-
psnet.ahrq.gov/issue/integrating-computerized-clinical-decision-support-systems-clinical-work-meta-synthesis
October 19, 2022 - Prior research on whether clinical decision support systems (CDSS) improve patient outcomes has given … Citation
Related Resources From the Same Author(s)
Optimizing Pediatric Patient … Safety in the Emergency Care Setting. … November 5, 2015
Understanding patient and clinician reported nonroutine events in ambulatory … safety.
-
psnet.ahrq.gov/node/865520/psn-pdf
April 10, 2024 - The prevalence of incivility in hospitals and the effects of
incivility on patient safety culture and … The prevalence of incivility in hospitals and the effects of incivility on
patient safety culture and … https://psnet.ahrq.gov/issue/prevalence-incivility-hospitals-and-effects-incivility-patient-safety-culture-and … -
outcomes
Workplace incivility is known to decrease patient safety culture. … https://psnet.ahrq.gov/issue/prevalence-incivility-hospitals-and-effects-incivility-patient-safety-culture-and-outcomes
-
digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-ambulatory-chronic-disease-care
January 01, 2023 - Completed
Grant Number
R18 HS017035
Funding Mechanism(s)
Ambulatory Safety … ambulatory care health information technology (IT) systems designed to improve chronic disease performance indicators … The dashboard, which provided information on eight quality indicators, was evaluated with a usability … Unexpectedly, 55 percent of physicians printed copies of the patient summary dashboards to give to patients … Monitoring , Patient Portal , Telehealth/Telemedicine
Internet use by primary care patients:
-
psnet.ahrq.gov/issue/accreditation-council-graduate-medical-education-technical-skills-competency-compliance
November 16, 2022 - they acquired technical experience through repetition in a low-stress environment with no threat to patient … safety. … May 18, 2022
Improving patients' intensive care admission through multidisciplinary simulation-based … patient safety goals. … March 3, 2011
Simulation-based training improves physicians' performance in patient care
-
psnet.ahrq.gov/issue/paediatric-early-warning-systems-detecting-and-responding-clinical-deterioration-children
January 26, 2022 - January 26, 2022
From tokenism to empowerment: progressing patient and public involvement … May 29, 2024
Types and patterns of safety concerns in home care: client and family caregiver … September 12, 2018
Prevalence and severity of patient harm in a sample of UK-hospitalised … Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients … February 26, 2014
Drug administration errors and their determinants in pediatric in-patients
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2024-medical-office-database-report-rev.pdf
January 01, 2024 - ON PATIENT
SAFETY CULTURE®
2024 MEDICAL OFFICE
USER DATABASE REPORT
Surveys on
Patient Safety … Culture®
e PATIENT
SAFETY
[This page intentionally left blank]
Surveys on Patient Safety Culture … Overall Patient Safety Rating
Average respondent ratings of their medical office on patient safety … best for patients.
4
Patient Care
Tracking/Followup
The office reminds patients about appointments … safety culture and patient safety.
-
psnet.ahrq.gov/node/60260/psn-pdf
April 22, 2020 - Joint Statement on Multiple Patients Per Ventilator. … April 22, 2020
The Anesthesia Patient Safety Foundation, Society of Critical Care Medicine, American … into care processes with safety in mind. … This announcement shares
insights to mitigate strategies that may cause patient harm through alternative … facilitation-surgical-innovation-it-possible-speed-introduction-new-technology-while
https://psnet.ahrq.gov/issue/agency-healthcare-research-and-quality-ahrq-patient-safety-indicator-postoperative
-
psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
October 23, 2013 - The presence and absence of incidents, errors, and negative outcomes are, no doubt, indicators of system … A Tale of Two Stories: Contrasting Views of Patient Safety. … Chicago, IL: National Patient Safety Foundation; 1998. [Available at]
9. Hollnagel E. … Health IT
August 1, 2015
Profiles in patient safety: misplaced femoral line … Safety in Care Transitions
November 16, 2022
Patient Safety Primers
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/gap-analysis-tool.pdf
September 01, 2022 - if
prescribers do not
follow antibiotic
stewardship protocols
☐ Yes: Decouples
clinician-level patient … Urinary tract infections
☐ Asymptomatic bacteriuria
☐ Skin and soft tissue infections
☐ Management of patient … ☐ Yes
☐ No
☐ N/A
Do the infectious condition
protocols/guidelines provide guidance on
how patients … should follow up or when
patients should seek emergency attention? … ☐ Yes
☐ No
Does the Antibiotic Stewardship Team
develop educational material for patients
-
psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
September 01, 2012 - When the endoscopy suite called for the patient, the bedside nurse said that the patient had just had … The patient died shortly thereafter. … The management of antithrombotic agents for patients undergoing GI endoscopy. … Quality indicators for EGD. Gastrointest Endosc. 2015;81:17-30. [go to PubMed] 9. … Development and validation of the SURgical PAtient Safety System (SURPASS) checklist.
