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psnet.ahrq.gov/issue/incident-reporting-behaviours-following-francis-report-cross-sectional-survey
October 12, 2016 - Participants cited time, the reporting process, culture, organizational issues, and inadequate feedback … February 8, 2018
PReSaFe: A model of barriers and facilitators to patients providing feedback … Healthcare professional and patient codesign and validation of a mechanism for service users to feedback
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psnet.ahrq.gov/issue/development-theoretical-framework-factors-affecting-patient-safety-incident-reporting
January 19, 2016 - Weaknesses in error reporting include lack of use, data quality, and reliable feedback . … August 9, 2017
PReSaFe: A model of barriers and facilitators to patients providing feedback … April 26, 2017
Improving feedback on junior doctors' prescribing errors: mixed-methods
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psnet.ahrq.gov/node/46551/psn-pdf
October 25, 2017 - Reviewing challenges
to improving physicians' diagnostic skills such as the lack of an effective feedback … process, this
commentary spotlights the use of a system to track diagnostic outcomes to collect feedback … diagnostic-accuracy-gps-when-using-early-intervention-decision-support-system-high-fidelity
https://psnet.ahrq.gov/issue/peer-feedback-learning-and-improvement-answering-call-institute-medicine-report-diagnostic
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psnet.ahrq.gov/issue/training-safe-opioid-prescribing-and-treatment-opioid-use-disorder-internal-medicine
March 17, 2021 - 2019
"Closing the loop": a mixed-methods study about resident learning from outcome feedback … December 12, 2018
About politeness, face, and feedback: exploring resident and faculty … perceptions of how institutional feedback culture influences feedback practices.
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psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
June 19, 2024 - mechanisms for prescriber feedback A shared understanding of best practices and use of standardized … Feedback included individual reports in which residents could see how they ranked in their prescribing … The other module provided interactive, dynamic, scenario-based education that included feedback and an … Implement training, audit, and feedback systems. Designate champions in multiple units. … Use real-time audit and feedback tools such as dashboards. Designate anticoagulation champions.
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psnet.ahrq.gov/issue/time-out-charting-path-improving-performance-measurement
March 06, 2005 - November 15, 2018
Providing feedback following Leadership WalkRounds is associated with … 'If no-one stops me, I'll make the mistake again': changing prescribing behaviours through feedback … September 6, 2017
Peer feedback, learning, and improvement: answering the call of the … June 28, 2017
Improving feedback on junior doctors' prescribing errors: mixed-methods … Facility and Group Administrators
Medicine
Epidemiology of Errors and Adverse Events
Audit and Feedback
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psnet.ahrq.gov/node/764410/psn-pdf
March 02, 2022 - shares five
strategies to enhance individual clinician diagnostic practices which include seeking feedback … complex-challenges-and-potential-solutions
https://psnet.ahrq.gov/issue/improving-diagnostic-performance-through-feedback-diagnosis-learning-cycle
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psnet.ahrq.gov/issue/impact-nurse-peer-review-culture-safety
November 29, 2023 - This commentary describes an initiative that standardized nursing peer review to improve feedback and … December 30, 2014
Implementation of peer messengers to deliver feedback: an observational
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psnet.ahrq.gov/node/867038/psn-pdf
October 30, 2024 - reporting-improving-how-root-cause-analysis-teams-shape-patient-safety-
culture
Morbidity and Mortality Conferences (MMCs) and Experience Feedback … morbidity-and-mortality-conferences-narrative-review-strategies-prioritize-quality
https://psnet.ahrq.gov/issue/experience-feedback-committees-way-implementing-root-cause-analysis-practice-hospital-medical
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psnet.ahrq.gov/node/867181/psn-pdf
November 20, 2024 - leveraging-consistent-communication-tools-and-organizational-values-
promote-accountability
The use of peer messengers to provide feedback … leveraging-consistent-communication-tools-and-organizational-values-promote-accountability
https://psnet.ahrq.gov/issue/implementation-peer-messengers-deliver-feedback-observational-study-promote-professionalism
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psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
May 01, 2014 - Performance monitoring and feedback was a third element of the strategy. … DP : The second step of performance reporting is feedback. … The ideal is to move from a concept of average aggregated performance feedback to individual feedback … They want to get more feedback. They want to improve. … An example of screenshot of real-time feedback for hand hygiene.
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psnet.ahrq.gov/issue/change-what-can-actually-make-tough-times-better-patient-centred-patient-safety-intervention
September 24, 2017 - study was a large patient engagement intervention that proactively solicited hospitalized patient feedback … qualitative study found that hospital volunteers could use PRASE tools to sustainably solicit patient feedback … Health Care Executives and Administrators
Epidemiology of Errors and Adverse Events
Audit and Feedback
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psnet.ahrq.gov/issue/multilevel-analysis-us-hospital-patient-safety-culture-relationships-perceptions-voluntary
December 21, 2016 - They found that multiple dimensions of safety culture, including feedback about error, were positively … To augment voluntary reporting, the authors recommend that institutions focus on providing feedback to … A previous PSNet perspective highlighted the importance of providing feedback with regard to incident
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psnet.ahrq.gov/issue/using-coworker-observations-promote-accountability-disrespectful-and-unsafe-behaviors
June 27, 2018 - cup-of-coffee conversations to discuss reports with the associated individuals, and after receiving this feedback … provider, the vast majority of individuals were able to regulate their behavior following receipt of feedback … October 19, 2022
Implementation of peer messengers to deliver feedback: an observational
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psnet.ahrq.gov/node/49702/psn-pdf
March 01, 2014 - What was the
most effective way to give feedback to the previous teams? … Regardless of the nature of the error and its location, appropriate review and feedback is facilitated … early and often to the involved professionals (so
continuous feedback becomes expected and not the … The
corresponding response would be quick, respectful, nonjudgmental feedback (i.e., cup-of-coffee … Professional, respectful, nonjudgmental feedback is sufficient to motivate most recipients to reflect
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psnet.ahrq.gov/issue/team-checkup-tool-evaluating-qi-team-activities-and-giving-feedback-senior-leaders
November 27, 2012 - Commentary
The Team Checkup Tool: evaluating QI team activities and giving feedback … The team checkup tool: evaluating QI team activities and giving feedback to senior leaders. … The team checkup tool: evaluating QI team activities and giving feedback to senior leaders.
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psnet.ahrq.gov/issue/patient-safety-and-staff-competence-managing-challenging-behavior-based-feedback-former
October 15, 2016 - Study
Patient safety and staff competence in managing challenging behavior based on feedback … Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatric … Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatric
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psnet.ahrq.gov/issue/reporting-improving-how-root-cause-analysis-teams-shape-patient-safety-culture
July 31, 2024 - Morbidity and Mortality Conferences (MMCs) and Experience Feedback Committees (EFCs) are two strategies … July 31, 2024
Experience feedback committees: a way of implementing a root cause analysis
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psnet.ahrq.gov/issue/audit-handover-ent-unit
October 28, 2020 - An audit and feedback intervention substantially improved the quality of handoffs in an otolaryngology … Healthcare professional and patient codesign and validation of a mechanism for service users to feedback
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.317_slideshow.ppt
March 01, 2014 - What was the most effective way to give feedback to the previous teams? … ISBN: 9781599406176.
12
Safety Culture
Appropriate review of errors and feedback is facilitated by a … Pyramid (2)
The pyramid outlines a framework:
To promote consistent and proportionate response for feedback … after an avoidable adverse event or an unprofessional act
For leadership regarding how to provide feedback … Clinicians should expect to receive continuous feedback on their performance, and be expected to engage