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psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
January 31, 2024 - review of diagnostic safety has noted. … healthcare settings impacts patient safety, and guidance is emerging that a culture of safety may mitigate … , especially the culture of patient safety. … of issues that influence quality and safety. … some of these safety issues we’ve mentioned.
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psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2014
November 23, 2016 - This year's list of Top Performers included a record 1224 hospitals, representing nearly 37% of all … Heart attack care now has a composite score of 99%. … May 30, 2012
Quick Safety. … the Department of Health. … the willingness of English National Health Service staff to recommend their organisation.
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psnet.ahrq.gov/node/33683/psn-pdf
April 01, 2009 - I'm not sure what my grandfather would have thought of the modern patient safety movement, with its … It is not surprising, therefore, to find a certain tension between the culture of medicine and
the demands … of
improving patient safety? … Impact of clinical alarms on patient safety: a report from the American
College of Clinical Engineering … The PeaceHealth governance journey in support of quality and safety [Perspective].
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psnet.ahrq.gov/issue/engaging-minority-communities-safer-healthcare
January 15, 2017 - This publication reports on how to engage patients and families in improving patient safety. … August 26, 2015
Patient Safety and Managing Risk in Nursing. … November 21, 2012
Respectful Management of Serious Clinical Adverse Events. … June 12, 2019
Patient safety: a consumer's perspective. … November 21, 2016
Safety Information for Patients and Families.
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psnet.ahrq.gov/node/857459/psn-pdf
December 06, 2023 - emergency-preparedness-be-ready-unanticipated-electronic-health-record-ehr-downtime
https://psnet.ahrq.gov/issue/analysis-electronic-health-record-related-patient-safety-concerns
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psnet.ahrq.gov/issue/engaging-patients-and-family-members-patient-safety-experience-new-york-city-health-and
October 19, 2022 - Study
Engaging patients and family members in patient safety—the experience of the … Engaging patients and family members in patient safety--the experience of the New York City Health and … of mental health services. … Engaging patients and family members in patient safety--the experience of the New York City Health and … February 18, 2011
Safety of overlapping surgery at a high-volume referral center.
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psnet.ahrq.gov/node/35374/psn-pdf
January 02, 2017 - Medication Practices, captured more than 2000 health care
providers' views to assess the prevalence of … Results suggested
widespread experiences with a variety of intimidating behaviors such as condescending … Findings were not
limited to physicians; pharmacists seemed more affected than nurses, and nearly half of … respondents felt
the behaviors countered necessary patient safety efforts.
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psnet.ahrq.gov/node/41228/psn-pdf
August 02, 2012 - psnet.ahrq.gov/issue/medication-administration-errors-understanding-issues
https://psnet.ahrq.gov/primer/culture-safety
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psnet.ahrq.gov/issue/next-generation-doctors-may-be-learning-bad-habits-teaching-hospitals-many-safety-violations
June 28, 2023 - at teaching hospitals with many safety violations. … many safety violations. … Reporting on clusters of safety violations the Centers for Medicare and Medicaid Services found at teaching … of medical training: an annotated bibliography. … to assess socio-cultural dimensions of patient safety competency.
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psnet.ahrq.gov/node/49772/psn-pdf
October 01, 2016 - Laboratory studies, including blood cultures, were drawn. … for her low blood pressure, the microbiology lab
called to notify the team that the patient's blood cultures … Transitions in care across institutions and within hospitals may lead to errors and put patient safety … Hand-off communication does affect patient safety. Plast Surg Nurs. 2009;29:266-270. … safety: a qualitative study.
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psnet.ahrq.gov/node/33637/psn-pdf
August 01, 2006 - Of course it's hard. We're talking about a major culture change. It's going to take years. … How do you see the relative role of these
two types of motivations in terms of the overall safety movement … RW: What are the most enduring legacies of your work in patient safety? … So I'm pretty optimistic about the future of safety. … and I'm of the school that believes that safety is all about relationships?
