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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
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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
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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
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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
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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
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psnet.ahrq.gov/node/49694/psn-pdf
October 01, 2013 - Educate patients on the importance and relevance of correct patient identification. … Medication error reporting in nursing
homes: identifying targets for patient safety improvement. … ISMP Medication Safety Alert! Acute Care Edition. Oops, sorry, wrong patient! … WHO Collaborating Centre on Patient Safety Solutions: Patient Identification. … Health IT and Patient Safety: Building Safer Systems for Better Care.
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psnet.ahrq.gov/node/49736/psn-pdf
June 01, 2015 - The patient was admitted to the medicine team, started on empiric antibiotics, and placed on bowel
rest … The medicine team recently managed a patient with Crohn disease and a similar presentation in which … lymphoma, more recent data suggests this risk is likely due to
thiopurine.(17)
Considering the complex safety … Clostridium difficile infection in the inflammatory bowel disease patient. … Safety of infliximab and other Crohn's disease
therapies: TREAT Registry data with a mean of 5 years
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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
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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
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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
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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
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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
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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
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psnet.ahrq.gov/issue/review-computerized-physician-handoff-tools-improving-quality-patient-care
September 07, 2011 - Review of computerized physician handoff tools for improving the quality of patient care. … January 12, 2022
A 'paperless' wall-mounted surgical safety checklist with migrated leadership … March 19, 2018
Measuring safety of healthcare: an exercise in futility? … April 22, 2011
Safety of using a computerized rounding and sign-out system to reduce … More
See More About The Topic
Hospitals
Health Care Providers
Quality and Safety
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psnet.ahrq.gov/issue/secondary-analysis-hand-offs-internal-medicine-using-i-pass-mnemonic
April 22, 2013 - safety. … safety indicator. … The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients … August 23, 2023
Multicenter development, implementation, and patient safety impacts of … March 1, 2011
Safety of using a computerized rounding and sign-out system to reduce
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.68_slideshow.ppt
July 01, 2004 - The patient experienced severe crush injuries after spending 7 hours pinned under a large vehicle while … Case (cont.): Novel Drug Misuse
Post-operatively, the patient developed renal failure; an APACHE II … with elevated APACHE scores and sepsis, the team decided to start the patient on the drug. … Novel Therapeutics
Anecdotal reports suggest drotrecogin alfa (activated) is underutilized
Cost
Safety … concerns
Failure to recognize eligible patients
Jacobi J.
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psnet.ahrq.gov/issue/medical-team-training-and-coaching-veterans-health-administration-assessment-and-impact-first
December 21, 2014 - training initiative found positive perceptions of the impact on teamwork, communication, efficiency, and patient … safety. … interventions to improve emotional climate, indices of team skills and communication, and threat to patient … September 3, 2011
Use of the Safety Attitudes Questionnaire as a measure in patient safety … April 24, 2011
The relationship of the emotional climate of work and threat to patient
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psnet.ahrq.gov/issue/accidents-and-incidents-related-intravenous-drug-administration-pre-post-study-following
September 24, 2016 - safety and ergonomics in a teaching health care center. … May 29, 2014
Nursing perception of the impact of medication carts on patient safety and … April 12, 2011
Drug administration errors and their determinants in pediatric in-patients … June 30, 2011
Engaging patients to improve quality of care: a systematic review. … January 23, 2017
Maximizing smart pump technology to enhance patient safety.
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psnet.ahrq.gov/issue/estimation-breast-cancer-overdiagnosis-us-breast-screening-cohort
March 30, 2022 - The authors suggest that data can improve shared decision-making between patients and physicians. … December 2, 2020
Prevalence and causes of diagnostic errors in hospitalized patients … August 30, 2023
Patient Safety Innovations
Ambulatory Safety … or private Insurance, 2017
June 10, 2020
Safety considerations for IMRT. … April 18, 2011
An international review of patient safety measures in radiotherapy practice
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psnet.ahrq.gov/issue/content-analysis-nurses-reflections-medication-errors-regional-hospital
December 23, 2020 - Despite widespread improvement efforts, medication administration errors (MAE) remain a patient safety … December 23, 2020
Characterising the nature of primary care patient safety incident reports … March 12, 2025
Drug-drug interactions and actual harm to hospitalized patients: a multicentre … safety teaching for medical students. … September 29, 2010
Fostering patient safety competencies using multiple-patient simulation