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psnet.ahrq.gov/issue/patient-safety-investigation-report-services-university-hospital-galway-uhg-and-reflected
June 14, 2017 - Copy Citation
Related Resources From the Same Author(s)
Report of the Announced … May 24, 2015
Building a Culture of Patient Safety: Report of the Commission on Patient … : State of the Science. … Emerging Fndings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury … September 5, 2008
Department of Defense Health Care Quality.
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psnet.ahrq.gov/issue/we-asked-experts-who-surgical-safety-checklist-and-covid-19-pandemic-recommendations-content
May 19, 2021 - including before and after implementation of the WHO surgical safety checklist. … May 12, 2021
The perception of patient safety in an alternate site of care for elective … surgery during the first wave of the novel coronavirus pandemic in the United Kingdom: a survey of 158 … July 22, 2020
Blueprint for restructuring a department of surgery in concert with the … May 6, 2020
Perioperative COVID-19 defense: an evidence-based approach for optimization
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psnet.ahrq.gov/issue/using-medical-malpractice-closed-claims-data-reduce-surgical-risk-and-improve-patient-safety
December 01, 2010 - December 16, 2014
Impact of computerized prescriber order entry on the incidence of adverse … May 26, 2011
Predictive power of the "trigger tool" for the detection of adverse events … May 6, 2020
Implementation of the I-PASS handoff program in diverse clinical environments … Improving Diagnostic Safety and Quality
April 26, 2023
Perioperative COVID-19 defense … July 3, 2014
Missed and delayed diagnoses in the emergency department: a study of closed
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psnet.ahrq.gov/issue/va-health-care-improvements-needed-processes-used-address-providers-actions-contribute
October 12, 2022 - View more articles from the same authors. … Copy Citation
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COVID-19 in Nursing … 6, 2019
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Deficiencies in Emergency Department … Care for a Patient Who Died by Suicide at the John Cochran Division of the VA St. … May 25, 2022
Defense Health Agency Processes for Responding to Provider Quality and Safety
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psnet.ahrq.gov/issue/routine-multidisciplinary-review-severe-maternal-morbidity-associated-reduction-preventable
September 02, 2020 - Same Author(s)
The psychological experience of obstetric patients and health care workers … 2019 Department of Defense Patient Safety Culture Survey. … on the labor and delivery unit of a regional perinatal center. … April 20, 2022
A qualitative analysis of the impact of electronic health records (EHR … During and Immediately After Childbirth: State of the Science.
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psnet.ahrq.gov/issue/silent-treatment-why-safety-tools-and-checklists-arent-enough-save-lives
April 03, 2009 - A past AHRQ WebM&M perspective and interview discuss the role of checklists in health care settings … November 30, 2016
Impact of the Care Quality Commission on Provider Performance: Room … 2019 Department of Defense Patient Safety Culture Survey. … health care: narrative reviews of the research literature and formal inquiries, a legal analysis and … observation tool to quantify the use of non-technical skills in healthcare.
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psnet.ahrq.gov/issue/evidence-based-organization-and-patient-safety-strategies-european-hospitals
January 20, 2016 - January 15, 2025
The influence of context on the effectiveness of hospital quality improvement … November 28, 2012
The relationship between the learning and patient safety climates of … emergency department. … April 24, 2017
Effect of patient safety strategies on the incidence of adverse events … July 16, 2013
A framework for patient safety: a defense nuclear industry-based high-reliability
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psnet.ahrq.gov/issue/health-literacy-primary-care-practice
September 06, 2017 - information they are given regarding their care, including avoiding the use of medical jargon, employing … of overuse of medical tests and treatments. … January 22, 2025
Adaptation and implementation of the WHO Safe Childbirth Checklist around … the world. … 2019 Department of Defense Patient Safety Culture Survey.
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psnet.ahrq.gov/issue/va-health-care-steps-taken-improve-practitioner-screening-facility-compliance-screening
September 28, 2010 - This investigation determined that the U.S. … Veterans Administration has taken steps to improve the reliability of their practitioner licensure and … 12, 2022
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Deficiencies in Emergency Department … Care for a Patient Who Died by Suicide at the John Cochran Division of the VA St. … August 2, 2023
Defense Health Agency Processes for Responding to Provider Quality and
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psnet.ahrq.gov/issue/nonoperating-room-anaesthesia-safety-monitoring-cognitive-aids-and-severe-acute-respiratory
November 10, 2021 - The COVID-19 pandemic has resulted in the delivery of anesthesia outside of operating rooms, such as … November 10, 2021
Increasing naloxone prescribing in the emergency department through … February 22, 2023
The psychological experience of obstetric patients and health care … May 20, 2020
Occurrence, prevention, and management of the psychological effects of emerging … May 13, 2020
Perioperative COVID-19 defense: an evidence-based approach for optimization
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psnet.ahrq.gov/issue/using-machine-learning-or-deep-learning-models-hospital-setting-detect-inappropriate
January 17, 2024 - Further research should involve clinical pharmacists as they will be the end users of these AI tools. … September 15, 2021
Error in intensive care: psychological repercussions and defense mechanisms … The effect of extended work hours on patient care provided by medical interns. … emergency department after falls. … June 16, 2019
The impact of technology on safe medicines use and pharmacy practice in
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psnet.ahrq.gov/node/74226/psn-pdf
February 01, 2019 - Department of Veterans Affairs (VA) study of nearly 124,000 veterans, those
receiving the highest doses … Department of Defense (DOD) to VHA when service members transition out of DOD. … Department of Veterans Affairs (VA), U.S. Department of Defense (DoD). … Accidental poisoning mortality among
patients in the Department of Veterans Affairs Health System. … Department of Veterans Affairs (VA), U.S. Department of Defense (DoD).
