-
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.
-
psnet.ahrq.gov/node/867986/psn-pdf
March 24, 2025 - Sarah Mossburg: Suicide prevention is one The Joint Commission’s National Patient Safety Goals. … One tool that we have created and validated is called the Patient Safety Screener. … For example, the Patient Safety Screener, which is the screening tool that we have created and
that … Sarah Mossburg: Could you tell us more about the Patient Safety Screener?
Edwin Boudreaux: Sure. … It is designed by the patient and provider together so that patients have, in their
own words, things
-
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.
-
psnet.ahrq.gov/issue/comparing-variability-ingredient-strength-and-dose-form-information-electronic-prescriptions
March 20, 2024 - Although e-prescribing has improved the safety of medication ordering, preventable errors persist … standardization of terminology in e-prescription programs can lead to incorrect medication order and patient … October 31, 2011
Work effort, readability and quality of pharmacy transcription of patient … Annual Perspective
Technology as a Tool for Improving Patient … 10, 2017
Impact of computerized physician order entry alerts on prescribing in older patients
-
psnet.ahrq.gov/issue/blinded-prospective-study-error-detection-during-physician-chart-rounds-radiation-oncology
November 16, 2022 - Peer review of radiation oncology patient treatment plans can help prevent harm and reduce errors. … May 19, 2021
Patient and physician perspectives of deprescribing potentially inappropriate … March 9, 2022
Preliminary study of patient safety and quality use cases for ICD-11 MMS … A radiation oncology-specific automated trigger indicator tool for high-risk near-miss safety … January 29, 2020
Patient-reported safety and quality of care in outpatient oncology.
-
psnet.ahrq.gov/issue/occurrence-prevention-and-management-psychological-effects-emerging-virus-outbreaks
July 19, 2023 - Compared with clinicians at lower risk, those in contact with affected patients had greater levels of … interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient … safety. … July 19, 2023
The challenges in monitoring and preventing patient safety incidents for … May 29, 2013
View More
Related Resources
Patient Safety
-
psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
January 07, 2015 - In surgical patients, PA catheter data often can reveal unfavorable developments that need treatment. … Preoperative PA catheter data can be helpful in determining whether it is safe for high-risk patients … The fundamental patient safety teaching point of this case concerns why the PA catheter balloon was inappropriately … Checklist from the World Health Organization ( 10 ), an on-going project chaired by patient safety authority … World Alliance for Patient Safety. WHO Surgical Safety Checklist and Implementation Manual.
-
psnet.ahrq.gov/issue/adverse-events-neonatal-intensive-care-unit-development-testing-and-findings-nicu-focused
April 11, 2011 - This AHRQ–funded study used methodology similar to a prior study in adult intensive care unit patients … AEs and help target patient safety efforts. … Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients … September 6, 2016
Perceptions of risk to patient safety in the pediatric ICU, a study … safety alert.
-
psnet.ahrq.gov/node/49817/psn-pdf
January 01, 2018 - The patient reportedly had not taken his beta-blocker in the 36 hours prior to admission. … Center for
patient safety organizations, health IT users, vendors, and researchers to share resources … Computerized prescriber order entry-related patient safety
reports: analysis of 2522 medication errors … Rockville, MD: Center for the Advancement of Patient Safety, US Pharmacopeia; 2008. … WHO Collaborating Center for Patient Safety Solutions.
May 2007;1:solution 1. [Available at]
14.
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.302_slideshow.ppt
June 01, 2013 - The case raised many questions about the safety of and errors associated with emergency surgery.
