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psnet.ahrq.gov/issue/potential-uses-ai-perioperative-nursing-handoffs-qualitative-study
September 01, 2021 - Handoffs and transitions of care represent a vulnerable time for patients as important information … June 14, 2023
Patient Safety Innovations
Remote Response … Perspective
Surveillance Monitoring to Improve Patient … Safety in Acute Hospital Care Units
April 26, 2023
An observational study
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psnet.ahrq.gov/node/60241/psn-pdf
February 24, 2022 - Various factors associated with COVID-19 that negatively
impacted patient safety and resulted in poor … Most NHs accept post-acute patients from the hospital requiring highly skilled
nursing care that is … Professional organizations have
also supported higher NH staffing to improve patient safety and quality … of care, a topic that may gain
greater momentum because of the patient safety and quality issues associated … #12
https://psnet.ahrq.gov//#13
https://psnet.ahrq.gov//#9
https://psnet.ahrq.gov/primer/nursing-and-patient-safety
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psnet.ahrq.gov/issue/incidence-and-predictors-opioid-prescription-discharge-after-traumatic-injury
July 02, 2019 - Investigators found that patients with more severe injuries were more likely to be prescribed opioids … August 20, 2018
The occurrence of potential patient safety events among trauma patients … October 11, 2012
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … January 23, 2019
Opioid prescribing and adverse events in opioid-naive patients treated … May 2, 2018
Opioid prescribing for opioid-naive patients in emergency departments and
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psnet.ahrq.gov/issue/significant-reduction-preanalytical-errors-nonphlebotomy-blood-draws-after-implementation
May 29, 2019 - December 4, 2016
Association of display of patient photographs in the electronic health … record with wrong-patient order entry errors. … May 29, 2019
Assessing the effectiveness of engaging patients and their families in the … safety surveillance and improvement. … safety.
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psnet.ahrq.gov/node/49715/psn-pdf
August 21, 2014 - The patient was admitted directly for an ultrasound-guided liver biopsy. … The Commentary
Ensuring Safety With Liver Biopsy
The use of liver biopsy to obtain tumor or liver histology … A patient who is not able to follow
commands poses a risk to both the patient and the proceduralist. … Although evidence is limited, the safety of the different
techniques appears to be similar. … It should be recognized that all
patients have bleeding from the liver after biopsy.
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psnet.ahrq.gov/node/49435/psn-pdf
February 01, 2004 - The patient
remained stable. … Incidence of adverse events and negligence in hospitalized
patients. … The nature of adverse events in hospitalized patients. … Improving patient safety by identifying side effects from introducing
bar coding in medication administration … cmd=Retrieve&db=PubMed&list_uids=10718351&dopt=Abstract
https://www.jointcommission.org/resources/patient-safety-topics
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psnet.ahrq.gov/issue/clinical-reasoning-education-us-medical-schools-results-national-survey-internal-medicine
October 12, 2022 - In recent years , diagnostic error has gained widespread attention as a major patient safety issue … September 21, 2022
Advancing diagnostic safety research: results of a systematic research … Related Resources
Annual Perspective
Improving Diagnostic Safety … July 2, 2014
Patient safety stories: a project utilizing narratives in resident training … Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety
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psnet.ahrq.gov/issue/medication-administration-time-study-mats-nursing-staff-performance-medication-administration
February 21, 2018 - Author(s)
Influencing organisational culture to improve hospital performance in care of patients … September 6, 2023
Changing hospital organisational culture for improved patient outcomes … September 24, 2016
No interruptions please: impact of a no interruption zone on medication safety … See More About The Topic
General Hospitals
Nurses
Nurse Managers
Quality and Safety
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psnet.ahrq.gov/issue/guided-prescription-psychotropic-medications-geriatric-inpatients
February 04, 2018 - entry system, researchers displayed guidelines for administering psychotropic medication to elderly patients … Resources From the Same Author(s)
The incidence and severity of adverse events affecting patients … May 27, 2011
The impact of prescribing safety alerts for elderly persons in an electronic … General Hospitals
Physicians
Facility and Group Administrators
Risk Managers
Quality and Safety
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psnet.ahrq.gov/node/49835/psn-pdf
January 01, 2020 - The patient was discharged and completed 6 weeks of antibiotics and wound
care, with healing of the … Dialysis access planning was initiated, but unfortunately, when the patient was
evaluated by a vascular … Safety and efficacy of outpatient parenteral antibiotic
therapy in an academic infectious disease clinic … Inpatient venous access practices:
PICC culture and the kidney patient. … Evaluating safety of tunneled small bore central venous
catheters in chronic kidney disease population
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psnet.ahrq.gov/node/49739/psn-pdf
August 21, 2015 - For many patients, a tracheostomy doesn't preclude the ability to communicate. … These valves may only be used in patients with patent upper airways. … Presentation may be subtle in a stable patient. … Each institution should develop standard tracheostomy management protocols to enhance patient
safety … : a pilot patient safety initiative.
