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psnet.ahrq.gov/issue/association-state-opioid-duration-limits-postoperative-opioid-prescribing
April 18, 2019 - April 18, 2019
Persistent opioid use among pediatric patients after surgery. … August 4, 2021
View More
Related Resources
Fire safety in the operating … 11, 2024
Evaluation of policies limiting opioid exposure on opioid prescribing and patient … March 10, 2021
WebM&M Cases
Fatal Patient-Controlled … Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt5.html
December 01, 2017 - Environment and Equipment Safety
Appendix A. References and Equipment Sources
Appendix B. … Instructions
Note: This form has been filled out with information for the sample case study patient
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-32
June 16, 2019 - This monthly selection reports on pump programming errors that led to overdoses of patient-controlled … View More
See More About The Topic
Hospitals
Pharmacists
Quality and Safety
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psnet.ahrq.gov/node/845356/psn-pdf
March 29, 2023 - J Patient Saf. 2022;18(6):570-577.
doi:10.1097/pts.0000000000001056. … The RAS Olympics consisted of four “events” – (1) safety hazard identification, (2)
troubleshooting,
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www.ahrq.gov/news/events/nac/2016-07-nac/nacmtg0716-minutes.html
November 01, 2016 - Skolnik, Citizens for Patient Safety
Jed Weissberg, M.D., FACP, Institute for Clinical and Economic … The Global Assessment of Pediatric Patient Safety, or GAPPS, tool uses either electronic or written data … AHRQ’s Quality Indicators are measures of health care quality that make use of readily available hospital … There are more than 101 Quality Indicators, 40 of which have been endorsed by the National Quality Forum … Some NAC members wondered whether maintenance of measures of patient safety culture should be shifted
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-203-adhd-disposition-comments.pdf
January 01, 2018 - In my assessment, post-marketing
surveillance studies of effectiveness and safety are badly
missing … These outcomes were seen as
being both patient-centered and most
critical for decisionmaking across … Effectiveness,
safety, and tolerability of
lisdexamfetamine dimesylate in children with attention- … A long-term o pen-label
safety and effectiveness trial of lisdexamfetamine dimesylate in
adolescents … Atomoxetine
improves patient and family coping in attention
deficit/hyperactivity disorder: a randomized
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/NH-WPS-Pilot-Study-Overall-Results-2023.pdf
January 01, 2023 - Pilot Study Results From the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Workplace Safety Supplemental … Item Set for Nursing Homes
Pilot Study Results From the AHRQ
Surveys on Patient Safety Culture™ ( … Surveys on Patient Safety Culture™ and SOPS® are trademarks of AHRQ. … Pilot Study Results From the AHRQ Surveys on Patient Safety
CultureTM (SOPS®) Workplace Safety Supplemental … Pilot Study Results From the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Workplace Safety Supplemental
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psnet.ahrq.gov/primer/medication-administration-errors
December 15, 2024 - Safety Primers
Medication Errors and Adverse Drug Events December 15, 2024
Nursing and Patient … May 26, 2021
Performance of the Global Assessment of Pediatric Patient Safety ( … Patient Safety Primers
Personal Health Literacy
August … March 31, 2022
Patient Safety Primers
Nursing … and Patient Safety
April 21, 2021
ISMP medication error report analysis.
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digital.ahrq.gov/ahrq-funded-projects/value-new-drug-labeling-knowledge-e-prescribing
January 01, 2023 - Electronic Prescribing
Standards and Classifications
Health Care Theme
Medication
Patient … Safety
This project studied the value that the upcoming FDA mandated electronic drug labeling … User and patient satisfaction survey will evaluate perceived value.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
January 01, 2004 - patient safety; and (6) patient safety research dissemination
Advances in Patient Safety: Vol. 3 … coming out of AHRQ’s
patient safety portfolio of research. … in hospitals, and patient safety reporting. … The field
staff include hospital patient safety officers and those responsible for patient
safety reporting … of patient safety in hospital settings.
