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psnet.ahrq.gov/issue/do-junior-doctors-make-more-prescribing-errors-experienced-doctors-when-prescribing
February 22, 2023 - February 22, 2023
Do patients' disruptive behaviours influence the accuracy of a doctor's … September 14, 2022
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Related Resources
Comparing safety … , performance and user perceptions of a patient-specific indication-based prescribing tool with current … May 27, 2011
Potassium and phosphorus repletion in hospitalized patients: implications … safety.
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psnet.ahrq.gov/node/33577/psn-pdf
September 15, 2024 - Duty Hours and Patient Safety
September 15, 2024
Duty Hours and Patient Safety. … https://psnet.ahrq.gov/primer/duty-hours-and-patient-safety
PSNet primers are regularly reviewed and … Little attention was paid to the potential patient safety effects of fatigue among residents until March … By comparison, residents in many other countries work
https://psnet.ahrq.gov/primer/duty-hours-and-patient-safety … https://psnet.ahrq.gov/issue/girl-who-died-twice-every-patients-nightmare-libby-zion-case-and-hidden-hazards-hospitals
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psnet.ahrq.gov/perspective/conversation-withbradley-t-rosen-md-mba
March 01, 2008 - RW: What data do you have that demonstrate that in fact this improves patient safety? … Not necessarily from a patient safety standpoint, but we have found that the decision of whether a line … In the real world I think that we have to find ways to maximize patient safety while taking into account … Creation of a Medical Procedure Service to Improve Patient Safety
March 1, 2008
Perspective … In addition to enhancing education and patient safety, the direct supervision and assessment provided
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psnet.ahrq.gov/node/49771/psn-pdf
July 01, 2016 - safety. … Discourses about patient safety tend to involve a good deal of talk about systems thinking, but actually … Leapfrog initiatives to drive great leaps in patient safety.
2. Ranji S, Wachter RM, Hartman EE. … Patient Safety Primer: Computerized Provider Order Entry. AHRQ
Patient Safety Network. … Handbook of Human Factors and Ergonomics in Health Care
and Patient Safety. 2nd ed.
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psnet.ahrq.gov/primer/diagnostic-errors
June 15, 2024 - Background The past decade's quest to improve patient safety has chiefly addressed quantifiable problems … Diagnostic error has received comparatively less attention, despite the fact that landmark patient safety … Safety Primers
Measurement of Patient Safety June 15, 2024
Reporting Patient Safety Events … Safety Primers
Patient Safety 101
June 15, 2024
Reimagining … Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety.
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psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
March 27, 2024 - About three weeks later, the patient saw his primary care physician (PCP), still complaining of ongoing … Critique of Patient Care The acute management of this patient at the time of his first presentation seems … After this patient’s follow-up with his PCP, the patient had worsening headaches (as indicated by his … ' and doctors' views and experiences of the patient safety trajectory of breast cancer care. … safety.
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digital.ahrq.gov/ahrq-funded-projects/enabling-electronic-prescribing-and-enhanced-management-controlled-medications
January 01, 2023 - the use of electronic prescribing (e-prescribing) has led to significant improvements in medication safety … Conduct systems process and outcomes evaluations of the improvements to patient care, risk reduction, … patient and clinician benefits, patient safety, and information privacy and confidentiality that are … The project team concluded that EPCS is a promising tool able to improve public health and public safety … It will likely become a major tool to help curb substance abuse and contribute to patient safety, practice
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psnet.ahrq.gov/web-mm/unfamiliar-catheter
November 01, 2006 - Swayze, RN, MA Senior Project Manager for Communications Patient Safety Staff Partnerships/MedSun … An organizational approach to understanding patient safety and medical errors. … Patient Safety and Quality: An Evidenced-based Handbook for Nurses. … October 28, 2020
Patient safety: a consumer's perspective. … December 4, 2016
Annual Perspective
Equity in Patient Safety
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www.ahrq.gov/sites/default/files/2024-05/wendel-hummell-report.pdf
January 01, 2024 - the structure,
process, and outcomes of care and emphasizes that patient and worker behavior cannot … Journal of Patient Safety. 2009 Dec;5(4):229–36.
3. … Researching triads in home care: perceptions of
safety from home care clients, their caregivers, and … Disaster planning for home health patients and providers: a literature review of
best practices. … Work system design for patient safety: the
SEIPS model.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/engaging-caregivers-rapid-review.pdf
April 01, 2024 - What patient safety measures or indicators have been used to examine these harms?
