulatory setting
is a crucial component of improving the quality and safety of patient care … Yet patients often refuse counseling, especially for medication refills. … advocates that the intended use be indicated on each prescription as
an aid for pharmacists and for patients … Health care systems are adopting systems approaches to improve patient safety.
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psnet.ahrq.gov/issue/rapid-response-team-rural-hospital
October 19, 2022 - Safety in the Emergency Care Setting. … safety. … July 19, 2023
Association of rapid response teams with hospital mortality in Medicare patients … March 15, 2017
Characterising the complexity of medication safety using a human factors … June 1, 2011
How RNs rescue patients: a qualitative study of RNs' perceived involvement
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psnet.ahrq.gov/issue/clinical-diagnoses-and-autopsy-findings-discrepancies-critically-ill-patients
March 09, 2022 - was alive in 7.5% of patients. … safety incidents with harm in primary care. … June 27, 2018
Positive deviance: a new tool for infection prevention and patient safety … September 1, 2011
Using system analysis to build a safety culture: improving the reliability … October 20, 2010
Patient safety in intensive care: results from the multinational Sentinel
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psnet.ahrq.gov/issue/principles-conservative-prescribing
April 22, 2017 - Strategies to prevent medication errors are an ongoing focus in patient safety. … prescribing, maintain heightened awareness about side effects, exercise skepticism about new drugs, work with patients … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient … June 27, 2018
A prescription for enhancing electronic prescribing safety. … 31, 2022
Annual Perspective
Pharmacist Role in Patient
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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/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
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psnet.ahrq.gov/issue/applying-human-factors-engineering-address-telemetry-alarm-problem-large-medical-center
February 10, 2021 - Based on findings from their Patient Safety Learning Laboratory , the authors used human factors engineering … Perspective
Surveillance Monitoring to Improve Patient … Patient Safety
March 29, 2023
Health system redesign of cardiac monitoring … oversight to optimize alarm management, safety, and staff engagement. … Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients
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psnet.ahrq.gov/issue/effect-us-drug-enforcement-administrations-rescheduling-hydrocodone-combination-analgesic
August 04, 2021 - observational study of direct oral anticoagulant awareness indicating inadequate recognition with potential for patient … July 1, 2016
Patient safety after implementation of a coproduced family centered communication … December 19, 2018
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Patient … Safety Primers
Opioid Safety
December 15, 2024
Safety Considerations … September 9, 2020
FDA recommends health care professionals discuss naloxone with all patients
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psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
June 17, 2010 - The patient improved and he ultimately did well with appropriate therapies. … In addition, although it is common in patient safety discussions to focus on errors of omission ( 9 ) … Safely doing less: a missing component of the patient safety dialogue. … June 17, 2010
Perspective
Getting Into Patient Safety: … Safety Research
December 1, 2003
WebM&M Cases
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psnet.ahrq.gov/issue/burden-healthcare-utilization-cost-and-mortality-associated-select-surgical-site-infections
October 09, 2024 - Jt Comm J Qual Patient Saf. 2024;50(12):857-866. doi:10.1016/j.jcjq.2024.08.005. … Jt Comm J Qual Patient Saf . 2024; 50 (12) :857-866 . … patients without SSI. … August 4, 2021
Advancing the science of patient safety. … September 20, 2011
The top patient safety strategies that can be encouraged for adoption