PSNet Glossary.

Glossary

PSNet Glossary.

May 11, 2005

PSnet; AHRQ patent safety network; AHRQ PSNet

Compiled by the WebM&M and PSNet editorial staff, this glossary provides definitions for terms frequently used in the patient safety literature.

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Related Resources From the Same Author(s)

Adverse Drug Events.

March 26, 2014

Patient Safety Culture Report: Focusing on Indicators.

July 21, 2010

European Union Network for Patient Safety and Quality of Care.

August 28, 2013

Examining medication ordering errors using AHRQ Network of Patient Safety Databases.

February 22, 2023

Luer Connector Misconnections: Under-Recognized but Potentially Dangerous Events.

August 15, 2012

Just Bag It.

November 30, 2016

A comparative study measuring the difference of healthcare workers reactions among those involved in a patent safety incident and healthcare professionals while working during COVID-19.

October 19, 2022

Dangerous wrong-route errors with tranexamic acid.

September 30, 2020

‘Last responders’ seek to expand postmortem COVID testing In unexplained deaths.

June 3, 2020

Patient Safety Recommendations for COVID-19 Epidemic Outbreak: 3.0

January 29, 2021

Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications.

May 8, 2019

2005 Quest for Quality Prize.

October 5, 2005

Racial/ethnic disparities in interhospital transfer for conditions with a mortality benefit to transfer among patients with Medicare.

April 7, 2021

Catheter-associated urinary tract infection reduction in a pediatric safety engagement network.

September 30, 2020

Association of implementation and social network factors with patient safety culture in medical homes: a coincidence analysis.

September 2, 2020

Effects of interorganisational information technology networks on patient safety: a realist synthesis.

December 9, 2020

Potentially dangerous confusion between Bloxiverz (neostigmine) injection and Vazculep (phenylephrine) injection.

April 1, 2015

Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL.

July 8, 2015

Safe handling of concentrated electrolyte products from outsourcing facilities during critical drug shortages.

June 13, 2018

Severe hyperglycemia in patients incorrectly using insulin pens at home.

October 25, 2017

Potential inaccuracy of electronically transmitted medication history information used for medication reconciliation.

February 26, 2014

Age-related COVID-19 vaccine mix-ups.

December 15, 2021

Warning! Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically.

February 6, 2013

EPINEPHrine pre-filled syringe shortage.

June 30, 2010

AHRQ 2008 Annual Conference.

January 6, 2010

AHRQ 2009 Annual Conference.

January 6, 2010

AHRQ 2010 Annual Conference.

December 1, 2010

Medical Liability Reform & Patient Safety Initiative.

June 23, 2010

Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18).

April 25, 2018

Improving Patient Safety Through Simulation Research: Funded Projects.

October 12, 2011

10-State project to study methods to reduce central line-associated bloodstream infections in hospital ICUs.

March 4, 2009

PSO Privacy Protection Center.

November 5, 2008

Bar-Coded Medication Administration (BCMA).

September 24, 2008

Video on Tips for Taking Medicines Safely.

January 11, 2006

AHRQ WebM&M: Morbidity & Mortality Rounds on the Web.

March 6, 2005

Researching Implementation and Change while Improving Quality (R18).

April 23, 2008

Patient Safety Tools: Improving Safety at the Point of Care.

June 22, 2005

Patient Safety Improvement Corps: An AHRQ/VA partnership.

June 15, 2005

HCUPnet.

March 6, 2005

Quick Tips—When Getting A Prescription.

March 6, 2005

Twenty Tips to Help Prevent Medical Errors in Children.

March 6, 2005

20 Tips to Help Prevent Medical Errors.

March 6, 2005

Ways You Can Help Your Family Prevent Medical Errors!

March 6, 2005

Patient Safety Challenge Grants.

March 6, 2005

Tele-Rapid Response Team (Tele-RRT): the effect of implementing patient safety network system on outcomes of medical patients- a before and after cohort study.

January 11, 2023

The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary of data reported to the National Healthcare Safety Network.

September 22, 2021

Quick Tips—When Planning for Surgery.

March 6, 2005

Incidence of accidental awareness during general anaesthesia in obstetrics: a multicentre, prospective cohort study.

February 17, 2021

SOPS Medical Office Database.

March 11, 2020

Healthcare 411: medication safety toolkit.

March 18, 2009

Patient Safety: Supporting a Culture of Continuous Quality Improvement in Hospitals and Other Health Care Organizations.

March 6, 2005

Medical Office Survey: 2020 User Database Report.

April 28, 2021

Resident physicians' advice seeking and error making: a social networks approach.

May 25, 2022

The Child Health PSO at 10 years: an emerging learning network.

August 18, 2021

Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health IT Portfolio.

March 4, 2009

Racial, ethnic, and socioeconomic disparities in estimates of AHRQ patient safety indicators.

April 21, 2005

Thirty Safe Practices for Better Health Care.

April 15, 2005

Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio.

January 21, 2009

Development, pilot study, and psychometric analysis of the AHRQ Surveys on Patient Safety Culture (SOPS) Workplace Safety Supplemental Items for Hospitals.

June 29, 2022

Training of Hospital Staff To Respond to a Mass Casualty Incident. Summary, Evidence Report/Technology Assessment.

March 6, 2005

Perspectives of emergency clinicians about medical errors resulting in patient harm or malpractice litigation.

