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psnet.ahrq.gov/issue/exploring-alternatives-malpractice-litigation
September 01, 2018 - Same Author(s)
Special Issue: Progress at the Intersection of Patient Safety and Medical … June 19, 2019
Creating a comprehensive, unit-based approach to detecting and preventing … Eisenberg Patient Safety and Quality Awards. … way for communication-and-resolution programs. … December 18, 2014
Communication-and-resolution programs: the challenges and lessons learned
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psnet.ahrq.gov/issue/bedside-shift-report-improves-patient-safety-and-nurse-accountability
April 16, 2010 - View more articles from the same authors. … in the emergency department setting. … : final results of the MARQUIS study. … September 26, 2012
Implementation of the I-PASS handoff program in diverse clinical environments … October 30, 2013
Nurses' perceptions of simulation-based interprofessional training program
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psnet.ahrq.gov/perspective/building-capacity-patient-safety
July 31, 2023 - Federal programs, like AHRQ’s Patient Safety Organizations (PSOs), make it possible for sharing and … Creating spaces of open and transparent dialogue, such as the Comprehensive Unit-based Safety Program … Limited funding and resources can hinder the development and implementation of comprehensive patient … safety education programs. … We also have a formal education program.
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psnet.ahrq.gov/issue/implementation-prescription-drug-monitoring-programs-associated-reductions-opioid-related
September 09, 2020 - This study used secondary data sources to determine whether implementing a drug monitoring program decreased … complete and timely opioid monitoring achieved greater overdose reductions compared to states with less comprehensive … programs. … September 9, 2020
Healthcare system-wide implementation of opioid-safety guideline recommendations … October 13, 2018
Alternatives to opioid education and a prescription drug monitoring program
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psnet.ahrq.gov/issue/benefits-health-information-technology-review-recent-literature-shows-predominantly-positive
December 21, 2018 - Despite the benefits of health IT, both hospitals and clinics have been slow to implement comprehensive … Same Author(s)
Implementation of prescription drug monitoring programs associated with … of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program … January 9, 2013
The safety of emergency care systems: results of a survey of clinicians … November 9, 2022
The impact of electronic health record interoperability on safety and
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psnet.ahrq.gov/web-mm/good-catch-operating-room
August 27, 2017 - Today, variants of the original CRM team training program exist throughout the aviation industry, with … and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) program for health care teams ( 12 … Veterans Health Administration, the widespread implementation of a medical team training program has … climate.( 15,16 ) Work in Sweden has demonstrated that a comprehensive CRM training program targeting … Commander's Aviation Training and Standardization Program. August 2016. TC 3-04.11 12.
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psnet.ahrq.gov/primer/simulation-training
September 15, 2024 - Because of the potential risks to patient and staff safety in the clinical environment, special care … The Committee on Accreditation of Education Programs for the Emergency Medical Services Professions ( … The Accreditation Council for Graduate Medical Education requires that residency programs provide simulation … (eds) Comprehensive Healthcare Simulation: Pediatrics. Comprehensive Healthcare Simulation. … Post-Acute Transitional Services: Safety in Home-Based Care Programs
April 27, 2022
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psnet.ahrq.gov/issue/evaluating-evidence-based-bundle-preventing-surgical-site-infection
August 21, 2019 - of checklists in improving safety. … August 4, 2021
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … August 20, 2018
Implementation of the I-PASS handoff program in diverse clinical environments … November 14, 2011
Effect of a comprehensive surgical safety system on patient outcomes … Care Providers
Quality and Safety Professionals
General Surgery
Nosocomial Infections
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psnet.ahrq.gov/node/837659/psn-pdf
July 08, 2022 - https://psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
The Cases
Case #1 … Patient Safety
Opioids and benzodiazepines are commonly used medications in the acute care setting. … Classifying safety events related to diagnostic imaging from a safety
reporting system using a human … Pulmonary aspiration during procedural sedation: a
comprehensive systematic review. … Road Map to a Medication Safety Program. Accessed May 4, 2022.
[Free full text (PDF)]
15.
