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4381. Accidents and incidents related to intravenous drug administration: a pre-post study following implementation of smart pumps in a teaching hospital. | PSNet
      psnet.ahrq.gov/issue/accidents-and-incidents-related-intravenous-drug-administration-pre-post-study-following
      September 24, 2016 - safety and ergonomics in a teaching health care center. … May 29, 2014 Nursing perception of the impact of medication carts on patient safety and … April 12, 2011 Drug administration errors and their determinants in pediatric in-patients … June 30, 2011 Engaging patients to improve quality of care: a systematic review. … January 23, 2017 Maximizing smart pump technology to enhance patient safety.

4382. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. | PSNet
      psnet.ahrq.gov/issue/secondary-analysis-hand-offs-internal-medicine-using-i-pass-mnemonic
      April 22, 2013 - safety. … safety indicator. … The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients … August 23, 2023 Multicenter development, implementation, and patient safety impacts of … March 1, 2011 Safety of using a computerized rounding and sign-out system to reduce

4383. Inflicting Confusion | PSNet
      psnet.ahrq.gov/web-mm/inflicting-confusion
      August 04, 2021 - The medicine team recently managed a patient with Crohn disease and a similar presentation in which a … more recent data suggests this risk is likely due to thiopurine.( 17 ) Considering the complex safety … Clostridium difficile infection in the inflammatory bowel disease patient. … Safety of infliximab and other Crohn's disease therapies: TREAT Registry data with a mean of 5 years … March 23, 2012 Patient safety in the cardiac operating room: human factors and teamwork

4384. Structured override reasons for drug–drug interaction alerts in electronic health records. | PSNet
      psnet.ahrq.gov/issue/structured-override-reasons-drug-drug-interaction-alerts-electronic-health-records
      April 29, 2018 - February 22, 2019 Challenges and strategies for patient safety in primary care: a qualitative … September 28, 2022 Patient perceptions of safety in primary care: a qualitative study … safety: the Singapore experience. … June 12, 2013 Medication error in the care of HIV/AIDS patients: electronic surveillance … Specifications of computerized provider order entry and clinical decision support systems for cancer patients

4385. Promoting the psychological well-being of healthcare providers facing the burden of adverse events: a systematic review of second victim support resources. | PSNet
      psnet.ahrq.gov/issue/promoting-psychological-well-being-healthcare-providers-facing-burden-adverse-events
      February 15, 2023 - safety, person-centeredness and human resource management. … August 18, 2021 Occurrence of no-harm incidents and adverse events in hospitalized patients … May 26, 2021 What has been the impact of Covid-19 on safety culture? … November 24, 2021 Surgery is in itself a risk factor for the patient. … May 1, 2019 Patient safety culture and the second victim phenomenon: connecting culture

4386. Association of pharmaceutical industry marketing of opioid products with mortality from opioid-related overdoses. | PSNet
      psnet.ahrq.gov/issue/association-pharmaceutical-industry-marketing-opioid-products-mortality-opioid-related
      November 17, 2021 - Reducing opioid-related overdoses and deaths is a national patient safety priority. … s) CDC guideline for opioid prescribing associated with reduced dispensing to certain patients … November 3, 2021 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … March 29, 2017 Perspectives about racism and patient-clinician communication among black … June 10, 2013 View More Related Resources Patient Safety

4387. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/haccost2017-ref.html
      May 01, 2023 - Measuring patient safety: The Medicare Patient Safety Monitoring System (past, present, and future). … J Patient Safety . 2016; preview online. … New system aims to improve patient safety monitoring. … Validity of the Agency for Health Care Research and Quality Patient Safety Indicators and the Centers … Patient safety events in hospital care of individuals with epilepsy.

4388. In Conversation with... Cheryl Jones about Addressing Workplace Violence and Creating a Safer Workplace | PSNet
      psnet.ahrq.gov/perspective/conversation-cheryl-jones-about-addressing-workplace-violence-and-creating-safer
      October 31, 2023 - a culture of patient safety. … If we viewed workplace violence as part of that patient safety culture, then workers and patients may … We know that in patient safety, safety champions are needed to support patient safety initiatives. … safety. 11 Workforce stress and burnout negatively impact patient safety culture , leading to consequent … Safety leaders recognize workplace violence as a significant patient safety issue; workforce safety is

4389. Epidural-IV route mix-ups: reducing the risk of deadly errors. | PSNet
      psnet.ahrq.gov/issue/epidural-iv-route-mix-ups-reducing-risk-deadly-errors
      May 02, 2018 - ISMP Medication Safety Alert! Acute Care Edition. July 3, 2008;13:1-3. … ISMP Medication Safety Alert! Acute Care Edition. July 3, 2008;13:1-3. … May 2, 2018 Collaboration focused on priority issues promotes safety. … June 10, 2018 Benefits and risks of including patients on RCA teams. … December 30, 2014 An extra dose of safety.