November 30, 2022

AHRQ Health Services Research Project: Partners Enabling Diagnostic Excellence (R01).

April 3, 2019

Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria.

August 27, 2008

Quick Tips--When Planning for Surgery.

March 6, 2005

Association of clinician diagnostic performance with machine learning–based decision support systems: a systematic review.

April 14, 2021

Incorporating harms into the weighting of the Revised AHRQ Patient Safety for Selected Indicators Composite (PSI 90).

January 26, 2022

AHRQ Health Information Technology Research: 2018 Year in Review.

October 23, 2019

Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary Report.

April 1, 2009

Network of Patient Safety Databases Chartbook, 2019

February 5, 2020

Your Medicine, Be Smart, Be Safe.

March 6, 2005

Reducing Errors in Health Care: Translating Research Into Practice.

March 6, 2005

The reduction of race and gender bias in clinical treatment recommendations using clinician peer networks in an experimental setting.

December 15, 2021

Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems.

February 2, 2020

Taking Care of Myself: A Guide for When I Leave the Hospital.

June 2, 2010

Choosing a Patient Safety Organization

March 1, 2020

Health Care Simulation to Advance Safety: Responding to Ebola and Other Threats.

April 15, 2015

Findings and Lessons From the Improving Quality Through Clinician Use of Health IT Grant Initiative.

August 28, 2013

Ambulatory Safety and Quality Program: Health IT Portfolio.

February 27, 2013

Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide For Hospitals.

October 17, 2012

AHRQ Projects to Prevent Healthcare-Associated Infections, Fiscal Year 2011.

November 16, 2011

Network of Patient Safety Databases Chartbook.

November 8, 2023

NPSD Data Spotlight, Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency, 2021.

December 22, 2021

Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events.

July 27, 2022

NPSD Data Spotlight: Patterns of Fall Interventions.

November 15, 2023

Advances in Patient Safety: New Directions and Alternative Approaches.

October 8, 2008

10 Patient Safety Tips for Hospitals.

November 29, 2006

Blood Thinner Pills: Your Guide to Using Them Safely.

September 21, 2015

The Effect of Health Care Working Conditions on Patient Safety. Evidence Report/Technology Assessment.

March 6, 2005

National Healthcare Quality and Disparities Report Chartbook on Patient Safety.

March 22, 2024

Strategies to Improve Patient Safety: Final Report to Congress Required by the Patient Safety and Quality Improvement Act of 2005.

December 15, 2021

Patient Experience, Patient Safety, and Provider Well-Being: Associations and Paths for Quality Improvement.

February 6, 2024

Advancing Patient Safety: A Decade of Evidence, Design, and Implementation.

December 9, 2009

Eliminating CLABSI: A National Patient Safety Imperative.

May 4, 2011

Patient and Family Engagement in Primary Care: Case Studies.

June 15, 2016

How PSOs Help Health Care Organizations Improve Patient Safety Culture.

September 28, 2016

Saving Lives and Saving Money: Hospital-Acquired Conditions Update.

December 9, 2015

2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013.

November 18, 2015

Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative.

October 9, 2013

Health IT Hazard Manager.

July 11, 2012

AHRQ Health Information Technology Division's 2017 Annual Report.

May 30, 2018

Related Resources

National Healthcare Quality and Disparities Reports.

January 9, 2024

SOPS Surveys.

November 28, 2023

AHRQ Impact Case Studies: Patient Safety.

October 30, 2023

Ambulatory Surgery Center Survey on Patient Safety Culture.

May 29, 2023

Patient Safety Learning Laboratories: Advancing Patient Safety through Design, Systems Engineering, and Health Services Research (R18 Clinical Trial Optional).

January 11, 2023

Action Planning Tool for the AHRQ Surveys on Patient Safety Culture.

December 5, 2022

Community Pharmacy Survey on Patient Safety Culture.

October 24, 2022

Funding Announcement for Projects Targeting the Reduction of Healthcare-Associated Infections.

July 7, 2021

Choosing a Patient Safety Organization

March 1, 2020

CUSP Toolkit.

September 26, 2019

AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative Database Report.

February 20, 2019

AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017.

February 6, 2019

AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2016.

June 13, 2018

Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18).

April 25, 2018

Hospital Survey on Patient Safety Culture: 2018 User Database Report.

April 4, 2018

SOPS Health Information Technology Patient Safety Supplemental Item Set for the Hospital Survey.

March 28, 2018

Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014.

March 14, 2018

Overview of Patient Safety Learning Laboratory Projects.

January 18, 2017

Healthcare Simulation Dictionary, Second Edition.

November 23, 2016

AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report.

November 23, 2016

Nursing Home Antimicrobial Stewardship Guide.

November 9, 2016

Patient Safety in Ambulatory Settings.

November 2, 2016

How PSOs Help Health Care Organizations Improve Patient Safety Culture.

September 28, 2016

AHRQ Research Summit on Improving Diagnosis in Health Care.

August 17, 2016

Patient and Family Engagement in Primary Care: Case Studies.

June 15, 2016

Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers' external obligations.

June 15, 2016

Medical Office Survey on Patient Safety Culture: 2016 User Comparative Database Report.

June 8, 2016

AHRQ Communication and Optimal Resolution (CANDOR) Toolkit.

May 25, 2016

Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events. Final Report.

May 25, 2016

Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture.

May 11, 2016

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