6 … Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. … A surgical safety checklist to reduce morbidity and mortality in a global population. … Effect of a 19-item surgical safety checklist during urgent operations in a global patient population … Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit
-
psnet.ahrq.gov/issue/developing-cancer-specific-trigger-tool-identify-treatment-related-adverse-events-using
May 20, 2020 - trigger burden varied by disease, stage, and patient demographics. … 13, 2020
The business case for quality: economic analysis of the Michigan Keystone Patient … Safety Program in ICUs. … April 22, 2020
Patient safety in marginalised groups: a narrative scoping review … A radiation oncology-specific automated trigger indicator tool for high-risk near-miss safety
-
psnet.ahrq.gov/issue/development-and-evaluation-i-pass-picu-standard-electronic-template-improve-referral
June 14, 2023 - Jt Comm J Qual Patient Saf . 2024; 50 (5) :338-347 . … April 24, 2018
Patient safety after implementation of a coproduced family centered communication … March 13, 2019
Association of patient and family reports of hospital safety climate with … July 5, 2023
Patient Safety Innovations
Remote Response … March 23, 2022
Care transition of trauma patients: processes with articulation work before
-
psnet.ahrq.gov/issue/association-adverse-events-opioid-addiction-treatment-quality-measure-continuity
March 09, 2022 - randomized quality improvement study
February 12, 2020
A mixed-methods analysis of patient … safety incidents involving opioid substitution treatment with methadone or buprenorphine in community-based … October 14, 2020
Care quality, patient safety, and nurse outcomes at hospitals serving … 19, 2022
Staffing, teamwork and scope of practice: analysis of the association with patient … safety in the context of rehabilitation.
-
psnet.ahrq.gov/issue/resident-faculty-overnight-discrepancy-rates-function-number-consecutive-nights-during-week
November 16, 2022 - Recent duty hour reforms are intended to improve patient safety and resident well-being . … Missing Suction Tip
November 1, 2003
Pharmaceutical interventions to improve safety … of chemotherapy-treated cancer patients: a cross-sectional study. … right things and doing them the right way: association between hospital guideline adherence, dosing safety … , and outcomes among patients with acute coronary syndrome.
-
psnet.ahrq.gov/issue/national-mixed-methods-evaluation-preparedness-general-surgery-residency-and-association
September 02, 2020 - comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety … September 2, 2020
Association between surgeon technical skills and patient outcomes. … September 9, 2020
Association of surgical resident wellness with medical errors and patient … December 13, 2017
Development and validation of a brief culture-of-safety survey. … March 22, 2023
Impact of medical education on patient safety: finding the signal through
-
psnet.ahrq.gov/issue/cancelrx-health-it-tool-reduce-medication-discrepancies-outpatient-setting
March 23, 2022 - August 4, 2021
Patient safety and quality improvement: ethical principles for a regulatory … The impact of electronic communication of medication discontinuation (CancelRx) on medication safety … December 2, 2020
Inviting patients to identify diagnostic concerns through structured … The impact of electronic communication of medication discontinuation (CancelRx) on medication safety … February 26, 2014
E-prescribing: a focused review and new approach to addressing safety
-
psnet.ahrq.gov/issue/structural-racism-behavioral-health-presentation-and-management
September 23, 2020 - diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient … November 12, 2014
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … 2022
View More
Related Resources
Perspectives on Safety … Suicide Prevention
March 25, 2025
Perspectives on Safety … Caring for Those Who Care: Guide for the Development and Implementation of Occupational Health and Safety
-
psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mph
April 01, 2013 - But the overall message is that when these types of interventions are put in place, indicators of quality … Are Residency Duty Hour Rules Improving Patient Safety? … definitively tell us whether limiting duty hours improves patient safety. … Of course, the safety of the patients presently being cared for in hospitals and clinics is of paramount … Systematic review: effects of resident work hours on patient safety.
-
psnet.ahrq.gov/node/39143/psn-pdf
February 14, 2011 - Pharmacist involvement in inpatient care is a proven strategy to improve safety, and a pharmacist-led … communication of medication changes to outpatient physicians, and post-
discharge telephone follow-up with patients … medication-reconciliation
https://psnet.ahrq.gov/issue/comprehensive-pharmacist-intervention-reduce-morbidity-patients
-
psnet.ahrq.gov/web-mm/little-shuteye
December 22, 2018 - Other complications (infection, erythema, etc.) were not different, but patients had less pain and the … .( 6 ) In order to avoid patient movement, the patient must understand, in advance, what the physician … 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.