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psnet.ahrq.gov/node/841202/psn-pdf
December 18, 2024 - Surveys on Patient Safety Culture™ (SOPS®) Hospital Survey on Patient Safety Culture ask
health care providers … help hospitals assess the extent to which their organization’s culture supports
workplace safety for providers … An average of
30% of healthcare providers and staff experienced symptoms of “Work Stress/Burnout,” which
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psnet.ahrq.gov/node/35737/psn-pdf
July 15, 2010 - Shepherding change: how the market, healthcare
providers, and public policy can deliver quality care … Shepherding change: how the market, healthcare providers, and public policy
can deliver quality care … https://psnet.ahrq.gov/issue/shepherding-change-how-market-healthcare-providers-and-public-policy-can … https://psnet.ahrq.gov/issue/shepherding-change-how-market-healthcare-providers-and-public-policy-can-deliver-quality-care … https://psnet.ahrq.gov/issue/shepherding-change-how-market-healthcare-providers-and-public-policy-can-deliver-quality-care
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psnet.ahrq.gov/node/72689/psn-pdf
January 29, 2021 - With the increased number of patient encounters many inpatient
providers are expected to maintain, along … However, health professionals need to build safer systems and encourage providers to evaluate
patients … Fevers are a common occurrence among inpatients, and often
encountered by overnight providers who may … Often, especially while busy on cross-cover, inpatient providers do not conduct in-person evaluation … And most providers would agree that being at the bedside
is a best practice.
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psnet.ahrq.gov/node/33574/psn-pdf
March 15, 2025 - of the community and health system
Patients and caregivers
Since face-to-face interactions between providers … Patients must
also understand how and when to contact their providers outside of routine appointments … Patient and provider interactions
The nature of interactions between patients and providers—and between … different providers—may also be
a source of adverse events. … Coordinating care between different providers remains a
significant challenge, especially if they do
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psnet.ahrq.gov/node/44743/psn-pdf
December 22, 2017 - Patients' and providers' perceptions of the preventability
of hospital readmission: a prospective, observational … Patients' and providers' perceptions of the preventability of
hospital readmission: a prospective, observational … https://psnet.ahrq.gov/issue/patients-and-providers-perceptions-preventability-hospital-readmission- … https://psnet.ahrq.gov/issue/patients-and-providers-perceptions-preventability-hospital-readmission-prospective … https://psnet.ahrq.gov/issue/patients-and-providers-perceptions-preventability-hospital-readmission-prospective
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psnet.ahrq.gov/node/41669/psn-pdf
November 26, 2014 - Patient safety perceptions of primary care providers after
implementation of an electronic medical record … Patient safety perceptions of primary care providers after
implementation of an electronic medical record … https://psnet.ahrq.gov/issue/patient-safety-perceptions-primary-care-providers-after-implementation- … https://psnet.ahrq.gov/issue/patient-safety-perceptions-primary-care-providers-after-implementation-electronic-medical … https://psnet.ahrq.gov/issue/patient-safety-perceptions-primary-care-providers-after-implementation-electronic-medical
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psnet.ahrq.gov/node/853426/psn-pdf
January 01, 2024 - As part of their study on how black patients
with serious illness experience racism from providers, … researchers conducted interviews with 21 providers
to understand ways they address anti-Black racism … Providers felt unprepared to address
racism with their patients, wanted to provide tools for patients
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psnet.ahrq.gov/node/44079/psn-pdf
May 28, 2015 - Differences in the rates of patient safety events by payer:
implications for providers and policymakers … Differences in the rates of patient safety events by payer: implications
for providers and policymakers … https://psnet.ahrq.gov/issue/differences-rates-patient-safety-events-payer-implications-providers-and … https://psnet.ahrq.gov/issue/differences-rates-patient-safety-events-payer-implications-providers-and-policymakers … https://psnet.ahrq.gov/issue/differences-rates-patient-safety-events-payer-implications-providers-and-policymakers
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psnet.ahrq.gov/node/844789/psn-pdf
January 01, 2021 - patient-preferences-cases-inter-system-medical-error-discovery-imed
Clinicians sometimes need to address errors committed by other providers … A review article and a
WebM&M commentary discuss frameworks for providers to use when disclosing errors … talking-patients-about-other-clinicians-errors
https://psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
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psnet.ahrq.gov/node/46956/psn-pdf
January 23, 2019 - The phenomenon is especially well-described in the Veterans Affairs
(VA) system, where providers receive … This study describes a nationwide VA initiative to reduce EHR alerts in primary care