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digital.ahrq.gov/sites/default/files/docs/resource/Dataform_3_Medication_Error_and_Near_Miss_Classification_Form.pdf
June 16, 2021 - . ___
Page 1 of 2
Center of Excellence for Patient Safety Research and Practice … Patient had documented allergy to medication
prescribed
20. … Patient contacted provider (phone)
2. Patient contacted provider (email)
3. … Patient contacted RN (phone)
4. Patient contacted RN (email)
5. … Yes
Page 2 of 2
Center of Excellence for Patient Safety Research and Practice
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psnet.ahrq.gov/issue/burnout-and-medical-errors-among-american-surgeons
December 21, 2014 - Duty-hour restrictions for resident physicians are intended to improve safety, but research in residents … February 2, 2011
Physician burnout, well-being, and work unit safety grades in relationship … December 21, 2018
Physicians' experiences with mistreatment and discrimination by patients … of coworker reports about unprofessional behavior by surgeons with surgical complications in their patients … March 28, 2011
Attitudes to teamwork and safety in the operating theatre.
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psnet.ahrq.gov/issue/profit-long-term-care-homes-and-risk-covid-19-outbreaks-and-resident-deaths
October 28, 2020 - October 5, 2022
Ethical considerations and patient safety concerns for cancelling non-urgent … October 12, 2022
Patient Safety Primers
Coronavirus Disease … 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes
February 24, 2022 … April 14, 2021
Coronavirus Commission for Safety and Quality in Nursing Homes.
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psnet.ahrq.gov/issue/cost-effectiveness-computerized-provider-order-entry-system-improving-medication-safety
August 09, 2017 - Cost-effectiveness of a computerized provider order entry system in improving medication safety … Cost-Effectiveness of a Computerized Provider Order Entry System in Improving Medication Safety Ambulatory … implementation of electronic prescribing to estimate the benefit of CPOE for outpatient medication safety … August 9, 2017
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … January 19, 2014
E-prescribing: a focused review and new approach to addressing safety
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs018420-post-final-report-2016.pdf
January 01, 2016 - The retrospective analysis determined which indicators had superior
measurement properties for use in … Based on client input, participants perform eight-to-ten tasks using a
customized data collection template … This approach enables clients to gather a substantial
9 P a g e
Usability Focus … Journal of Patient Safety. 2008;4(3):178-83.
12. … Reengineering hospital discharge: a protocol to improve patient safety,
reduce costs, and boost patient
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science-brief1.pdf
April 02, 2020 - from administrative datasets (e.g., patient safety indicators).68,69
However, unlike specific safety … Can patients report patient safety incidents in a hospital setting? A systematic
review. … Guide to Improving Patient Safety in Primary
Care Settings by Engaging Patients and Families: Environmental … Deriving ICD-10 codes for
Patient Safety Indicators for large-scale surveillance using administrative … Patient Safety Indicators: using administrative data to
identify potential patient safety concerns.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
April 02, 2020 - from administrative datasets (e.g., patient safety indicators).68,69
However, unlike specific safety … Can patients report patient safety incidents in a hospital setting? A systematic
review. … Guide to Improving Patient Safety in Primary
Care Settings by Engaging Patients and Families: Environmental … Deriving ICD-10 codes for
Patient Safety Indicators for large-scale surveillance using administrative … Patient Safety Indicators: using administrative data to
identify potential patient safety concerns.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/ischemic-stroke-treatment_executive.pdf
January 01, 2011 - report: author identification,
year of publication, study design characteristics, study
population, patient … different types of
neurothrombectomy devices, what are the
type(s) of devices, study designs and sizes,
patient … patient discharge. … We did not draw conclusions
regarding their effectiveness or safety. … the topic, including randomized
controlled trials to determine the optimal device(s) to
use, and the patient
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psnet.ahrq.gov/perspective/conversation-wanda-pratt-phd
November 01, 2017 - RW : What are the risks to patient safety of patients becoming more engaged through digital tools, particularly … I think patients acting as their own safeguards is an underrepresented space in patient safety right … The Role of Patient-facing Technologies to Empower Patients and Improve Safety
November 1, 2017 … Patient-facing technology has the potential to improve quality and safety by enabling patients to take … Patient Safety Center.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
August 01, 2025 - Improving Safety Using Teamwork and Patient Safety Norms
Creating and Maintaining a Culture of Safety … Series
(Session 2)
Improving Safety Using Teamwork and Patient Safety Norms
NATIONAL WEBINAR SERIES … Establishing Psychological Safety for Healthcare Workers
2. Teamwork and Patient Safety Norms
3. … TeamSTEPPS improves patient safety. BMJ Open Qual. 2024. … J Patient Safety Jan 2022. Vol 18,
Number 1.