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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49838/psn-pdf
    August 01, 2018 - safety in the ICU. … End of Life Care: A Patient Safety Issue. Quick Safety. July 2015;(15):1-4.  5. … Keeping patients safe. 7. … Preventing harm in the ICU—building a culture of safety and engaging patients and families. … Safety and Quality Committee.
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33701/psn-pdf
    October 01, 2010 - principles has led to two strikingly successful and widely discussed medical checklists: a surgical safety … A surgical safety checklist to reduce morbidity and mortality in a global population. … Surgical safety checklist: a redesign using human factors guidelines background to the surgical safety … University of Calgary, Canadian Patient Safety Institute, Calgary, Canada; 2009. 
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49399/psn-pdf
    May 01, 2003 - The patient was then offered surgical management of her ectopic pregnancy. … Second, should this patient have been treated for an ectopic when she first presented? … However, the level should be used during counseling of the patient. … In summary, several patient safety issues must be addressed when caring for patients with ectopic pregnancies … has contraindications to its use and for counseling the patient.
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72587/psn-pdf
    December 23, 2020 -  whose care involves anesthesiology.8 The Wake Up Safe Patient Safety Organization, a quality improvement … Safety and Quality of Patient Care  Efforts to mitigate the risks associated with intrahospital transport … that both the safety climate (measured using the short form of the “Patient Safety Climate in Healthcare … https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-topics/sentinel- event … View AHRQ Disclaimers https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-topics
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867980/psn-pdf
    March 25, 2025 - A neurologist examined the patient and diagnosed migraine headaches. … Approach to Improving Safety https://psnet.ahrq.gov/issue/measuring-and-improving-diagnostic-safety-primary-care-addressing-twin-pandemics-diagnostic … psnet.ahrq.gov//#1 Diagnostic excellence is an emerging idea in the field of diagnostic quality and safety … , timely, efficient, and equitable.”3 This means identifying strategies that improve diagnostic safety … Measuring and Improving Diagnostic Safety in Primary Care: Addressing the “Twin” Pandemics of Diagnostic
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49636/psn-pdf
    October 01, 2011 - Describe potential exercises and activities for a patient in the ICU. … While not every patient admitted to a hospital requires a physical therapy evaluation, patients most … abilities, the discharge environment (e.g., availability of assistance and accessibility of the home), safety … , and the types of services the patient will require. … patient mobility is required.
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33779/psn-pdf
    March 01, 2015 - From its earliest days, the patient safety field identified transitions of care as an important latent … https://psnet.ahrq.gov/perspective/handoffs-and-transitions Handoffs For the past decade, the safety … First, a randomized trial by Goldman and colleagues conducted in an urban safety-net hospital tested … Moving to the challenges of medication safety in care transitions, two studies published in 2014 further … AHRQ Patient Safety Network. https://psnet.ahrq.gov/perspective/handoffs-and-transitions http://dx.doi.org
  8. psnet.ahrq.gov/web-mm/hidden-mystery
    December 01, 2011 - from research, experienced personnel, and technological and mechanical aides—must be applied to ensure safety … What Can Be Done to Improve Quality and Safety in the Care of the Obese Patient? … of 23,056 patients. … safety. … April 24, 2018 Patient safety after implementation of a coproduced family centered communication
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33679/psn-pdf
    January 01, 2009 - safety efforts. … Recent presidential candidates have touted using disclosure as part of a centerpiece of patient safety … Making patient safety the centerpiece of medical liability reform. … Jt Comm J Qual Patient Saf. 2006;32:344-350. … The patient's right to safety--improving the quality of care through litigation against hospitals.
  10. psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
    October 28, 2020 - care and ensuring the safety of both the patient and the healthcare workforce. … and Patient Safety During the COVID-19 Response May 14, 2020 Perspective … Safety in Frail Older Patients November 26, 2019 View More Related … 15, 2023 Perspective Patient Safety Events and the … Role of Patient Safety Organizations During the COVID-19 Pandemic January 12, 2022
  11. psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-disclosure
    February 26, 2025 - Innovation Patient Safety Focus The objective of this initiative is to teach healthcare teams to provide … for People Who Use Substances October 30, 2024 Patient Safety … April 5, 2023 Patient Safety Innovations Enhancing Support … , 2023 Patient Safety Innovations U.S. … July 21, 2021 Patient Safety Innovations Team-Developed
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49667/psn-pdf
    October 01, 2012 - The Commentary Patients who present to the emergency department (ED) are highly vulnerable to medication … Clinicians also need to be cognizant of the safety features of automated pharmacy dispensing systems. … Many of the steps and techniques described above fall under the field of medication safety engineering … through active listening and engagement is crucial for effective interactions between clinicians, patientsPatient safety—the role of human factors and systems engineering.
  13. psnet.ahrq.gov/issue/independent-double-checks-high-alert-medications-essential-practice
    February 01, 2023 - November 20, 2024 Wake-up call: night shifts adversely affect nurse health and retention, patient … and public safety, and costs.
  14. psnet.ahrq.gov/curated-library/patient-team-member-clinical-care
    March 15, 2025 - Patient engagement in safety takes many forms: patients may report unique safety incidents, encourage … Patients and their families can play an important role in maintaining patient safety. … Patients and their families can play an important role in maintaining patient safety. … The authors conclude that patients will be more engaged in their safety if frontline staff value patientPatient engagement in safety takes many forms: patients may report unique safety incidents, encourage
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49495/psn-pdf
    December 01, 2005 - Perhaps more germane to the patient safety question, Sexton asked both surgeons and commercial airline … It’s the only way we can keep our patients safe.” … I recently posed this test to an audience of 1000 at the National Patient Safety Foundation’s annual … patients will be harmed unnecessarily. … The University of Texas Center of Excellence for Patient Safety Research and Practice.
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49436/psn-pdf
    February 26, 2004 - The Commentary Defects in the process of transfusion currently pose a greater hazard to patient safetyPatient safety and blood transfusion: new solutions. … National patient safety goals. … Practical methods to improve transfusion safety by using novel blood unit and patient identification … The Patient Safety Discussion Forum. NPSF Listserv. August 8, 2002. Accessed January 13, 2004.
  17. psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
    June 15, 2024 - https://www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/index.html Peter D, Robinson P, Jordan … Patient Engagement and Safety. … https://psnet.ahrq.gov/primer/patient-engagement-and-safety Albrecht JS, Gruber-Baldini AL, Hirshon JM … March 27, 2024 Patient Safety Primers Post-Acute … View More Related Resources Patient Safety Primers
  18. psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
    March 27, 2024 - In addition to specific health outcomes, patients report having better experiences with their care when … the culture of patient safety is strong. … , it can improve behaviors related to patient safety. … National Steering Committee for Patient Safety. Declaration to advance patient safety. … https://www.ihi.org/initiatives/national-steering-committee-patient-safety/declaration-advance-patient-safety
  19. psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
    June 16, 2021 - Unfortunately, there are limits to medication-safety engineering. … Patient safety—the role of human factors and systems engineering. … ' engagement in hospital medication safety behaviours. … May 26, 2021 The safety of health care for ethnic minority patients: a systematic review … safety?
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50697/psn-pdf
    November 27, 2019 - metoclopramide, are commonly used in seriously ill patients. … The pharmacy department should regularly review and update this list as part of its patient safety efforts … Drug-drug interactions are common, but some are especially dangerous and increase patients’ risk for … In patients who are already receiving QTc prolonging medications, an electrocardiogram should be obtained … Patient Safety Primer: Alert Fatigue. Patient Safety Network 2019. 

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