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psnet.ahrq.gov/issue/relationship-between-nursing-home-safety-culture-and-joint-commission-accreditation
June 02, 2010 - large database of nursing homes, consumers and professionals lack information on the safety of care provided
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psnet.ahrq.gov/issue/real-time-automated-paging-and-decision-support-critical-laboratory-abnormalities
April 30, 2014 - In this study, clinicians were notified in real time about critical lab test abnormalities and provided
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psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2016-user-comparative-database-report
June 08, 2016 - A previous PSNet perspective provided insights on safety culture.
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psnet.ahrq.gov/issue/risk-unintentional-overdose-non-prescription-acetaminophen-products
January 22, 2014 - Patients were provided with actual bottles of medications and asked to demonstrate how many pills they
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psnet.ahrq.gov/issue/randomized-controlled-evaluation-insulin-pen-storage-policy
January 23, 2017 - Four hospital units had a formal policy change for insulin pen storage, and four units provided education
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psnet.ahrq.gov/issue/engaging-hospital-patients-medication-reconciliation-process-using-tablet-computers
January 07, 2015 - Researchers piloted a tablet-based home medication review tool provided to patients at hospital admission
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psnet.ahrq.gov/issue/standardized-handoff-simulation-promotes-recovery-auditory-distractions-resident-physicians
March 09, 2016 - After training, distracted residents provided the same quality handoff as those able to communicate in
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psnet.ahrq.gov/issue/are-parents-who-feel-need-watch-over-their-childrens-care-better-patient-safety-partners
July 22, 2013 - the time of their child's admission to the hospital to determine their desire to watch over the care provided
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psnet.ahrq.gov/issue/improving-resident-engagement-quality-improvement-and-patient-safety-initiatives-bedside
December 21, 2017 - An advocate for clinical education (a nurse who rounded with medicine and surgery teams) provided team-specific
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psnet.ahrq.gov/issue/exploring-situational-awareness-diagnostic-errors-primary-care
September 20, 2011 - The authors found that applying the SA framework to analyze such errors provided deeper insight into
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psnet.ahrq.gov/primer/alert-fatigue
March 15, 2025 - fatigue derives from studies of CPOE and clinical decision support (CDS) systems, in which alerts are provided … A WebM&M provided several additional suggestions on how to minimize alert fatigue in CPOE systems: … quality improvement program in the Veterans Affairs system that incorporated the above principles and provided
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psnet.ahrq.gov/issue/making-health-care-safer-ii-updated-critical-analysis-evidence-patient-safety-practices
March 13, 2013 - somewhat controversial , the report galvanized patient safety efforts at hospitals nationwide and provided
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psnet.ahrq.gov/issue/randomized-trial-effectiveness-demand-versus-computer-triggered-drug-decision-support-primary
March 11, 2011 - Physicians were provided with a computerized decision support system that alerted them to potential
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psnet.ahrq.gov/issue/medicines-reconciliation-using-shared-electronic-health-care-record
March 04, 2015 - Problems included outdated or incomplete medication information, incorrect information provided by patients
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psnet.ahrq.gov/issue/compendium-strategies-prevent-healthcare-associated-infections-acute-care-hospitals
September 01, 2014 - Evidence-based recommendations are also provided for limiting the transmission of methicillin-resistant
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psnet.ahrq.gov/issue/demonstrating-high-reliability-accountability-measures-johns-hopkins-hospital
January 27, 2016 - In addition, a monthly performance dashboard provided transparency and accountability.
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psnet.ahrq.gov/issue/barriers-and-motivators-making-error-reports-family-medicine-offices-report-american-academy
July 14, 2010 - and lack of clear guidelines on which errors should be reported and how much information should be provided
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psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
September 29, 2017 - compensation is made, along with investigation of safety issues) and limited reimbursement programs (which provided
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psnet.ahrq.gov/issue/we-want-know-mixed-methods-evaluation-comprehensive-program-designed-detect-and-address
October 17, 2018 - nurses, nurse managers, physicians, hospital administrators and leadership) found the program reports provided
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psnet.ahrq.gov/issue/association-nurse-workload-missed-nursing-care-neonatal-intensive-care-unit
September 27, 2017 - Participating nurses were asked to report the care they provided, and missed care was defined as self-reported