-
psnet.ahrq.gov/node/42455/psn-pdf
September 09, 2013 - Jt Comm J Qual Patient Saf. 2013;39(8):349-360. … A program to engage frontline workers with management in addressing safety issues at the unit level … paradoxically resulted in worse perceptions of safety culture. … Although leadership involvement is critical to
augment patient safety, this article indicates that simply … https://psnet.ahrq.gov/primer/culture-safety
-
psnet.ahrq.gov/web-mm/novel-drug-misuse
September 30, 2010 - by the Data Safety and Monitoring Board on the basis of clear lack of effect. … The drug's high cost, concerns about safety, and failure to recognize eligible patients are thought to … Efficacy and safety of recombinant human activated protein C for severe sepsis. … safety culture and less caregiver burnout. … July 3, 2016
Safety climate, safety climate strength, and length of stay in the NICU.
-
psnet.ahrq.gov/node/842765/psn-pdf
January 18, 2023 - Patient identification of diagnostic safety blindspots and
participation in "good catches" through shared … Patient identification of diagnostic safety blindspots and participation
in "good catches" through shared … https://psnet.ahrq.gov/issue/patient-identification-diagnostic-safety-blindspots-and-participation-good … -
catches-through
Patients who access their electronic health record (EHR) through a patient portal … patient and family engagement in safety.
-
psnet.ahrq.gov/node/73288/psn-pdf
May 19, 2021 - 2020 Pennsylvania Patient Safety Reporting: an analysis
of serious events and incidents from the nation … May 19, 2021
Kepner S, Jones RM. 2020 Pennsylvania Patient Safety Reporting: an analysis of serious … https://psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and- … https://psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-incidents-nations … https://psnet.ahrq.gov/issue/patient-safety-authority-annual-reports
-
psnet.ahrq.gov/node/73915/psn-pdf
October 06, 2021 - sectional-study
This study of US primary care physicians tested their patient safety and quality knowledge … Five topic areas
were assessed: 1) patient management, 2) radiation risk, 3) general safety and quality … , 4) structure,
process, and outcome, and, 5) quality and safety definitions. … The average score was 48% correct,
indicating additional education in patient safety and quality for … definition-quality-and-approaches-its-assessment-vol-1-explorations-quality-assessment-and
https://psnet.ahrq.gov/issue/patient-safety-skills-primary-care-national-survey-gp-educators
-
www.ahrq.gov/hai/cauti-tools/phys-championsgd/section4.html
October 01, 2015 - Harm Related to Invasive Devices
Preventing Device-Associated Infections
Resident Physicians as Safety … and therefore should pay close attention to PVC sites and any related patient complaints. … Assistance with healing of perineal and sacral wounds in incontinent patients. … This addresses patient comfort at end of life. Some patients may not want the catheter. … Accurate measurement of urinary output in critically ill patients.
-
psnet.ahrq.gov/node/46103/psn-pdf
September 23, 2017 - psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-
moment
Geriatric patients … how using STOPP criteria and performing indication
mapping can help reduce polypharmacy and improve patient … safety. … potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
https://psnet.ahrq.gov/issue/indication-based-prescribing-prevents-wrong-patient-medication-errors-computerized-provider
-
psnet.ahrq.gov/node/837894/psn-pdf
August 24, 2022 - Identifying boundary spanning reporter roles in patient
safety events. … Identifying boundary spanning reporter roles in patient safety events. … https://psnet.ahrq.gov/issue/identifying-boundary-spanning-reporter-roles-patient-safety-events
Research … https://psnet.ahrq.gov/issue/identifying-boundary-spanning-reporter-roles-patient-safety-events
https … barriers-incident-reporting-among-nurses-qualitative-systematic-review
https://psnet.ahrq.gov/issue/understanding-factors-influencing-doctors-intentions-report-patient-safety-concerns
-
psnet.ahrq.gov/node/73157/psn-pdf
April 21, 2021 - The impact of power on health care team performance
and patient safety: a review of the literature. … The impact of power on health care team performance and patient
safety: a review of the literature. … https://psnet.ahrq.gov/issue/impact-power-health-care-team-performance-and-patient-safety-review-
literature … Power dynamics can influence effective team performance and patient safety. … https://psnet.ahrq.gov/issue/impact-power-health-care-team-performance-and-patient-safety-review-literature
-
psnet.ahrq.gov/issue/hospitals-tie-ceo-bonuses-safety
July 30, 2014 - July 26, 2011
Spikes in demand from coronavirus patients are creating shortages of asthma … drugs and sedatives for ventilator patients. … June 27, 2018
How effective are incident-reporting systems for improving patient safety … July 11, 2018
Zero Harm: How to Achieve Patient and Workforce Safety in Healthcare. … See More About The Topic
Hospitals
Health Care Executives and Administrators
Patients