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psnet.ahrq.gov/issue/strategies-safe-interhospital-transfer-intubated-patient-or-where-readiness-intubation-needed
July 31, 2013 - medicine department improves outcomes for patients: a systematic review. … 2019 Department of Defense Patient Safety Culture Survey. … September 14, 2022
Maximum emergency department overcrowding is correlated with occurrence … July 8, 2020
Is there a mismatch between the perspectives of patients and regulators … checklists on the outcomes of patients admitted to ICUs: a systematic review and meta-analysis.
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psnet.ahrq.gov/issue/linking-patient-safety-climate-missed-nursing-care-labor-and-delivery-units-findings-laborrns
January 19, 2022 - The authors discuss the importance of strategies to reduce missed care, such as adequate nurse staffing … Same Author(s)
Psychometric properties of the perinatal missed care survey and missed … 2019 Department of Defense Patient Safety Culture Survey. … March 22, 2023
Development and usability testing of the Agency for Healthcare Research … May 31, 2023
Attitudes of clinicians and patient safety culture before and after the
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psnet.ahrq.gov/issue/using-risk-assessment-approach-determine-which-factors-influence-whether-partially-bilingual
March 22, 2023 - This study used failure mode and effect analysis to analyze the potential hazards of this decision and … 2019 Department of Defense Patient Safety Culture Survey. … March 22, 2023
Evaluating the safety of mental health-related prescribing in UK primary … power of information technology. … February 18, 2011
Communication errors in dispatch of air medical transport.
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psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-fiscal-2021
October 12, 2022 - November 29, 2023
Deficiencies in Emergency Department Care for a Patient Who Died by … Suicide at the John Cochran Division of the VA St. … July 26, 2023
Government Response to the Investigation into the Death of Elizabeth Dixon … The Report of the Independent Medicines and Medical Devices Safety Review. … March 25, 2020
Defense Health Agency Should Improve Tracking of Serious Adverse Medical
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psnet.ahrq.gov/issue/medically-necessary-time-sensitive-procedures-scoring-system-ethically-and-efficiently-manage
October 11, 2017 - Same Author(s)
Outcomes of concurrent operations: results from the American College of … April 12, 2023
Improving handoffs in the emergency department. … June 3, 2020
Blueprint for restructuring a department of surgery in concert with the … health care system during a pandemic: the University of Wisconsin Experience. … May 6, 2020
Perioperative COVID-19 defense: an evidence-based approach for optimization
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psnet.ahrq.gov/issue/developing-perioperative-covid-19-testing-protocols-restore-surgical-services
February 12, 2020 - October 20, 2021
Impact of the initial response to COVID-19 on long-term care for people … infections in 2020: a summary of data reported to the National Healthcare Safety Network. … July 22, 2020
Blueprint for restructuring a department of surgery in concert with the … health care system during a pandemic: the University of Wisconsin Experience. … May 6, 2020
Perioperative COVID-19 defense: an evidence-based approach for optimization
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psnet.ahrq.gov/issue/emotional-safety-patient-safety
October 21, 2020 - View more articles from the same authors. … Analysis of incident reports from a patient safety organization. … 2019 Department of Defense Patient Safety Culture Survey. … May 4, 2022
The calm before the storm: utilizing in situ simulation to evaluate for preparedness … of an alternative care hospital during COVID-19 pandemic.
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psnet.ahrq.gov/issue/nurse-workload-and-inexperienced-medical-staff-members-are-associated-seasonal-peaks-severe
June 28, 2013 - adverse events in the ICU: evaluation of morbidity and mortality conferences. … June 28, 2013
Overnight stay in the emergency department and mortality in older patients … March 10, 2011
Effectiveness of the surgical safety checklist in a high standard care … March 24, 2010
The Iatroref study: medical errors are associated with symptoms of depression … October 21, 2015
Error in intensive care: psychological repercussions and defense mechanisms