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psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - "The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety. PSNet [internet]. … The scope of the examination distinguishes POCUS from a traditional comprehensive consultative ultrasound … Currently, residency programs and clinical departments can determine which combination of assessment … methods best fits the program, learners, faculty, and curriculum. … department: the first sonography outcomes assessment program trial.
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psnet.ahrq.gov/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
October 30, 2024 - Elizabeth Salisbury-Afshar: In the outpatient setting, I work at the Compass Program , a walk-in clinic … Sarah Mossburg: You mentioned the Compass Program. … More comprehensive drug-checking programs are also being implemented across the country that allow individuals … Trends in crime and the introduction of a needle exchange program. … safety partnership drug checking program.
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psnet.ahrq.gov/issue/expand-evidence-base-about-harms-tests-and-treatments
May 19, 2021 - This article presents seven domains of harm of tests and treatment which warrant comprehensive research … and safety culture. … June 23, 2021
Alternatives to opioid education and a prescription drug monitoring program … systems thinking safety tenets. … May 10, 2023
Annual Perspective
Improving Diagnostic Safety
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psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
May 01, 2016 - Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue. PSNet [internet]. … The recent Joint Commission National Patient Safety Goal on clinical alarm safety highlighted the complexities … The Joint Commission announces 2014 National Patient Safety Goal. … August 21, 2013
Team training in the neonatal resuscitation program for interns: teamwork … devices: a comprehensive observational study of consecutive intensive care unit patients.
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psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
July 01, 2006 - Can you explain what makes an effective patient safety program and officer? … AF: Over the past decade, we have started to develop a picture of what comprehensive patient safety … What are the key success factors in developing a hospital safety program? … The leaders ensure that an integrated patient safety program is implemented throughout the hospital. … In: 2006 Comprehensive Accreditation Manual for Hospitals: The Official Handbook.
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psnet.ahrq.gov/perspective/patient-safety-home-dialysis
April 28, 2021 - Critical safeguard procedures that help to reduce the risk of patient error include comprehensive training … JAM : Exactly; they all have an in-center program, which is what most conventional programs are, and … JAM : We have policies and procedures and training programs, and a lot of the intense safety considerations … are assuring that they're actually following the training program and safety protocols. … We also need to think about home programs and the things that a home program provides.
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psnet.ahrq.gov/issue/reducing-diagnostic-errors-emergency-department-time-patient-treatment
August 26, 2020 - Reducing diagnostic errors in the emergency department at the time of patient treatment. … patient safety in the United States. … December 18, 2024
The safety of outpatient health care: review of electronic health records … May 15, 2024
Psychological safety as a new ACGME requirement: a comprehensive all-in-one … guide to radiology residency programs.
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psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
March 01, 2014 - How Does Infection Prevention Fit Into a Safety Program?
Susan S. … How Does Infection Prevention Fit Into a Safety Program?. PSNet [internet]. … How Does Infection Prevention Fit Into a Safety Program?. PSNet [internet]. … In many ways, infection prevention efforts have been a model for comprehensive safety programs that extend … How Does Infection Prevention Fit Into a Safety Program?. PSNet [internet].
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psnet.ahrq.gov/web-mm/think-surgeon
December 04, 2024 - using the American College of Surgeons National Surgical Quality Improvement Program database. … Safety of inpatient care in surgical settings: cohort study. … June 12, 2019
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … September 18, 2024
An effective program to reduce malpractice claims and payments in … Mother
July 2, 2019
Impact of a comprehensive patient safety strategy on obstetric
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psnet.ahrq.gov/issue/perinatal-high-reliability
September 29, 2010 - View more articles from the same authors. … September 29, 2010
A comprehensive perinatal patient safety program to reduce preventable … January 30, 2005
Implementation of the I-PASS handoff program in diverse clinical environments … Checklist by the Safety and Health Committee. … Programs in Obstetrics and Gynecology.
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psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
March 22, 2009 - The Role of Health Literacy in Patient Safety
Michael S. … The Role of Health Literacy in Patient Safety. PSNet [internet]. … Act
It is essential for health systems, health care professionals, and policy makers to develop a comprehensive … Bailey, MPH Program Director, Health Literacy and Learning Program Institute for Healthcare StudiesNorthwestern … Program.