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2981. Wrong Route for Nutrients | PSNet
      psnet.ahrq.gov/web-mm/wrong-route-nutrients
      September 04, 2010 - Lucian Leape on patient safety in U.S. hospitals. Interview by Peter I. Buerhaus. … February 17, 2010 Keeping patients safe in healthcare organizations: a structuration … theory of safety culture. … June 20, 2011 Perspective Advancing Patient Safety Through … March 25, 2020 View More Related Resources Patient safety in nursing

2982. Inappropriate opioid prescription after surgery. | PSNet
      psnet.ahrq.gov/issue/inappropriate-opioid-prescription-after-surgery
      February 02, 2022 - Discussing this worldwide patient safety concern , this commentary summarizes clinician, patient , … and outlines efforts to address the issue while enabling clinicians to provide safe pain therapy to patients … Safety Primers Opioid Safety December 15, 2024 Evaluation … of policies limiting opioid exposure on opioid prescribing and patient pain in opioid-naive patients … January 18, 2023 Inappropriate prescribing of opioids for patients undergoing surgery

2983. Patient falls while under supervision: trends from incident reporting. | PSNet
      psnet.ahrq.gov/issue/patient-falls-while-under-supervision-trends-incident-reporting
      January 11, 2023 - Preventing inpatient falls is a patient safety target. … tool in the United Kingdom to ascertain the incidence and characteristics of inpatient falls among patients … Rates of surgical consultations after emergency department admission in Black and White Medicare patients … An analysis of associations with safety climate and working conditions. … More See More About The Topic Hospitals Nurses Nurse Managers Quality and Safety

2984. Classification of adverse events occurring in a surgical intensive care unit. | PSNet
      psnet.ahrq.gov/issue/classification-adverse-events-occurring-surgical-intensive-care-unit
      May 01, 2013 - and trauma patients.  … July 5, 2013 The relationship of the emotional climate of work and threat to patient … March 16, 2011 Prospective study of the multisite spread of a medication safety intervention … February 10, 2021 Patient safety events and harms during medical and surgical hospitalizations … View More See More About The Topic Operating Room Risk Managers Quality and Safety

2985. Improved medication management with introduction of a perioperative and prescribing pharmacist service. | PSNet
      psnet.ahrq.gov/issue/improved-medication-management-introduction-perioperative-and-prescribing-pharmacist-service
      August 05, 2020 - accuracy of medication histories, inpatient prescribing, and discharge prescriptions for high-risk patients … August 11, 2021 Surgeon burnout, impact on patient safety and professionalism: a systematic … March 16, 2022 Impact of pharmacist-led multidisciplinary medication review on the safety … Effect of a ward-based pharmacy team on preventable adverse drug events in surgical patients … reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients

2986. The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter randomized crossover study. | PSNet
      psnet.ahrq.gov/issue/impact-hindsight-bias-diagnosis-perioperative-events-anesthesia-providers-multicenter
      December 16, 2020 - April 5, 2017 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … May 18, 2022 Patient safety after implementation of a coproduced family centered communication … View More Related Resources Perspectives on anesthesia and perioperative patient … safety: past, present, and future. … August 28, 2017 40 years behind the mask: safety revisited.

2987. Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics. | PSNet
      psnet.ahrq.gov/issue/pharmacists-reducing-medication-risk-medical-outpatient-clinics-retrospective-study-18
      June 16, 2021 - Community pharmacists play an important role in ensuring patient safety . … outpatient pharmacy clinics evaluated pharmacist recommendations and impacts on medication-related safety … (s) Examining causes and prevention strategies of adverse events in deceased hospital patients … : a retrospective patient record review study in the Netherlands. … Retail Pharmacy March 15, 2023 Understanding factors that could influence patient

2988. Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. | PSNet
      psnet.ahrq.gov/issue/frequency-and-severity-parenteral-nutrition-medication-errors-large-childrens-hospital-after
      April 11, 2011 - concentrations and smart-pump technology reduce continuous-medication-infusion errors in pediatric patients … April 11, 2011 Patient safety event reporting expectation: does it influence residents … March 22, 2017 Understanding patient-centred readmission factors: a multi-site, mixed-methods … January 24, 2024 Medicines safety in anaesthetic practice. … Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients

2989. Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal Infirmary. | PSNet
      psnet.ahrq.gov/issue/hospitals-cultures-entrapment-re-analysis-bristol-royal-infirmary
      May 21, 2019 - May 21, 2019 Crossing academic boundaries for diagnostic safety: 10 complex challenges … November 18, 2015 Encouraging patients to speak up about problems in cancer care. … Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient … interventions to improve emotional climate, indices of team skills and communication, and threat to patient … cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient

2990. Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. | PSNet
      psnet.ahrq.gov/issue/infection-control-deficiencies-were-widespread-and-persistent-nursing-homes-prior-covid-19
      April 29, 2020 - April 29, 2020 Progress Made Towards Improving Opioid Safety, But Further Efforts to … Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient … December 9, 2020 Patient Options for Safe and Effective Disposal of Unused Opioids. … May 4, 2016 Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices … April 27, 2016 Approaches and Challenges to Electronically Matching Patients' Records