and teach providers … Providers who received the most
alerts before the initiative experienced the largest alert reduction … psnet.ahrq.gov/issue/electronic-health-record-alert-related-workload-predictor-burnout-primary-care-providers … https://psnet.ahrq.gov/issue/are-we-heeding-warning-signs-examining-providers-overrides-computerized-drug-drug-interaction
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psnet.ahrq.gov/node/860049/psn-pdf
January 04, 2024 - this case, the delayed
diagnosis of myasthenia gravis is illustrative of common challenges faced by providers … As a backup, most EHRs have a system of sending alerts directly to providers to notify them of new results … The subsequent diagnostic
plan is only as good as this story that providers tell themselves and each … has ongoing, unexplained weakness that prolonged her ICU stay and made her difficult to extubate,
providers … for increased
seizure frequency, then her pre-existing medical problems create a fog that may blind providers
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psnet.ahrq.gov/node/44283/psn-pdf
July 15, 2015 - An analysis of near misses identified by anesthesia
providers in the intensive care unit. … An analysis of near misses identified by anesthesia
providers in the intensive care unit. … https://psnet.ahrq.gov/issue/analysis-near-misses-identified-anesthesia-providers-intensive-care-unit … https://psnet.ahrq.gov/issue/analysis-near-misses-identified-anesthesia-providers-intensive-care-unit
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psnet.ahrq.gov/node/43659/psn-pdf
November 05, 2014 - Intraoperative patient information handover between
anesthesia providers. … Intraoperative patient information handover between
anesthesia providers. … https://psnet.ahrq.gov/issue/intraoperative-patient-information-handover-between-anesthesia-providers … https://psnet.ahrq.gov/issue/intraoperative-patient-information-handover-between-anesthesia-providers
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psnet.ahrq.gov/node/72771/psn-pdf
February 24, 2021 - resources, staff, and supplies by the
COVID-19 pandemic may exacerbate implicit bias among pediatric providers … organizational, educational, and research levels, provide specific calls to action for
pediatric healthcare providers … , and discuss the role of pediatric psychologists in supporting other providers.
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psnet.ahrq.gov/node/73679/psn-pdf
September 08, 2021 - why-open-disclosure-procedure-and-not-followed-after-avoidable-adverse-
event
While prior research has shown patients want disclosure of adverse events, healthcare providers … Factors that influence providers’ willingness to disclose errors and
apologize include organizational … A culture of safety and a clear legal framework may increase providers’
willingness to disclose errors
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psnet.ahrq.gov/node/43842/psn-pdf
January 28, 2015 - Should health care providers be forced to apologise after
things go wrong? … Should health care providers be forced to apologise after things go
wrong? … https://psnet.ahrq.gov/issue/should-health-care-providers-be-forced-apologise-after-things-go-wrong … https://psnet.ahrq.gov/issue/should-health-care-providers-be-forced-apologise-after-things-go-wrong
https
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psnet.ahrq.gov/sites/default/files/2023-08/spotlight_case_prolonged_dka_in_pregnancy_-_slides_-_revised.pdf
January 01, 2023 - – Presumably there was no direct communication between these providers until several days
after … – These authors recommend providers follow the American College of Obstetricians and
Gynecologists … – At this point in the algorithm, providers must evaluate hydration status. … – Provide patient safety culture training to all providers.
– Use shared language. … When pregnant patients are hospitalized with acute medical illnesses, primary
providers can include
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psnet.ahrq.gov/node/46741/psn-pdf
June 07, 2018 - Suffering in silence: medical error and its impact on
health care providers. … Suffering in Silence: Medical Error and its Impact on Health Care Providers. … https://psnet.ahrq.gov/issue/suffering-silence-medical-error-and-its-impact-health-care-providers
Involvement … https://psnet.ahrq.gov/issue/suffering-silence-medical-error-and-its-impact-health-care-providers
https
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psnet.ahrq.gov/web-mm/see-patient-first
September 27, 2023 - With the increased number of patient encounters many inpatient providers are expected to maintain, along … However, health professionals need to build safer systems and encourage providers to evaluate patients … Fevers are a common occurrence among inpatients, and often encountered by overnight providers who may … Often, especially while busy on cross-cover, inpatient providers do not conduct in-person evaluation … And most providers would agree that being at the bedside is a best practice.
-
psnet.ahrq.gov/node/60231/psn-pdf
April 15, 2020 - //psnet.ahrq.gov/issue/regret-among-primary-care-physicians-survey-diagnostic-decisions
Healthcare providers … This qualitative
study solicited experiences from 29 German primary care providers about diagnostic … Regardless
whether the diagnostic error resulted in patient harm, the vast majority (27/29) of providers