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psnet.ahrq.gov/node/33673/psn-pdf
September 01, 2008 - https://psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
Perspective
Medication safety … defense in detecting patient deterioration and protecting patients by recovering errors caused by other … 14) Despite this vital charge, until recently nurses had few if any safeguards between them and
the patients … A controlled trial of smart infusion pumps to improve
medication safety in critically ill patients. … safety.
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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
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psnet.ahrq.gov/node/49742/psn-pdf
September 01, 2015 - caring for the most complex patients and IRFs and SNFs caring for patients of lesser complexity. … to variation in
postacute care utilization (1), but also to patient–provider mismatch, in which patients … The quality of services and safety of
patients are threatened by the lack of transfer coordination and … hospitals and postacute care facilities, increasing costs while reducing quality and safety. … Take-Home Points
Transitions to postacute care pose important safety risks.
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psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
December 23, 2020 - Approaches to Improving Safety Palliative Care and Hospice as Patient Safety Systems-based interprofessional … Together, the two approaches to care improve quality, including patient safety. … When a patient is not on hospice, safety concerns focus on keeping the patient alive and free from complications … While preventing complications remains part of patient safety, preventing death is no longer a safety … Safety Project Highlights: Improving Patient Safety by Enhancing Care Coordination.
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psnet.ahrq.gov/node/73153/psn-pdf
April 28, 2021 - Two days later, the patient called the hospital and spoke with a patient safety officer speaking her … She asked the patient safety officer if that was a Foley and wanted to know why
it was inside her. … Approach to Improving Patient Safety
The design of system remedies to prevent retained vaginal packing … safety. … Healthcare Safety Investigation Branch (HSIB).
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psnet.ahrq.gov/node/850450/psn-pdf
June 14, 2023 - The PES
staff member stated that other patients needed to be seen first and that the patient would be … For safety purposes, restrained patients must
have constant 1:1 watch; therefore, “q15min” checks are … An MHW completes a safety check on each assigned
patient every 15-20 minutes. … Bourgeois, OD, MD
Consulting Editor, AHRQ, Patient Safety Network (PSNet)
Clinical Professor, Department … Barnes, MD
Consulting Editor, AHRQ, Patient Safety Network (PSNet)
Health Sciences Clinical Professor
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psnet.ahrq.gov/web-mm/comanagement-whos-charge
July 01, 2011 - However, as illustrated by this case, it can also pose patient safety risks. … A key strategy for improving patient safety with comanagement is the creation of a carefully considered … Who is responsible for routine patient safety measures, such as deep venous thrombosis prophylaxis? … June 28, 2017
Factors influencing witnesses' perception of patient safety during pre-hospital … August 9, 2023
COVID-19: the dark side and the sunny side for patient safety.
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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 patient … Patient engagement in safety takes many forms: patients may report unique safety incidents, encourage
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psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - Approach to Improving Patient Safety: Communication
March 10, 2021
Schnipper JL, Fitall E, Hall KK, … Approach to Improving Patient Safety: Communication . PSNet
[internet]. 2021. … or family caregivers represents an unwelcome opportunity for a patient safety event. … https://psnet.ahrq.gov/issue/design-safety-dashboard-patients
https://psnet.ahrq.gov/issue/patient-safety-incidents-advance-care-planning-serious-illness-mixed-methods-analysis … The first is the need for better tools and approaches for communicating
medication safety with patients
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psnet.ahrq.gov/node/33741/psn-pdf
November 01, 2012 - The Evidence-Based Physical Examination as a Patient
Safety Practice
November 1, 2012
McGee S. … The Evidence-Based Physical Examination as a Patient Safety Practice. PSNet [internet]. 2012. … https://psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
Perspective … https://psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
https: … It is up to our teaching programs, clinical
leaders, and, perhaps, the patient safety movement to change
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psnet.ahrq.gov/node/49863/psn-pdf
May 01, 2019 - Such strategies, like many others in patient safety, were originally developed outside health
care—largely … safety. … Critical role of the surgeon–anesthesiologist relationship for patient safety. … Culture of safety: a foundation for patient care. Semin Pediatr Surg. 2015;24:283-
287. … TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety.
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psnet.ahrq.gov/node/49808/psn-pdf
October 01, 2017 - Once the patient was stabilized, a pharmacist was consulted, and the patient was
restarted on a lower … However, the medication issue could be a proxy for any
number of patient safety issues that can arise … safety information. … Interdisciplinary communication should be expanded to include critical patient safety information. … Health information technology should be enhanced so that it supports communication about patient
safety
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psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
September 29, 2021 - Intraosseous Line Extravasation in a Pediatric Trauma Patient. PSNet [internet]. … Compartment syndrome is a clinical diagnosis and patients’ reported symptoms are the earliest indicators … Approach to Improving Patient Safety
Overall, this case demonstrates how an unstable pediatric patient … Ideally, two large bore peripheral IV lines should be placed in unstable patients. … The “3 As” is a useful to assess for compartment syndrome in pediatric patients.
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psnet.ahrq.gov/node/865374/psn-pdf
March 27, 2024 - Artificial Intelligence and Patient Safety: Promise and Challenges. PSNet
[internet]. 2024. … Current Applications for Patient Safety
Most uses of AI to increase patient safety are still in the … Safety
The potential for enhancing patient safety across various specialties and settings is substantial … Risks to Patient Safety
While the potential for improving patient safety is high, AI also comes with … safety goals, such as identifying
patient decompensation.
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psnet.ahrq.gov/node/846563/psn-pdf
March 21, 2023 - providing care to patients. … https://psnet.ahrq.gov/primer/patient-safety-101
https://psnet.ahrq.gov/primer/patient-safety-101
https … to provide optimal care to patients. … //psnet.ahrq.gov/perspective/measuring-patient-safety
https://psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety … Safety, culture, leadership and governance are foundational for
advancing patient safety.
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psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
August 30, 2023 - of providing care to patients. … to provide optimal care to patients. … Lessons learned from adverse events could help improve future patient safety. … of safety and is considered to be an important factor in promoting patient safety. … are foundational for advancing patient safety.
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psnet.ahrq.gov/web-mm/making-do
September 05, 2018 - Newer hospital policies and federal requirements mandate that patients confirm the proposed surgery with … Take-Home Points Gynecologists can improve outcomes and enhance patient safety with comprehensive pre-operative … safety. … Safety Agenda
August 1, 2005
WebM&M Cases … Safety Program: a model to spread change.
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psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
November 16, 2022 - on the clinical environment for healthcare providers and their patients and overall patient safety. … ) that promotes patient safety through learning and improving teamwork. … and patient safety are highlighted below. … some of the positive associations between psychological safety and patient safety in various healthcare … participatory councils that bring all levels of healthcare staff together with patients to maximize
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psnet.ahrq.gov/node/836839/psn-pdf
March 31, 2022 - on the clinical environment for healthcare providers and their patients and overall patient
safety. … ) that promotes patient safety through learning and improving teamwork. … and patient safety are highlighted below. … Psychological Safety in High-Reliability Organizations and Healthcare Settings
Optimizing patient safety … participatory councils that bring all levels of healthcare staff together with patients to
maximize
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psnet.ahrq.gov/web-mm/falling-between-cracks-software
March 09, 2011 - This access is essential when providing medical care to patients who receive care from multiple delivery … Inadequate availability of patient information is a widely recognized problem that results in patient … safety failures and could be solved by interoperability. … safety. … safety.