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psnet.ahrq.gov/web-mm/unfamiliar-catheter
November 01, 2006 - Swayze, RN, MA Senior Project Manager for Communications Patient Safety Staff Partnerships/MedSun … An organizational approach to understanding patient safety and medical errors. … Patient Safety and Quality: An Evidenced-based Handbook for Nurses. … October 28, 2020
Patient safety: a consumer's perspective. … December 4, 2016
Annual Perspective
Equity in Patient Safety
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psnet.ahrq.gov/issue/stigmatizing-language-expressed-towards-individuals-current-or-previous-oud-who-have-pain-and
January 09, 2011 - Health professional stigma and bias towards patients with substance use disorders can impede the … In this qualitative analysis of medical records for 25 patients with opioid use disorder, researchers … January 9, 2011
Patient safety climate: variation in perceptions by infection preventionists … April 24, 2019
Effect of a multifaceted clinical pharmacist intervention on medication safety … July 6, 2022
Identifying patients whose symptoms are underrecognized during treatment
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psnet.ahrq.gov/primer/falls
October 27, 2021 - Of course, some of these may represent patient safety issues if, for example, a sedating medication was … Current Context Fall prevention is a National Patient Safety Goal for both hospitals and long-term … Safety Primers
Deprescribing as a Patient Safety Strategy October 27, 2021
Long-term Care … and Patient Safety April 10, 2024
Nursing and Patient Safety April 21, 2021
Editor's … Patient Safety
April 10, 2024
Patient Safety Innovations
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psnet.ahrq.gov/web-mm/monitoring-fetal-health
September 08, 2010 - Appreciate the importance of safety culture on labor and delivery units. … They compromise safety and can result in fatalities. … This complicated patient flow requires dedicated specialized teams with strong commitment to safety. … Learning from patient-reported incidents. … safety in obstetrics and gynecology.
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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/surgical-personality-threat-patient-safety
February 24, 2021 - SPOTLIGHT CASE
Is the "Surgical Personality" a Threat to Patient Safety? … Is the "Surgical Personality" a Threat to Patient Safety?. PSNet [internet]. … Is the "Surgical Personality" a Threat to Patient Safety?. PSNet [internet]. … “True surgeons” will not allow what they feel is in their patients’ best interest to be compromised by … Is the "Surgical Personality" a Threat to Patient Safety?. PSNet [internet].
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psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
August 31, 2020 - Approach to Improving Patient Safety: Communication . PSNet [internet]. … Approach to Improving Patient Safety: Communication . PSNet [internet]. … The first is the need for better tools and approaches for communicating medication safety with patients … Approach to Improving Patient Safety: Communication . PSNet [internet]. … Safety in Frail Older Patients
November 26, 2019
View More
Related
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psnet.ahrq.gov/node/49677/psn-pdf
February 01, 2013 - has been shown to increase trainees' level of comfort and perceived
readiness for attempts on real patients … Making Health Care Safer: a Critical Analysis of Patient Safety Practices: Summary. … Phase I of the
Procedural Patient Safety Initiative. J Gen Intern Med. 2006;21:514-517. … Phase II of the
Procedural Patient Safety Initiative (PPSI-II). J Hosp Med. 2009;4:423-429. … Proceduralists—leading patient safety initiatives. N Engl J Med. 2007;356:1789-
1790.
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psnet.ahrq.gov/perspective/conversation-rosemary-gibson-msc
September 01, 2014 - We spoke with her about overuse of medical care and its effect on patient safety.
Dr. … Overuse is a patient safety concern, not just a financial burden. … At a National Patient Safety Foundation meeting, 80% of people raised their hand indicating that they … Although there was little focus on overuse as a patient safety problem during the early years of the … patient safety field, today it is an emerging issue that is gathering momentum.