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psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
July 01, 2017 - We spoke with her about legal issues in patient safety.
Dr. Robert M. … How did the dynamic of that relationship change when the patient safety field became a thing 15 years … safety. … at the Intersection of Patient Safety and Medical Liability. … October 4, 2017
The association between patient safety indicators and medical malpractice
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psnet.ahrq.gov/perspective/conversation-neel-shah-md-mpp
October 30, 2019 - We spoke with him about his insights regarding patient safety in obstetrics, maternal mortality, the … Neel Shah: I was in medical school during an era where patient safety was very much on everyone's mind … But if that somehow got better, what would remain as a key patient safety issue in OB? … Conceptual Model of Value-based Patient Safety in the NICU. … A flat hierarchy interdisciplinary team conducts safety-centered huddles and patient-centered rounds.
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psnet.ahrq.gov/web-mm/forgotten-line
March 11, 2011 - patients. … March 11, 2011
Improving patient safety by identifying side effects from introducing … safety intervention. … February 20, 2008
Gaps in the continuity of care and progress on patient safety. … April 21, 2015
The impact of rationing nursing care on patient safety: a systematic review
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psnet.ahrq.gov/issue/inappropriate-medication-national-sample-us-elderly-patients-receiving-home-health-care
September 09, 2020 - Study
Inappropriate medication in a national sample of US elderly patients receiving … The spectrum of patient safety problems in home care was reviewed in a recent article . … interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient … safety. … Discrepancies between in-home interviews and electronic medical records on regularly used drugs among home care clients
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psnet.ahrq.gov/issue/nature-and-occurrence-registration-errors-emergency-department
September 28, 2016 - This study describes several instances of near misses that occurred due to patient misidentification … , such as physicians being unable to access previous test results because—unknown to them—the patient … Previous studies in adult and pediatric inpatients have also identified patient misidentification … December 10, 2014
Patient safety in the ED. … View More
See More About The Topic
Emergency Departments
Quality and Safety
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psnet.ahrq.gov/issue/reducing-errors-resulting-commonly-missed-chest-radiography-findings
August 20, 2018 - July 25, 2018
Optimal preoperative assessment of the geriatric surgical patient: a best … October 10, 2012
Handoffs causing patient harm: a survey of medical and surgical house … September 27, 2017
Impact of pharmacist-led admission medication reconciliation on patient … September 20, 2023
Patient Safety Innovations
Ambulatory … Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer
July 31, 2023
Diagnostic
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psnet.ahrq.gov/node/836843/psn-pdf
April 07, 2022 - esimpler-dynamic-electronic-health-record-integrated-checklist-clinical-
decision-support
Checklists are used in many clinical settings to improve patient … safety, but prior research as documented
challenges related to provider fatigue related to checklist … rates were similar to eSIMPLE, but
that the enhanced checklist required less time to complete per patient
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psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
February 01, 2019 - safety, interprofessional education) and GME (e.g., quality improvement, patient safety) curricula. … safety issues across the continuum for individual patients and populations of patients are critical … Boston, MA: National Patient Safety Foundation; 2015. [Available at]
5. … Create centralized and coordinated oversight of patient safety
3. … Increase funding for research in patient safety and implementation science
5.
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psnet.ahrq.gov/node/73336/psn-pdf
May 26, 2021 - As one goal of patient safety, organizations such as the Joint Commission list steps that may be
taken … These steps comprise multiple
approaches to improving safety as no single system can ensure that all … patients are made aware of their
laboratory test results. … Take-Home Points
https://psnet.ahrq.gov/issue/national-patient-safety-goals
https://psnet.ahrq.gov/ … issue/advancing-safety-closed-loop-communication-test-results
https://psnet.ahrq.gov//#17
Take the
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psnet.ahrq.gov/issue/prescribing-patterns-heart-failure-exacerbating-medications-following-heart-failure
January 26, 2022 - Harmful prescribing practices were most strongly associated with small hospital size and patients with … The authors call for development of strategies to improve prescribing practices for heart failure patients … July 22, 2020
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … thromboembolism chemoprophylaxis is associated with increased VTE events in high-risk general surgery patients … 5, 2012
View More
See More About The Topic
Hospitals
Quality and Safety
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psnet.ahrq.gov/node/49747/psn-pdf
December 01, 2015 - is typically displayed for each patient so that all patients' data can fit on one or two display screens … alert (6); they
established alarm safety as a National Patient Safety Goal in 2014, with further regulations … Alarm safety is a National Patient Safety Goal, highlighting the importance of developing institutional … safety. … The Joint Commission announces 2014 National Patient Safety Goal.
