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psnet.ahrq.gov/issue/association-between-opioid-tapering-and-subsequent-health-care-use-medication-adherence-and
August 25, 2021 - Rates of prescription opioid misuse and abuse led to recommendations for dose tapering for patients … changes in visits and antibiotic prescribing during the Agency for Healthcare Research and Quality Safety … July 13, 2022
The abrupt expansion of ambulatory telemedicine: implications for patient … safety. … October 21, 2020
Telediagnosis for Acute Care: Implications for the Quality and Safety
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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.
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psnet.ahrq.gov/node/867676/psn-pdf
February 26, 2025 - Responding to Patient Safety Events
February 26, 2025
Shaikh U. … Responding to Patient Safety Events. PSNet [internet]. 2025. … https://psnet.ahrq.gov/primer/responding-patient-safety-events
Background
Patient safety events that … https://psnet.ahrq.gov/primer/reporting-patient-safety-events
https://psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events … The timing of an apology to patients
and families could be guided by an assessment of the benefits of
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psnet.ahrq.gov/node/837200/psn-pdf
May 25, 2022 - analysis-readmissions-mobile-integrated-health-transitional-care-program-
using-root-cause
Reducing hospital 30-day readmissions is seen as a way to improve safety … After one year in operation, MIH-CP performed a chart review to determine
causes of readmission among patients
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psnet.ahrq.gov/node/72568/psn-pdf
January 01, 2021 - alternatives-opioid-education-and-prescription-drug-monitoring-program-
cumulatively-decreased
Reducing opioid-related overdoses and deaths is a national patient … safety priority.
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psnet.ahrq.gov/node/837589/psn-pdf
June 29, 2022 - J Patient Saf. 2022;18(4):325-330.
doi:10.1097/pts.0000000000000921. … adverse events, including structured record review, web-based incident reporting systems, and
daily safety
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psnet.ahrq.gov/node/847048/psn-pdf
April 05, 2023 - comparison-health-care-worker-satisfaction-vs-after-implementation-
communication-and-optimal
Disclosure of adverse events to patients … and families is an important component of safety culture.
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psnet.ahrq.gov/node/837414/psn-pdf
January 01, 2023 - events-seriously-ill
When serious adverse events such as death are reported, they are typically associated with poor patient … safety.
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psnet.ahrq.gov/node/73242/psn-pdf
May 12, 2021 - errors-omission-missed-nursing-care
https://psnet.ahrq.gov/issue/workplace-empowerment-and-magnet-hospital-characteristics-predictors-patient-safety-climate
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psnet.ahrq.gov/issue/doctors-and-dentists-still-flooding-us-opioid-prescriptions
October 13, 2018 - May 5, 2021
Balancing safety, comfort, and fall risk: an intervention to limit opioid … and benzodiazepine prescriptions for geriatric patients. … : the case of urine drug screening and opioid-patient suicide- and overdose-related events in the Veterans … May 20, 2020
Medication safety: reducing anesthesia medication errors and adverse drug … February 22, 2019
Reducing patient harm from opiates.
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psnet.ahrq.gov/primer/disruptive-and-unprofessional-behavior
September 15, 2024 - Background Disruptive and unprofessional behavior by clinicians poses a definite threat to patient safety … Safety Primers
Long-term Care and Patient Safety
April 10, 2024 … and Safety Practices
March 27, 2024
Patient Safety Primers … National Patient Safety Goals
March 27, 2024
Patient … Patient Safety Primers
Deprescribing as a Patient Safety Strategy
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psnet.ahrq.gov/node/848108/psn-pdf
April 26, 2023 - & Patient Safety Target
Procedural sedation is ubiquitous in modern clinical medicine. … events and unfavorable patient
outcomes
Two-person technique
The adage that there is safety in numbers … safety hazard. … https://psnet.ahrq.gov//#20
https://psnet.ahrq.gov/issue/impact-world-health-organization-surgical-safety-checklist-patient-safety … Look-Alike, Sound-Alike Medication Names: Patient
Safety Solutions, Volume 1, Solution 1, May 2007.
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psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
February 23, 2022 - with high risk of developing ODS. 9
Approaches to Improving Safety
The safety of high-risk medications … Medication Safety Self-Assessment or High-Alert Medications. … Patient Safety in Home Dialysis
April 28, 2021 … safety and care transitions at the University of California. … January 10, 2018
Hospital quality and patient safety competencies: development, description
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psnet.ahrq.gov/issue/racial-inequality-receipt-medications-opioid-use-disorder
April 24, 2018 - medications than Black or Hispanic patients in the 180 days after the index event. … interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient … safety. … Effects on resident work hours, sleep duration and work experience in a Randomized Order Safety … Resources
Perspective
Harm Reduction Strategies to Improve Safety
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psnet.ahrq.gov/issue/weekly-variation-health-care-quality-day-and-time-admission-nationwide-registry-based
September 24, 2014 - January 18, 2013
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient … safety. … diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient … July 26, 2011
The safety of hospital stroke care.
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psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - Most non-ICU patients on telemetry are hemodynamically stable, whereas those in ICU may not be. … units, in addition to providing care to their own critically ill patients. … (Consideration of the patient safety issues related to frequency of patient assessment in the hospital … Education, Quality, and Safety Measures
What are predefined patient safety and quality outcomes … safety.
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psnet.ahrq.gov/primer/rapid-response-systems
July 18, 2024 - Such teams have become a widely used patient safety intervention due in large part to their inclusion … Patient Safety Primers
Long-term Care and Patient Safety
April 10, 2024 … Patient Safety Primers
Inpatient Transitions of Care … : Challenges and Safety Practices
March 27, 2024
Patient Safety … Safety Primers
Deprescribing as a Patient Safety Strategy
October 27, 2021
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psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
March 01, 2014 - We spoke with her about infection prevention and patient safety.
Dr. … Alison Holmes : Yes, I do think the energy around the patient safety movement could have really been … Globally the patient safety agenda may be slightly patchier in some places than infection prevention. … 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.
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psnet.ahrq.gov/node/848109/psn-pdf
April 26, 2023 - A recent retrospective cohort study evaluated the safety of 10% calcium chloride administration via … 3 patients) were associated with low-grade infusion-related
adverse events (IRAE). … The median time to IRAE was 71 hours and no patient received plastic surgery
consultation or medications … and Patient Safety Target
As this case highlights, selecting the safest feasible mode of infusion for … When a patient complains of
pain or discomfort around the IV site, the infusion should be stopped, and
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psnet.ahrq.gov/web-mm/suicidal-man-gun
May 01, 2005 - acute risk, and noted that prompt removal of gun from the patient’s possession was paramount to his safety … back on it, “help-seeking, help-rejecting” patients.( 4 ) When these patients present at suicide risk … October 18, 2018
Perspective
Workplace Safety in Health … at a safety net hospital. … January 4, 2021
Codifying knowledge to improve patient safety: a qualitative study of