4390. Effect of a rapid response team on the incidence of in-hospital mortality. | PSNet
      psnet.ahrq.gov/issue/effect-rapid-response-team-incidence-hospital-mortality
      March 15, 2023 - safety network system on outcomes of medical patients- a before and after cohort study. … safety: a point prevalence study. … inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients … April 27, 2022 Failure to rescue deteriorating patients: a systematic review of root … More See More About The Topic Hospitals Health Care Providers Quality and Safety

4391. Pharmacy | Digital Healthcare Research
      digital.ahrq.gov/care-setting/pharmacy
      January 01, 2023 - , Sripriya Understanding CancelRX: Impact on Clinical Workflows, Medication Safety … Risks, and Patient Outcomes Description This research developed strategies to optimize CancelRx … implementation and measured its impact on dispensing errors and patient outcomes. … and medication bar coding; also evaluated structure, process, and outcomes related to improvement of patient … safety and more effective patient medication management.

4392. Tool: Briefing and Debriefing Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/briefing_debriefing.docx
      December 01, 2017 - Patients in acute care hospitals underwent more than 16 million surgical procedures in the United States … in 2010.1 Using National Healthcare Safety Network (NHSN) definitions and surveillance methods, the … HAIs: A recently published point-prevalence survey of HAIs across 10 States showed that 4 percent of patients … accounted for approximately 20 percent of all HAI cases.3 SSIs continue to impart an enormous burden on patients … How To Use This Tool AHRQ Safety Program for Surgery Follow the instructions in each table included in

4393. Patients admitted on weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient sample. | PSNet
      psnet.ahrq.gov/issue/patients-admitted-weekends-have-higher-hospital-mortality-those-admitted-weekdays-analysis
      January 26, 2022 - Study Patients admitted on weekends have higher in-hospital mortality than those … safety. … August 9, 2023 Healthcare workers' experiences of patient safety in the intensive care … May 3, 2023 Annual Perspective Improving Diagnostic Safety … Safety in Acute Hospital Care Units April 26, 2023 View More See More

4394. Incidence and variables associated with inconsistencies in opioid prescribing at hospital discharge and its associated adverse drug outcomes. | PSNet
      psnet.ahrq.gov/issue/incidence-and-variables-associated-inconsistencies-opioid-prescribing-hospital-discharge-and
      April 29, 2018 - Harms related to prescription opioid use are an ongoing patient safety challenge. … Download Citation Related Resources From the Same Author(s) Improving patient … safety and efficiency of medication reconciliation through the development and adoption of a computer-assisted … November 25, 2020 Patient Safety Innovations Transition … December 19, 2018 Improving patient safety and efficiency of medication reconciliation

4395. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49736/psn-pdf
      June 01, 2015 - The patient was admitted to the medicine team, started on empiric antibiotics, and placed on bowel rest … The medicine team recently managed a patient with Crohn disease and a similar presentation in which … lymphoma, more recent data suggests this risk is likely due to thiopurine.(17) Considering the complex safety … Clostridium difficile infection in the inflammatory bowel disease patient. … Safety of infliximab and other Crohn's disease therapies: TREAT Registry data with a mean of 5 years

4396. Primary Care Practice Facilitation Curriculum Module 5: Special Considerations When Working With Safety Net Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-5-working-with-safety-net-practices.pdf
      September 01, 2015 - The IOM identifies “core safety net providers” as providers that maintain an “open door” to patients … In addition, many patients who are cared for in the safety net have more complex health issues, which … For example, safety net practices may refer patients out for pneumococcal vaccinations because of the … effective with middle class patients was difficult to implement in a safety net practice. … In addition, many patients receiving care in the safety net have more complex and serious illness.

4397. Final Progress Report: Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/sapirstein-report.pdf
      January 01, 2025 - Safety Learning Lab Framework). 6 The AI Patient Safety Learning Lab proved a feasible path for … Johns Hopkins Medicine Patient Safety Summit. 2019 Mar 8. 6. Aron R. … Johns Hopkins Medicine Patient Safety Summit. 2019 Mar 8. 7. Demko Z. … Patient safety: Engineering from the top and the bottom. … Johns Hopkins Medicine Patient Safety Summit. 2019 Mar 8.

4398. Mobile Text Messaging | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/healthit-ed-3.html
      February 01, 2021 - in Diagnostic Decision Making in Emergency Departments Introduction Electronic Patient Portals … Future Directions and Research Priorities References Another strategy to increase patient … appointments. 25 Similarly, postdischarge texts from the ED could be used to evaluate and improve diagnostic safety … In addition, using text messages to solicit patient-reported diagnostic errors after ED discharge is … They should also examine the effectiveness of text-based interventions and patient preferences about

4399. Final Progress Report: The PeaceHealth Community-wide Electronic Shared Medication List (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/stock-easton-report.pdf
      January 01, 2024 - The assumption, of course, is that, as both of those indicators improve, so does the safety of patients … care setting will be critical to improving patient safety. … AHRQ Patient Safety and Health IT Conference, Washington, DC, June 2006. Stock RD and Mahoney E. … AHRQ Patient Safety and Health IT Conference, Washington, DC, June 2006. Mahoney E. … AHRQ Patient Safety and Health IT Conference, Washington, DC, June 2006.

4400. 2018 National Healthcare Quality and Disparities Report: Introduction and Methods (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-intro-methods.pdf
      September 01, 2019 - safety. … In addition, the area of patient safety was expanded to include sections on healthcare-associated infections … and patient safety culture. …  Patient Perceptions of Care. … products such as the State Snapshots have included state-specific estimates for selected AHRQ Quality Indicators