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psnet.ahrq.gov/issue/types-prevalence-and-potential-clinical-significance-medication-administration-errors
October 11, 2023 - October 11, 2023
A coproduced family reporting intervention to improve safety surveillance … September 18, 2024
Patient safety, satisfaction, and quality of hospital care: cross … sectional surveys of nurses and patients in 12 countries in Europe and the United States. … December 12, 2014
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … March 24, 2011
Addressing delays in medication administration for patients transferred
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psnet.ahrq.gov/web-mm/wet-read
October 01, 2017 - The patient was admitted for pain control with intravenous morphine and started on patient-controlled … Around-the-clock attending radiology coverage is essential to avoid mistakes in the care of trauma patients … safety. … August 21, 2024
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of
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psnet.ahrq.gov/web-mm/low-totem-pole
October 01, 2003 - Perhaps more germane to the patient safety question, Sexton asked both surgeons and commercial airline … It’s the only way we can keep our patients safe.” … patients will be harmed unnecessarily. … The University of Texas Center of Excellence for Patient Safety Research and Practice. … An American View of the UK's Patient Safety Enterprise: Top Down vs.
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psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
August 14, 2024 - SPOTLIGHT CASE
Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. … Citation Text:
Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes.. … Safety Leads to Patient Falls in Nursing Homes.. … Z-drugs and falls in nursing home patients: data from the INCUR study. … Safety Leads to Patient Falls in Nursing Homes..
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psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review
June 23, 2015 - Results indicated a significant number of adverse events in both elderly (>65) and nonelderly patient … events , and events related to procedures; these findings suggest potential areas for safety interventions … February 17, 2011
The nature of adverse events in hospitalized patients. … February 10, 2011
Work system design for patient safety: the SEIPS model. … Demonstrating the value of a standardized cognitive assessment tool through the use of interprofessional rapid safety
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psnet.ahrq.gov/issue/community-pharmacy-medication-review-death-and-re-admission-after-hospital-discharge
July 08, 2008 - February 4, 2010
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … Resources
A multi-method exploratory evaluation of a service designed to improve medication safety … enhancing collaboration between community pharmacists and primary care providers to improve medication safety … February 22, 2023
Understanding factors that could influence patient acceptability of … October 31, 2017
In-home medication reviews: a novel approach to improving patient care
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psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
March 01, 2014 - of patients in the health care system. … We spoke with her about infection prevention and patient safety.
Dr. … What could be more appropriate than applying the patient safety agenda to infection prevention? … RW : Infection prevention has been around much longer than the patient safety field. … Are We Getting Better at Measuring Patient Safety?
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psnet.ahrq.gov/issue/preventing-device-associated-infections-us-hospitals-national-surveys-2005-2013
June 21, 2023 - September 27, 2023
Evaluation of the association between Hospital Survey on Patient Safety … 17, 2017
View More
Related Resources
Recommendations for the safety … of hospitalised patients in the context of the COVID-19 pandemic: a scoping review. … Mandatory influenza vaccination for health care workers as the new standard of care: a matter of patient … safety and nonmaleficent practice.
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psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
June 07, 2023 - Each institution should develop standard tracheostomy management protocols to enhance patient safety. … : a pilot patient safety initiative. … January 31, 2024
Do patients who read visit notes on the patient portal have a higher … safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. … safety project reduces bloodstream infections by 40 percent.
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psnet.ahrq.gov/issue/cdc-guideline-opioid-prescribing-associated-reduced-dispensing-certain-patients-chronic-pain
October 13, 2018 - Misuse of prescription opioids represents a serious patient safety issue. … authors observe that questions remain about how clinicians are tailoring opioid reductions using a patient-centered … November 16, 2022
Results of an effort to integrate quality and safety into medical and … February 23, 2022
The abrupt expansion of ambulatory telemedicine: implications for patient … safety.
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psnet.ahrq.gov/issue/challenging-authority-during-life-threatening-crisis-effect-operating-theatre-hierarchy
December 02, 2015 - study, the majority of anesthesia trainees complied with a supervisor's order to transfuse blood to a patient … September 1, 2021
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … June 16, 2011
The relationship of the emotional climate of work and threat to patient … March 2, 2011
Changes in safety attitude and relationship to decreased postoperative … morbidity and mortality following implementation of a checklist-based surgical safety intervention.
