-
psnet.ahrq.gov/issue/effectiveness-written-hospitalist-sign-outs-answering-overnight-inquiries
January 15, 2014 - factors and severity of medication errors associated with direct-acting oral anticoagulants in adult patients … safety network system on outcomes of medical patients- a before and after cohort study. … January 11, 2023
Impact of team performance on the surgical safety checklist on patient … October 7, 2015
Effect of a systems intervention on the quality and safety of patient … involving pediatric surgery patients.
-
psnet.ahrq.gov/issue/medication-related-interventions-delivered-both-hospital-and-following-discharge-systematic
August 26, 2020 - August 26, 2020
Medication-related interventions to improve medication safety and patient … July 20, 2022
Filling a gap in safety metrics: development of a patient-centred framework … April 14, 2021
Speaking up about traditional and professionalism-related patient safety … adverse drug events, and quality of life in older patients: an observational study. … July 1, 2020
Clinical and economic impact of medication reconciliation in cancer patients
-
psnet.ahrq.gov/issue/comparison-health-care-worker-satisfaction-vs-after-implementation-communication-and-optimal
December 09, 2020 - Disclosure of adverse events to patients and families is an important component of safety culture. … Development and validation of a deep learning model for detection of allergic reactions using safety … mutual healing: another step towards patient safety. … July 5, 2023
Patient and family involvement in serious incident investigations from the … 17, 2017
View More
See More About The Topic
Hospitals
Quality and Safety
-
psnet.ahrq.gov/issue/realizing-e-prescribings-potential-reduce-outpatient-psychiatric-medication-errors
November 12, 2014 - Electronic prescribing is associated with improvements in medication safety, but it can also introduce … November 9, 2022
Adverse safety events in emergency medical services care of children … interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient … safety. … July 17, 2024
Ethical considerations and patient safety concerns for cancelling non-urgent
-
psnet.ahrq.gov/issue/using-medicolegal-data-support-safe-medical-care-contributing-factor-coding-framework
April 03, 2024 - Human factors and patient safety contexts are important to consider when investigating root causes … The approach enhanced identification of process weakness to inform safety improvement work. … interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient … safety. … June 14, 2017
E-collection: Safety and Error Prevention in Health.
-
psnet.ahrq.gov/issue/us-national-trends-pediatric-deaths-prescription-and-illicit-opioids-1999-2016
January 23, 2017 - Despite widespread efforts to curb opioid prescribing , opioid misuse remains a patient safety crisis … safety. … safety concern. … January 23, 2017
Addressing mistreatment of providers by patients and family members … as a patient safety event.
-
psnet.ahrq.gov/node/73206/psn-pdf
May 05, 2021 - This study examined sepsis
patient encounters at one health system two years before and two years after … suggest revising the measure with more flexible guidelines that allow clinician discretion may
improve patient … treatment-patterns-and-clinical-outcomes-after-introduction-medicare-sepsis-performance
https://psnet.ahrq.gov/issue/sepsis-quality-safety-net-hospitals-analysis-medicares-sep
-
psnet.ahrq.gov/issue/effect-rapid-response-team-incidence-hospital-mortality
March 15, 2023 - safety network system on outcomes of medical patients- a before and after cohort study. … safety: a point prevalence study. … inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients … April 27, 2022
Failure to rescue deteriorating patients: a systematic review of root … More
See More About The Topic
Hospitals
Health Care Providers
Quality and Safety
-
psnet.ahrq.gov/innovation/esimpler-dynamic-electronic-health-record-integrated-checklist-clinical-decision-support
June 16, 2021 - Checklists are used in many clinical settings to improve patient safety, but prior research as documented … Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of … Cancer
July 31, 2023
Understanding medication safety involving patient transfer … June 7, 2023
Patient Safety Innovations
Remote Response … Provides Timely Intensive Care to Critically Ill Patients in the Emergency Department
April 7,
-
psnet.ahrq.gov/node/49536/psn-pdf
May 01, 2007 - This case raises multiple patient safety concerns. … Timely access to critical information is an important patient safety concern. … into the patient safety goals of many organizations.(6) Although the nurse caring for the
patient gave … safety. … Joint Commission National Patient Safety Goals.
