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psnet.ahrq.gov/node/33742/psn-pdf
December 01, 2012 - RW: Let's turn to delirium as a patient safety issue. … It seems to me it's entered the patient safety world over
the last 3 or 4 years. … It was really not on the safety radar screen in the early days. … And that is not necessarily practical for these large-
scale patient safety initiatives. … Now that it is on the patient safety radar screen, one would want to take advantage of that
light and
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psnet.ahrq.gov/node/49497/psn-pdf
December 01, 2005 - Does it make sense to “practice” patient care in the real environment
where real consequences (to patients … Or should practice occur in a
medical simulator on simulated patients with the threat of only simulated … Patient safety is an important issue at every health care institution in our country. … safety organizations will be necessary to fully realize the potential of this methodology. … safety competencies.
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psnet.ahrq.gov/node/838197/psn-pdf
September 28, 2022 - plan, experience more patient
safety-related issues, and visit emergency departments more often.21 … or seek immediate medical
attention22
https://psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety … https://psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety
https://psnet.ahrq.gov//#23 … Martin, MSN, RN, CIC, CNL, NEA-BC, FACHE
Executive Director
Patient Care Services, Quality & Safety … Cultural Competence and Patient Safety. PSNet Patient Safety Network.
Published December 27, 2019.
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psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry
December 07, 2020 - medical doctors to provide infection prophylaxis patients prior to dental visits, such as for patients … and Patient Safety During the COVID-19 Response
May 14, 2020
Perspective … Safe Care
February 23, 2022
Developing a patient safety culture in primary … Suda, PharmD, MS
December 7, 2020
Are dental patients concerned about safety … May 6, 2020
Factors affecting patient safety culture among dental healthcare workers:
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psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
September 01, 2006 - risks cause harm to patients. … It makes our patients safer, but it doesn't directly impinge on what we do for patient safety. … Because if we're wasting money taking care of fewer patients that means there are other patients who … JB: Every one of our hospitals has a patient safety manager whose job is to run the patient safety program … I will say though—and this might sound strange—that most of the benefit to the patients for patient safety
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psnet.ahrq.gov/node/865698/psn-pdf
April 24, 2024 - Patient Safety Amid Nursing Workforce Challenges
April 24, 2024
Leary KB, Lee M, Mossburg S. … Patient Safety Amid Nursing Workforce Challenges . PSNet [internet]. 2024. … Specifically, having fewer nurses
caring for patients is associated with higher patient mortality. … Addressing Workforce Challenges
Nurses are essential to patient care and patient safety, as they are … safety—namely, that more
effective teamwork and communication mitigate patient safety risks.
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psnet.ahrq.gov/node/867359/psn-pdf
December 18, 2024 - safety culture are essential. … Having an electronic scanning system can further contribute to patient safety by not only alerting the … These actions, in turn, will continue to strengthen patient
safety practices to support a safe environment … Best practices for communicating after patient safety errors have occurred may include the following: … safety.
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psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
January 29, 2021 - Approaches to Improving Patient Safety Educate patients about the dangers of super obesity The prevalence … Older patients and patients with impaired renal and hepatic function are at particular risk for persistent … Christian Bohringer, MBBS Consulting Editor, AHRQ, Patient Safety Network (PSNet) Professor Department … Patient Safety and Quality Healthcare . December 2019. … Safety of sugammadex for reversal of neuromuscular block.
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psnet.ahrq.gov/node/50756/psn-pdf
December 18, 2019 - not provide any naloxone education to
the patient. … A root cause analysis was performed by the hospital's safety committee, which revealed that pharmacists … Use of video-assisted patient educational
materials may benefit patients and their caregivers in some … While policies such as the requirement of co-prescribing naloxone are intended to improve public safety … Opioid Safety and How to Use Naloxone. California Board of Pharmacy.
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psnet.ahrq.gov/node/33757/psn-pdf
October 01, 2013 - Safety in Radiology
October 1, 2013
Pinto A. Safety in Radiology. PSNet [internet]. 2013. … Many imaging
modalities deploy ionizing radiation, and, as a consequence, the exposure of patients to … , bringing radiation safety under the broad umbrella of the patient safety field. … Instead, the patient needs to be
informed. … safety, radiologists must function as both gatekeepers and imaging experts.