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psnet.ahrq.gov/issue/effectiveness-interventions-improve-patient-handover-surgery-systematic-review
June 25, 2018 - Review
Effectiveness of interventions to improve patient handover in surgery: a systematic … Effectiveness of interventions to improve patient handover in surgery: A systematic review. … Effectiveness of interventions to improve patient handover in surgery: A systematic review. … A narrative review of Surgical Safety Checklist knowledge as developed in 25 highly cited papers from … July 1, 2016
The impact of surgical safety checklists on theatre departments: a critical
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psnet.ahrq.gov/issue/impact-diagnostic-checklists-interpretation-normal-and-abnormal-electrocardiograms
September 14, 2022 - May 31, 2023
Annual Perspective
Improving Diagnostic Safety … and Quality
April 26, 2023
Safety culture and the positive association of … Clinical supervision in general practice training: the interweaving of supervisor, trainee and patient … entrustment with clinical oversight, patient safety and trainee learning. … July 31, 2019
A patient safety approach to setting pass/fail standards for basic procedural
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psnet.ahrq.gov/issue/medical-large-language-models-are-vulnerable-data-poisoning-attacks
November 16, 2022 - medical misinformation in the training dataset can result in harmful models that could compromise patient … safety. … March 24, 2019
Contraindicated medication use in dialysis patients undergoing percutaneous … June 21, 2016
Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist … by the Safety and Health Committee.
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psnet.ahrq.gov/node/836876/psn-pdf
May 16, 2022 - The setting and workflow
experienced by EMS personnel caring for patients in dynamic situations can … monitoring patient safety in the prehospital setting suggests
that safety surveillance systems have … Patient Safety Incidents
Perhaps one sign of EMS’s emergence in the field of patient safety is the growth … A recent systematic review identified a
median rate of 5.9 incidents per 100 records/transports/patients … of patient safety, is also becoming feasible in the prehospital
setting.
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psnet.ahrq.gov/issue/characteristics-initial-prescription-episodes-and-likelihood-long-term-opioid-use-united
April 24, 2018 - Opioid use has become a growing patient safety concern. … with younger, male, and privately insured patients. … March 14, 2018
Patient safety after implementation of a coproduced family centered communication … November 12, 2014
Patient safety climate in 92 US hospitals: differences by work area … February 4, 2009
A case for safety leadership team training of hospital managers.
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psnet.ahrq.gov/issue/walgreens-complaints-medication-errors-go-missing
February 19, 2020 - Response to reported safety concerns is a primary indicator of an organizational commitment to reducing … Related Resources From the Same Author(s)
How chaos at chain pharmacies is putting patients … September 20, 2023
Creating a stronger culture of safety within US community pharmacies … 2022
Addiction treatment providers in Pa. face little state scrutiny despite harm to clients … July 29, 2020
How chaos at chain pharmacies is putting patients at risk.
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psnet.ahrq.gov/issue/effect-contextual-factors-prevalence-diagnostic-errors-among-patients-managed-physicians-same
February 02, 2022 - Study
Effect of contextual factors on the prevalence of diagnostic errors among patients … Context, such as patient, clinician, location, or specialty, can affect the type and frequency of diagnostic … Resources From the Same Author(s)
Medication-related interventions to improve medication safety … August 26, 2020
National improvements in resident physician-reported patient safety after … Related Resources
Annual Perspective
Improving Diagnostic Safety
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psnet.ahrq.gov/primer/medication-administration-errors
December 15, 2024 - Safety Primers
Medication Errors and Adverse Drug Events December 15, 2024
Nursing and Patient … May 26, 2021
Performance of the Global Assessment of Pediatric Patient Safety ( … Patient Safety Primers
Personal Health Literacy
August … March 31, 2022
Patient Safety Primers
Nursing … and Patient Safety
April 21, 2021
ISMP medication error report analysis.
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psnet.ahrq.gov/node/49410/psn-pdf
July 01, 2003 - .(6) In order to avoid patient movement, the patient must understand, in advance, what the
physician … is Human: Building a Safer Health System,”(10) recommended that permanent
committees dedicated to safety … Incidence of adverse events and negligence in hospitalized
patients. … The nature of adverse events in hospitalized patients. … Patient safety: a curriculum for teaching patient safety in emergency medicine.