3. … safety
measures or indicators. … safety measures,
AHRQ’s Patient Safety Indicators, or the National Committee for Quality Assurance … What Patient Safety Measures or
Indicators Have Been Used To Examine These Harms? … Research and Quality (AHRQ) Patient Safety
Measures measures or indicators do not specifically address
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
January 01, 2025 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and … Leadership
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing … safety.2 Since 2000, AHRQ has
supported 62 patient safety projects to improve communication between … In addition to TeamSTEPPS, the Patient Safety Professional Course offered by
the DoD’s Patient Safety … culture, increases patient satisfaction, and promotes patient safety.
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www.ahrq.gov/sites/default/files/2024-05/bruzzese3-report.pdf
January 01, 2024 - Dive into
the country's deepest database of adverse events and near misses as patient safety analysts … Marella, M.B.A., director, Patient Safety Reporting Programs, ECRI Institute
• Kerry O'Connell , patient … The intersection of highway safety and health
• Jacob Nelson, director of traffic safety policy & research … engagement, AtlantiCare
• Moderator: Phil Galewitz, correspondent, Kaiser Health News
Neighborhood indicators … safety data, preventive healthcare indicators, Medicare payment claims, and hospital
performance at
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www.ahrq.gov/sites/default/files/2025-02/griffey-report.pdf
January 01, 2025 - the effectiveness of patient
safety improvement efforts. … care for patients but also as a
safety net for patient harm that occurs across the health system. … Our goal is to improve
safety and quality of care for emergency patients. … The "To Err is Human" report and the
patient safety literature. … Journal of Patient Safety 2008;4:3 169-77.
67. Pedregosa F.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/care-transitions-1.pdf
March 01, 2020 - Safety Practices
Initial literature searches for patient safety practices (PSPs) in the harm area of … Quality indicators for continuity and coordination of care in vulnerable
elders. … understand indicators for when their
condition is worsening and know how to
respond. … Transfer" OR
"Patient Handoff")))
AND
((MH “Patient Safety”) OR
(AB "Patient Safety")))
AND … ((MH “Patient Safety”) OR
(AB "Patient Safety")))
Making Healthcare Safer III: A Critical Analysis
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hcup-us.ahrq.gov/db/nation/kid/kid_2016_introduction.jsp
January 01, 2016 - safety, and the impact of health policy changes. … safety, and the impact of health policy changes. … There is no uniform patient identifier available that allows a patient-level analysis with the KID. … lengths of stay than patients in other community hospitals. … Type of Data Element
HCUP Name
Coding Notes
All Patient Refined DRG (3M)
APRDRG
All Patient
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psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
July 31, 2023 - The Patient Safety Authority is charged with collecting information related to patient safety events … Our end games are the same: to keep patients safe, right? … practices specific to the patients they are caring for as well as general safety practices that cross … to improve safety, both for patients and the workforce. … While national datasets such as the AHRQ Patient Safety Indicators are helpful in benchmarking performance
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psnet.ahrq.gov/node/50844/psn-pdf
January 29, 2020 - Improving Patient Safety and Team Communication
through Daily Huddles
January 29, 2020
Shaikh U. … Improving Patient Safety and Team Communication through Daily Huddles. PSNet [internet].
2020. … for
patients to be seen on the current day. … , patients with indwelling central venous or urinary catheters, or
patients with similar names. … Improving Patient Safety Through Provider
Communication Strategy Enhancements.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-infection-prevention-mdro-protocol.pdf
July 01, 2023 - What patient safety measures or indicators have been used to examine the frequency and severity of … What patient safety practices have been used to prevent or mitigate the harms of healthcare-associated … What are the most common barriers and facilitators of implementing the patient safety practices? … What toolkits are available to support implementation of the patient safety practices? … stakeholders, clinical specialists,
experts in patient safety issues, and a patient/consumer perspective
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digital.ahrq.gov/sites/default/files/docs/resource/Karen_Fox_IQHIT_Q4_Measures_of_Impact_for_BLUES_Project.pdf
June 16, 2021 - who access their personal health
information, including medication therapy
Patient use of EHR PHR … ; and
(4) Timely refills of medication
-% of patients receiving appropriate care for
medication … Provider satisfaction with EHS
Patient utilization of website
Hypothesis Measure
(1) Proportion … safety. … eye exam (bi-yearly for low risk
patients)**
** Indicates availability for only a subset of patients
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psnet.ahrq.gov/node/33608/psn-pdf
February 01, 2024 - Patients may also be at risk via overuse of interventions. … deaths
https://psnet.ahrq.gov//#11
https://psnet.ahrq.gov//#11
https://psnet.ahrq.gov/issue/emotional-safety-patient-safety … This approach ultimately became a national one, through the
(now dissolved) Council on Patient Safety … /perinatal-care-2/index.html
https://www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care … A rapid review of available evidence to inform indicators for
routine monitoring and evaluation of respectful