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psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2016
November 10, 2016 - The percent of hospitals that performed at 95% or above for all accountability measures declined from … However, the report emphasizes that many of the measures in which hospitals were performing extremely … A previous WebM&M commentary discussed the unintended consequences of public reporting of hospital … July 10, 2024
Patient Safety Primers
Patient Safety 101 … March 22, 2017
Final Report of the Commission on Care.
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psnet.ahrq.gov/issue/patients-attitudes-towards-patient-involvement-safety-interventions-results-two-exploratory
July 06, 2012 - Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies … January 19, 2016
Measuring variation in use of the WHO surgical safety checklist in the … of the WHO surgical safety checklist across hospitals in England: lessons from the "Surgical Checklist … May 6, 2015
The WHO surgical safety checklist: survey of patients' views. … December 21, 2014
Effects of an educational patient safety campaign on patients' safety
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psnet.ahrq.gov/issue/ensuring-competency-and-safety-when-onboarding-newly-hired-professional-staff
February 22, 2023 - Part 1 of this article examines the cultural qualities enabling safe onboarding of new practitioners … Part 2 discusses the role of simulation to build skills in new staff to ensure medication safety. … professional learners: a scoping review of the barriers and enablers. … session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of … July 30, 2014
Description and evaluation of an interprofessional patient safety course
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psnet.ahrq.gov/web-mm/nothing-called-small-surgery
February 01, 2023 - Approach to Improving Safety
Strategies to minimize the risk of ischemic complications of digital … Safety of Epinephrine in Digital Nerve Blocks: A Literature Review. … February 1, 2023
Patient Safety: Emerging Applications of Safety Science. … July 10, 2024
Family medicine presence on labor and delivery: effect on safety culture … culture?
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psnet.ahrq.gov/node/74050/psn-pdf
November 10, 2021 - Health disparities: impact of health disparities and
treatment decision-making biases on cancer adverse … health-disparities-impact-health-disparities-and-treatment-decision-making-
biases-cancer
Racial and ethnic disparities in healthcare can affect patient safety … The
authors also discuss the importance of ongoing training on the impact of structural racism, ways … to mitigate
its effects, and the role of research and implementation to reduce implicit bias. … racial-disparities-diagnostic-delay-among-women-breast-cancer
https://psnet.ahrq.gov/issue/achieving-zero-inequity-lessons-learned-patient-safety
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psnet.ahrq.gov/node/49415/psn-pdf
September 01, 2003 - are even more susceptible to misinterpretation, due to changing context or
differences in gender and culture … enhanced safety for the next patient. … Weinger, MD Director, Center for Healthcare Simulation of the San Diego Center for Patient
Safety Professor … Framework for analysing risk and safety in clinical medicine. … culture and priorities
Reactive culture (eg, address problems only when they
occur) - Proactive approach
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psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2015
November 23, 2016 - This year's report reflects an expansion in the number of quality measures used. … New measurements of tobacco and substance abuse care reveal potential for improvement. … It also demonstrates that patient safety issues such as medication safety and diagnosis remain under-emphasized … May 30, 2012
Quick Safety. … April 24, 2024
Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions
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psnet.ahrq.gov/issue/high-performance-work-systems-health-care-management-part-1-and-part-2
March 22, 2017 - : a study of staff experiences of speaking up across seven hospitals. … survey of healthcare staff in the United Kingdom and Australia. … March 18, 2020
Sequential implementation of the EQUIPPED geriatric medication safety … Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer
July 31, 2023 … January 22, 2017
Patient Safety.
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psnet.ahrq.gov/node/47130/psn-pdf
October 10, 2018 - This
commentary discusses how clinical instructors can establish a safe learning culture, learn about … medication-errors-involving-healthcare-students
https://psnet.ahrq.gov/issue/concept-analysis-undergraduate-nursing-students-speaking-patient-safety-patient-care