2991. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39641/psn-pdf
      September 20, 2011 - Public reporting of quality measures is now widely used as a means of spurring hospitals to invest in patient … safety and quality improvement efforts; however, it remains unclear if reported measures truly indicate … In this study of more than 400,000 patients, researchers analyzed the relationship between adherence … relatively simple tool to ensure that all recommended steps of a process are carried out for every patient—initially

2992. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism | PSNet
      psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
      December 31, 2024 - safety Develop an approach to managing patients diagnosed with pulmonary embolism including anticoagulation … Approach to Improving Safety This case represents a classic Swiss cheese model in which several, small … radiologic findings Failure of the primary team to review imaging studies Failure to recognize multiple indicators … safety and minimize diagnostic error. … Effectiveness of the surgical safety checklist in correcting errors: a literature review applying Reason's

2993. Overnight stay in the emergency department and mortality in older patients. | PSNet
      psnet.ahrq.gov/issue/overnight-stay-emergency-department-and-mortality-older-patients
      March 05, 2025 - December 23, 2020 Is the Surgical Safety Checklist successfully conducted? … WebM&M Cases Delayed Evaluation of Abdominal Pain in an Elderly Patient … Clinicians' insights on emergency department boarding: an explanatory mixed methods study evaluating patient … June 30, 2021 Analysis of risk factors for patient safety events occurring in the emergency … July 21, 2011 The effects of emergency department staff rounding on patient safety and

2994. Clarifying adverse drug events: a clinician's guide to terminology, documentation, and reporting. | PSNet
      psnet.ahrq.gov/issue/clarifying-adverse-drug-events-clinicians-guide-terminology-documentation-and-reporting
      February 03, 2011 - February 3, 2011 Developing indicators of inpatient adverse drug events through nonlinear … December 23, 2011 Vital signs: improving antibiotic use among hospitalized patients. … Annual Perspective Annual Perspective: Topics in Medication Safety

2995. Promoting the psychological well-being of healthcare providers facing the burden of adverse events: a systematic review of second victim support resources. | PSNet
      psnet.ahrq.gov/issue/promoting-psychological-well-being-healthcare-providers-facing-burden-adverse-events
      February 15, 2023 - safety, person-centeredness and human resource management. … August 18, 2021 Occurrence of no-harm incidents and adverse events in hospitalized patients … May 26, 2021 What has been the impact of Covid-19 on safety culture? … November 24, 2021 Surgery is in itself a risk factor for the patient. … May 1, 2019 Patient safety culture and the second victim phenomenon: connecting culture

2996. Association of pharmaceutical industry marketing of opioid products with mortality from opioid-related overdoses. | PSNet
      psnet.ahrq.gov/issue/association-pharmaceutical-industry-marketing-opioid-products-mortality-opioid-related
      November 17, 2021 - Reducing opioid-related overdoses and deaths is a national patient safety priority. … s) CDC guideline for opioid prescribing associated with reduced dispensing to certain patients … November 3, 2021 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … March 29, 2017 Perspectives about racism and patient-clinician communication among black … June 10, 2013 View More Related Resources Patient Safety

2997. Structured override reasons for drug–drug interaction alerts in electronic health records. | PSNet
      psnet.ahrq.gov/issue/structured-override-reasons-drug-drug-interaction-alerts-electronic-health-records
      April 29, 2018 - February 22, 2019 Challenges and strategies for patient safety in primary care: a qualitative … September 28, 2022 Patient perceptions of safety in primary care: a qualitative study … safety: the Singapore experience. … June 12, 2013 Medication error in the care of HIV/AIDS patients: electronic surveillance … Specifications of computerized provider order entry and clinical decision support systems for cancer patients

2998. Medication reconciliation for reducing drug-discrepancy adverse events. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-reducing-drug-discrepancy-adverse-events
      October 10, 2018 - October 23, 2024 Electronic health records and adverse drug events after patient transfer … December 8, 2010 Prescribing discrepancies likely to cause adverse drug events after patient … March 9, 2022 Patient Safety Primers Deprescribing as a … Patient Safety Strategy October 27, 2021 Measuring the impact of medication-related … July 1, 2020 Impact of pharmacist-led multidisciplinary medication review on the safety

2999. Impact of inpatient harms on hospital finances and patient clinical outcomes. | PSNet
      psnet.ahrq.gov/issue/impact-inpatient-harms-hospital-finances-and-patient-clinical-outcomes
      February 28, 2018 - into question the business case for patient safety. … safety measure and critical performance measures at the frontline of care. … safety surveillance and improvement. … December 5, 2018 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … November 18, 2016 Association between hospital performance on patient safety and 30-day

3000. The Michigan Hospital Medicine Safety Consortium (HMS) Finds Infectious Diseases (ID) Physician Approval for Placement of Peripherally Inserted Central Catheters (PICCs) Prevents Unnecessary PICC Use and Reduces Complications | PSNet
      psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
      July 23, 2024 - Innovation Patient Safety Focus The initiative addresses the inappropriate use of, and complications … Patient Safety Network. December 1, 2012. Accessed November 17, 2021. … Patient Safety Innovations Patient and Family Centered … Management of Sepsis May 31, 2023 Patient Safety Innovations … Plans May 31, 2023 Patient Safety Innovations