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psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
November 27, 2023 - That is one of the most exciting things about the 2021 Essentials . … how the Essentials incorporate safety topics, like safety culture and teamwork, or more specific things … , like the safety harm scenarios that nurses commonly experience related to things like falls or hospital … Students, even entry-level students, could be engaged in many things in a practice setting, such as comparing
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psnet.ahrq.gov/issue/patients-and-family-members-views-how-clinicians-enact-and-how-they-should-enact-incident
September 29, 2017 - Improving the patient, family, and clinician experience after harmful events: the "When Things
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psnet.ahrq.gov/issue/we-want-know-mixed-methods-evaluation-comprehensive-program-designed-detect-and-address
October 17, 2018 - July 28, 2014
More than words: patients' views on apology and disclosure when things
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psnet.ahrq.gov/perspective/overuse-patient-safety-problem
September 01, 2014 - That good things flow from putting out appropriately adjusted data and demonstrating patterns of variation … to be looking at this, and payers need to be looking at these variations and stop paying for these things … Perspective
Patient Advocacy in Patient Safety: Have Things
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psnet.ahrq.gov/issue/speaking-about-traditional-and-professionalism-related-patient-safety-threats-national-survey
November 20, 2015 - March 20, 2017
View More
Related Resources
Bad things can happen
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psnet.ahrq.gov/node/73953/psn-pdf
October 27, 2021 - expectancy
and goals of care, and the time it will take to see benefit from the medication, among other things … from the medication, and the patient's
motivation to stop and/or continue the medication, among other things
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psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
October 24, 2021 - That’s all what we call part of the medication supply chain safety and integrity, and those are things … Two more things that people don't necessarily think about within the pharmacist’s realm of what we do … opportunity for the pharmacist in these settings to serve as a safety net or a double check to some of the things
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psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
August 01, 2010 - Changing a culture ultimately requires changing the hearts and minds of individuals accustomed to "the way things … So we said things like, "The average patient at Penn stayed 17 additional days when they got a central … It is essential that we begin to document these things and publish them—because arguably at an academic
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psnet.ahrq.gov/perspective/remote-patient-monitoring
March 15, 2023 - Those areas include things like telehealth, remote patient monitoring (RPM), and other types of innovative … All these things become complicated when you start to unwind them. … outcome—engaging your patient with their health and getting them interested and checking and understanding things … reduce the risk of heart attack and stroke that may lead to potential disability and falls, among other things … If you put all those things together, you have a great impact on health outcomes and patient safety.
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psnet.ahrq.gov/perspective/conversation-dr-neal-sikka-and-dr-colton-hood-about-remote-patient-monitoring
March 15, 2023 - Those areas include things like telehealth, remote patient monitoring (RPM), and other types of innovative … All these things become complicated when you start to unwind them. … outcome—engaging your patient with their health and getting them interested and checking and understanding things … reduce the risk of heart attack and stroke that may lead to potential disability and falls, among other things … If you put all those things together, you have a great impact on health outcomes and patient safety.
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psnet.ahrq.gov/node/33592/psn-pdf
December 15, 2024 - Adverse Events, Near Misses, and Errors
December 15, 2024
Adverse Events, Near Misses, and Errors. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current re…
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psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
December 15, 2024 - expectancy and goals of care, and the time it will take to see benefit from the medication, among other things … from the medication, and the patient's motivation to stop and/or continue the medication, among other things
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psnet.ahrq.gov/taxonomy/term/3475
April 05, 2025 - Error
An act of commission (doing something wrong) or omission (failing to do the right thing) that leads to an undesirable outcome or significant potential for such an outcome. For instance, ordering a medication for a patient with a documented allergy to that medication would be an act of commission. Failing to pre…
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psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
January 12, 2022 - They made things happen. … chief medical officers, continued working through weekends and nights without a break trying to keep things … Tremendous innovation happened with good results but sometimes it would take a trial of two or three things
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psnet.ahrq.gov/perspective/conversation-withdean-schillinger-md
March 01, 2009 - number of times that we do medication reconciliation in the office and we pick up some pretty scary things … levels—as they relate to health care materials—tend to be fairly robust predictors of a whole bunch of things … their families, and to enable them to know how to access resources appropriately to help them when things
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psnet.ahrq.gov/web-mm/code-blue-where
March 30, 2020 - Commentary Although it was ultimately discovered that this patient did not want resuscitation, many things … Simple things like oxygen connectors or defibrillator pads can prove to be most uncooperative under stress
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psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
December 01, 2009 - GH: One of the things we often hear when we provide feedback to high-malpractice-risk physicians is … All those things make the return on investment of addressing nonprofessional conduct strong. … patient safety and nurse recruitment/retention, we turned our attention to what we could do to make things
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psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
December 01, 2009 - patient safety and nurse recruitment/retention, we turned our attention to what we could do to make things … GH: One of the things we often hear when we provide feedback to high-malpractice-risk physicians is … All those things make the return on investment of addressing nonprofessional conduct strong.
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psnet.ahrq.gov/perspective/safety-dentistry
August 01, 2016 - So nitrous oxide and things like that would be okay. … Tell us about some of the things you have done and how well they've worked. … RW : Do you have a sense of how different things are in Spain versus in the US in the field of dental
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psnet.ahrq.gov/node/74239/psn-pdf
January 12, 2022 - Evaluation of clinical practice guidelines on fall
prevention and management for older adults: a
systematic review.
January 12, 2022
Montero-Odasso MM, Kamkar N, Pieruccini-Faria F, et al. Evaluation of clinical practice guidelines on fall
prevention and management for older adults: a systematic review. JAMA Netw …