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psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
June 01, 2016 - The notion that this is a building block you have to create as a foundation to build a safe culture on … large health care system for many years, I see the challenges we face in trying to deliver excellent, safe … that are well known in medication and patient safety such as materials put out by the Institute for Safe … It's time for interprofessional, patient-centered thinking that provides high quality and safe patient
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psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
August 01, 2006 - We just finished a collaborative to implement safe practices here in Massachusetts: reconciling medications … Within the last year, we have moved from saying these are safe practices that demonstrably make a difference … to saying these are safe practices that everyone can do to make a difference. … the tremendous amount of evidence that's come out since that time, we have an ever-expanding list of safe
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psnet.ahrq.gov/perspective/conversation-beverley-h-johnson
February 01, 2013 - That approach by health care professionals is not going to keep people safe. … They wanted to feel that their health care would be handled in a safe manner. … We can help coordinate care and keep my mom safe even though we live in three different states.
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psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
February 01, 2014 - However, health care is not nearly as safe as it should be or can be. … The Institute for Safe Medication Practices recently provided a number of practice recommendations for
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psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
September 01, 2006 - They said that they gave it a "one" because for me it's not important because I am safe. … It was this inappropriate confidence—the feeling that they were safe. … The next thing that we wanted to do was to create a culture in which people felt safe. … Is it possible to provide effective, safe care, and to do so without increasing costs even more? … events: does the fact that there was ultimately no harm indicate that systems worked effectively and are safe
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psnet.ahrq.gov/web-mm/lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
October 27, 2022 - Safe transitions across settings are facilitated by medication reconciliation , which is a formal process … Institute for Safe Medication Practices (ISMP). … Keeping Patients Safe from Iatrogenic Methadone Overdoses. … February 14, 2008. https://www.ismp.org/resources/keeping-patients-safe-iatrogenic-methadone-overdoses
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psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
June 01, 2018 - Diagnostic ultrasound is exceptionally safe, but because of potential bioeffects it should always be … From a safety standpoint, ultrasound itself is safe. … On the user/operator side, ultrasound is safe and of great value in the hands of well-trained competent
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psnet.ahrq.gov/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
October 30, 2024 - the last few decades to make sure that people who use substances have the tools they need to stay as safe … that treatment, with its deep connections to the legal system, is not welcoming, patient-centered, or safe … injection-related infections, drug-checking services, and in some places, syringe service programs (SSPs) and safe … evaluating the effectiveness of drug-checking services on health outcomes and of overdose prevention sites (safe
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psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-who-use-substances
October 30, 2024 - injection-related infections, drug-checking services, and in some places, syringe service programs (SSPs) and safe … evaluating the effectiveness of drug-checking services on health outcomes and of overdose prevention sites (safe … the last few decades to make sure that people who use substances have the tools they need to stay as safe … that treatment, with its deep connections to the legal system, is not welcoming, patient-centered, or safe
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psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
March 15, 2023 - Unfortunately, it may be necessary to leave the cuff overinflated until it is safe to perform the first … standards of care for tracheostomy tube management. 13,14 Many studies have been conducted to determine a safe … overinflation of a cuff should be temporary and a plan should be in place to address the cuff issue when safe
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psnet.ahrq.gov/issue/hqi-and-hospital-council-annual-conference
October 25, 2006 - December 11, 2013
AHRQ Risk-informed Intervention Development and Implementation of Safe
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psnet.ahrq.gov/issue/exploring-harmful-effects-health-care
January 25, 2023 - November 11, 2015
How can we keep patients with dementia safe in our acute hospitals?
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psnet.ahrq.gov/perspective/handoffs-and-transitions
February 01, 2007 - 1, 2011
Perspective
What Have We Learned About Safe … Safety
February 1, 2010
WebM&M Cases
Is It Safe
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psnet.ahrq.gov/node/49422/psn-pdf
November 01, 2003 - by the Joint Commission on
Accreditation of Healthcare Organizations (JCAHO) (1), the Institute for Safe … Institute for Safe Medication Practices.
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psnet.ahrq.gov/web-mm/suicide-risk-hospital
November 01, 2011 - Patient Safety Innovations
Suicide Prevention in an Emergency Department Population: ED-SAFE … Development and implementation of a suicide prevention checklist to create a safe
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psnet.ahrq.gov/node/49476/psn-pdf
March 02, 2005 - Around the Block
March 1, 2005
Minichiello T. Around the Block. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/around-block
The Case
A 77-year-old woman with multiple medical problems was admitted to the hospital for an elective knee
replacement. The orthopedic surgeon, recognizing the risk of deep vein th…
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psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
February 01, 2014 - National recommendations exist regarding designation of high-alert medications (e.g., Institute for Safe … For providers and health care systems, they also include Elements to Assure Safe Use, which may require
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psnet.ahrq.gov/web-mm/critical-opportunity-lost
February 17, 2017 - critical values, available guidelines about best practices, and practical considerations in designing safe … Malignancy Diagnosis Reflects Systemic Failures
October 31, 2023
The delivery of safe
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psnet.ahrq.gov/node/33884/psn-pdf
July 01, 2019 - Emerging Safety Issues in Artificial Intelligence
July 1, 2019
Challen R. Emerging Safety Issues in Artificial Intelligence. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence
Perspective
Background
Since the beginning of digital health records, there has bee…
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psnet.ahrq.gov/node/72635/psn-pdf
January 13, 2021 - Conducting safety research safely: a policy-based
approach for conducting research with peer review
protected material.
January 13, 2021
Myers LC, Blumenthal K, Phadke NA, et al. Conducting Safety Research Safely: A Policy-Based Approach
for Conducting Research with Peer Review Protected Material. Jt Comm J Qual P…