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psnet.ahrq.gov/perspective/conversation-lorri-zipperer-ma
February 26, 2025 - She has also been Cybrarian for AHRQ Patient Safety Network since its inception.
Dr. Robert M. … Through access to the tremendous people that were around when NPSF [National Patient Safety Foundation … RW : Lucian Leape told me that the patient safety field was discovered by a librarian. … LZ : I've been monitoring the patient safety literature since I started doing it at NPSF back when we … You don't get everything you need on safety by putting "patient safety" into any search engine anywhere
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psnet.ahrq.gov/node/33564/psn-pdf
March 15, 2025 - widespread
implementation of CPOE into electronic health systems (EHR) has benefited clinicians and patients … In hospitalized patients, nurses are generally responsible
for this step, but in the outpatient setting … /psnet.ahrq.gov/primer/clinical-decision-support-systems
https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem … Yet even as CPOE improves
some aspects of patient safety, there is growing recognition that it can also … Alert fatigue is now a recognized safety threat in itself and is discussed in detail in a
related Patient
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psnet.ahrq.gov/node/33775/psn-pdf
December 01, 2014 - Patient safety in
developing countries: retrospective estimation of scale and nature of harm to patients … National patient safety policy
2. Knowledge and learning in patient safety
3. … Patient safety awareness
4. Health services for patient safety
5. … Medication safety
10. Partnerships (patients, family, health professionals, and policymakers)
11. … Patient safety funding
12.
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psnet.ahrq.gov/issue/effects-state-opioid-prescribing-laws-use-opioid-and-other-pain-treatments-among-commercially
October 13, 2018 - diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient … Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients … January 18, 2023
Inappropriate prescribing of opioids for patients undergoing surgery … Annual Perspective
Annual Perspective: Topics in Medication Safety … January 22, 2020
Potentially inappropriate medication use among elderly home care patients
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psnet.ahrq.gov/web-mm/magnetic-deflection
November 18, 2016 - Typically the patient completes a pre-MRI screening questionnaire that helps clarify if the patient has … Technologists may stop patients or clinicians prior to their entering the MRI room and insist on prescreening … For the safety of patients and any attendant health care workers, it is critically important to cooperate … Strong MRI safety programs prevent safety events. Quick Safety. March 2017;(31):1-3. … WebM&M Cases
Supervision and Entrustment in Clinical Training: Protecting Patients
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psnet.ahrq.gov/node/33581/psn-pdf
December 15, 2024 - in elderly patients. … The Joint Commission has named improving
medication safety as a National Patient Safety Goal for both … of its key goals for improving patient safety. … https://psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge
https … ://psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge
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psnet.ahrq.gov/web-mm/toxic-tachycardia
March 01, 2005 - The patient had no evidence of thyroid storm. … In patients with systemic illness, the T3 is uniformly low due to inhibition of conversion of T4. … Perioperative management of patients with hypothyroidism. … March 1, 2005
Perspective
Update on Safety Culture … November 8, 2023
Safety culture and workforce well-being associations with Positive Leadership
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psnet.ahrq.gov/issue/role-medical-emergency-team-end-life-care-multicenter-prospective-observational-study
July 13, 2010 - In this study, conducted at seven hospitals in three countries, nearly one-third of patients seen by … February 1, 2023
Creating psychological safety in interprofessional simulation for health … Resources
Consumers' perspectives on their involvement in recognizing and responding to patient … June 2, 2010
The impact of Rapid Response System on delayed emergency team activation patient
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psnet.ahrq.gov/issue/automatable-algorithms-identify-nonmedical-opioid-use-using-electronic-data-systematic-review
July 27, 2016 - Safer opioid prescribing requires that providers and systems are able to identify patients who misuse … Problems with health information technology and their effects on care delivery and patient … rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient … safety.
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psnet.ahrq.gov/primer/computerized-provider-order-entry
March 15, 2025 - widespread implementation of CPOE into electronic health systems (EHR) has benefited clinicians and patients … In hospitalized patients, nurses are generally responsible for this step, but in the outpatient setting … Yet even as CPOE improves some aspects of patient safety, there is growing recognition that it can also … Alert fatigue is now a recognized safety threat in itself and is discussed in detail in a related Patient … safety.