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psnet.ahrq.gov/issue/cost-effectiveness-computerized-provider-order-entry-system-improving-medication-safety
August 09, 2017 - Cost-effectiveness of a computerized provider order entry system in improving medication safety … Cost-Effectiveness of a Computerized Provider Order Entry System in Improving Medication Safety Ambulatory … implementation of electronic prescribing to estimate the benefit of CPOE for outpatient medication safety … August 9, 2017
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … January 19, 2014
E-prescribing: a focused review and new approach to addressing safety
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psnet.ahrq.gov/node/39163/psn-pdf
June 28, 2010 - burnout-and-medical-errors-among-american-surgeons
Duty-hour restrictions for resident physicians are intended to improve safety … rates-medication-errors-among-depressed-and-burnt-out-residents-prospective-cohort-study
https://psnet.ahrq.gov/issue/hospital-nurse-staffing-and-patient-mortality-nurse-burnout-and-job-dissatisfaction
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psnet.ahrq.gov/issue/profit-long-term-care-homes-and-risk-covid-19-outbreaks-and-resident-deaths
October 28, 2020 - October 5, 2022
Ethical considerations and patient safety concerns for cancelling non-urgent … October 12, 2022
Patient Safety Primers
Coronavirus Disease … 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes
February 24, 2022 … April 14, 2021
Coronavirus Commission for Safety and Quality in Nursing Homes.
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psnet.ahrq.gov/issue/burnout-and-medical-errors-among-american-surgeons
December 21, 2014 - Duty-hour restrictions for resident physicians are intended to improve safety, but research in residents … February 2, 2011
Physician burnout, well-being, and work unit safety grades in relationship … December 21, 2018
Physicians' experiences with mistreatment and discrimination by patients … of coworker reports about unprofessional behavior by surgeons with surgical complications in their patients … March 28, 2011
Attitudes to teamwork and safety in the operating theatre.
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psnet.ahrq.gov/issue/prescriber-barriers-and-enablers-minimising-potentially-inappropriate-medications-adults
September 23, 2020 - These findings emphasize the need for fundamental health care reform in order to improve medication safety … , 2012
Evidence review conducted for the Agency for Healthcare Research and Quality Safety … August 2, 2015
Improving infusion pump safety through usability testing. … May 31, 2017
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … July 26, 2011
Randomized trial to improve prescribing safety during pregnancy.
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psnet.ahrq.gov/web-mm/buprenorphine-and-medically-ill-patient
August 20, 2018 - treatment for opioid dependence should be based on the assessment of the patient's clinical needs and safety … October 26, 2022
To the point: integrating patient safety education Into the obstetrics … Safety: Clinical and Educational Uses
May 1, 2015
GPT versus resident physicians … July 31, 2024
An mHealth design to promote medication safety in children with medical … Safety Innovations
Suicide Prevention in an Emergency Department Population: ED-SAFE
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psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
November 25, 2020 - changes, and to advocate for patients’ safety. … In July 2019, TJC began requiring EDs to screen all patients for suicide risk (National Patient Safety … Take Home Points
ED crowding is a major problem that threatens patient safety. … Human factors analysis in patient safety systems. The Source. Volume 13, Issue 4, April 2015. … Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare.
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psnet.ahrq.gov/node/33598/psn-pdf
June 15, 2024 - safety field. … Of course, some of these may represent patient safety issues if,
for example, a sedating medication … Healthcare Settings
https://psnet.ahrq.gov/primer/falls
https://psnet.ahrq.gov/primer/long-term-care-and-patient-safety … Current Context
Fall prevention is a National Patient Safety Goal for both hospitals and long-term care … https://psnet.ahrq.gov/primer/leadership-role-improving-safety
https://psnet.ahrq.gov/primer/national-patient-safety-goals
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psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
September 01, 2011 - reviewing medical records or applying patient safety indicators to discharge data.( 5,9 ) Second, increasing … New patient safety organizations can help health providers learn from and reduce patient safety events … J Patient Saf. 2009;5:1-2. [go to PubMed]
4. Patient Safety Organizations. … of the University of Toronto Centre for Patient Safety. … January 6, 2010
Building a Culture of Patient Safety: Report of the Commission on Patient