-
psnet.ahrq.gov/issue/medication-reconciliation-hospital-discharge-qualitative-exploration-acute-care-nurses
October 20, 2021 - Medication reconciliation at hospital discharge has become a mainstay of patient safety efforts with … safety in intensive care during COVID-19. … : a systematic review and meta-analysis of 488,594 patients. … June 30, 2021
View More
Related Resources
Patient Safety … Primers
Inpatient Transitions of Care: Challenges and Safety Practices
March 27
-
psnet.ahrq.gov/issue/mixed-methods-evaluation-medication-reconciliation-primary-care-setting
November 16, 2022 - March 9, 2022
Effect on patient safety of a resident physician schedule without 24-hour … August 5, 2020
Management and patient safety of complex elderly patients in primary care … November 4, 2020
Patient and physician perspectives of deprescribing potentially inappropriate … 2021
View More
Related Resources
Challenges and strategies for patient … safety in primary care: a qualitative study.
-
psnet.ahrq.gov/issue/weight-and-size-descriptors-drug-dosing-too-many-options-and-too-many-errors
April 06, 2022 - vulnerable to error due to inaccurate estimation of body weight, use of metric vs. non-metric units, or patients … adverse drug events, and quality of life in older patients: an observational study. … November 2, 2022
Improving patient safety and efficiency of medication reconciliation … Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients … Safety
March 29, 2023
An analysis of prehospital pediatric medication dosing
-
psnet.ahrq.gov/innovation/handshake-antimicrobial-stewardship-model-recognize-and-prevent-diagnostic-errors
September 08, 2021 - and pharmacists reviewing relevant clinical electronic health record (EHR) data for all hospitalized patients … April 6, 2022
Patient safety, resident well-being and continuity of care with different … June 27, 2018
View More
Related Resources
Patient Safety … and Quality
April 26, 2023
Patient Safety Innovations … April 7, 2022
Patient Safety Innovations
U.S.
-
psnet.ahrq.gov/node/837976/psn-pdf
August 31, 2022 - The study team also
found that patient safety events were highest during the summer, but these were
-
psnet.ahrq.gov/node/60856/psn-pdf
August 26, 2020 - with multiple chronic comorbidities
List at least two safety-related disadvantages of starting complex … Approach to Improving Safety & Patient Safety Target
The most obvious management failure in this case … , there is a subconscious assumption that all patients will do
so. … #18
https://psnet.ahrq.gov//#20
https://psnet.ahrq.gov/issue/modified-early-warning-system-improves-patient-safety-and-clinical-outcomes-academic … Anesthesia Patient Safety Foundation
Newsletter. 2019;33(3). https://www.apsf.org/article/on-reducing-fixation-errors
-
psnet.ahrq.gov/issue/impact-medication-reviews-delivered-community-pharmacist-elderly-patients-polypharmacy-meta
May 19, 2021 - J Patient Saf. 2021;17(4):290-298. doi:10.1097/PTS.0000000000000599. … Polypharmacy among older patients can increase the risk of adverse drug events. … J Patient Saf. 2021;17(4):290-298. doi:10.1097/PTS.0000000000000599. … enhancing collaboration between community pharmacists and primary care providers to improve medication safety … Outpatient Pharmacy
Health Care Providers
Geriatrics
Community Pharmacy
Medication Safety
-
psnet.ahrq.gov/issue/medication-reconciliation-accuracy-and-patient-understanding-intended-medication-changes
July 29, 2020 - of medication discrepancies at discharge compared with prior studies , but concerningly, patients were … than the primary hospital diagnosis, indicating that disease-specific efforts to improve medication safety … January 2, 2017
Engaging patients in medication reconciliation via a patient portal following … December 6, 2010
Reengineering hospital discharge: a protocol to improve patient safety … More
See More About The Topic
Hospitals
Health Care Providers
Quality and Safety
-
psnet.ahrq.gov/issue/deployment-second-victim-peer-support-program-replication-study
January 12, 2022 - Assessing the perceived level of institutional support for the second victim after a patient … safety event. … Collective insights from patient safety leaders in Maryland. … March 15, 2017
Sources and magnitude of error in preparing morphine infusions for nurse–patient … November 30, 2016
The safety culture in a children's hospital.
-
psnet.ahrq.gov/web-mm/failure-latch
November 27, 2012 - The Case The patient is a full-term, 8.5-pound, healthy infant whose parents were strongly committed … Newborn wet and soiled diaper counts and timing of onset of lactation as indicators of breastfeeding … Perspective
Accreditation and Regulation: Can They Help Improve Patient … Safety? … safety.